Focal In-stent Restenosis After Drug-Eluting Stent

NCT ID: NCT00485004

Last Updated: 2012-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2011-03-31

Brief Summary

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To evaluate the optimal management of focal in-stent restenosis after drug-eluting stent implantation with sirolimus-eluting implantation versus cutting balloon angioplasty

Detailed Description

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Following angiography, patients with focal DES restenosis (lesion length ≤ 10mm) with diameter stenosis \>50% by visual estimation have documented myocardial ischemia or symptoms of angina, and eligible for PCI without any exclusion criteria will be randomized 1:1 to: a) Cypher stent vs. b) Cutting balloon angioplasty. All patients will be followed for 1 year. Angiographic follow-up at 9-months is mandatory.

Conditions

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In Stent Restenosis

Keywords

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Coronary artery disease Stent Angioplasty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cutting balloon

Cutting balloon

Group Type EXPERIMENTAL

Cutting balloon

Intervention Type DEVICE

Cutting balloon

Sirolimus-eluting stent

Intervention Type DEVICE

Sirolimus-eluting stent

Sirolimus-eluting stent

Sirolimus-eluting stent

Group Type ACTIVE_COMPARATOR

Cutting balloon

Intervention Type DEVICE

Cutting balloon

Sirolimus-eluting stent

Intervention Type DEVICE

Sirolimus-eluting stent

Interventions

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Cutting balloon

Cutting balloon

Intervention Type DEVICE

Sirolimus-eluting stent

Sirolimus-eluting stent

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. The patient must be at least 18 years of age.
2. Restenosis after drug-eluting stents (\>50% by visual estimate)
3. Lesion length \< 10 mm (focal ISR)
4. Patients with stable (CCS class 1 to 4) or acute coronary syndromes (unstable angina pectoris Braunwald class IB, IC, IIB, IIC, IIIB, IIIC or NSTEMI) or patients with atypical chest pain or without symptoms but having documented myocardial ischemia, amenable to stent-assisted percutaneous coronary intervention
5. The patient or guardian agrees to the study protocol and the schedule of clinical and angiographic follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.

Exclusion Criteria

1. The patient has a known hypersensitivity or contraindication to any of the following medications:

* Heparin
* Aspirin
* Both Clopidogrel and TIclopidine
* Sirolimus eluting stent
* Stainless steel and/or
* Contrast media (patients with documented sensitivity to contrast which can be effectively pre-medicated with steroids and diphenhydramine \[e.g. rash\] may be enrolled. Patients with true anaphylaxis to prior contrast media, however, should not be enrolled).
2. Systemic (intravenous) Sirolimus use within 12 months.
3. Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrollment into this study.
4. History of bleeding diathesis or known coagulopathy (including heparin-induced thrombocytopenia), or will refuse blood transfusions.
5. Gastrointestinal or genitourinary bleeding within the prior 3 months, or major surgery within 2 months.
6. Current known current platelet count \<100,000 cells/mm3 or Hgb \<10 g/dL.
7. Non-cardiac co-morbid conditions are present with life expectancy \<1 year or that may result in protocol non-compliance (per site investigator's medical judgment).
8. Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period.
9. Patients with EF\<30%.
10. Acute MI patients within symptom onset \< 12 hours needing primary angioplasty
11. Creatinine level 3.0mg/dL or dependence on dialysis.
12. Severe hepatic dysfunction (AST and ALT 3 times upper normal reference values).
13. Patients with left main stem stenosis and left main in-stent restenosis created by DES(\>50% by visual estimate)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CardioVascular Research Foundation, Korea

OTHER

Sponsor Role collaborator

Seung-Jung Park

OTHER

Sponsor Role lead

Responsible Party

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Seung-Jung Park

MD,PhD, Chairman,Heart Institute, Asan Medical Center,University of Ulsan,College of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Seung-Jung Park, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine

Locations

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Soonchunhyang University Bucheon Hospital

Bucheon-si, , South Korea

Site Status

Choeng Ju St.Mary's Hospital

Choeng Ju, , South Korea

Site Status

Kangwon National University Hospital

Chuncheon, , South Korea

Site Status

Chungnam National University Hospital

Daejeon, , South Korea

Site Status

Asan Medical Center

Gangneung, , South Korea

Site Status

DongGuk University Gyongju Hospital

Gyongju, , South Korea

Site Status

Chonbuk National University Hospital

Jeonju, , South Korea

Site Status

Kwangju Christian Hospital

Kwangju, , South Korea

Site Status

Inje University Pusan Paik Hospital

Pusan, , South Korea

Site Status

Hallym University Sacred Heart Hospital,

Pyeongchon, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Hangang Sacred Heart Hospital

Seoul, , South Korea

Site Status

Kyungsang University Hospital

Seoul, , South Korea

Site Status

Seoul Veterans Hospital

Seoul, , South Korea

Site Status

Ulsan University Hospital

Ulsan, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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20070041

Identifier Type: -

Identifier Source: org_study_id