Absorb BVS vs. Drug Coated Balloon for Treatment Of ISR

NCT ID: NCT02474485

Last Updated: 2018-03-09

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

SUSPENDED

Clinical Phase

NA

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2021-06-30

Brief Summary

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AbsorbISR is a randomized, controlled trial, single center, prospective, not blinded to evaluate two strategies of in stent restenosis treatment: Implantation of drug eluting bioresorbable stent scaffold Absorb® vs. balloon angioplasty with drug eluting balloon Sequent Please®.

Detailed Description

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This is randomized-controlled trial of Absorb® Bioresorbable Vascular Scaffold (BVS) vs. Sequent Please® drug coated balloon in an all-comers population with in-stent-restenosis (ISR). The patients will be randomized in a 1:1 fashion and the investigators intend to include 150 patients.

All patients presenting with ISR and requiring percutaneous coronary intervention will be eligible to be included in this study. This will include patients with stable angina and those presenting with acute coronary syndrome (ACS).

The primary objective of this study is to demonstrate superiority of the Absorb® bioresorbable scaffold compared to the Sequent Please® Drug Coated Balloon when treating patients with In-Stent-Restenosis regards to primary endpoint - angiographic late lumen loss at 9 month follow-up.

Conditions

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Coronary Artery Disease Coronary Restenosis

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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BVS - Absorb

BVS - Absorb scaffold group will be treated by implantation of drug eluting bioresorbable vascular scaffold (Absorb®). In this arm following interventions will be performed:

* BVS Absorb implantation. For in stent restenosis treatment during index procedure.
* OCT visualization.During index procedure and at 9 month follow-up.
* Control coronary angiography. Control angiography will be performed at 9 month follow-up.
* Clinical observation. Clinical observation will be performed at 9, 12 and 60 month follow-up.

Group Type ACTIVE_COMPARATOR

BVS Absorb implantation.

Intervention Type DEVICE

Absorb bioresorbable vascular scaffold will be implanted to treat in stent restenosis in target vessel.

Control coronary angiography.

Intervention Type PROCEDURE

Control coronary angiography will be performed at 9 month follow-up.

OCT visualization.

Intervention Type PROCEDURE

OCT visualization will be performed during index procedure and at 9 month follow-up.

Clinical observation.

Intervention Type OTHER

Patients will be informed that Investigator will contact them at 12, 24 and 60 months after the procedure. Investigator will collect information regarding clinical status of Patients, cardiac medications and any adverse events that occurred since the last follow-up.

DEB - Sequent Please

In DEB - Sequent Please Group, dilatation of drug eluting balloon Sequent Please ® will be used for treatment of the narrowed part of the artery. In this arm following interventions will be performed:

* DEB Sequent Please inflation. For in stent restenosis treatment during index procedure.
* OCT visualization.During index procedure and at 9 month follow-up.
* Control coronary angiography. Control angiography will be performed at 9 month follow-up.
* Clinical observation. Clinical observation will be performed at 9, 12 and 60 month follow-up.

Group Type ACTIVE_COMPARATOR

DEB Sequent Please inflation.

Intervention Type DEVICE

Inflation of drug eluting balloon Sequent Please will be performed to treat in stent restenosis in target vessel.

Control coronary angiography.

Intervention Type PROCEDURE

Control coronary angiography will be performed at 9 month follow-up.

OCT visualization.

Intervention Type PROCEDURE

OCT visualization will be performed during index procedure and at 9 month follow-up.

Clinical observation.

Intervention Type OTHER

Patients will be informed that Investigator will contact them at 12, 24 and 60 months after the procedure. Investigator will collect information regarding clinical status of Patients, cardiac medications and any adverse events that occurred since the last follow-up.

Interventions

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BVS Absorb implantation.

Absorb bioresorbable vascular scaffold will be implanted to treat in stent restenosis in target vessel.

Intervention Type DEVICE

DEB Sequent Please inflation.

Inflation of drug eluting balloon Sequent Please will be performed to treat in stent restenosis in target vessel.

Intervention Type DEVICE

Control coronary angiography.

Control coronary angiography will be performed at 9 month follow-up.

Intervention Type PROCEDURE

OCT visualization.

OCT visualization will be performed during index procedure and at 9 month follow-up.

Intervention Type PROCEDURE

Clinical observation.

Patients will be informed that Investigator will contact them at 12, 24 and 60 months after the procedure. Investigator will collect information regarding clinical status of Patients, cardiac medications and any adverse events that occurred since the last follow-up.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Participant is willing and able to give informed consent for participation in the study.
* Male or Female, aged 18 years or above.
* Diagnosed with ISR requiring percutaneous coronary intervention: visual diameter stenosis \> 70 % and/or Fractional Flow Reserve \< 0.81 and/or non-invasive testing demonstrating ischemia. This real-life population with in-stent restenosis beside typical stable patients with ISR includes ACS patients with thrombus containing lesions, patients with multivessel disease, patients with ISR in non-infarct related artery, with ISR in bare metal stent (BMS), drug eluting stent (DES) or bioresorbable vascular scaffold (BVS), ISR in lesion previously treated by plain old balloon angioplasty (POBA), drug eluting balloon (DEB) or additional stent implantation.
* Double anti-platelet therapy for the duration of at least 12 months is considered possible at the time of intervention

Exclusion Criteria

* The participant may not enter the study if the interventionist has doubts that he is not able to deliver and implant the Absorb scaffold (e.g. highly calcified lesions).
* Patients who have any contraindications for using DEB (SeQent Please) or BVS (Absorb) specified in instructions for use are not able to participate in this study.
* Women with childbearing potential must have a negative result of pregnancy test and they must use an effective contraception method for at least 12 months after study procedure.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SIS Medical AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Florim Cuculi, Prof. dr

Role: PRINCIPAL_INVESTIGATOR

Locations

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Luzernen Kantonsspital, Spitalstrasse 16

Lucerne, , Switzerland

Site Status

Countries

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Switzerland

Other Identifiers

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AbsorbISR

Identifier Type: -

Identifier Source: org_study_id

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