Scaffold in Emilia Romagna and in the MAGIC Network

NCT ID: NCT03327961

Last Updated: 2024-12-12

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

RECRUITING

Total Enrollment

1111 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-12-02

Study Completion Date

2034-12-31

Brief Summary

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The prospective study will investigate the clinical performance and long-term safety of scaffold implantation in a real world regional setting. The protocol includes two different networks. The first network includes all cath-labs in the Emilia-Romagna region (SHERPA). The second includes the centers partecipating into the MAGIC retrospective study. Both networks joined into the prospective SHERPA-MAGIC project. Investigators from both networks agreed in indications and strategy implanatation described by the protocol. In each center, after IRB approval, the patients will be enrolled according to established criteria.

Detailed Description

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Coronary stents are the default devices for the treatment of coronary artery disease in percutaneous coronary intervention (PCI) according to existing guidelines. However, thrombosis and restenosis are still the main limitations of current permanent metallic stents. In contrast to Bare Metal Stents (BMSs), Drug Eluting Stents (DESs) have a reduced restenosis rate due to the presence of antiproliferative agents in the coating layer of the stent surface and reduced rate of repeat revascularisation. However, late and very late stent thrombosis remains the limitation of DES in spite of prolonged dual antiplatelet therapy. Bioabsorbable scaffolds have been introduced to overcome limitations of permanent metallic stents.

The aim of this observational prospective study is to investigate the clinical performance and long-term safety of scaffold in a real world regional setting.

The investigators agreed in the following preferential/optimal indications:

* complete revascularization in patients with age \<65 years
* revascularization of long lesions (\>24 mm), especially located in left anterior descending
* spontaneous coronary dissection

The investigators agreed in the following strategy implantation:

* mandatory predilatation
* sizing 1:1
* to avoid vessel with reference vessel diameter \<2.8 mm and \>3.8 mm
* to avoid vessel with severe calcifications
* mandatory postdilation with non compliant balloon ≥0.5 the scaffold diameter

The study organization is based on:

DATA SAFETY MONITORING BOARD (DSMB) All adverse events will be reported to the DSMB and reviewed on an on-going basis throughout the subject enrolment and follow-up period to ensure the safety of subjects enrolled in this study. The DSMB may request additional information as needed.

CORE LABORATORY ANALYSIS All coronary artery angiographies and percutaneous coronary interventions will be reviewed by an indipendent core-lab. The core-lab will perform quantitative coronary analysis and assessment of the agreement between implantation technique in each case and established criteria

Conditions

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Coronary Artery Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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scaffold

Patients receiving during PCI the implantation of at least one scaffold

scaffold

Intervention Type DEVICE

implantation of scaffold (eg Magmaris, Desolve, Others)

Interventions

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scaffold

implantation of scaffold (eg Magmaris, Desolve, Others)

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* subjects \>18 years
* sign of the patients informed consent
* implanation of at least one scaffold

Exclusion Criteria

* inability to garantuee at least one year follow-up
* inabiliuty to garantuee at least one year compliance to dual antiplatelet regimen
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital of Ferrara

OTHER

Sponsor Role lead

Responsible Party

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Gianluca Campo

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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AO San Giovanni di Dio

Agrigento, Agrigento, Italy

Site Status RECRUITING

Ospedale Caravaggio-Treviglio

Treviglio, Bergamo, Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria di Bologna

Bologna, Bologna, Italy

Site Status RECRUITING

U.O. Cardiologia, Ospedale Maggiore

Bologna, Bologna, Italy

Site Status RECRUITING

Ospedale SS Annunziata

Savigliano, Cuneo, Italy

Site Status RECRUITING

University Hospital of Ferrara

Cona, Ferrara, Italy

Site Status RECRUITING

U.O. Cardiologia, Ospedale Morgagni Pierantoni

Forlì, Forlì-Cesena, Italy

Site Status RECRUITING

U.O. Cardiologia, Azienda Ospedaliera Universitaria di Modena, Policlinico

Modena, Modena, Italy

Site Status RECRUITING

U.O. Cardiologia, Ospedale di Baggiovara

Modena, Modena, Italy

Site Status RECRUITING

U.O. di Cardiologia, Azienda Ospedaliero-Universitaria di Parma

Parma, Parma, Italy

Site Status RECRUITING

Ospedale Guglielmo da Saliceto

Piacenza, Piacenza, Italy

Site Status RECRUITING

Maria Cecilia Hospital - GVM Care & Research

Cotignola, Ravenna, Italy

Site Status RECRUITING

U.O. di Cardiologia, Ospedale Santa Maria delle Croci

Ravenna, Ravenna, Italy

Site Status RECRUITING

U.O. di Cardiologia, Ospedale degli Infermi

Rimini, Rimini, Italy

Site Status RECRUITING

AOU San Luigi Gonzaga

Orbassano, Torino, Italy

Site Status RECRUITING

Ospedale di Rivoli

Rivoli, Torino, Italy

Site Status RECRUITING

Ospedale di Sanremo

Sanremo, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Veronica Lodolini

Role: CONTACT

Phone: 0532236450

Email: [email protected]

Elisa Mosele

Role: CONTACT

Phone: 0532236450

Email: [email protected]

Facility Contacts

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Salvatore Geraci

Role: primary

Paolo Sganzerla

Role: primary

Francesco Saia, MD

Role: primary

Gianni Casella, MD

Role: primary

Baldassarre Doronzo

Role: primary

Simone Biscaglia, MD

Role: primary

Gianluca Campo, MD

Role: backup

Matteo Tebaldi, MD

Role: backup

Carlo Tumscitz, MD

Role: backup

Simone Biscaglia, MD

Role: backup

Fabio Tarantino, MD

Role: primary

Fabio Sgura

Role: primary

Daniele Iaccarino, MD

Role: primary

Alberto Menozzi, MD

Role: primary

Luciano Losi, MD

Role: primary

Paolo Sbarzaglia, MD

Role: primary

Marco Balduccelli, MD

Role: primary

Andrea Santarelli, MD

Role: primary

Enrico Cerrato

Role: primary

Fernando Varbella

Role: primary

Massimo Leoncini

Role: primary

Other Identifiers

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170899

Identifier Type: -

Identifier Source: org_study_id