Comparative Phase IV Study: Efficacy And Safety of TiTAN2 Versus COBALT-CHROME Stents- EVIDENCEII

NCT ID: NCT01918150

Last Updated: 2014-01-08

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

1350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2016-03-31

Brief Summary

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The purpose of this study is to compare the effectiveness and safety, at 24 months, of the TITAN2 stent to any bare-metal stent (BMS) in Cobalt-Chromium in a population presenting an indication for these stents among 40% of which present an acute coronary syndrome (ACS).

Detailed Description

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The EVIDENCE II trial is a post-registration study for TITAN2 stent initiated on the request of the French Health Authorities' (HAS) in June 2009 for the next renewal of registration on the list of reimbursable products and services in France.

The study is so designed to compare the effectiveness and safety at 24 months of the TiTAN2 versus Cobalt-Chromium BMS randomly assigned. As a part of the secondary objectives, a cost-effectiveness study is also planned.

The comparators are cobalt chromium stents CE marketed and free of any coating (nude BMS).

All will be used in their authorized indications.

A total of 1350 patients will be included over a period of a year or more and followed for 24 months for the primary endpoint (MACE rate at 24 months in the overall population : cumulative incidence of cardiac deaths, MI and target lesion revascularization (TLR)).

Patients will also be clinically followed at 6 and 12 months . Medico economic datas are to collect at a similar time point.

An independent Clinical Event Committee, unaware of the treatment allocation, will be in charge of the adjudication of all the cardiac events including MACE (main objective)collected.

The calculation of the number of subjects specifies that 1350 patients are needed to meet the primary endpoint of the study.

Enrolled patient will be randomly assigned in a 2:1 fashion as follows :

* 900 patients in TITAN2 arm including 360 with ACS (Arm A)
* 450 patients in Cobalt-chromium arm including 180 with ACS (Arm B) In case of more than one stent needed, the protocol mandated using the same stent than the one assigned in all the lesions treated.

Conditions

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Silent Myocardial Infarction Stable Angina Acute Coronary Syndrome

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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TITAN 2 stent - Hexacath France

Patients receiving Titan 2 stents (percutaneous coronary intervention)

Group Type EXPERIMENTAL

Titan 2 stents

Intervention Type DEVICE

The intervention is called Percutaneous Coronary Intervention (PCI); Commonly known as coronary angioplasty or simply angioplasty, it is a non-surgical procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. PCI is usually performed by an interventional cardiologist.

Cobalt-Chromium BMS - Any firm

Patients receiving Cobalt-Chromium Bare Metal Stents (free of any coating)(percutaneous coronary intervention)

Group Type ACTIVE_COMPARATOR

Cobalt-Chromium Bare Metal Stents

Intervention Type DEVICE

The intervention is called Percutaneous Coronary Intervention (PCI); Commonly known as coronary angioplasty or simply angioplasty, it is a non-surgical procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. PCI is usually performed by an interventional cardiologist.

Interventions

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Titan 2 stents

The intervention is called Percutaneous Coronary Intervention (PCI); Commonly known as coronary angioplasty or simply angioplasty, it is a non-surgical procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. PCI is usually performed by an interventional cardiologist.

Intervention Type DEVICE

Cobalt-Chromium Bare Metal Stents

The intervention is called Percutaneous Coronary Intervention (PCI); Commonly known as coronary angioplasty or simply angioplasty, it is a non-surgical procedure used to treat the stenotic (narrowed) coronary arteries of the heart found in coronary heart disease. PCI is usually performed by an interventional cardiologist.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient with symptomatic de novo coronary lesion involving one or two vessels
* Patient presenting a lesion with \> 50% stenosis
* Patient who must undergo a percutaneous coronary intervention (PCI) in the indications of Cobalt-chromium bare metal stents and TITAN2 stents and being able to be indifferently treated with one or the other of these stents.
* Written informed consent
* Expected survival \> 2 years
* Patient reachable by phone throughout the duration of the study.

Exclusion Criteria

* Pregnant/Lactating women
* Women of childbearing potential (last menstrual period \<12 months) not using effective contraception
* Patient under legal protection
* Indication of coronary artery bypass graft surgery (CABG)
* History of coronary artery bypass graft surgery (CABG)
* Intrastent restenosis lesion
* Bifurcation lesion with the exception of those treated with a standardized approach (provisional stenting with final kissing in the side branch)
* Left main coronary lesion
* Ostial target lesion
* Previous drug-eluting stenting
* Previous bare metal stenting or balloon angioplasty in the 12 months prior the inclusion; if this implantation involved the target artery, separate the new implanted stent at a distance ≥ 10 mm.
* History of stent thrombosis
* Heavily calcified lesion
* Use of the Rotablator
* Left ventricular ejection fraction (LVEF) \< 30%
* Cardiac arrest, cardiogenic shock or severe heart failure (Killip stage III or IV)
* Severe chronic renal failure (creatinine clearance \<30 ml min)
* Cardiac or renal transplantation
* Major surgery within the last 14 days
* Surgery scheduled within 30 days (non-ACS patients) or 12 months (if ACS) at the time of the randomization
* History of major bleeding
* Pathology with major risk of bleeding or any condition, allergy or intolerance which is incompatible with anticoagulation and / or extended antiplatelet therapy
* Known allergy to Titanium, Nickel, Cobalt or Chromium
* Patient currently participating in another clinical trial
* Non-compliant patient (treatment and follow-up)
* Patient living abroad
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hexacath, France

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilles RIOUFOL, Pr

Role: PRINCIPAL_INVESTIGATOR

Hospices Civils de Lyon- Bron - France

Locations

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Clinique Claude Bernard

Albi, , France

Site Status

Clinique de l'Europe

Amiens, , France

Site Status

Hôpital Sud

Amiens, , France

Site Status

CHU Angers

Angers, , France

Site Status

CH Henri Duffaut

Avignon, , France

Site Status

Clinique La Fourcade

Bayonne, , France

Site Status

Polyclinique de Bois Bernard

Bois-Bernard, , France

Site Status

CHU Côte de Nacre

Caen, , France

Site Status

CH Cannes

Cannes, , France

Site Status

Centre hospitalier Louis Pasteur

Chartres, , France

Site Status

Hôpital Gabriel Montpied

Clermont-Ferrand, , France

Site Status

Hôpital Albert Schweitzer

Colmar, , France

Site Status

Ch Sud Francilien

Corbeil-Essonnes, , France

Site Status

Centre Hospitalier Laënnec

Creil, , France

Site Status

CHU de Grenoble

Grenoble, , France

Site Status

Groupe Hospitalier Mutualiste

Grenoble, , France

Site Status

Centre Hospitalier Général

Haguenau, , France

Site Status

Centre Hospitalier Départemental

La Roche-sur-Yon, , France

Site Status

Centre Hospitalier de Lagny

Lagny, , France

Site Status

Centre Hospitalier de Lille

Lille, , France

Site Status

HCL Bron

Lyon, , France

Site Status

HCL Croix-Rousse

Lyon, , France

Site Status

Clinique Beauregard

Marseille, , France

Site Status

Hôpital Nord

Marseille, , France

Site Status

Clinique Les Fontaines

Melun, , France

Site Status

Hôpital Emile Muller

Mulhouse, , France

Site Status

Nouvelles Cliniques Nantaises

Nantes, , France

Site Status

CHU Caremeau

Nîmes, , France

Site Status

Clinique Alleray Labrouste

Paris, , France

Site Status

HIA Val de Grâce

Paris, , France

Site Status

Hôpital Saint-Joseph

Paris, , France

Site Status

CH Pau

Pau, , France

Site Status

Clinique Saint-Martin

Pessac, , France

Site Status

Hôpital Claude Galien- ICPS

Quincy-sous-Sénart, , France

Site Status

Clinique Saint Laurent

Rennes, , France

Site Status

Clinique Saint-Hilaire

Rouen, , France

Site Status

CH Saint-Brieuc

Saint-Brieuc, , France

Site Status

CHI Toulon La Seyne

Toulon, , France

Site Status

Clinique Pasteur

Toulouse, , France

Site Status

Hôpital de Rangueil

Toulouse, , France

Site Status

CHRU Tours

Tours, , France

Site Status

CH Valence

Valence, , France

Site Status

Countries

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France

Other Identifiers

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HXF-CT2-20111

Identifier Type: -

Identifier Source: org_study_id

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