Prospective, Randomized, Multicenter Study to Assess the Safety and Effectiveness of the Orsiro Sirolimus-eluting Stent

NCT ID: NCT01939249

Last Updated: 2017-06-26

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

NA

Total Enrollment

585 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2020-01-31

Brief Summary

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BIOFLOW-IV is a prospective, international, multicenter, randomised controlled trial. The purpose of this trial is to compare the Biotronik Orsiro drug eluting stent system with the Xience Prime / Xience Xpedition (Xience)drug eluting stent system in de novo coronary lesions. The study is powered for non-inferiority with respect to Target Vessel Failure(TVF)at 12 months.

Detailed Description

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Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Abbott Laboratories Xience

Subjects assigned to Abbott Laboratories Xience can be treated with either the Xience Prime or Xience Xpedition drug eluting stent (DES).

Group Type ACTIVE_COMPARATOR

Abbott Laboratories Xience

Intervention Type DEVICE

Biotronik Orsiro

Subjects assigned to Biotronik Orsiro will be treated with Biotronik Orsiro

Group Type EXPERIMENTAL

Biotronik Orsiro

Intervention Type DEVICE

Interventions

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Abbott Laboratories Xience

Intervention Type DEVICE

Biotronik Orsiro

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subject must provide written informed consent
* The target reference vessel diameter (RVD) is ≥ 2.50 mm and ≤ 3.75 mm assessed either visually or by online QCA.
* Target lesion length is ≤ 26 mm (assessed either visual estimate or by online QCA) and can be covered by one study stent
* Single de novo lesion with ≥ 50% and \< 100% stenosis in up to 2 coronary arteries

Exclusion Criteria

* Subject has evidence of myocardial infarction within 72 hours prior to the index procedure
* Planned intervention of non-target vessel(s) within 30 days after the index procedure
* Planned intervention of target vessel(s) after the index procedure
* Target lesion is located in the left main
* Target lesion is located in or supplied by an arterial or venous bypass graft
* Target lesion involves a side branch \> 2.0 mm in diameter by visual estimate or by online QCA
* Proximal or distal to the target lesion located stenosis that might require future revascularization or impede run off
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biotronik AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shigeru Saito, MD

Role: PRINCIPAL_INVESTIGATOR

Okinawa Tokushukai Shonan Kamakura General Hospital

Ton Slagboom, MD

Role: PRINCIPAL_INVESTIGATOR

Onze Lieve Vrouwe Gasthuis

Locations

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Fiona Stanley Hospital

Murdoch, , Australia

Site Status

Prince of Wales Hospital Sydney

Sydney, , Australia

Site Status

Gasthuisberg Leuven

Leuven, , Belgium

Site Status

AZ Delta, H. Hart Roeselare

Roeselare, , Belgium

Site Status

Roskilde Sygehus Nord

Roskilde, , Denmark

Site Status

Universitäts-Herzzentrum Freiburg Bad Krozingen

Bad Krozingen, , Germany

Site Status

Herz- und Diabeteszentrum NRW - Kardiologische Klinik

Bad Oeynhausen, , Germany

Site Status

Segeberger Kliniken GmbH

Bad Segeberg, , Germany

Site Status

Charite Campus Mitte - Med. klinik für Kardiologie

Berlin, , Germany

Site Status

Universitätsklinik Bonn

Bonn, , Germany

Site Status

Amper Kliniken AG

Dachau, , Germany

Site Status

Medizinische Hochschule Hannover (MHH), Klinik für Kardiologie und Angiologie

Hanover, , Germany

Site Status

Medizinische Klinik 8-Kardiologie -Klinikum Nürnberg Sued

Nuremberg, , Germany

Site Status

Rambam Health Corporation, Rambam Medical Center, Batgalim

Haifa, , Israel

Site Status

Hedasit Medical Research Services and Development Ltd. Hadassah Ein-Kerem Medical Center Kiryat Hadassah

Jerusalem, , Israel

Site Status

Clalit Health Services, Rabin Medical Center, Cardiology

Petah Tikva, , Israel

Site Status

Tenjinkai Shinkoga Hospital

Fukuoka, , Japan

Site Status

Akanekai Tsuchiya General Hospital

Hiroshima, , Japan

Site Status

Hospital Hakodate

Hokkaido, , Japan

Site Status

Sakurakai Takahashi Hospital

Hyōgo, , Japan

Site Status

Japan Organization of Occupational Health and Safety Kanto Rosai Hos-pital

Kanagawa, , Japan

Site Status

Okinawa Tokushukai Shonan Kamakura General Hospital

Kanagawa, , Japan

Site Status

Saiseikai Yokohamashi Tobu Hospital

Kanagawa, , Japan

Site Status

Japan Organization of Occupational Health and Safety Kansai Rosai Hospital

Kumamoto, , Japan

Site Status

Japan Organization of Occupational Health and Safety Kumamoto Rosai Hospital

Kumamoto, , Japan

Site Status

Toho University Ohashi Medical Center

Tokyo, , Japan

Site Status

Tokai University Hachioji Hospital

Tokyo, , Japan

Site Status

Onze Lieve Vrouwe Gasthuis (OLVG)

Amsterdam, , Netherlands

Site Status

Tergooi Blaricum

Blaricum, , Netherlands

Site Status

Amphia Hospital

Breda, , Netherlands

Site Status

Isala Klinieken

Zwolle, , Netherlands

Site Status

Cardiology Department, Christchurch Hospital

Christchurch, , New Zealand

Site Status

University Hospital Krakow

Krakow, , Poland

Site Status

Miedziowe Centrum Zdrowia SA

Lubin, , Poland

Site Status

Clinical Hospital Medical University Poznan

Poznan, , Poland

Site Status

General Cardiology & Haemodynamics Dept., Institute of Cardiology

Warsaw, , Poland

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Clínico y Provincial de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Marqués de Valdecilla

Santander, , Spain

Site Status

Hospital Virgen de la Macarena

Seville, , Spain

Site Status

Universitetssjukhuset Örebro

Oerebrö, , Sweden

Site Status

Akademiska Sjukhuset

Uppsala, , Sweden

Site Status

University Hospital Lausanne

Lausanne, , Switzerland

Site Status

CardioCentro Ticino

Lugano, , Switzerland

Site Status

University Hospital Zürich

Zurich, , Switzerland

Site Status

Countries

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Australia Belgium Denmark Germany Israel Japan Netherlands New Zealand Poland Spain Sweden Switzerland

References

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Mankerious N, Toelg R, Abdelghani M, Garcia-Garcia HM, Farhan S, Allali A, Windecker S, Lefevre T, Saito S, Kandzari DE, Waksman R, Richardt G, Hemetsberger R. Impact of coronary artery tortuosity on outcomes following stenting with newer-generation drug-eluting stents. An analysis of the randomized BIOFLOW trials. Rev Esp Cardiol (Engl Ed). 2025 Aug;78(8):682-691. doi: 10.1016/j.rec.2024.12.009. Epub 2025 Jan 4. English, Spanish.

Reference Type DERIVED
PMID: 39761745 (View on PubMed)

Hemetsberger R, Mankerious N, Toelg R, Abdelghani M, Farhan S, Garcia-Garica HM, Allali A, Windecker S, Lefevre T, Saito S, Kandzari D, Waksman R, Richardt G. Patients with higher-atherothrombotic risk vs. lower-atherothrombotic risk undergoing coronary intervention with newer-generation drug-eluting stents: an analysis from the randomized BIOFLOW trials. Clin Res Cardiol. 2023 Sep;112(9):1278-1287. doi: 10.1007/s00392-023-02205-4. Epub 2023 Apr 16.

Reference Type DERIVED
PMID: 37062047 (View on PubMed)

Hemetsberger R, Abdelghani M, Toelg R, Garcia-Garcia HM, Farhan S, Mankerious N, Elbasha K, Allali A, Windecker S, Lefevre T, Saito S, Kandzari D, Waksman R, Richardt G. Complex vs. non-complex percutaneous coronary intervention with newer-generation drug-eluting stents: an analysis from the randomized BIOFLOW trials. Clin Res Cardiol. 2022 Jul;111(7):795-805. doi: 10.1007/s00392-022-01994-4. Epub 2022 Feb 25.

Reference Type DERIVED
PMID: 35212802 (View on PubMed)

Hemetsberger R, Abdelghani M, Toelg R, Mankerious N, Allali A, Garcia-Garcia HM, Windecker S, Lefevre T, Saito S, Slagboom T, Kandzari D, Koolen J, Waksman R, Richardt G. Impact of Coronary Calcification on Clinical Outcomes After Implantation of Newer-Generation Drug-Eluting Stents. J Am Heart Assoc. 2021 Jun 15;10(12):e019815. doi: 10.1161/JAHA.120.019815. Epub 2021 May 29.

Reference Type DERIVED
PMID: 34056911 (View on PubMed)

Dan K, Garcia-Garcia HM, Kolm P, Windecker S, Saito S, Kandzari DE, Waksman R. Comparison of Ultrathin, Bioresorbable-Polymer Sirolimus-Eluting Stents and Thin, Durable-Polymer Everolimus-Eluting Stents in Calcified or Small Vessel Lesions. Circ Cardiovasc Interv. 2020 Sep;13(9):e009189. doi: 10.1161/CIRCINTERVENTIONS.120.009189. Epub 2020 Sep 8.

Reference Type DERIVED
PMID: 32895004 (View on PubMed)

Toelg R, Slagboom T, Waltenberger J, Lefevre T, Saito S, Kandzari DE, Koolen J, Richardt G. Individual patient data analysis of the BIOFLOW study program comparing safety and efficacy of a bioresorbable polymer sirolimus eluting stent to a durable polymer everolimus eluting stent. Catheter Cardiovasc Interv. 2021 Nov 1;98(5):848-856. doi: 10.1002/ccd.29254. Epub 2020 Sep 5.

Reference Type DERIVED
PMID: 32890442 (View on PubMed)

Saito S, Toelg R, Witzenbichler B, Haude M, Masotti M, Salmeron R, Witkowski A, Uematsu M, Takahashi A, Waksman R, Slagboom T. BIOFLOW-IV, a randomised, intercontinental, multicentre study to assess the safety and effectiveness of the Orsiro sirolimus-eluting stent in the treatment of subjects with de novo coronary artery lesions: primary outcome target vessel failure at 12 months. EuroIntervention. 2019 Dec 6;15(11):e1006-e1013. doi: 10.4244/EIJ-D-18-01214.

Reference Type DERIVED
PMID: 31235458 (View on PubMed)

Other Identifiers

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C1204

Identifier Type: -

Identifier Source: org_study_id

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