REal World Advanced Experience of BioResorbable ScaffolD by SMart Angioplasty Research Team (SMART REWARD)

NCT ID: NCT02601404

Last Updated: 2017-03-03

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

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-11-30

Study Completion Date

2022-12-31

Brief Summary

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Current drug-eluting stents (DES) has demonstrated excellent clinical outcomes in patients with coronary artery disease. However, a continued risk of clinical events even several years after the procedure is reported. Stent platform or polymer-associated inflammation may play a role.

Bioresorbable scaffold (BRS) is known to disappear 2 to 3 years after the implantation, which may result in the more favorable very long-term clinical outcomes compared with metallic stents. The initial clinical experiences of BRS in relatively simple lesion subsets were comparable to DESs.

BRS, however, is limited by the disadvantageous mechanical characteristics such as thick strut and the risk of fracture by overdilation. There is concern that BRS is less optimal for complex lesion subsets such as bifurcation lesions, calcified tortuous lesions, or diffuse long lesions. Real world registry is needed to test the feasibility and safety of BRS in these complex lesion subsets.

Detailed Description

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Conditions

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Acute Coronary Syndromes

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Bioresorbable Scaffold

Patients receiving percutaneous coronary intervention (PCI) for coronary artery disease using Absorb™(Abbott Vascular)

Bioresorbable scaffold (BRS)

Intervention Type DEVICE

The implantation procedure of an Absorb™ is similar to a metallic stent.

Interventions

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Bioresorbable scaffold (BRS)

The implantation procedure of an Absorb™ is similar to a metallic stent.

Intervention Type DEVICE

Other Intervention Names

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Absorb™ (Abbott Vascular)

Eligibility Criteria

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Inclusion Criteria

* Subject must be between 19 and 70 years old.
* Patients with a significant lesion in a de novo coronary artery: a percent diameter stenosis (DS) 50% with 1) a positive history of recurrent angina pectoris; (2) objective signs of ischemia at rest (ECG changes) or during exercise test (or equivalent); or (3) abnormal results of any invasive functional diagnostic test (eg, fractional flow reserve) or a percent DS ≥70% even in the absence of the above-mentioned ischemic signs or symptoms.
* Patients are scheduled for coronary intervention
* He/she or his/her legally authorized representative provides written informed consent

Exclusion Criteria

* Experience of cardiopulmonary resuscitation
* Cardiogenic shock
* Expected survival less than 2 years
* Pregnancy or breast feeding
* Opinion of the investigator, would interfere with evaluation of study treatment or interpretation of patient safety or study results
Minimum Eligible Age

19 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Hyeon-Cheol Gwon

MD,PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cardiac and Vascular Center; Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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HyeonCheol Gwon, MD,Ph.D.

Role: CONTACT

2-3410-3418 ext. 82

Facility Contacts

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Hyeon-Cheol Gwon, Professor

Role: primary

82234103419

References

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Lee JM, Joh HS, Choi KH, Hong D, Park TK, Yang JH, Song YB, Choi JH, Choi SH, Jeong JO, Lee JY, Choi YJ, Chae JK, Hur SH, Bae JW, Oh JH, Chun KJ, Kim HJ, Cho BR, Shin D, Lee SH, Hwang D, Lee HJ, Jang HJ, Kim HK, Ha SJ, Shin ES, Doh JH, Hahn JY, Gwon HC; SMART-REWARD Investigators. Safety and Efficacy of Everolimus-Eluting Bioresorbable Vascular Scaffold Versus Second-Generation Drug-Eluting Stents in Real-World Practice. J Korean Med Sci. 2023 Feb 6;38(5):e34. doi: 10.3346/jkms.2023.38.e34.

Reference Type DERIVED
PMID: 36747363 (View on PubMed)

Other Identifiers

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2015-07-163

Identifier Type: -

Identifier Source: org_study_id

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