A Randomized Comparison of Clinical Outcomes Between Everolimus-eluting Bioresorbable Vascular Scaffold Versus Everolimus-eluting Metallic Stent in Long Coronary Lesions

NCT ID: NCT02796157

Last Updated: 2018-05-18

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

950 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2019-05-31

Brief Summary

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PCI of diffuse long coronary lesions still remains challenging because of relatively high risk of in-stent restenosis and stent thrombosis compared to short coronary lesions. The purpose of the study is to compare an incidence of composite of major adverse cardiovascular events (MACEs) at 1 year between Absorb everolimus-eluting BVS and Xience EES after coronary intervention in long lesions.

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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absorb arm

PCI with Absorb everolimus-eluting bioresorbable vascular scaffold

Group Type ACTIVE_COMPARATOR

PCI with Absorb everolimus-eluting bioresorbable vascular scaffold

Intervention Type DEVICE

Patients allocated to this arm will undergone PCI with Absorb everolimus-eluting bioresorbable vascular scaffold. It will be allowed to used multiple stents for a long coronary lesion.

Xience arm

PCI with Xience everolimus-eluting metallic stent

Group Type EXPERIMENTAL

PCI with Xience everolimus-eluting metallic stent

Intervention Type DEVICE

Patients allocated to this arm will undergone PCI with Xience everolimus-eluting metallic stent. It will be allowed to used multiple stents for a long coronary lesion.

Interventions

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PCI with Absorb everolimus-eluting bioresorbable vascular scaffold

Patients allocated to this arm will undergone PCI with Absorb everolimus-eluting bioresorbable vascular scaffold. It will be allowed to used multiple stents for a long coronary lesion.

Intervention Type DEVICE

PCI with Xience everolimus-eluting metallic stent

Patients allocated to this arm will undergone PCI with Xience everolimus-eluting metallic stent. It will be allowed to used multiple stents for a long coronary lesion.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 19-85 years
* Patients with ischemic heart disease requiring PCI
* Significant coronary de novo lesion (stenosis \>50% by quantitative angiographic analysis) requiring stent ≥28 mm in length based on angiographic estimation
* Reference vessel diameter of 2.5 to 3.75 mm by operator assessment

Exclusion Criteria

* Acute myocardial infarction within 48 hours with unstable hemodynamics requiring pharmacologic or mechanical support
* Complex coronary morphology including left main disease and bifurcation lesion requiring two-stent technique
* Contraindication or hypersensitivity to anti-platelet agents or contrast media
* Treated with any metallic stent or BVS within 3 months at other vessel
* Cardiogenic shock
* Left ventricular ejection fraction \<40%
* Pregnant women or women with potential childbearing
* Inability to follow the patient over the period of 1 year after enrollment, as assessed by the investigator
* Inability to understand or read the informed content
Minimum Eligible Age

19 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Facility Contacts

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MYEONG-KI HONG, MD

Role: primary

82-2-2228-8458

References

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Seo J, Ahn JM, Hong SJ, Kang DY, Hong SJ, Her AY, Kim YH, Ahn CM, Kim JS, Kim BK, Ko YG, Choi D, Jang Y, Park SJ, Park DW, Hong MK. Bioresorbable Vascular Scaffolds Versus Drug-Eluting Stents for Diffuse Long Coronary Narrowings. Am J Cardiol. 2020 Jun 1;125(11):1624-1630. doi: 10.1016/j.amjcard.2020.02.031. Epub 2020 Mar 15.

Reference Type DERIVED
PMID: 32279841 (View on PubMed)

Other Identifiers

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1-2016-0025

Identifier Type: -

Identifier Source: org_study_id

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