XIENCE V: SPIRIT WOMEN

NCT ID: NCT00496938

Last Updated: 2015-05-13

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

1600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2011-07-31

Brief Summary

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The purpose of this Clinical Evaluation is the continued assessment of the XIENCE Everolimus Eluting Coronary Stent System (XIENCE V® and XIENCE PRIME™ EECSS) with the primary focus on clinical outcomes in the treatment of female patients with de novo coronary artery lesions, and the characterization of the female population undergoing stent implantation with a XIENCE stent.

Detailed Description

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SPIRIT Women Single-Arm Study: A prospective, open label, single arm, multi-center study evaluating performance of the XIENCE V® and XIENCE PRIME™ EECSS in the treatment of female patients with coronary artery lesions, per its Instructions for Use (IFU).

The long term safety and efficacy of the XIENCE V EECSS have been demonstrated in the SPIRIT FIRST trial up to 5 years, the SPIRIT II trial up to 4 years, and in the SPIRIT III Randomized Control Trial (RCT) up to 3 years. In addition, these pre-approval studies have shown low rates of Target Vessel Failure and Major Adverse Cardiac Events (MACE) that were observed to plateau or gradually decline after about 1 year and were consistently lower than the comparator arm of each study. This benefit in MACE is sustained for up to 5 years and is also independent of the first year results.

The post approval SPIRIT V study demonstrated that the use of the XIENCE EECSS in complex lesions in a real-world population resulted in 1 year MACE, Stent Thrombosis and Target Lesion Revascularization rates that are comparable to those of the previously mentioned pre-approval studies which included patients with more restricted inclusion / exclusion criteria.

Therefore, based on existing data from these trials, Abbott Vascular has decided to discontinue further follow up in the SPIRIT Women study after 2 years.

Conditions

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Coronary Artery Stenosis Coronary Arteriosclerosis Coronary Artery Disease Coronary Artery Restenosis Total Coronary Occlusion Stent Thrombosis Vascular Disease Myocardial Ischemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Observational cohort using an all-comers design

Group Type OTHER

XIENCE V®/ XIENCE PRIME™

Intervention Type DEVICE

Coronary artery placement of a XIENCE V®/ XIENCE PRIME™ Everolimus Eluting Stent System

Interventions

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XIENCE V®/ XIENCE PRIME™

Coronary artery placement of a XIENCE V®/ XIENCE PRIME™ Everolimus Eluting Stent System

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient must be female.
* Patient must be at least 18 years of age.
* Patient is able to verbally confirm understanding of risks, benefits and treatment alternatives and she or her legally authorized representative provides written informed consent prior to any study related procedure, as approved by the appropriate Medical Ethics Committee of the respective clinical site.
* Patient must have evidence of myocardial ischemia (e.g., stable or unstable angina, silent ischemia, positive functional study or a reversible change in the electrocardiogram (ECG) consistent with ischemia).
* Patient must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
* Patient must agree to undergo all CIP-required follow-up examinations.
* Patients of childbearing potential must have had a negative pregnancy test within 7 days before treatment, and must not be nursing at the time of treatment.


* Patients' artery morphology and disease is suitable to be optimally treated with a maximum of 4 planned study stents.
* Target lesions must be de novo lesions (no prior stent implant, no prior brachytherapy).
* Target vessel reference diameter must be between 2.5 mm and 4.0 mm by visual estimate. The diameter range will be expanded to 2.25 mm when the 2.25 mm stent is available.
* Target lesion greater than or equal to 28 mm in length by visual estimate.

Exclusion Criteria

* Patient has other medical illness (e.g., cancer or congestive heart failure) or known history of substance abuse (alcohol, cocaine, heroin etc.) that may cause non-compliance with the clinical investigation plan, confound the data interpretation or is associated with a limited life expectancy (i.e., less than one year).
* Patient has a known hypersensitivity or contraindication to aspirin, either heparin or bivalirudin, both clopidogrel and ticlopidine, everolimus, cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
* Participation in another device or drug study or has completed the follow-up phase of another study within the last 30 days.
* Patient who is judged to have a lesion that prevents complete inflation of an angioplasty balloon.
* Patient has had a previous stent implant, either Bare Metal Stent (BMS) or Drug Eluting Stent (DES) within the target vessel(s)
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Abbott Medical Devices

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marie-Claude Morice

Role: PRINCIPAL_INVESTIGATOR

Institut Cardiovasculaire Paris Sud (ICPS), Paris, France

Stephan Windecker

Role: PRINCIPAL_INVESTIGATOR

University Hospital Bern, Bern, Switzerland

Locations

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Hosital Italiano de Buenos Aires - Cardiologia

Buenos Aires, Buenos Aires, Argentina

Site Status

Instituto Cardiovascular de Buenos Aires-ICBA

Buenos Aires, , Argentina

Site Status

The Northern Hospital

Epping, , Australia

Site Status

Liverpool Hospital

New South Wales, , Australia

Site Status

Landesklinikum St. Pölten

Sankt Pölten, , Austria

Site Status

Allgemeines Krankenhaus der Stadt Wien - Univ.Klinik f. Innere Medizin II

Vienna, , Austria

Site Status

Klinikum Kreuzschwestern Wels GmbH

Wels, , Austria

Site Status

Universitair Ziekenhuis Brussel

Brussels, , Belgium

Site Status

CHU Charleroi

Charleroi, , Belgium

Site Status

Heilig Hart Ziekenhuis Roeselare

Roeselare, , Belgium

Site Status

Hospital Madre Teresa

Belo Horizonte, , Brazil

Site Status

Hospital Moinhos de Ventos-Centro de Cardiologia

Porto Alegre, , Brazil

Site Status

Instituto de Cardiologia Dante Pazzanese Unidadae II Recepcao de Angioplastia

São Paulo, , Brazil

Site Status

INCOR/SP Instituto do Coração - Hospital das Clinicas - FMUSP

São Paulo, , Brazil

Site Status

Queen Elizabeth Hospital

Hong Kong, Hong Kong, China

Site Status

Queen Mary Hospital

Hong Kong, Hong Kong, China

Site Status

Tuen Mun Hospital

Hong Kong, Hong Kong, China

Site Status

Fu Wai Hospital

Beijing, , China

Site Status

China People Liberation Army (PLA) General Hospital

Beijing, , China

Site Status

Guangzhou Army General Hospital

Guangzhou, , China

Site Status

Guangdong Provincial People's Hospital

Guangzhou, , China

Site Status

United Christian Hospital

Hong Kong, , China

Site Status

Shanghai Renji Hospital (East)

Shanghai, , China

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

Hôpital Henri Duffaut

Avignon, , France

Site Status

Clinique Saint Augustin

Bordeaux, , France

Site Status

Hôpital de la Cavale Blanche

Brest, , France

Site Status

Hôpital du Bocage - CHU

Dijon, , France

Site Status

Institut Hospitalier Jacques Cartier Service d'Angiographie, Inst Cardiovasculaire Paris-Sud

Massy, , France

Site Status

Hôpital Arnaud de Villeneuve - CHU

Montpellier, , France

Site Status

Centre Cardio-Pneumologique - Hôpital Pontchaillou - CHU

Rennes, , France

Site Status

Hôpital Charles Nicolle

Rouen, , France

Site Status

Kardiologische Klinik Herz- und Diabeteszentrum

Bad Oeynhausen, , Germany

Site Status

Segebergerkliniken

Bad Segeberg, , Germany

Site Status

Klinikum Coburg GmbH

Coburg, , Germany

Site Status

Amper Kliniken-Kreisklinik

Dachau, , Germany

Site Status

Technische Universität Dresden, Medizinische Klinik II - Kardiologie

Dresden, , Germany

Site Status

Universitäres Herzzentrum, Medizinische Klinik III

Hamburg, , Germany

Site Status

Medizinische Hochschule Hannover Abteilung Kardiologie Und Angiologie

Hanover, , Germany

Site Status

Klinikum Ludwigshafen

Ludwigshafen, , Germany

Site Status

Klinikum der Johannes Gutenberg-Universität II. Medizinische Klinik und Poliklinik

Mainz, , Germany

Site Status

Krankenhaus der Barmherzigen Brüder

Trier, , Germany

Site Status

Kliniken Villingen

Villingen-Schwenningen, , Germany

Site Status

Onassis Cardiac Surgery Hospital

Athens, , Greece

Site Status

Cardiology Clinic of Papageorgiou Hospital

Thessaloniki, , Greece

Site Status

Semmelweis University, Department of Cardiovascular Surgery

Budapest, , Hungary

Site Status

University of Pécs/Medical School/Heart Institute

Pécs, , Hungary

Site Status

Apollo Hospital

Hyderabaad, Andhar Pradesh, India

Site Status

CARE Hospital

Hyderabaad, Andhra Pradesh, India

Site Status

Sanjay Gandhi Postgraduate Institute of Medical Sciences

Lucknow, , India

Site Status

Max Devki Devi Heart & Vascular Insititute, Department of Cardiology

New Delhi, , India

Site Status

Escorts Heart Institute & Research Centre

New Delhi, , India

Site Status

Wolfson Medical Center

Holon, , Israel

Site Status

Ospedale A. Manzoni

Lecco, , Italy

Site Status

Centro Cardiologico Monzino

Milan, , Italy

Site Status

Clinico S.Ambrogio, GRUPPO OSPEDALIERO SAN DONATO

Milan, , Italy

Site Status

Azienda Policlinico di Modena U.O. Cardiologia, Ospedale di Modena

Modena, , Italy

Site Status

Hesperia Hospital

Modena, , Italy

Site Status

L'Azienda di Rilievo Nazionale di Alta Specializzazione (A.R.N.A.S.) Civico e Benfratelli

Palermo, , Italy

Site Status

A.O Di Perugia, Ospedale Silvestrini

Perugia, , Italy

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Ospedale Cisanello

Pisa, , Italy

Site Status

Azienda Ospedaliera Santa Maria Nuova

Reggio Emilia, , Italy

Site Status

A.O. Universitaria Tor Vergata, Cardiologia

Rome, , Italy

Site Status

Istituto Clinico Humanitas

Rozzano, , Italy

Site Status

Instituto Policlinico S. Donato

San Donato, , Italy

Site Status

Latvian Center of Cardiology, P. Stradina University Hospital

Riga, , Latvia

Site Status

University Malay Medical Center

Kuala Lumpur, Lembah Pantai, Malaysia

Site Status

Het Onze Lieve Vrouwe Gasthuis (OLVG)

Amsterdam, , Netherlands

Site Status

AMC

Amsterdam, , Netherlands

Site Status

Amphia Hospital

Breda, , Netherlands

Site Status

St. Antonius Ziekenhuis

Nieuwegein, , Netherlands

Site Status

Haukeland university hospital

Bergen, , Norway

Site Status

Feiringklinikken AS

Feiring, , Norway

Site Status

Polsko Amerykanskie-Kliniki Serca American Heart

Ustroń, , Poland

Site Status

Institute of Cardiology

Warsaw, , Poland

Site Status

Hospital Santa Maria

Lisbon, , Portugal

Site Status

Hospitalar Santa Marta

Lisbon, , Portugal

Site Status

Hospital São João

Porto, , Portugal

Site Status

Bakulev Scientific Center for Cardiovascular Surgery

Moscow, , Russia

Site Status

Bloemfontein Medi-Clinic

Bloemfontein, , South Africa

Site Status

Unitas Hospital

Pretoria, , South Africa

Site Status

Hospital General de Alicante

Alicante, , Spain

Site Status

Hospital Universitari Germans Trias i Pujol

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Marañón

Madrid, , Spain

Site Status

Hospital Clinico San Carlos, Hemodynamics Department

Madrid, , Spain

Site Status

H. Miguel Servet. Zaragoza, Cardiology Service

Zaragoza, , Spain

Site Status

Inselspital Bern, Kardiologie

Bern, , Switzerland

Site Status

Hôpitaux Universitaires de Genève

Geneva, , Switzerland

Site Status

Cardiocentro Ticino

Lugano, , Switzerland

Site Status

Queen Elizabeth Hospital

London, , United Kingdom

Site Status

Freeman Hospital

London, , United Kingdom

Site Status

Hammersmith Hospital

London, , United Kingdom

Site Status

St Mary's Hospital

London, , United Kingdom

Site Status

Centro Medico de Caracas

Caracas, , Venezuela

Site Status

Clinica Santa Sofia

Caracas, , Venezuela

Site Status

Countries

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Argentina Australia Austria Belgium Brazil China Denmark France Germany Greece Hungary India Israel Italy Latvia Malaysia Netherlands Norway Poland Portugal Russia South Africa Spain Switzerland United Kingdom Venezuela

References

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Morice MC. XIENCE V SPIRIT WOMEN clinical trial: characterization of the female population undergoing stent implantation. Womens Health (Lond). 2008 Sep;4(5):439-43. doi: 10.2217/17455057.4.5.439.

Reference Type BACKGROUND
PMID: 19072483 (View on PubMed)

Genereux P, Rutledge DR, Palmerini T, Caixeta A, Kedhi E, Hermiller JB, Wang J, Krucoff MW, Jones-McMeans J, Sudhir K, Simonton CA, Serruys PW, Stone GW. Stent Thrombosis and Dual Antiplatelet Therapy Interruption With Everolimus-Eluting Stents: Insights From the Xience V Coronary Stent System Trials. Circ Cardiovasc Interv. 2015 May;8(5):e001362. doi: 10.1161/CIRCINTERVENTIONS.114.001362.

Reference Type DERIVED
PMID: 25940520 (View on PubMed)

Other Identifiers

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07-377

Identifier Type: -

Identifier Source: org_study_id

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