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Aug. 29, 2026

EPIDAURUS

prasugrel or ticagrelor with a DOAC after infarction in atrial fibrillation triples major bleeding, the trial was stopped early

Rizas KD, et al.; EPIDAURUS investigators - Nature Medicine

Randomised trial stopped early for safety after 602 of 1,474 planned patients with AF and myocardial infarction: DOAC plus one month of prasugrel or ticagrelor versus DOAC plus clopidogrel (with in-hospital aspirin). BARC 3 or higher bleeding HR 3.54 (95% CI 1.15 to 10.85, p=0.028) within six weeks, with no difference in ischaemic outcomes at six weeks or six months. Presented by Konstantinos Rizas (LMU Munich) in Hot Line 3, Nature Medicine.