Clinical Trial

Long-term Beta-blocker Therapy After Acute Myocardial Infarction

Study acronym: SMART-DECISION
Recruiting Phase 4
View on ClinicalTrials.gov →
Record status
This record was last updated December 29, 2025 (before its estimated January 31, 2026 completion). Its status may not reflect the trial's current state.
Summary
The aim of the study is to determine whether discontinuation of β-blocker after at least 1 year of β-blocker therapy is noninferior to continuation of β-blocker in patients without heart failure (HF) or left ventricular systolic dysfunction after acute myocardial infarction (AMI). Prospective, open-label, randomized, multicenter, noninferiority trial to determine whether discontinuation of β-blocker after at least 1 year of β-blocker therapy is noninferior to continuation of β-blocker in patients without HF or left ventricular systolic dysfunction after AMI.
Protocol Amendment History 8 amendments
This ClinicalTrials.gov record has been amended 8 times since 2021-02-21; most recent amendment 2025-12-21.
Status change: Not Yet Recruiting → Recruiting 2022-05-08
Trial Details
NCT Number NCT04769362
Lead Sponsor Samsung Medical Center
Collaborators: Kangbuk Samsung Hospital, Gyeongsang National University Hospital, Kyung Hee University Hospital, Keimyung University Dongsan Medical Center, Korea University Anam Hospital, Sejong General Hospital, Seoul National University Bundang Hospital, Samsung Changwon Hospital, Saint Vincent's Hospital, Korea, Presbyterian medical center, Wonkwang University Hospital, Wonju Severance Christian Hospital, Ewha Womans University Seoul Hospital, Inje University Ilsan Paik Hospital, Chonbuk National University Hospital, Chonnam National University Hospital, Jeju National University Hospital, Chosun University Hospital, Chungbuk National University Hospital, Chungnam National University Hospital
Conditions Myocardial Infarction
Enrollment 2,540 participants
Start Date 2021-05-04
Primary Completion 2026-01-31 (estimated)
Study Completion 2026-03-31 (estimated)
Updated on ClinicalTrials.gov 2025-12-29