To Achieve an Early Reendothelialization at the Expense of Low Restenosis: The EREMUS Study

NCT ID: NCT00870038

Last Updated: 2010-07-22

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2012-01-31

Brief Summary

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The investigators sought to discover which one of the following strategies is the safest for patients undergoing percutaneous coronary intervention: paclitaxel-coated balloon+Genous stent; Genous stent; drug eluting stent (paclitaxel).

Detailed Description

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Conditions

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Angioplasty, Transluminal, Percutaneous Coronary Percutaneous Coronary Intervention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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1

Paclitaxel eluting balloon (Elutax) + Genous stent

Group Type EXPERIMENTAL

Percutaneous coronary intervention: Paclitaxel eluting balloon (Elutax) + Genous stent

Intervention Type DEVICE

Predilatation with paclitaxel-eluting balloon, then stenting of the lesion with Genous stent

2

Uncoated balloon + Genous stent

Group Type EXPERIMENTAL

Percutaneous coronary intervention: Uncoated balloon + Genous stent

Intervention Type DEVICE

Predilatation with uncoated balloon, the stenting with Genous stent.

3

Drug eluting stent (Taxus stent)

Group Type ACTIVE_COMPARATOR

Percutaneous coronary intervention: Drug eluting stent (Taxus stent)

Intervention Type DEVICE

Predilatation with uncoated balloon, the placement of a Taxus stent.

Interventions

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Percutaneous coronary intervention: Paclitaxel eluting balloon (Elutax) + Genous stent

Predilatation with paclitaxel-eluting balloon, then stenting of the lesion with Genous stent

Intervention Type DEVICE

Percutaneous coronary intervention: Uncoated balloon + Genous stent

Predilatation with uncoated balloon, the stenting with Genous stent.

Intervention Type DEVICE

Percutaneous coronary intervention: Drug eluting stent (Taxus stent)

Predilatation with uncoated balloon, the placement of a Taxus stent.

Intervention Type DEVICE

Other Intervention Names

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Elutax balloon, Aachen Resonance GmbH, Bavaria, Germany; Genous stent, Orbus Neich, Fort Lauderdale, FL. Genous stent, Orbus Neich, Fort Lauderdale, FL. Taxus stent, Boston Scientific, Natick, MA.

Eligibility Criteria

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Inclusion Criteria

* Stable or unstable angina pectoris suitable to PCI of at least one coronary vessel
* Age \>18 years

Exclusion Criteria

* Recent (\<72 hours) acute myocardial infarction
* Creatinine clearance \<40 ml/min
* Allergy or hypersensitivity to at least two between: aspirin, clopidogrel, heparin, bivalirudin, paclitaxel, contrast media
* Life expectancy \<1 year
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ospedale della Misericordia

OTHER

Sponsor Role lead

Responsible Party

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Ospedale della Misericordia

Principal Investigators

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Bernardo Cortese, MD, FESC

Role: PRINCIPAL_INVESTIGATOR

Ospedale Maggiore Policlinico, Milano, Italy

Locations

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U.O. Emodinamica, Ospedale della Misericordia

Grosseto, , Italy

Site Status

Countries

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Italy

Central Contacts

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Bernardo Cortese, MD

Role: CONTACT

+39 02 55033507

Ugo Limbruno, MD, PhD

Role: CONTACT

References

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Alfonso F, Zueco J, Cequier A, Mantilla R, Bethencourt A, Lopez-Minguez JR, Angel J, Auge JM, Gomez-Recio M, Moris C, Seabra-Gomes R, Perez-Vizcayno MJ, Macaya C; Restenosis Intra-stent: Balloon Angioplasty Versus Elective Stenting (RIBS) Investigators. A randomized comparison of repeat stenting with balloon angioplasty in patients with in-stent restenosis. J Am Coll Cardiol. 2003 Sep 3;42(5):796-805. doi: 10.1016/s0735-1097(03)00852-0.

Reference Type RESULT
PMID: 12957423 (View on PubMed)

Stettler C, Wandel S, Allemann S, Kastrati A, Morice MC, Schomig A, Pfisterer ME, Stone GW, Leon MB, de Lezo JS, Goy JJ, Park SJ, Sabate M, Suttorp MJ, Kelbaek H, Spaulding C, Menichelli M, Vermeersch P, Dirksen MT, Cervinka P, Petronio AS, Nordmann AJ, Diem P, Meier B, Zwahlen M, Reichenbach S, Trelle S, Windecker S, Juni P. Outcomes associated with drug-eluting and bare-metal stents: a collaborative network meta-analysis. Lancet. 2007 Sep 15;370(9591):937-48. doi: 10.1016/S0140-6736(07)61444-5.

Reference Type RESULT
PMID: 17869634 (View on PubMed)

Aoki J, Serruys PW, van Beusekom H, Ong AT, McFadden EP, Sianos G, van der Giessen WJ, Regar E, de Feyter PJ, Davis HR, Rowland S, Kutryk MJ. Endothelial progenitor cell capture by stents coated with antibody against CD34: the HEALING-FIM (Healthy Endothelial Accelerated Lining Inhibits Neointimal Growth-First In Man) Registry. J Am Coll Cardiol. 2005 May 17;45(10):1574-9. doi: 10.1016/j.jacc.2005.01.048.

Reference Type RESULT
PMID: 15893169 (View on PubMed)

Co M, Tay E, Lee CH, Poh KK, Low A, Lim J, Lim IH, Lim YT, Tan HC. Use of endothelial progenitor cell capture stent (Genous Bio-Engineered R Stent) during primary percutaneous coronary intervention in acute myocardial infarction: intermediate- to long-term clinical follow-up. Am Heart J. 2008 Jan;155(1):128-32. doi: 10.1016/j.ahj.2007.08.031. Epub 2007 Nov 26.

Reference Type RESULT
PMID: 18082503 (View on PubMed)

Stone GW, White HD, Ohman EM, Bertrand ME, Lincoff AM, McLaurin BT, Cox DA, Pocock SJ, Ware JH, Feit F, Colombo A, Manoukian SV, Lansky AJ, Mehran R, Moses JW; Acute Catheterization and Urgent Intervention Triage strategy (ACUITY) trial investigators. Bivalirudin in patients with acute coronary syndromes undergoing percutaneous coronary intervention: a subgroup analysis from the Acute Catheterization and Urgent Intervention Triage strategy (ACUITY) trial. Lancet. 2007 Mar 17;369(9565):907-19. doi: 10.1016/S0140-6736(07)60450-4.

Reference Type RESULT
PMID: 17368152 (View on PubMed)

Cortese B, Danzi GB, Piti A, Severi S, Limbruno U. Rationale and design of the randomized, multicenter EREMUS trial, a study that investigates how to achieve low restenosis and early reendothelialization after percutaneous coronary interventions. Catheter Cardiovasc Interv. 2011 Jul 1;78(1):32-7. doi: 10.1002/ccd.22856. Epub 2011 Mar 16.

Reference Type DERIVED
PMID: 21413116 (View on PubMed)

Other Identifiers

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Bernard1

Identifier Type: -

Identifier Source: org_study_id

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