研究单位:[1]Shenyang Northern Hospital[2]The General Hospital of Northern Theater Command,Shenyang Northern Hospital[3]Anhui Provincial Hospital,Hefei 1808722,Anhui 1818058,China,230001[4]The Seventh Medical Center of Pla General Hospital,Beijing 1816670,Beijing Municipality 2038349,China,100010[5]Beijing Anzhen Hospital,Capital Medical University, word2,Beijing 1816670,Beijing Municipality 2038349,China,100029[6]Beijing Anzhen Hospital,Capital Medical University, word3,Beijing 1816670,Beijing Municipality 2038349,China,100029[7]PLA Rocket Force Characteristic Medical Center,Beijing 1816670,Beijing Municipality 2038349,China,100088[8]Peking University International Hospital,Beijing 1816670,Beijing Municipality 2038349,China,102206[9]Beijing Tsinghua Changgung Hospital,Beijing 1816670,Beijing Municipality 2038349,China,102218[10]Xinqiao Hospital Army Medical University,Chongqing 1814906,Chongqing Municipality 1814905,China,400037[11]Department of Cardiology, Daping Hospital, The Third Military Medical University,Chongqing 1814906,Chongqing Municipality 1814905,China,400042[12]University-Town Hospital Of Chongqing Medical University,Chongqing 1814906,Chongqing Municipality 1814905,China,401331[13]Fujian Medical University Union Hospital,Fuzhou 1810821,Fujian 1811017,China,350001[14]Fujian Provincial Hospital,Fuzhou 1810821,Fujian 1811017,China,350001[15]Guangdong General Hospital,Guangzhou 1809858,Guangdong 1809935,China,510080[16]The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 1809858,Guangdong 1809935,China,510080[17]Guangzhou Red Cross Hospital,Guangzhou 1809858,Guangdong 1809935,China,510235[18]Meizhou People''s Hospital,Meizhou 1800779,Guangdong 1809935,China,514031[19]Fuwai Hospital Chinese Academy Of Medical Sciences, Shenzhen,Shenzhen 1795565,Guangdong 1809935,China,518057[20]Zhongshan City People''s Hospital,Zhongshan 6986104,Guangdong 1809935,China,528403[21]Liuzhou Worker''s Hospital,Liuzhou 1803300,Guangxi 1809867,China,545007[22]Cangzhou Central Hospital,Cangzhou 1816080,Hebei 1808773,China,061011[23]The First Hospital Of Hebei Medical University,Shijiazhuang 1795270,Hebei 1808773,China,050000[24]The Second Hospital Of Hebei Medical University,Shijiazhuang 1795270,Hebei 1808773,China,050000[25]Shijiazhuang People''s Hospital,Shijiazhuang 1795270,Hebei 1808773,China,050030[26]Bethune International Peace Hospital,Shijiazhuang 1795270,Hebei 1808773,China,050051[27]Xinxiang Central Hospital,Xinxiang 1788572,Henan 1808520,China,453099[28]The First Affiliated Hospital Of Zhengzhou University,Zhengzhou 1784658,Henan 1808520,China,450052[29]Fuwai Central China Cardiovascular Hospital,Zhengzhou 1784658,Henan 1808520,China,451460[30]Wuhan Asia Heart Hospital,Wuhan 1791247,Hubei 1806949,China,430022[31]Wuhan Union Hospital China,Wuhan 1791247,Hubei 1806949,China,430022[32]Tongji Medical College Of Hust,Wuhan 1791247,Hubei 1806949,China,430030[33]People''s Hospital Of Hunan Province,Changsha 1815577,Hunan 1806691,China,410005[34]The Third Xiangya Hospital Of Central South University,Changsha 1815577,Hunan 1806691,China,410205[35]Inner Mongolia People''s Hospital,Hohhot 2036892,Inner Mongolia 2035607,China,010017[36]HulunBuir People''s Hospital,Hulun Buir 12548253,Inner Mongolia 2035607,China,021008[37]Inner Mongolia Forestry General Hospital,Hulun Buir 12548253,Inner Mongolia 2035607,China,022150[38]Nanjing First Hospital,Nanjing 1799962,Jiangsu 1806260,China,210006[39]Nanjing Drum Tower Hospital,Nanjing 1799962,Jiangsu 1806260,China,210008[40]Zhongda Hospital Southeast University,Nanjing 1799962,Jiangsu 1806260,China,210009[41]Nanjing Jinling Hospital,Nanjing 1799962,Jiangsu 1806260,China,210016[42]Jiangsu Province Hospital,Nanjing 1799962,Jiangsu 1806260,China,210029[43]The First Affiliated Hospital Of Soochow University,Suzhou 1886760,Jiangsu 1806260,China,215031[44]Xuzhou Cancer Hospital,Xuzhou 10630003,Jiangsu 1806260,China,221005[45]The Second Affiliated Hospital Of Xuzhou Medical University,Xuzhou 10630003,Jiangsu 1806260,China,221006[46]The First Bethune Hospital Of Jilin University,Changchun 2038180,Jilin 2036500,China,130021[47]China-Japan Union Hospital Of Jilin University,Changchun 2038180,Jilin 2036500,China,130033[48]The Second Hospital Of Jilin University,Changchun 2038180,Jilin 2036500,China,130041[49]Jilin Central General Hospital,Jilin 2036502,Jilin 2036500,China,132011[50]Jilin City Hospital Of Chemical Industry, word1,Jilin 2036502,Jilin 2036500,China,132021[51]Jilin City Hospital Of Chemical Industry, word2,Jilin 2036502,Jilin 2036500,China,132021[52]Meihekou Central Hospital,Meihekou 2035801,Jilin 2036500,China,135099[53]Siping First People''s Hospital,Siping 2034714,Jilin 2036500,China,136001[54]Anshan Center Hospital,Anshan 2038632,Liaoning 2036115,China,114008[55]Benxi Central Hospital,Benxi 2038300,Liaoning 2036115,China,117099[56]The First Affiliated Hospital Of Dalian Medical University,Dalian 1814087,Liaoning 2036115,China,116011[57]The Second Hospital Of Dalian Medical University,Dalian 1814087,Liaoning 2036115,China,116023[58]Dalian Friendship Hospital,Dalian 1814087,Liaoning 2036115,China,116100[59]Dandong Central Hospital,Dandong 2037886,Liaoning 2036115,China,118002[60]The First Affiliated Hospital Of Liaoning University Of Traditional Chinese Medicine,Shenyang 2034937,Liaoning 2036115,China,110000[61]The First Hospital Of China Medical University,Shenyang 2034937,Liaoning 2036115,China,110002[62]The Second Affiliated Hospital of Shenyang Medical College,Shenyang 2034937,Liaoning 2036115,China,110002[63]Shengjing Hospital Of China Medical University,Shenyang 2034937,Liaoning 2036115,China,110004[64]General Hospital of Northern Theater Command,Shenyang 2034937,Liaoning 2036115,China,110016[65]The Fourth Affiliated Hospital Of China Medical University,Shenyang 2034937,Liaoning 2036115,China,110033[66]The People''s Hospital Of Liaoning Province,Shenyang 2034937,Liaoning 2036115,China,110067[67]Yingkou Central Hospital, word1,Yingkou 2033370,Liaoning 2036115,China,115003[68]Yingkou Central Hospital, word2,Yingkou 2033370,Liaoning 2036115,China,115003[69]The First Affiliated Hospital Of Baotou Medical College,Baotou 2038432,Neimonggol,China,014017[70]Baotou City Central Hospital,Baotou 2038432,Neimonggol,China,014040[71]Inner Mongolia People''s Hospital,Hohhot 2036892,Neimonggol,China,010017[72]The First Affiliated Hospital Of Xi''an Jiaotong University,Xi''an 1790630,Shaanxi 1796480,China,710061[73]Shaanxi Provincial People''s Hospital,Xi''an 1790630,Shaanxi 1796480,China,710068[74]Central Hospital Affiliated To Shandong First Medical University,Jinan 1805753,Shandong 1796328,China,250013[75]The General Hospital Of Jinan Military Command,Jinan 1805753,Shandong 1796328,China,250031[76]Qilu Hospital Of Shandong University,Jinan 1805753,Shandong 1796328,China,250063[77]Weihai Municipal Hospital,Weihai 1791673,Shandong 1796328,China,264299[78]Shanghai Ninth People''s Hospital, Shanghai Jiaotong University School Of Medicine,Shanghai 1796236,Shanghai Municipality 1796231,China,200011[79]Ruijin Hospital, Shanghai Jiaotong University School of Medicine,Shanghai 1796236,Shanghai Municipality 1796231,China,200020[80]Zhongshan Hospital,Shanghai 1796236,Shanghai Municipality 1796231,China,200032[81]Huashan Hospital,Fudan University,Shanghai 1796236,Shanghai Municipality 1796231,China,200040[82]Shanghai Tenth People''s Hospital,Shanghai 1796236,Shanghai Municipality 1796231,China,200072[84]Changhai Hospital,Shanghai 1796236,Shanghai Municipality 1796231,China,200433[85]Linfen Central Hospital,Linfen 1803567,Shanxi 1795912,China,041099[86]Shanxi Cardiovascular Hospital,Taiyuan 1793511,Shanxi 1795912,China,030024[87]Yuncheng Central Hospital,Yuncheng 1785738,Shanxi 1795912,China,044099[88]West China Hospital, Sichuan University,Chengdu 1815286,Sichuan 1794299,China,610041[89]Sichuan Provincial People''s Hospita[90]Beijing Tongren Hospital,CMU,Beijing 1816670,China,100730
研究目的:
Current guidelines recommend that patients with ACS undergoing stent implantation might be offered extended DAPT treatment for up to 30 months if necessary. Therefore, we designed a prospective, multicenter, randomized, placebo-controlled trial among ACS patients with high-risk on ischemic and bleeding who received a new generation of DES and received 9 to 12 months of DAPT, and evaluated whether clopidogrel monotherapy reduce the risk of bleeding compared with clopidogrel plus ASA in the following 9 months and achieved non-inferior outcomes in preventing ischemic risk.