Non-acute Coronary occlusIon Treated By Everolimus ELuting Stent

NCT ID: NCT00793221

Last Updated: 2012-06-19

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

PHASE3

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-11-30

Brief Summary

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Chronic total coronary occlusions (CTO) have an especially high risk of angiographic restenosis, and need for new revascularization procedures. Drug-eluting coronary stents (DES) have demonstrated to significantly reduce the risk of restenosis and new revascularization procedures in comparison with bare-metal stents.

Most data on the efficacy of DES come from the sirolimus-eluting coronary stent Cypher (Cordis corp.), and paclitaxel-eluting coronary stent Taxus (Boston Sci.), and the Cypher stent is the only DES that has been randomly tested in CTO. Among second-generation DES, everolimus-eluting stent (EES) has shown excellent angiographic and clinical results, but this DES has not been studied in unfavourable scenario (such as CTO).

The aim of the CIBELES trial is to demonstrate the hypothesis that EES are equally effective in comparison with sirolimus-eluting stents in the treatment of CTO, in terms of angiographic efficacy considered as in-stent late lumen loss.

Detailed Description

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Conditions

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Coronary Artery Disease Coronary Occlusion Percutaneous Coronary Intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Sirolimus-eluting stent

Implantation of sirolimus-eluting coronary stent

Group Type OTHER

Implantation of sirolimus-eluting coronary stent

Intervention Type DEVICE

Implantation of sirolimus-eluting coronary stent after dilatation of the coronary occlusion

Everolimus-eluting stent

Implantation of everolimus-eluting coronary stent

Group Type ACTIVE_COMPARATOR

Implantation of everolimus-eluting coronary stent

Intervention Type DEVICE

Implantation of everolimus-eluting coronary stent after dilatation of the coronary occlusion

Interventions

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Implantation of sirolimus-eluting coronary stent

Implantation of sirolimus-eluting coronary stent after dilatation of the coronary occlusion

Intervention Type DEVICE

Implantation of everolimus-eluting coronary stent

Implantation of everolimus-eluting coronary stent after dilatation of the coronary occlusion

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients ≥ 18 year-old.
* A total occlusion (TIMI 0-1) with an estimated time of occlusion \> 2 weeks.
* Symptomatic or silent ischaemia, or viable myocardium.
* The occlusion is suitable for percutaneous coronary intervention.
* The guidewire has crossed the occlusion, and the occlusion has been dilated with balloon or other device.

Exclusion Criteria

* Acute myocardial infarction in the myocardial area supplied by the target vessel within 2 weeks before the inclusion in the study.
* The lesion can not be crossed with the guidewire and balloon angioplasty.
* The vessel has been previously treated percutaneously.
* The lesion is not suitable for a 2.25-3.5 coronary stent implantation.
* The patient is not willing to undergo an angiographic follow-up.
* The patient has contraindications for prolonged double (aspirin plus clopidogrel) anti-platelet therapy (e.g. allergy to aspirin, need for chronic oral anti-coagulation, or scheduled surgical intervention within 12 months.
* Pregnancy or absence of pregnancy test in women of childbearing age.
* Chronic renal failure (creatinine plasmatic values \> 3.0 mg/dl).
* Plasmatic platelet count \< 100.000 mm-3 or \> 700.000 mm-3.
* The patient has a severe non-cardiac disease that limits his/her life expectancy to \< 1 year.
* The patient is currently included in other randomized trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Raul Moreno

OTHER

Sponsor Role lead

Responsible Party

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Raul Moreno

Director of Invasive Cardiology, University Hospital La Paz, Madrid, Spain

Responsibility Role SPONSOR_INVESTIGATOR

References

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Ruiz-Garcia J, Teles R, Rumoroso JR, Cyrne Carvalho H, Goicolea FJ, Moreu J, Mauri J, Mainar V, Garcia E, Moreno R; CIBELES investigators. Comparison between diabetic and non-diabetic patients after successful percutaneous coronary intervention for chronic total occlusions in the drug-eluting stent era. Rev Port Cardiol. 2015 Apr;34(4):263-70. doi: 10.1016/j.repc.2014.10.009. Epub 2015 Apr 1.

Reference Type DERIVED
PMID: 25840644 (View on PubMed)

Moreno R, Garcia E, Teles R, Rumoroso JR, Cyrne Carvalho H, Goicolea FJ, Moreu J, Mauri J, Sabate M, Mainar V, Patricio L, Valdes M, Fernandez Vazquez F, Sanchez-Recalde A, Galeote G, Jimenez-Valero S, Almeida M, Lopez de Sa E, Calvo L, Plaza I, Lopez-Sendon JL, Martin JL; CIBELES Investigators. Randomized comparison of sirolimus-eluting and everolimus-eluting coronary stents in the treatment of total coronary occlusions: results from the chronic coronary occlusion treated by everolimus-eluting stent randomized trial. Circ Cardiovasc Interv. 2013 Feb;6(1):21-8. doi: 10.1161/CIRCINTERVENTIONS.112.000076. Epub 2013 Feb 12.

Reference Type DERIVED
PMID: 23403384 (View on PubMed)

Moreno R, Garcia E, Teles RC, Almeida MS, Carvalho HC, Sabate M, Martin-Reyes R, Rumoroso JR, Galeote G, Goicolea FJ, Moreu J, Mainar V, Mauri J, Ferreira R, Valdes M, Perez de Prado A, Martin-Yuste V, Jimenez-Valero S, Sanchez-Recalde A, Calvo L, Lopez de Sa E, Macaya C, Lopez-Sendon JL. A randomised comparison between everolimus-eluting stent and sirolimus-eluting stent in chronic coronary total occlusions. Rationale and design of the CIBELES (non-acute Coronary occlusion treated by EveroLimus-Eluting Stent) trial. EuroIntervention. 2010 May;6(1):112-6.

Reference Type DERIVED
PMID: 20542806 (View on PubMed)

Other Identifiers

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HHLP003

Identifier Type: -

Identifier Source: secondary_id

CIBELES

Identifier Type: -

Identifier Source: org_study_id

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