Prevention of Restenosis After Genous Stent Implantation Using a Paclitaxel Eluting Balloon in Coronary Arteries

NCT ID: NCT00732953

Last Updated: 2014-06-10

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

PHASE2/PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2014-02-28

Brief Summary

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Percutaneous coronary intervention with stent implantation is limited on the one hand by restenosis due to smooth muscle cell proliferation and on the other hand by stent thrombosis due to incomplete or not sufficient enough endothelialization of stent struts. The Genous stent implantation allows a rapid layer over the stent struts with endothelial progenitor cells allowing a fast endothelialization and probably reducing the risk of stent thrombosis. Local therapy with drug-eluting balloons administering paclitaxel has been shown to reduce restenosis in in-stent restenosis and de-novo lesions in vessels with small reference diameter. The combination of a paclitaxel-eluting balloon and Genous stent implantation may summarized both advantages: a rapid endothelialization limiting the number of stent thrombosis and on the other hand a reduction of smooth muscle cell proliferation minimizing the risk of restenosis with the subsequent need for revascularization.

Detailed Description

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Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Genous stent implantation with paclitaxel-eluting balloon therapy

Group Type ACTIVE_COMPARATOR

Genous stent implantation with paclitaxel-eluting balloon dilation

Intervention Type DEVICE

Genous stent implantation with paclitaxel-eluting balloon therapy

2

Genous stent implantation

Group Type ACTIVE_COMPARATOR

Genous stent implantation

Intervention Type DEVICE

Genous stent implantation

Interventions

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Genous stent implantation with paclitaxel-eluting balloon dilation

Genous stent implantation with paclitaxel-eluting balloon therapy

Intervention Type DEVICE

Genous stent implantation

Genous stent implantation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patients \>18 years old
* lesion in native coronary artery
* de-novo stenosis
* indication for revascularization (angina status, myocardial ischemia, positive stress test, pathologic FFR)
* range of reference diameter 2.5 to 4.0mm

Exclusion Criteria

* lesion in saphenous vein graft
* chronic total occlusion
* bifurcation lesion requiring stenting of main and side branch
* left main stenosis
* restenosis
* in-Stent restenosis
* contraindication for dual antiplatelet therapy for the following 6 months
* coronary aneurysm in target vessel
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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B. Braun Melsungen AG

INDUSTRY

Sponsor Role collaborator

OrbusNeich

INDUSTRY

Sponsor Role collaborator

University of Ulm

OTHER

Sponsor Role lead

Responsible Party

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Jochen Wohrle

Prof. Dr. Jochen Wöhrle

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jochen Wöhrle, MD

Role: PRINCIPAL_INVESTIGATOR

University of Ulm

Locations

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Klinikum Coburg

Coburg, , Germany

Site Status

University of Ulm

Ulm, , Germany

Site Status

Schwarzwald-Baar Klinikum

Villingen-Schwenningen, , Germany

Site Status

Countries

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Germany

References

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Wohrle J, Birkemeyer R, Markovic S, Nguyen TV, Sinha A, Miljak T, Spiess J, Rottbauer W, Rittger H. Prospective randomised trial evaluating a paclitaxel-coated balloon in patients treated with endothelial progenitor cell capturing stents for de novo coronary artery disease. Heart. 2011 Aug;97(16):1338-42. doi: 10.1136/hrt.2011.226563. Epub 2011 May 26.

Reference Type BACKGROUND
PMID: 21617163 (View on PubMed)

Seeger J, Markovic S, Birkemeyer R, Rittger H, Jung W, Brachmann J, Rottbauer W, Wohrle J. Paclitaxel-coated balloon plus bare-metal stent for de-novo coronary artery disease: final 5-year results of a randomized prospective multicenter trial. Coron Artery Dis. 2016 Mar;27(2):84-8. doi: 10.1097/MCA.0000000000000314.

Reference Type DERIVED
PMID: 26479969 (View on PubMed)

Other Identifiers

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UULM-JW-GP

Identifier Type: -

Identifier Source: org_study_id

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