A Safety and Efficacy Study of Dissolve™ in Treatment of Coronary In-stent Restenosis

NCT ID: NCT03373695

Last Updated: 2025-02-20

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

COMPLETED

Clinical Phase

NA

Total Enrollment

260 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-22

Study Completion Date

2024-04-24

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of treatment of coronary in-stent restenosis by Paclitaxel-eluting balloon catheter Dissolve™ versus SeQuent®Please, and the reference diameter of coronary artery stenosis is 2.5mm-4.0mm and the length ≤ 26mm.

Detailed Description

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Conditions

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Coronary In-stent Restenosis

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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Dissolve™

Group Type EXPERIMENTAL

Dissolve™

Intervention Type DEVICE

Dissolve™ are to be used in the trial

SeQuent®Please

Group Type ACTIVE_COMPARATOR

SeQuent®Please

Intervention Type DEVICE

SeQuent®Please are to be used in the trial

Interventions

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Dissolve™

Dissolve™ are to be used in the trial

Intervention Type DEVICE

SeQuent®Please

SeQuent®Please are to be used in the trial

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

Related to the patients:

1. Age ≥18 years old
2. Patients who agree to accept the angiography follow-up visit at 9-month and follow up visits at 1-month, 6-month, 9-month, 1-year, 2-year, 3-year, 4-year and 5-year
3. Patients with stable angina, unstable angina, old myocardial infarction or proven asymptomatic ischemia
4. Patients who can receive any kind of coronary revascularization (including balloon angioplasty, stent implantation or coronary artery bypass grafting)

Related to lesion:
5. Restenosis after the first stent implant (including bare metal stents, stents with inert coating, and stents with active coating): Type Mehran I, Type II and Type III; the reference blood vessel diameter is 2.5 mm-4.0 mm, length ≤ 26mm
6. Before surgery, stenosis diameter must be ≥ 70% or ≥ 50% and accompanied by ischemia
7. The distance between other lesion requires interventional therapy and the target lesion must be \> 10mm
8. One subject is allowed to have 2 target lesions at most, and 1 paclitaxel drug balloon for each lesion for dilation
9. Residual stenosis must be ≤ 30% after pre-dilatation, and dissection must be ≤ NHLBI type B

Exclusion Criteria

Related to patients

1. Pregnant or lactating women, or women who plan to get pregnant within 12 months or refuse to take effective contraceptives
2. Patients with cardiogenic shock
3. The patients had cerebral stroke within 6 months before being included, or have a history of peptic ulcer or gastrointestinal bleeding, or the patients have a bleeding tendency according to the investigator. Patients who are forbidden to use anticoagulation agents or anti-platelet drugs, and unable to tolerate aspirin or clopidogrel. Patients who are not able to tolerate and comply with dual antiplatelet therapy for at least 3 months after operation
4. Patients who have Myocardial Infarction with thrombus or coronary slow flow symptoms and require immediate intervention
5. Patients who had ST-Elevation Myocardial Infarction within 1 week before being included
6. Patients with severe congestive heart failure or NYHA grade IV heart failure
7. Patients with moderate or severe valvular heart disease
8. Patients who had heart transplantation
9. Patients with renal insufficiency (eGFR \< 30mL/min)
10. The patients have a life expectancy of less than 12 months, or it would be difficult to finish follow-ups within 12 months.
11. The patients are participating in any other clinical trials before reaching the primary endpoints
12. Patients who are unsuitable for the study according to the investigator due to other reasons

Related to the Lesion:
13. Patients with total occlusion at the target lesion
14. Lesion which cannot be treated by percutaneous transluminal coronary angioplasty (PTCA) or percutaneous intervention (PCI)
15. Reference vessel diameter \< 2.0mm
16. Patients with multiple lesions (≥ 3) requiring percutaneous coronary intervention treatment in the same artery
17. 3-vessel disease that all need to be intervened
18. The diameter of the branch lesions in the target lesion ≥ 2.5mm
19. LM lesions and Ostial lesion within 5mm to the root aorta
20. Non-target lesion was not intervened successfully before target lesions being intervened

Related to concomitant therapy:
21. Patients cannot tolerate aspirin and/or clopidogrel and or tricagrelor, patients with the history of neutrocytopenia or thrombocytopenia, or patients with severe hypohepatia and prohibited to take clopidogrel
22. Patients known allergic to paclitaxel
23. Patients known allergic to contrast materials
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Core Medical (Beijing) Co., Ltd.

OTHER

Sponsor Role collaborator

DK Medical Technology (Suzhou) Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shubin Qiao

Role: PRINCIPAL_INVESTIGATOR

Chinese Academy of Medical Sciences, Fuwai Hospital

Locations

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Beijing Anzhen Hospital, Capital Medical University

Beijing, , China

Site Status

Beijing Friendship Hospital, Capital Medical University

Beijing, , China

Site Status

Beijing Hospital

Beijing, , China

Site Status

Fuwai Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Site Status

Peking Union Medical College Hospital

Beijing, , China

Site Status

Peking University People's Hospital, Capital Medical University

Beijing, , China

Site Status

Xiangya Hospital of Central South University

Changsha, , China

Site Status

West China Hospital, Sichuan University

Chengdu, , China

Site Status

The First Affiliated Hospital of Dalian Medical University

Dalian, , China

Site Status

The Second Affiliated Hospital of Dalian Medical University

Dalian, , China

Site Status

General Hospital of Daqing Oil Field

Daqing, , China

Site Status

Sir Run Run Shaw Hospital, Zhejiang University School of medicine

Hangzhou, , China

Site Status

The First Affiliated Hospital of Zhengzhou University

Hangzhou, , China

Site Status

Union Hospital, Tongji Medical College Huazhong University of Science and Technology

Wuhan, , China

Site Status

General Hospital of Ningxia Medical University

Yinchuan, , China

Site Status

Countries

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China

References

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Liu S, Zhou Y, Shen Z, Chen H, Qiu C, Fu G, Li H, Yu Z, Zeng Q, Li Z, Li W, Qiao S; Dissolve ISR Investigators. A Randomized Comparison of 2 Different Drug-Coated Balloons for In-Stent Restenosis. JACC Cardiovasc Interv. 2023 Apr 10;16(7):759-767. doi: 10.1016/j.jcin.2022.12.018.

Reference Type DERIVED
PMID: 37045496 (View on PubMed)

Other Identifiers

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CL-VP-01

Identifier Type: -

Identifier Source: org_study_id

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