Efficacy and Safety of New Generation Drug Eluting Stents Associated With an Ultra Short Duration of Dual Antiplatelet Therapy. Design of the Short Duration of Dual antiplatElet Therapy With SyNergy II Stent in Patients Older Than 75 Years Undergoing Percutaneous Coronary Revascularization.

NCT ID: NCT02099617

Last Updated: 2024-01-16

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

COMPLETED

Clinical Phase

NA

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2018-06-30

Brief Summary

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The main objective of the SENIOR study is to establish the efficacy and safety of the everolimus eluting stent with a biodegradable abluminal polymer (SYNERGY II) associated with a short dual antiplatelet therapy (DAPT) in patients ≥75 years old, suffering from stable angina, silent ischemia (1 month DAPT) or acute coronary syndromes (6 months DAPT) related to significant coronary artery disease and requiring percutaneous coronary intervention. The primary end point is to demonstrate that SYNERGY II in patients ≥75 years old is associated with a lower rate of the composite rate of major cardiovascular and cerebrovascular events (all-cause death, myocardial infarction, stroke, ischemia-driven target lesion revascularization) and a similar risk of stent thrombosis than bare metal stent at one year.

Detailed Description

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Conditions

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Stable Angina Silent Myocardial Ischemia 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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Drug Eluting Stent

Synergy II

Group Type EXPERIMENTAL

Percutaneous Coronary Intervention (PCI) with short DAPT duration with Synergy II stent

Intervention Type PROCEDURE

Bare Metal Stent

Omega or Rebel

Group Type ACTIVE_COMPARATOR

Percutaneous Coronary Intervention (PCI) with short DAPT duration with Omega stent

Intervention Type PROCEDURE

Percutaneous Coronary Intervention (PCI) with short DAPT duration with Rebel stent

Intervention Type PROCEDURE

Interventions

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Percutaneous Coronary Intervention (PCI) with short DAPT duration with Synergy II stent

Intervention Type PROCEDURE

Percutaneous Coronary Intervention (PCI) with short DAPT duration with Omega stent

Intervention Type PROCEDURE

Percutaneous Coronary Intervention (PCI) with short DAPT duration with Rebel stent

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1- Patient is ≥ 75 years old
* 2- One or more significant coronary artery stenosis is/are present (defined as ≥70% by visual assessment or ≥50% with Fractional Flow Reserve \<0.80) or a left main coronary stenosis ≥50% by visual assessment) suitable for PCI with one of the following present:
* a -Silent ischemia,
* stress-induced myocardial ischemia ≥ 10% of myocardium in a asymptomatic patient or
* stress-induced myocardial ischemia \< 10% of myocardium AND FFR (Fractional Flow Reserve) ≤0.80 or
* b - Stable angina, in a patient with objective ischemia despite optimal medical therapy or
* c - acute coronary syndrome including: unstable angina, non ST- and ST elevation myocardial infarction.
* 3- All patients must also sign informed consent as per local law and comply with all study process during follow up for at least one year.

Exclusion Criteria

* 1- The subject is not eligible for randomization if ANY of the following is present:
* 2- Indication for myocardial revascularization by coronary artery bypass grafting,
* 3- Subjects unable to tolerate, obtain or comply with dual antiplatelet therapy for at least one month (stable angina or silent ischemia) or at least six month (acute coronary syndrome),
* 4- Subjects requiring additional surgery (cardiac or non-cardiac) within one month,
* 5- Non cardiac co-morbidities with life expectancy less than 1 year,
* 6- Prior hemorrhagic stroke,
* 7- Known allergy to aspirin or P2Y12 inhibitors,
* 8- At least one contra indication to ALL the authorized P2Y12 inhibitors at the requested dose (in case of contra indication to only one of two of the P2Y12 inhibitors, the investigators are allowed to use the P2Y12 inhibitors for which no allergy is known).
* 9- Silent ischemia \<10% of the myocardium with FFR ≥0.80.
* 10- Participation in another clinical trial
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role collaborator

Ceric Sàrl

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU St Pierre

Brussels, , Belgium

Site Status

Centre Hospitalier de Jolimont

La Louvière, , Belgium

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

CHU de Liège - Domaine Universitaire du Sart Tilman

Liège, , Belgium

Site Status

Oulu University Hospital

Oulu, , Finland

Site Status

Heary Center - Satakunta Centyral Hospital

Pori, , Finland

Site Status

Hôpital Ambroise Paré

Boulogne-Billancourt, , France

Site Status

Hôpital Henri Mondor

Créteil, , France

Site Status

Hôpital de la Timone

Marseille, , France

Site Status

Hôpital Privé Jacques Cartier

Massy, , France

Site Status

Polyclinique les Fleurs

Ollioules, , France

Site Status

Hôpital Lariboisière

Paris, , France

Site Status

Hôpital La Pitié-Salpêtrière

Paris, , France

Site Status

Hôpital Cochin

Paris, , France

Site Status

Hôpital Européen Georges Pompidou

Paris, , France

Site Status

Hôpital Privé Claude Galien

Quincy-sous-Sénart, , France

Site Status

CHU Toulouse Rangueil

Toulouse, , France

Site Status

ARNAS civico

Palermo, , Italy

Site Status

Pauls Stradins Clinical University Hospital

Riga, , Latvia

Site Status

University Clinic of Cardiology - Medical Faculty

Skopje, , North Macedonia

Site Status

Hospital universitario Marquès de Valdecilla

Santander, Cantabria, Spain

Site Status

Hospital San Juan de Alicante

Alicante, Valencia, Spain

Site Status

Complexo Hospitalario Universitario A Coruña

A Coruña, , Spain

Site Status

Hospital Universati Germans Trias i Pujol

Badalona, , Spain

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Clinic

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant pau

Barcelona, , Spain

Site Status

Hospital Juan Roamon Jimenez

Huelva, , Spain

Site Status

Hospital Universitario virgen de la arrixaca

Murcia, , Spain

Site Status

Hospital Universitario de Salamanca

Salamanca, , Spain

Site Status

Hospital virgen de la salud.

Toledo, , Spain

Site Status

Hospital Clinico Universitario de Valladolid

Valladolid, , Spain

Site Status

Hospital Meixoiero

Vigo, , Spain

Site Status

Hôpital Fribourgeois

Fribourg, , Switzerland

Site Status

Centre hospitalier universitaire vaudois

Lausanne, , Switzerland

Site Status

Luzerner Kantonsspital

Lucerne, , Switzerland

Site Status

Kantonsspital St. Gallen

Sankt Gallen, , Switzerland

Site Status

Kantonsspital Winterthur

Winterthur, , Switzerland

Site Status

Brighton and Sussex Hospitals

Brighton, , United Kingdom

Site Status

Craigavon Cardiac Center

Craigavon, , United Kingdom

Site Status

Guy's and St.Thomas'Hospitals

London, , United Kingdom

Site Status

King's College London

London, , United Kingdom

Site Status

Freeman Hospital

Newcastle upon Tyne, , United Kingdom

Site Status

New Cross Hospital

Wolverhampton, , United Kingdom

Site Status

Countries

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Belgium Finland France Italy Latvia North Macedonia Spain Switzerland United Kingdom

References

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Varenne O, Cook S, Sideris G, Kedev S, Cuisset T, Carrie D, Hovasse T, Garot P, El Mahmoud R, Spaulding C, Helft G, Diaz Fernandez JF, Brugaletta S, Pinar-Bermudez E, Mauri Ferre J, Commeau P, Teiger E, Bogaerts K, Sabate M, Morice MC, Sinnaeve PR; SENIOR investigators. Drug-eluting stents in elderly patients with coronary artery disease (SENIOR): a randomised single-blind trial. Lancet. 2018 Jan 6;391(10115):41-50. doi: 10.1016/S0140-6736(17)32713-7. Epub 2017 Nov 1.

Reference Type DERIVED
PMID: 29102362 (View on PubMed)

Other Identifiers

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10-389

Identifier Type: -

Identifier Source: org_study_id

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