Randomized Trial of COBRA PzF Stenting to Reduce Duration of Triple Therapy

NCT ID: NCT02594501

Last Updated: 2020-10-26

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

996 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-05

Study Completion Date

2021-11-30

Brief Summary

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The purpose of this study is to determine whether patients undergoing coronary intervention that also require oral anticoagulation, treatment with the COBRA PzF stent plus 14-day dual anti-platelet therapy (DAPT) has higher safety and non-inferior outcomes for thrombo-embolic events than compared with standard FDA-approved drug eluting stent (DES) plus 3 or 6-month DAPT.

Detailed Description

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Conditions

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Angina, Stable Angina, Unstable Anticoagulants

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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COBRA PzF

Cobra PzF plus 14-day DAPT (dual antiplatelet therapy)

Group Type EXPERIMENTAL

COBRA PzF

Intervention Type DEVICE

Drug Eluting Stent

standard FDA-approved DES (Xience/Promus or Resolute) plus 3 or 6-month DAPT (dual anti-platelet therapy)

Group Type ACTIVE_COMPARATOR

Drug Eluting Stent

Intervention Type DEVICE

Interventions

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COBRA PzF

Intervention Type DEVICE

Drug Eluting Stent

Intervention Type DEVICE

Other Intervention Names

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Xience/Promus, Resolute or Synergy

Eligibility Criteria

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Inclusion Criteria

* Patients older than age 18 with ischemic symptoms (stable or unstable angina or NSTEMI without thrombosis of the target lesion on coronary angiography) or evidence of myocardial ischemia in the presence of ≥ 50% de novo stenosis located in native coronary vessels (max. 2 lesions in one or 2 separate vessels).
* Patient receiving or with an indication for new treatment with long-term oral anticoagulation with a coumadin derivatives or non-vitamin K oral anticoagulants.
* Written, informed consent

Exclusion Criteria

* Cardiogenic shock
* Target lesion located in left main trunk
* Bifurcation interventions with a planned 2-stent strategy
* Vessel size too small for implantation of a 2.5 mm stent by visual estimation
* Patient requiring staging PCI procedure within 6 months after the index procedure
* Patients requiring DAPT for more than 2 weeks after the index procedure
* Contraindications or allergy to cobalt, chromium, platinum, polyzene-F, everolimus, zotarolimus or the inability to take triple therapy for at least 6 months
* Relevant hematologic deviations: platelet count \<100x10\^9 cells/L or \>600x10\^9 cells/L
* Active bleeding; bleeding diathesis; recent trauma or major surgery in the last month; history of intracranial bleeding or structural abnormalities; suspected aortic dissection
* Malignancies or other co-morbid conditions with life expectancy less than 12 months or that may result in protocol non-compliance
* Pregnancy, present (positive pregnancy test), suspected or planned, breast feeding
* Known allergy or intolerance to the study medications: ASA, clopidogrel, coumadin and its derivatives
* Patient's inability to fully cooperate with the study protocol
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CeloNova BioSciences, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Adnan Kastrati

Role: STUDY_CHAIR

ISAResearch Center Deutsches Herzzentrum München

Locations

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Christiana Care Health Services

Newark, Delaware, United States

Site Status

University of Florida

Jacksonville, Florida, United States

Site Status

Memorial Hospital Jacksonville

Jacksonville, Florida, United States

Site Status

Sebastian River Medical Center

Melbourne, Florida, United States

Site Status

Mt Sinai Medical Center

Miami Beach, Florida, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

University of Maryland St. Joseph Medical Center

Towson, Maryland, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Minneapolis Heart Institute

Minneapolis, Minnesota, United States

Site Status

Deborah Heart and Lung Center

Browns Mills, New Jersey, United States

Site Status

Rutgers Robert Wood Johnson Medical Schoo

New Brunswick, New Jersey, United States

Site Status

Northwell Health

Manhasset, New York, United States

Site Status

NYU Winthrop Hospital

Mineola, New York, United States

Site Status

North Ohio Heart Center

Elyria, Ohio, United States

Site Status

Cleveland Clinic

Fairview Park, Ohio, United States

Site Status

Mercy St. Vincent Medical Center

Toledo, Ohio, United States

Site Status

Einstein Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Texas Cardiac Center

Lubbock, Texas, United States

Site Status

Tyler Cardiovascular Consultants

Tyler, Texas, United States

Site Status

Sentara Heart Hospital (Sentara Cardiovascular Research Institute)

Norfolk, Virginia, United States

Site Status

Carilion Medical Center

Roanoke, Virginia, United States

Site Status

Charleston Area Medical Center

Charleston, West Virginia, United States

Site Status

ZNA Middelheim

Antwerp, , Belgium

Site Status

Aarhus University Hospital

Aarhus, , Denmark

Site Status

Clinique Axium

Aix, , France

Site Status

Clinique Du Pont De Chaumes

Montauban, , France

Site Status

Clinique du Millénaire

Montpellier, , France

Site Status

Hopital Pitie-Salpitierre

Paris, , France

Site Status

Höpital George Pompidou

Paris, , France

Site Status

Clinique Pasteur

Toulouse, , France

Site Status

Institut Lorrain du Coeur et Vaisseaux, CHU Nancy-Barbois

Vandœuvre-lès-Nancy, , France

Site Status

Universitats Herzzentrum Freibourg

Bad Krozingen, , Germany

Site Status

Charité - Campus Benjamin Franklin

Berlin, , Germany

Site Status

Uni-Klinikum Erlangen

Erlangen, , Germany

Site Status

St. Josefskrankenhaus

Freiburg im Breisgau, , Germany

Site Status

Klinikum Fürth

Fürth, , Germany

Site Status

University of Jena

Jena, , Germany

Site Status

MediClin Herzzentrum

Lahr, , Germany

Site Status

Klinikum Landshut-Achdorf

Landshut, , Germany

Site Status

Deutsches Herzzentrum München

Munich, , Germany

Site Status

Klinikum Rechts der Isar München

Munich, , Germany

Site Status

Universitätsklinikum Regensburg

Regensburg, , Germany

Site Status

Hegau Bodensee Klinikum Singen

Singen, , Germany

Site Status

Univesitätsklinikum Tübingen

Tübingen, , Germany

Site Status

Ospedale Spaziani

Frosinone, , Italy

Site Status

Paula Stradins Clinical University Hospital

Riga, , Latvia

Site Status

Hopital Cantonal Fribourg

Fribourg, , Switzerland

Site Status

Kantonspital St Galen

Sankt Gallen, , Switzerland

Site Status

Countries

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United States Belgium Denmark France Germany Italy Latvia Switzerland

References

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Byrne RA, Colleran R, Coughlan JJ, Jauhar R, Maillard L, De Labriolle A, Maeng M, Croft C, Brunner M, Leistner D, Zrenner B, Kollum M, Laugwitz KL, Xhepa E, Mayer K, Lahu S, Joner M, Kirtane A, Mehran R, Barakat M, Urban P, Cutlip DE, Kastrati A; COBRA-REDUCE Investigators. Randomized Trial of COBRA PzF Stenting to Reduce the Duration of Triple Therapy: The COBRA-REDUCE Trial. Circ Cardiovasc Interv. 2024 Oct;17(10):e013735. doi: 10.1161/CIRCINTERVENTIONS.123.013735. Epub 2024 Oct 15.

Reference Type DERIVED
PMID: 39405373 (View on PubMed)

Colleran R, Joner M, Cutlip D, Urban P, Maeng M, Jauhar R, Barakat M, Michel JM, Mehran R, Kirtane AJ, Maillard L, Kastrati A, Byrne RA; COBRA-REDUCE investigators. Design and Rationale of a Randomized Trial of COBRA PzF Stenting to REDUCE Duration of Triple Therapy (COBRA-REDUCE). Cardiovasc Revasc Med. 2022 Jan;34:17-24. doi: 10.1016/j.carrev.2021.01.022. Epub 2021 Jan 22.

Reference Type DERIVED
PMID: 33608239 (View on PubMed)

Other Identifiers

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COBRA 2015-01

Identifier Type: -

Identifier Source: org_study_id