Elixir Medical Clinical Evaluation of the Novolimus-Eluting Coronary Stent System: A Randomized Study "EXCELLA II STUDY"

NCT ID: NCT00792753

Last Updated: 2020-04-08

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

NA

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2014-03-08

Brief Summary

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Randomized Study To evaluate the safety and effectiveness of the Elixir Medical DESyne Novolimus-Eluting Coronary Stent System with Durable Polymer through the assessment of clinical, angiographic and IVUS endpoints as compared to the concurrently enrolled Medtronic Zotarolimus-Eluting Coronary Stent System in a randomized, single blind study of up to 200 male and female patients. In a Continued Access Registry of up to 100 patients receiving the DESyne Stent clinical-only endpoints will be evaluated.

To evaluate the safety and effectiveness of the Elixir Novolimus-Eluting Coronary Stent System with bioabsorbable polymer as compared to the Medtronic Endeavor Zotarolimus-Eluting Coronary Stent System control through clinical and angiographic endpoints.

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. DESyne DES

Test arm: Intervention with DESyne Novolimus-Eluting Coronary Stent DESyne Novolimus Stent System

Group Type EXPERIMENTAL

DESyne Novolimus Stent System

Intervention Type DEVICE

coronary stent implantation

2. Medtronic Endeavor DES

Control arm: Intervention with Medtronic Endeavor Zotarolimus-Eluting Coronary Stent Medtronic Endeavor Coronary Stent System

Group Type ACTIVE_COMPARATOR

Medtronic Endeavor Coronary Stent System

Intervention Type DEVICE

coronary stent implantation

3. DESyne BD DES

Test arm: Intervention with DESyne BD Novolimus-Eluting Coronary Stent DESyne BD Novolimus Stent System

Group Type EXPERIMENTAL

DESyne BD Novolimus Stent System

Intervention Type DEVICE

coronary stent implantation

Interventions

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Medtronic Endeavor Coronary Stent System

coronary stent implantation

Intervention Type DEVICE

DESyne BD Novolimus Stent System

coronary stent implantation

Intervention Type DEVICE

DESyne Novolimus Stent System

coronary stent implantation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* The patient has a planned intervention of a single lesion in one or two separate major epicardial territories. Each lesion/vessel must meet the following criteria:
* De novo
* The target lesion reference site must be visually estimated to be \> 2.5 mm and \< 3.5 mm in diameter.
* The target vessel must be a major coronary artery or major branch with a visually estimated stenosis of \> 50% and \<100%.
* The visually estimated target lesion must be able to be covered by a single, 14, 18 or 28mm stent Elixir Stent or a single 14, 18, 24 or 30mm Endeavor Stent. Note that the 8mm Endeavor Stent will not be used in this study.
* Maximum lesion length is 24 mm.
* \> TIMI 1 coronary flow.

Exclusion Criteria

* The patient has a known hypersensitivity or contraindication to aspirin, heparin, ticlopidine, clopidogrel, mTOR inhibitor class drugs, cobalt chromium alloy, methacrylate or polylactide polymer, or sensitivity to contrast which cannot be adequately premedicated.
* There will be an untreated significant lesion of \> 40% diameter stenosis remaining proximal or distal to the target site after the planned intervention.
* Total occlusion or TIMI 0 coronary flow in the target vessel.
* Restenosis lesion
* The proximal target vessel or target lesion is severely calcified by visual assessment.
* Aorto-ostial location, unprotected left main lesion location, or a lesion within 5 mm of the origin of the LAD or LCX.
* Lesion involvement of a significant side branch (branch diameter \> 2 mm) that would be covered by stenting.
* The patient has suffered a myocardial infarction with total creatine kinase (CK) \>2 times normal within the past 72 hours (exactly three days).
* The patient has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions.
* The patient suffered a stroke, transient ischemic neurological attack (TIA) or significant gastrointestinal (GI) bleed within the past six months.
* The patient has renal insufficiency as determined by a creatinine of \> 2.0mg/dl.
* The target lesion, or the target vessel proximal to the target lesion, contains thrombus.
* Documented left ventricular ejection fraction of \< 25%.
* The patient is a recipient of a heart transplant.
* The patient has extensive peripheral vascular disease that precludes safe 6 French sheath insertion or extreme anti-coagulation.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Elixir Medical Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick W Serruys, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Thoraxcentrum, Rotterdam, Netherlands

Locations

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Monash Medical Center

Melbourne, , Australia

Site Status

University Hospital Gent

Ghent, , Belgium

Site Status

Instituto Dante Pazzanese

São Paulo, , Brazil

Site Status

Universitäres Herz- und Gefäßzentrum

Hamburg, , Germany

Site Status

Thoraxcentrum

Rotterdam, , Netherlands

Site Status

Auckland City Hospital

Auckland, , New Zealand

Site Status

Jagiellonian University

Krakow, , Poland

Site Status

University Hospital Bern

Bern, , Switzerland

Site Status

Countries

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Australia Belgium Brazil Germany Netherlands New Zealand Poland Switzerland

References

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Iqbal J, Verheye S, Abizaid A, Ormiston J, de Vries T, Morrison L, Toyloy S, Fitzgerald P, Windecker S, Serruys PW. DESyne novolimus-eluting coronary stent is superior to Endeavor zotarolimus-eluting coronary stent at five-year follow-up: final results of the multicentre EXCELLA II randomised controlled trial. EuroIntervention. 2016 Dec 10;12(11):e1336-e1342. doi: 10.4244/EIJY15M10_04.

Reference Type RESULT
PMID: 26465374 (View on PubMed)

Other Identifiers

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ELX-CL-0801

Identifier Type: -

Identifier Source: org_study_id

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