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Trial · NCT03252249

Duration of Dual Anti-Platelet Therapy (DUAL-ACS)

NCT03252249, Phase 4, Completed, University of Edinburgh; results first posted 2026-01-28

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Duration of Dual Anti-Platelet Therapy (DUAL-ACS). Trials, record NCT03252249. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03252249

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Duration of Dual Anti-Platelet Therapy (DUAL-ACS)
NCT number
NCT03252249
Status
Completed
Phases
Phase 4
Enrollment
5,094 participants, actual
Lead sponsor
University of Edinburgh
Conditions
Acute Coronary Syndrome, Coronary Artery Disease
Interventions
3 months dual anti-platelet therapy, 12 months dual anti-platelet therapy
First posted
2017-08-17
Last updated
2026-11-03
Results first posted
2026-01-28
Limitations and caveats
The major limitation is that early trial termination meant the target sample size was not achieved, leaving an underpowered trial which was unable to address its primary endpoint. The recruitment suspension due to COVID-19, and the subsequent delays in re-opening of the study sites and lack of staff capacity significantly affected recruitment.

Source ClinicalTrials.gov

Registered outcomes27

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTime-to-event: All-cause MortalityDate of index MI to 15 monthsRestricted Mean Survival Time
PrimaryIncidence: All-cause MortalityDate of index MI to 15 monthsOccurrence of event
SecondaryTime-to-event: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal BleedingDate of MI to 15 monthsRestricted Mean Survival Time
SecondaryIncidence: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal BleedingDate of MI to 15 monthsOccurrence of event
SecondaryTime-to-event: Non-cardiovascular Death (Including Fatal Bleeding)Date of MI to 15 monthsRestricted Mean Survival Time
SecondaryIncidence: Non-cardiovascular Death (Including Fatal Bleeding)Date of MI to 15 monthsOccurrence of event
SecondaryTime-to-event: Major Fatal and Non-fatal BleedingDate of MI to 15 monthsRestricted Mean Survival Time
SecondaryIncidence: Major Fatal and Non-fatal BleedingDate of MI to 15 monthsOccurrence of event
SecondaryTime-to-event: Gastrointestinal BleedingDate of MI to 15 monthsRestricted Mean Survival Time
SecondaryIncidence: Gastrointestinal BleedingDate of MI to 15 monthsOccurrence of event

Outcomes27

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTime-to-event: All-cause MortalityDate of index MI to 15 monthsIntention to Treat Population. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.daysMEAN
PRIMARYIncidence: All-cause MortalityDate of index MI to 15 monthsIntention to Treat Population. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYTime-to-event: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal BleedingDate of MI to 15 months
The intention to treat (ITT) principle. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.
daysMEAN
SECONDARYIncidence: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal BleedingDate of MI to 15 months
The intention to treat (ITT) principle. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.
participantsNUMBER
SECONDARYTime-to-event: Non-cardiovascular Death (Including Fatal Bleeding)Date of MI to 15 monthsIntention to Treat Population. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.daysMEAN
SECONDARYIncidence: Non-cardiovascular Death (Including Fatal Bleeding)Date of MI to 15 months
The intention to treat (ITT) principle. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.
participantsNUMBER
SECONDARYTime-to-event: Major Fatal and Non-fatal BleedingDate of MI to 15 monthsIntention to Treat Population. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.daysMEAN
SECONDARYIncidence: Major Fatal and Non-fatal BleedingDate of MI to 15 months
The intention to treat (ITT) principle. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.
participantsNUMBER
SECONDARYTime-to-event: Gastrointestinal BleedingDate of MI to 15 monthsIntention to Treat Population. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.daysMEAN
SECONDARYIncidence: Gastrointestinal BleedingDate of MI to 15 months
The intention to treat (ITT) principle. Patients were analysed according to their allocated intervention, irrespective of whether the patient's actual management complied with the allocated intervention.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group54

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Time-to-event: All-cause Mortality3 Months Dual Anti-platelet Therapy447.337Standard Error 1.0542days
Time-to-event: All-cause Mortality12 Months Dual Anti-platelet Therapy445.196Standard Error 1.1741days
Incidence: All-cause Mortality3 Months Dual Anti-platelet Therapy68Participants
Incidence: All-cause Mortality12 Months Dual Anti-platelet Therapy87Participants
Time-to-event: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal Bleeding3 Months Dual Anti-platelet Therapy442.881Standard Error 1.2908days
Time-to-event: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal Bleeding12 Months Dual Anti-platelet Therapy440.736Standard Error 1.3565days
Incidence: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal Bleeding3 Months Dual Anti-platelet Therapy104participants
Incidence: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal Bleeding12 Months Dual Anti-platelet Therapy127participants
Time-to-event: Non-cardiovascular Death (Including Fatal Bleeding)3 Months Dual Anti-platelet Therapy452.453Standard Error 0.5873days
Time-to-event: Non-cardiovascular Death (Including Fatal Bleeding)12 Months Dual Anti-platelet Therapy452.593Standard Error 0.5285days

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTED3 Months Dual Anti-platelet Therapy2,526
Overall StudySTARTED12 Months Dual Anti-platelet Therapy2,526
Overall StudyCOMPLETED3 Months Dual Anti-platelet Therapy2,526
Overall StudyCOMPLETED12 Months Dual Anti-platelet Therapy2,526
Overall StudyNOT COMPLETED3 Months Dual Anti-platelet Therapy0
Overall StudyNOT COMPLETED12 Months Dual Anti-platelet Therapy0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortality3 Months Dual Anti-platelet Therapy682,526
Total, all-cause mortality12 Months Dual Anti-platelet Therapy872,526
Total, other adverse events3 Months Dual Anti-platelet Therapy02,526
Total, other adverse events12 Months Dual Anti-platelet Therapy02,526
Total, serious adverse events3 Months Dual Anti-platelet Therapy02,526
Total, serious adverse events12 Months Dual Anti-platelet Therapy02,526

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons16

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Non-cardiovascular Death (Including Fatal Bleeding)Trial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Major Fatal and Non-fatal BleedingTrial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Gastrointestinal BleedingTrial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Cardiovascular Mortality (Cardiac and Non-cardiac)Trial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: All-cause MortalityTrial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Blood TransfusionTrial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Thrombotic StrokeTrial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Stent ThrombosisTrial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Non-cardiovascular Death (Including Fatal Bleeding) and Major Non-fatal BleedingTrial comparisons
3 Months Dual Anti-platelet Therapy vs 12 Months Dual Anti-platelet Therapy: Incidence: Coronary RevascularisationTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03252249

GET https://conductscience.org/api/trials/v1/NCT03252249/registered?page=2