Last reviewed · How we verify
NCT06168370: POP ATLANTIS
Personalized, CT-guided Antithrombotic Therapy Versus Lifelong Single Antiplatelet Therapy to Reduce Thromboembolic and Bleeding Events in Non-atrial Fibrillation Patients After Transcatheter Aortic Valve Implantation
NA trial testing CT guided strategy in Severe Aortic Valve Stenosis in 2,500 participants. Currently enrolling.
1 January 2028
Quick facts
| Lead sponsor | St. Antonius Hospital |
|---|---|
| Phase | NA |
| Status | Recruiting now |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 2,500 |
| Start date | 1 December 2023 |
| Primary completion | 1 January 2028 |
| Estimated completion | 1 June 2028 |
| Sites | 1 location across Netherlands |
Drugs / interventions tested
- CT guided strategy
Conditions studied
- Severe Aortic Valve Stenosis — all drugs for Severe Aortic Valve Stenosis →
Sponsor
St. Antonius Hospital
Who can join
Adults 18 to 110, any sex, with Severe Aortic Valve Stenosis. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The POPular ATLANTIS trial aims to investigate CT-guided antithrombotic therapy compared to lifelong single antiplatelet therapy after a transcatheter aortic valve implantation (TAVI) procedure. Only patients without an indication for anticoagulants will be included in this trial. Currently, lifelong single antiplatelet therapy (mostly aspirin) is considered the standard of care for these patients. However, this approach poses a bleeding risk with only a minimal reduction in thromboembolic events. After 3 months, a CT scan will be conducted to assess the presence of thrombosis on the newly implanted TAVI valve. Based on the results of a 4D CT scan, the decision will be made whether the patient should receive no anticoagulant or antithrombotic therapy with apixaban. CT-guided antithrombotic therapy holds the potential for a greater reduction in thromboembolic events without increasing the bleeding risk.
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
-
Antithrombotic therapy for transcatheter structural heart intervention.
Guedeney P, Rodés-Cabau J, Ten Berg JM, Windecker S, et al · · 2024 · cited 6× · PMID 39155752 · DOI 10.4244/eij-d-23-01084 -
Anti-Thrombotic Therapy Following Transcatheter Structural Heart Intervention.
Tartaglia F, Antonelli G, Gabrielli A, Gitto M, et al · · 2026 · PMID 42074976 · DOI 10.3390/jcm15083175 -
Thrombotic Versus Bleeding Risk After Transcatheter Aortic Valve Implantation
Fotoula K, Ibrahem A, Harfoush A, Hussain H, et al · · 2026 -
Optimal antithrombotic therapy after transcatheter aortic valve replacement: a comprehensive review.
Thanh NVT, Hong MK, Ko YG. · · 2025 · PMID 40129765 · DOI 10.3389/fcvm.2025.1528071 -
Antithrombotic Therapy in Patients Undergoing Transcatheter Aortic Valve Implantation
Pallante F, Costa F, Garcia Ruiz V, Vizzari G, et al · · 2024
Verify or expand the search:
- PubMed search for NCT06168370
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other recruiting trials for Severe Aortic Valve Stenosis
Currently open trials in the same condition.
- NCT07335900 — A Clinical Study Using FAPI-PET Imaging to Assess the Postoperative Effects of TAVI in Patients With Aortic Stenosis · NA · recruiting
- NCT06859255 — In-vitro Benchmarking of Currently Available Heart Valve Prostheses for Surgical and Percutaneous Treatment of Aortic St · NA · recruiting
- NCT06168123 — Future Optimal Research and Care Evaluation - Aortic Stenosis · recruiting
- NCT05552352 — VRAP-Heart - Virtual Reality Assisted Patient Empowerment for Interventions in Structural Heart Disease · NA · recruiting
Other St. Antonius Hospital trials
Trials by the same sponsor.
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- NCT07309848 — Hip Fracture Surgery Timing and Blood Transfusion Risk in Patients on DOACs · recruiting
- NCT07157358 — Online Medical Hypnosis Exercises to Improve Mental Health in Primary School Children and Prevent Future Mental Health I · NA · recruiting
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT06168370 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by St. Antonius Hospital
- Last refreshed: 25 April 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT06168370.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing