LEADERS FREE II: BioFreedom™ Pivotal Study

NCT ID: NCT02843633

Last Updated: 2021-02-03

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

1203 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-14

Study Completion Date

2021-03-31

Brief Summary

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This study aims to confirm non-inferiority of the BioFreedom™ Drug Coated Stent to the Gazelle™ Bare Metal Stent arm of the Leaders Free study (NCT01623180) in high bleeding risk patients.

Detailed Description

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In this study all patients will receive the BioFreedom™ Drug Coated Stent and one month of Dual Anti Platelet Therapy

Conditions

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Acute Coronary Syndrome High Bleeding Risk

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BioFreedom™ Drug Coated Stent

Group Type EXPERIMENTAL

BioFreedom™ Drug Coated Coronary Stent System

Intervention Type DEVICE

a non-surgical procedure that uses a catheter to place a stent to open up coronary arteries that have been narrowed by atherosclerosis

Antiplatelet Drug

Intervention Type DRUG

Dual antiplatelet therapy for one month followed by single antiplatelet therapy indefinitely. Aspirin and clopidogrel (or other P2Y12 inhibitor) will be used and dosing is according to standard institutional practice

Interventions

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BioFreedom™ Drug Coated Coronary Stent System

a non-surgical procedure that uses a catheter to place a stent to open up coronary arteries that have been narrowed by atherosclerosis

Intervention Type DEVICE

Antiplatelet Drug

Dual antiplatelet therapy for one month followed by single antiplatelet therapy indefinitely. Aspirin and clopidogrel (or other P2Y12 inhibitor) will be used and dosing is according to standard institutional practice

Intervention Type DRUG

Other Intervention Names

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Coronary Angioplasty

Eligibility Criteria

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Inclusion Criteria

Any indication for percutaneous coronary intervention with stent placement (PCI-S) in patients deemed at high risk for bleeding and candidates for 1 month dual anti-platelet therapy (DAPT). This includes candidates with stable angina, silent ischemia, acute coronary syndrome (STEMI and non-STEMI), non-native lesions and in-stent restenosis. Patients must provide written informed consent.

Reasons of unsuitability for \> 1 month dual antiplatelet treatment must include one or more of the following:

1. Adjunctive oral anticoagulation treatment planned to continue after PCI
2. Age ≥ 75 years old
3. Baseline Hgb \<11 g/dl (or anemia requiring transfusion during the 4 weeks prior to the index procedure)
4. Any prior intracerebral bleed
5. Any stroke in the last 12 months
6. Hospital admission for bleeding during the prior 12 months
7. Non skin cancer diagnosed or treated \< 3 years, with a perceived increased risk for bleeding
8. Planned daily Nonsteroidal anti-inflammatory drugs (NSAID) (other than aspirin) or steroids for \>30 days after PCI
9. Planned surgery that would require interruption of DAPT (within next 6 months)
10. Renal failure defined as: Creatinine clearance \<40 ml/min
11. Thrombocytopenia (PLT \<100,000/mm3)
12. Severe chronic liver disease defined as: patients who have developed any of the following: variceal hemorrhage, ascites, hepatic encephalopathy or jaundice
13. Expected non-compliance to prolonged DAPT for other medical reasons

Exclusion Criteria

1. Pregnant and breastfeeding women
2. Patients expected not to comply with 1 month DAPT
3. Patients requiring a planned staged PCI procedure more than one week after the index procedure
4. Procedure planned to require non-study stents, or stand-alone plain old balloon angioplasty (POBA) or stand-alone atherectomy
5. Active bleeding at the time of inclusion
6. Reference vessel diameter \<2.25 - \>4.0mm
7. Cardiogenic shock
8. Compliance with long-term single anti-platelet therapy unlikely
9. A known hypersensitivity or contraindication to aspirin, clopidogrel (or prasugrel, or ticagrelor if applicable), stainless steel, zinc, Biolimus A9™ or a sensitivity to contrast media, which cannot be adequately pre-medicated
10. PCI during the previous 12 months for a lesion other than the target lesion of the index procedure
11. Participation in another clinical trial (12 months after index procedure)
12. Patients with a life expectancy of \< 12 months
13. Patients under judicial protection, tutorship or curatorship (for France only)
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biosensors Europe SA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin Leon

Role: STUDY_CHAIR

Cardiovascular Research Foundation, New York

Mitchell Krucoff

Role: PRINCIPAL_INVESTIGATOR

Duke University

Philip Urban

Role: PRINCIPAL_INVESTIGATOR

Hôpital de la Tour

Locations

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Heart Center Research, LLC

Huntsville, Alabama, United States

Site Status

Tri-Lakes Research

Hot Springs, Arkansas, United States

Site Status

Scripps Health

La Jolla, California, United States

Site Status

University of California San Diego

La Jolla, California, United States

Site Status

Santa Barbara Cottage Hospital

Santa Barbara, California, United States

Site Status

MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

University of Florida Jacksonville

Jacksonville, Florida, United States

Site Status

Velella Research

Sarasota, Florida, United States

Site Status

Tallahassee Research Institute, Inc.

Tallahassee, Florida, United States

Site Status

North Georgia Heart Foundation

Gainesville, Georgia, United States

Site Status

St. Luke's Idaho Cardiology Associates

Boise, Idaho, United States

Site Status

Jesse Brown VA Medical Center

Chicago, Illinois, United States

Site Status

St. Vincent Heart Center

Indianapolis, Indiana, United States

Site Status

Jewish and St. Mary's Hospital

Louisville, Kentucky, United States

Site Status

Lahey Clinic

Burlington, Massachusetts, United States

Site Status

McLaren Bay Region

Bay City, Michigan, United States

Site Status

MidMichigan Medical Center Midland

Midland, Michigan, United States

Site Status

William Beaumont Hospital

Royal Oak, Michigan, United States

Site Status

Missouri Cardiovascular Specialists, LLP

Columbia, Missouri, United States

Site Status

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status

University of Buffalo

Buffalo, New York, United States

Site Status

Weill Cornell Medical College-New York Presbyterian

New York, New York, United States

Site Status

Columbia University Medical Center/New York Presbyterian Hospital

New York, New York, United States

Site Status

Novant Health Heart and Vascular Institute

Charlotte, North Carolina, United States

Site Status

LeBauer Cardiovascular Research Foundation

Greensboro, North Carolina, United States

Site Status

NC Heart and Vascular Research

Raleigh, North Carolina, United States

Site Status

Genesis Healthcare System

Zanesville, Ohio, United States

Site Status

Penn State - Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Penn Presbyterian Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Berks Cardiologists, Ltd.

Reading, Pennsylvania, United States

Site Status

Pinnacle Health Cardiovascular Institute

Wormleysburg, Pennsylvania, United States

Site Status

Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

AnMed Health

Anderson, South Carolina, United States

Site Status

Black Hills Cardiovascular Research

Rapid City, South Dakota, United States

Site Status

Chattanooga Heart Institute

Chattanooga, Tennessee, United States

Site Status

Tennova Healthcare-Turkey Creek Medical Center

Knoxville, Tennessee, United States

Site Status

Houston Methodist Hospital

Houston, Texas, United States

Site Status

Providence Health Center

Waco, Texas, United States

Site Status

Carilion Clinic

Roanoke, Virginia, United States

Site Status

Mazankowski Alberta Heart Institute

Edmonton, Alberta, Canada

Site Status

Fraser Clinical Trials Inc.

New Westminster, British Columbia, Canada

Site Status

St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status

Victoria Heart Institute Foundation

Victoria, British Columbia, Canada

Site Status

Hamilton Health Sciences

Hamilton, Ontario, Canada

Site Status

The University of Ottawa Heart Institute

Ottawa, Ontario, Canada

Site Status

Montreal Heart Institute

Montreal, Quebec, Canada

Site Status

Hôpital Maisonneuve-Rosemont

Montreal, Quebec, Canada

Site Status

Centre Hospitalier de l'université de Montréal

Montreal, Quebec, Canada

Site Status

Institut universitaire de cardiologie et de pneumologie de Québec

Québec, Quebec, Canada

Site Status

CIUSSS de l'Estrie - Centre Hospitalier Universitaire de Sherbrooke

Sherbrooke, Quebec, Canada

Site Status

Rigshospitalet Copenhagen University Hospital

Copenhagen, , Denmark

Site Status

Clinique Axium

Aix-en-Provence, , France

Site Status

Service de Cardiologie Interventionnelle - Pôle Santé République

Clermont-Ferrand, , France

Site Status

Clinique de Fontaine

Fontaine-lès-Dijon, , France

Site Status

Groupe Hospitalier Mutualiste de Grenoble

Grenoble, , France

Site Status

Hôpital Privé Jacques Cartier ICPS

Massy, , France

Site Status

Hôpital Privé Claude Galien

Quincy-sous-Sénart, , France

Site Status

Clinique Saint Hilaire

Rouen, , France

Site Status

CHU Toulouse Rangeuil

Toulouse, , France

Site Status

Segeberger Kliniken GmbH

Bad Segeberg, , Germany

Site Status

Herzzentrum Leipzig GmbH

Leipzig, , Germany

Site Status

Grande Ospedale Metropolitano Niguarda

Milan, , Italy

Site Status

Azienda Ospedaliera San Camillo Forlanini

Rome, , Italy

Site Status

Royal Bournemouth Hospital, Dorset Heart Centre

Bournemouth, , United Kingdom

Site Status

Craigavon Cardiac Centre

Craigavon, , United Kingdom

Site Status

Golden Jubilee National Hospital

Glasgow, , United Kingdom

Site Status

Countries

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United States Canada Denmark France Germany Italy United Kingdom

References

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Eberli FR, Oldroyd KG, Urban P, Krucoff MW, Morice MC, Tanguay JF, Leon MB, Brunel P, Maillard L, Lipiecki J, Cook S, Berland J, Hovasse T, Carrie D, Schutte D, Sadozai Slama S, Garot P. Clinical outcomes with thin versus thick strut polymer-free biolimus-coated stents at 3 years. Open Heart. 2024 Jun 18;11(1):e002679. doi: 10.1136/openhrt-2024-002679.

Reference Type DERIVED
PMID: 38890129 (View on PubMed)

Campos CM, Mehran R, Capodanno D, Owen R, Windecker S, Varenne O, Stone GW, Valgimigli M, Hajjar LA, Kalil Filho R, Oldroyd K, Morice MC, Urban P, Abizaid A. Risk Burden of Cancer in Patients Treated With Abbreviated Dual Antiplatelet Therapy After PCI: Analysis of Multicenter Controlled High-Bleeding Risk Trials. Circ Cardiovasc Interv. 2024 Apr;17(4):e013000. doi: 10.1161/CIRCINTERVENTIONS.122.013000. Epub 2024 Apr 16.

Reference Type DERIVED
PMID: 38626080 (View on PubMed)

Mehran R, Chandrasekhar J, Urban P, Lang IM, Windhoevel U, Spaulding C, Copt S, Stoll HP, Morice MC; LEADERS FREE Investigators. Sex-Based Outcomes in Patients With a High Bleeding Risk After Percutaneous Coronary Intervention and 1-Month Dual Antiplatelet Therapy: A Secondary Analysis of the LEADERS FREE Randomized Clinical Trial. JAMA Cardiol. 2020 Aug 1;5(8):939-947. doi: 10.1001/jamacardio.2020.0285.

Reference Type DERIVED
PMID: 32432718 (View on PubMed)

Other Identifiers

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16US01

Identifier Type: -

Identifier Source: org_study_id

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