Comparison of the Efficacy of Paclitaxel-releasing Balloon Catheter System Versus the Everolimus-Eluting Stent System for Treatment of In-Stent Restenosis Lesions - Harmonizing Optimal Strategy for Treatment of In-Stent Restenosis Lesions (The HOST-ISR Trial) -

NCT ID: NCT01093300

Last Updated: 2023-04-20

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

264 participants

Study Classification

INTERVENTIONAL

Brief Summary

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In-stent restenosis (ISR) lesions are considered one of the toughest lesions that interventional cardiologists encounter in the drug eluting stent (DES) era. The current consensus in treating ISR is implantation of another DES into the restenosed segment. However the recent results of paclitaxel-releasing balloon catheter (PRBC) in ISR lesions have been very encouraging. The aim of HOST-ISR trial is to investigate the efficacy and safety of PRBC compared with everolimus-eluting stent (EES) in preventing neointimal growth in ISR lesions. HOST-ISR trial is a multicenter, open-label, prospective, randomized trial to test whether PRBC is non-inferior to EES in preventing neointimal growth in ISR lesions. It plans to enroll a total of 264 patients with ISR, randomizing the cohort 1:1 to either PRBC or EES. The primary endpoint will be in-segment late luminal loss at 9 months angiographical follow-up.

Detailed Description

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Conditions

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In-stent Restenosis Lesion

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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Paclitaxel-eluting balloon catheter

Paclitaxel-eluting balloon catheter use for treatment of ISR lesion

Group Type EXPERIMENTAL

Paclitaxel-eluting balloon catheter

Intervention Type DEVICE

Everolimus-eluting stent

Everolimus-eluting stent use for treatment of ISR lesion

Group Type ACTIVE_COMPARATOR

Everolimus-eluting stent

Intervention Type DEVICE

Interventions

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Paclitaxel-eluting balloon catheter

Intervention Type DEVICE

Everolimus-eluting stent

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age at least 18y
* Significant ISR lesion (\>50% by visual estimate) of previously stented de novo coronary artery
* Evidence of myocardial ischemia (e.g., stable, unstable angina, recent infarction, silent ischemia, positive functional study or a reversible changes in the electrocardiogram (ECG) consistent with ischemia) or ISR with diameter stenosis \> 70%
* Written, informed consent
* Target lesion(s) located in a native coronary artery within a previously stented lesion with previous stent diameter of ≥ 2.5 mm and ≤ 4.00 mm
* Target lesion(s) amenable for percutaneous coronary intervention

Exclusion Criteria

* Hypersensitivity to aspirin, clopidogrel, heparin, sirolimus, paclitaxel or radiocontrast media
* Systemic sirolimus use within 12 months
* Female of childbearing potential
* History of bleeding diathesis or known coagulopathy (including heparin-induced thrombocytopenia)
* Gastrointestinal or genitourinary bleeding within the prior 3 months, or major surgery within 2 months
* Non-cardiac co-morbid conditions present with life expectancy \<1 year or that may result in protocol non-compliance
* Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period
* ISR of left main coronary artery
* Restenosis of two stented bifurcation lesion
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

Central Contacts

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Kyung-Woo Park, MD, PhD

Role: CONTACT

82-2-2072-2044

Hyo-Soo Kim, MD, PhD

Role: CONTACT

82-2-2072-2226

Other Identifiers

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HOST-ISR trial

Identifier Type: -

Identifier Source: org_study_id

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