SERIES III RUN-IN Clinical Trial: A Comparison of the Supralimus® Stent With the Xience V™ Stent

NCT ID: NCT00917163

Last Updated: 2012-08-23

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2010-05-31

Brief Summary

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The objective of Series III Run-In Trial is to compare the performance and efficacy of the Supralimus® sirolimus-eluting stent with the Xience V™ everolimus-eluting stent with respect to in-stent luminal late loss at 9 months as assessed by off-line QCA. Ninety percent power to reject the null hypothesis that the Supralimus® stent is inferior to Xience V™ in favor of the alternative hypothesis that the Supralimus® stent is not inferior to Xience V™.

Detailed Description

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Series III Run-In is a prospective, multi-center, randomized, single-blind (patient-blind), non-inferiority trial to be conducted at approx. 35 interventional cardiology centers in India, Brazil, Argentina, Thailand and Saudi Aurabia. A total of 360 will be randomized on a 2:1 basis to either the Supralimus® (sirolimus-eluting) stent or the Xience V™ (everolimus-eluting) stent.

In selected sites, IVUS will also be recorded in these patients (maximum of 60 IVUS patients in total), at baseline (post-procedure) and at 9-month follow-up.

All patients will be followed clinically for up to 5 years after stent implantation. Repeat angiography will be performed in all patients at 9 months after the index procedure.

Conditions

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Coronary Artery Disease

Keywords

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coronary artery disease restenosis stent thrombosis coronary stents angioplasty drug eluting stents

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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Supralimus(R) Sirolimus Eluting Stent

Supralimus® Coronary Stent System consisting of the MATRIX® Coronary Stent having Sirolimus eluting from Biodegradable Polymeric Matrix on a Stainless Steel Platform, Drug concentration 1.4 µg/mm2

Group Type EXPERIMENTAL

Supralimus(R) Sirolimus-Eluting Coronary Stent System

Intervention Type DEVICE

Drug eluting stent implantation in the treatment of coronary artery disease.

Xience V™ Everolimus Eluting Stent

The XIENCE V™ Everolimus Eluting Coronary Stent System consisting of the MULTI-LINK VISION® Coronary Stent System coated with a formulation containing everolimus, the active ingredient, embedded in a non-erodible polymer., Drug Load: 100 µg/cm2

Group Type ACTIVE_COMPARATOR

Xience V™ Everolimus Eluting Coronary Stent

Intervention Type DEVICE

Drug eluting stent implantation in the treatment of coronary artery disease

Interventions

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Supralimus(R) Sirolimus-Eluting Coronary Stent System

Drug eluting stent implantation in the treatment of coronary artery disease.

Intervention Type DEVICE

Xience V™ Everolimus Eluting Coronary Stent

Drug eluting stent implantation in the treatment of coronary artery disease

Intervention Type DEVICE

Other Intervention Names

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Drug Eluting Stent Drug Eluting Stent

Eligibility Criteria

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Inclusion Criteria

1. Age ≥18 years.
2. Eligible for percutaneous coronary intervention (PCI)
3. Acceptable candidate for CABG
4. Clinical evidence of ischemic heart disease and/or a positive territorial functional study. Documented stable angina pectoris ((Canadian Cardiovascular Society (CCS) Classification 1, 2, 3 or 4) or unstable angina pectoris with documented ischemia (Braunwald Class IB-C, IIB-C or IIIB-C), or documented silent ischemia.

Exclusion Criteria

6. The target lesion must be covered by one study stent, preferably with a margin of 3 mm on each side of the lesion.
7. The target lesion must be ≤ 22 mm in length by visual estimate.
8. The target reference vessel diameter must be ≥ 2.5 mm and ≤ 3.5 mm.
9. Patient or patient's legal representative has been informed of the nature of the study and agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the clinical site.


1. Female of childbearing potential
2. Documented left ventricular ejection fraction (LVEF) ≤ 30%
3. Evidence of an acute Q-wave or non-Q-wave myocardial infarction within 72 hours preceding the index procedure
4. Known allergies to the following: aspirin, clopidogrel bisulfate (Plavix®, Ceruvin) or ticlopidine (Ticlid®), heparin, sirolimus, everolimus, stainless steel, cobalt, chromium, contrast agent (that cannot be adequately pre-medicated)
5. A platelet count \<100,000 cells/mm3 or \>700,000 cells/mm3 or a WBC \<3,000 cells/mm3
6. Acute or chronic renal dysfunction (creatinine \>2.0mg/dl or \>150µmol/L)
7. Total occlusion (TIMI 0) or TIMI 1
8. Target vessel has evidence of thrombus
9. Target vessel is excessively tortuous which makes it unsuitable for proper stent delivery and deployment
10. Previous bare metal stenting (less than 1 year) anywhere within the target vessel
11. Previous drug-eluting stenting anywhere within any epicardial vessel
12. The target lesion requires treatment with a device other than PTCA prior to stent placement (e.g. but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.)
13. Significant (\>50%) stenosis proximal or distal to the target lesion that might require revascularization or impede run-off
14. Heavily calcified lesion and/or calcified lesion which cannot be successfully predilated
15. Target lesion is located in or supplied by an arterial or venous bypass graft
16. Ostial target lesion
17. Target lesion involves a side branch \>2.0mm in diameter with an ostial disease
18. Patient is currently participating in an investigational drug or device study, including its follow-up period
19. Within 30 days prior to procedure, patient has undergone a previous coronary interventional procedure of any kind
20. Within 60 days post-procedure, patient requires planned interventional treatment of any non-target vessel. Planned intervention of the target vessel after the index procedure is not allowed.
21. Stroke or transient ischemic attack within the prior 6 months
22. Unprotected Left Main (LM) coronary artery disease (stenosis \>50%)
23. In the investigator's opinion, patient has a co-morbid condition(s) that could limit the patient's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study
24. Planned surgery within 6 months after the index procedure
25. Life expectancy less than 1 year
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cardialysis BV

INDUSTRY

Sponsor Role collaborator

Sahajanand Medical Technologies Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prof. Patrick W Serruys, MD, Ph.D

Role: STUDY_CHAIR

Thoraxcenter,Rotterdam,NL

Locations

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Incor Hospital

Brasília, Brasília, Brazil

Site Status

Hospital Meridional

Vitaria, Espírito Santo, Brazil

Site Status

Centro de Cardiologia e Radiologia Intervencionista

Goiânia, Goiás, Brazil

Site Status

Cardiovascular Diagnóstico

Campo Grande, Mato Grosso do Sul, Brazil

Site Status

Santa Casa de misericórdia de Juiz de fora

Juiz de Fora, Minas Gerais, Brazil

Site Status

Intistuto do Coracao do Triangulo

Uberlândia, Minas Gerais, Brazil

Site Status

Hospital Costantino Constantini

Curitiba, Paraná, Brazil

Site Status

Instituto de Cardiologia

São Paulo, São Paulo, Brazil

Site Status

Hospital Bandeirantes

São Paulo, São Paulo, Brazil

Site Status

Incor Hospital

São Paulo, São Paulo, Brazil

Site Status

Instituto Dante Pazzanese

São Paulo, São Paulo, Brazil

Site Status

Hospital Albert Einstein

São Paulo, São Paulo, Brazil

Site Status

Hospital Santa Marcelina

São Paulo, São Paulo, Brazil

Site Status

Life Care Institute

Ahmedabad, Gujarat, India

Site Status

Shri.Jayadeva Institute of Cardiology

Bangalore, Karnataka, India

Site Status

P.R.S Hospital

Trivandrum, Kerala, India

Site Status

Jaslok Hospital & Research Centre

Mumbai, Maharashtra, India

Site Status

KEM Hospital

Mumbai, Maharashtra, India

Site Status

Ruby Hall Clinic

Pune, Maharashtra, India

Site Status

Escorts Heart Institute & Research Centre

New Delhi, National Capital Territory of Delhi, India

Site Status

Max Devki Devi Heart and Vascular Institute

New Delhi, National Capital Territory of Delhi, India

Site Status

All India Institute of Medical Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status

Apollo Hospital

Chennai, Tamil Nadu, India

Site Status

Madras Medical Mission

Chennai, Tamil Nadu, India

Site Status

Sanjay Gandhi Post Graduate Institute of Medical Sciences

Lucknow, Uttar Pradesh, India

Site Status

Kailash Health Care Limited

Noida, Uttar Pradesh, India

Site Status

B.M.Birla Heart Research Center

Kolkata, West Bengal, India

Site Status

KAUH King Abdl Aziz University Hospital

Jeddah, , Saudi Arabia

Site Status

Countries

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Brazil India Saudi Arabia

References

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Dani S, Kukreja N, Parikh P, Joshi H, Prajapati J, Jain S, Thanvi S, Shah B, Dutta JP. Biodegradable-polymer-based, sirolimus-eluting Supralimus stent: 6-month angiographic and 30-month clinical follow-up results from the series I prospective study. EuroIntervention. 2008 May;4(1):59-63. doi: 10.4244/eijv4i1a11.

Reference Type BACKGROUND
PMID: 19112780 (View on PubMed)

Dr. A.Abhyankar; Evaluation of Safety, Efficacy and Procedural Outcomes of Extra Long Sirolimus Eluting Stent with novel polymeric technology for treatment of long de novo coronary lesions; Catheterization Cardiovascular Interventions; 3rd Nov - 2nd Dec 2006; DOI 10.1002/ccd.21033

Reference Type BACKGROUND

Other Identifiers

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SES/RCT/01

Identifier Type: -

Identifier Source: org_study_id