StEnt Coverage and Neointimal Tissue Characterization After eXtra Long evErolimus - Eluting Stent imPlantation

NCT ID: NCT03401216

Last Updated: 2018-01-17

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-20

Study Completion Date

2019-04-30

Brief Summary

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The objective of this study is to evaluate the rate of SYNERGY 48 mm stent strut coverage and assess neointimal progression via OCT measurement in patients who underwent PCI.

Detailed Description

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Patients with stable, unstable angina and non-ST-elevation ACS will be included in this study. Patient will undergo coronary angiography for coronary anatomy assessment and estimation indications for PCI . After screening an OCT-guided PCI with extra long SYNERGY stent implantation will be provided in all patients. Patient will be divided into 2 groups of follow-up and will be followed within 3 and 6 month after procedure. Final clinical follow-up will be assessed at 12 month for all patients. At each follow-up visits the data regarding clinical events, coronary angiography and OCT-imaging will be collected.

Conditions

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Ischemic Heart Disease Coronary Artery Disease Coronary Atherosclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

80 patients, that underwent PCI with Synergy 48 mm stent implantation, will be randomized into 2 groups of follow-up OCT-visualization - 3 and 6 month.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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SYNERGY 48 PCI + 3 month OCT follow-up

Synergy 48 mm stent implantation followed by 3 month OCT imaging

Group Type EXPERIMENTAL

SYNERGY 48 mm

Intervention Type DEVICE

Material: Platinum-Chromium alloy. Stent strut thickness: 0.0029-0.0032 inches. Polymer carrier composed of PLGA (poly(DL-lactide-co-glycolide)). Drug product: Everolimus, 1µg per 1 mm2. Stent diameters available: 2.25; 2.50; 2.75; 3.00; 3.50; 4.00 mm. Stent length: 48 mm. Nominal balloon pressure: 11 atm. (1117 kPa). Manufacturing company: Boston Scientific Corporation (USA)

PCI

Intervention Type PROCEDURE

Standard PCI procedure

3 month OCT follow-up

Intervention Type PROCEDURE

Optical coherence tomography imaging of target vessel within 3 month after PCI

SYNERGY 48 PCI + 6 month OCT follow-up

Synergy 48 mm stent implantation followed by 6 month OCT imaging

Group Type EXPERIMENTAL

SYNERGY 48 mm

Intervention Type DEVICE

Material: Platinum-Chromium alloy. Stent strut thickness: 0.0029-0.0032 inches. Polymer carrier composed of PLGA (poly(DL-lactide-co-glycolide)). Drug product: Everolimus, 1µg per 1 mm2. Stent diameters available: 2.25; 2.50; 2.75; 3.00; 3.50; 4.00 mm. Stent length: 48 mm. Nominal balloon pressure: 11 atm. (1117 kPa). Manufacturing company: Boston Scientific Corporation (USA)

PCI

Intervention Type PROCEDURE

Standard PCI procedure

6 month OCT follow-up

Intervention Type PROCEDURE

Optical coherence tomography imaging of target vessel within 5 month after PCI

Interventions

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SYNERGY 48 mm

Material: Platinum-Chromium alloy. Stent strut thickness: 0.0029-0.0032 inches. Polymer carrier composed of PLGA (poly(DL-lactide-co-glycolide)). Drug product: Everolimus, 1µg per 1 mm2. Stent diameters available: 2.25; 2.50; 2.75; 3.00; 3.50; 4.00 mm. Stent length: 48 mm. Nominal balloon pressure: 11 atm. (1117 kPa). Manufacturing company: Boston Scientific Corporation (USA)

Intervention Type DEVICE

PCI

Standard PCI procedure

Intervention Type PROCEDURE

3 month OCT follow-up

Optical coherence tomography imaging of target vessel within 3 month after PCI

Intervention Type PROCEDURE

6 month OCT follow-up

Optical coherence tomography imaging of target vessel within 5 month after PCI

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Signed written informed consent before study procedures
* Subject is eligible for percutaneous coronary intervention (PCI)
* Left ventricular ejection fraction (LVEF) \>30%
* Reference vessel diameter (RVD) ≥2.25 mm and ≤4.0 mm
* Target lesion(s) length must be ≥38 mm
* Target lesion(s) stenosis ≥50%

Exclusion Criteria

* History of acute or recent stroke (\<2 months)
* Contraindications for antiplatelet and/or anticoagulant therapy
* Bleeding within the last 30 days
* Subject has acute ST elevation MI (STEMI)
* Subject has cardiogenic shock, hemodynamic instability requiring inotropic or mechanical circulatory support
* Subject with out of range complete blood count (CBC) values determined as a clinically significant
* Subject has documented or suspected liver disease, including laboratory evidence of hepatitis
* Subject has baseline serum creatinine level \>2.0 mg/dL (177µmol/L)
* Subject has signs or symptoms of active heart failure (i.e., NYHA class IV) at the time of the index procedure
* Subject is a woman who is pregnant or nursing (a pregnancy test must be performed within 7 days prior to the index procedure in women of child-bearing potential)
* Lesion located within a saphenous vein graft or an arterial graft
* Subject has unprotected left main coronary artery disease (\>50% diameter stenosis)
* Other serious medical illness (e.g., cancer, congestive heart failure) that may reduce life expectancy to less than 12 months
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role collaborator

Meshalkin Research Institute of Pathology of Circulation

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Academician E.N. Meshalkin national medical research center

Novosibirsk, , Russia

Site Status RECRUITING

Countries

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Russia

Central Contacts

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Aleksei Prokhorikhin, MD

Role: CONTACT

+79137178040

Facility Contacts

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Evgeny Kretov, MD, PhD

Role: primary

+79137906533

Other Identifiers

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Exeption

Identifier Type: -

Identifier Source: org_study_id

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