Treatment of In-Stent Restenosis 2 Study

NCT ID: NCT03667313

Last Updated: 2022-12-07

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

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-01

Study Completion Date

2021-12-31

Brief Summary

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The aim of this study is to compare the efficacy of sirolimus-eluting balloon catheters (SEB) and iopromide-coated paclutaxel-eluting balloon catheters (PEB) in the treatment of bare metal (BMS) - or drug-eluting stents restenosis (DES-ISR).

Detailed Description

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Current therapy for in-stent restenosis (ISR) is based on the drug-eluting stents (DES) or drug-eluting balloon catheters (DEB). In clinical practice, paclitaxel is used as an effective antiproliferative agent loaded into DEB (paclitaxel-eluting balloon catheters; PEB).

In contrast to paclitaxel, sirolimus is difficult to deliver on the balloon surface, due to insufficient tissue uptake and shorter tissue retention of limus drugs. It was found that phospholipid-encapsulated sirolimus nanoparticles could be used for coating balloon catheters to provide efficient drug transfer to vessel wall with high tissue concentration.

This prospective randomized non-inferiority study compares the efficacy of new sirolimus-eluting balloon catheters (SEB) and iopromide-coated paclutaxel-eluting balloon catheters (PEB) in the treatment of bare metal (BMS) - or drug-eluting stents restenosis (DES-ISR).

The primary end-point is in-segment late lumen loss (LLL) at 12 months as measured by quantitative coronary angiography (QCA).

Secondary end-points are the incidence of binary ISR (˃50% DS) and the overall incidence of 12-month major adverse cardiac events (MACE; cardiovascular death, non-fatal acute myocardial infarction \[AIM\], or target vessel revascularization \[TVR\]).

Conditions

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Coronary Restenosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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sirolimus-eluting balloon (SEB)

treatment of bare-metal (BMS) or drug-eluting in-stent restenosis (DES-ISR) with SEB

Group Type EXPERIMENTAL

sirolimus-eluting balloon (SEB) MagicTouch

Intervention Type COMBINATION_PRODUCT

Patients with coronary in-stent restenosis treated with sirolimus-eluting balloon

paclitaxel-eluting balloon (PEB)

treatment of BMS- or DES-ISR with PEB

Group Type ACTIVE_COMPARATOR

paclitaxel-eluting balloon (PEB) Sequent Please

Intervention Type COMBINATION_PRODUCT

Patients with coronary in-stent restenosis treated with paclitaxel-eluting balloon

Interventions

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sirolimus-eluting balloon (SEB) MagicTouch

Patients with coronary in-stent restenosis treated with sirolimus-eluting balloon

Intervention Type COMBINATION_PRODUCT

paclitaxel-eluting balloon (PEB) Sequent Please

Patients with coronary in-stent restenosis treated with paclitaxel-eluting balloon

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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MagicTouch Sequent Please

Eligibility Criteria

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Inclusion Criteria

* patients with BMS- or DES-ISR (˃50% diameter stenosis; DS)
* ≥18 years of age
* willing to sign an Informed consent

Exclusion Criteria

* concomitant diseases with an expected survival time of less than 12 months
* or that limited the possibility of control coronary aniography (e.g., advanced renal failure).
* impossibility of long-term (6 months) dual antiplatelet treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital Ostrava

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Cardiovascular Department of University Hospital

Ostrava, , Czechia

Site Status

Countries

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Czechia

References

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Pleva L, Kukla P, Kovarnik T, Zapletalova J. Comparing the Efficacy of Sirolimus and Paclitaxel-Eluting Balloon Catheters in the Treatment of Coronary In-Stent Restenosis: A Prospective Randomized Study (TIS 2 Study). Circ Cardiovasc Interv. 2025 May;18(5):e014677. doi: 10.1161/CIRCINTERVENTIONS.124.014677. Epub 2025 Apr 2.

Reference Type DERIVED
PMID: 40171676 (View on PubMed)

Other Identifiers

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FNO-TIS 2

Identifier Type: -

Identifier Source: org_study_id

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