Reservoir-Based Polymer-Free Amphilimus-Eluting Stent Versus Polymer-Based Everolimus-Eluting Stent in Diabetic Patients

NCT ID: NCT01710748

Last Updated: 2013-11-06

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

PHASE3

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2014-10-31

Brief Summary

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This study is a prospective, randomized controlled, single blind, two-arm, multicenter clinical evaluation.

Diabetic patients (n=112) with de novo coronary artery disease will be randomized to one of the 2 treatment arms: 1) Reservoir-Based Polymer-Free Amphilimus-Eluting Stent or 2) Polymer-Based Everolimus-Eluting Stent.

The purpose of this study is to determine whether Polymer-Free Amphilimus-Eluting Stent implantation is effective in reducing neointimal hyperplasia as compared to Polymer-Based Everolimus-Eluting Stent in diabetic patients, using Optical Coherence Tomography (OCT) as the primary imaging modality.

Detailed Description

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In patients with diabetes mellitus (DM), drug eluting stents (DES) have been shown to be associated with greater neointimal suppression than bare-metal stents. However, there is an ongoing debate on the optimal drug-eluting stent in diabetic patients.

This study is a prospective, randomized controlled, single blind, two-arm, multicenter clinical evaluation.

Diabetic patients (n=112) with de novo coronary artery disease will be randomized to one of the 2 treatment arms: 1) Reservoir-Based Polymer-Free Amphilimus-Eluting Stent or 2) Polymer-Based Everolimus-Eluting Stent.

The purpose of this study is to determine whether Polymer-Free Amphilimus-Eluting Stent implantation is effective in reducing neointimal hyperplasia as compared to Polymer-Based Everolimus-Eluting Stent in diabetic patients, using Optical Coherence Tomography (OCT) as the primary imaging modality.

Conditions

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Coronary Artery Disease Diabetes Mellitus

Keywords

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Percutaneous coronary intervention Drug eluting stent Neointimal hyperplasia Diabetes Mellitus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Polymer-Based Everolimus-Eluting Stent

Polymer-Based Everolimus-Eluting Stent

Group Type ACTIVE_COMPARATOR

Polymer-Based Everolimus-Eluting Stent

Intervention Type DEVICE

Polymer-Based Everolimus-Eluting Stent

Polymer-Free Amphilimus-Eluting Stent

Reservoir-Based Polymer-Free Amphilimus-Eluting Stent

Group Type EXPERIMENTAL

Polymer-Free Amphilimus-Eluting Stent

Intervention Type DEVICE

Reservoir-Based Polymer-Free Amphilimus-Eluting Stent

Interventions

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Polymer-Based Everolimus-Eluting Stent

Polymer-Based Everolimus-Eluting Stent

Intervention Type DEVICE

Polymer-Free Amphilimus-Eluting Stent

Reservoir-Based Polymer-Free Amphilimus-Eluting Stent

Intervention Type DEVICE

Other Intervention Names

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Xience Coronary Stent System Cre8 Coronary Stent System

Eligibility Criteria

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Inclusion Criteria

* Subject is eligible for PCI.
* Subject has symptomatic coronary artery disease (stable/unstable angina or Non-ST elevation myocardial infarction).
* Subject has known DM.


* Presence of 1 or 2 de novo native coronary artery lesions (maximum 1 lesion per epicardial coronary artery), with a visual estimation stenosis ≥ 50%.
* Target lesion length 12-25mm, reference diameter 2.5-3.5mm.

Exclusion Criteria

* ST-segment elevation myocardial infarction \<48h
* Presence of cardiogenic shock pre-procedure
* Contra-indications to dual antiplatelet therapy for 12 months
* Left Ventricular Ejection Fraction ≤30%
* GFR\<30 ml/min/m2
* Target vessel has been treated previously
* Platelet count \<75000/mm3 or \>700000/mm3
* Immunosuppressive therapy
* Has received or waiting list for any transplant
* Life-threatening disease with a life expectancy of \< 12 months
* Pregnant or breast feeding patient
* Inability to provide informed consent


* TIMI flow ≤ 1 prior to guide wire crossing
* There is an additional lesion within the target vessel planned to be treated within the next 12 months
* Target vessel is a saphenous vein graft
* Target vessel is the left main, ostial LAD and/or ostial LCX.
* Prior PCI of the target lesion (restenosis)
* Lesion cannot be covered by a single stent (unplanned bailout stenting is allowed)
* Involved side branch ≥2.5mm by visual estimation
* Rotablator, ELCA or brachytherapy
* Severe calcification of target lesion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spanish Society of Cardiology

OTHER

Sponsor Role lead

Responsible Party

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Dr Rafael Romaguera

Dr. Rafael Romaguera

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rafael Romaguera, MD

Role: PRINCIPAL_INVESTIGATOR

Spanish Society of Cardiology

Locations

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Hospital Clínic i Provincial

Barcelona, Barcelona, Spain

Site Status

Hospital Universitari de Bellvitge

Barcelona, Barcelona, Spain

Site Status

Hospital Clínico San Carlos

Madrid, Madrid, Spain

Site Status

Hospital Virgen de la Arrixaca

Murcia, Murcia, Spain

Site Status

Countries

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Spain

References

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Romaguera R, Gomez-Hospital JA, Gomez-Lara J, Brugaletta S, Pinar E, Jimenez-Quevedo P, Gracida M, Roura G, Ferreiro JL, Teruel L, Montanya E, Fernandez-Ortiz A, Alfonso F, Valgimigli M, Sabate M, Cequier A. A Randomized Comparison of Reservoir-Based Polymer-Free Amphilimus-Eluting Stents Versus Everolimus-Eluting Stents With Durable Polymer in Patients With Diabetes Mellitus: The RESERVOIR Clinical Trial. JACC Cardiovasc Interv. 2016 Jan 11;9(1):42-50. doi: 10.1016/j.jcin.2015.09.020.

Reference Type DERIVED
PMID: 26762910 (View on PubMed)

Romaguera R, Brugaletta S, Gomez-Lara J, Pinar E, Jimenez-Quevedo P, Gracida M, Roura G, Ferreiro JL, Teruel L, Gomez-Hospital JA, Montanya E, Alfonso F, Valgimigli M, Sabate M, Cequier A. Rationale and study design of the RESERVOIR trial: a randomized trial comparing reservoir-based polymer-free amphilimus-eluting stents versus everolimus-eluting stents with durable polymer in patients with diabetes mellitus. Catheter Cardiovasc Interv. 2015 Mar;85(4):E116-22. doi: 10.1002/ccd.25728. Epub 2014 Nov 27.

Reference Type DERIVED
PMID: 25380051 (View on PubMed)

Other Identifiers

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SEC-RES-2012-01

Identifier Type: -

Identifier Source: org_study_id