Clinical Study Comparing Single Long BioMimeTM Morph Coronary Stent System vs. Two Overlapping Xience Family Coronary Stent Systems in the Treatment of Patients With Long de Novo Lesions.

NCT ID: NCT03721614

Last Updated: 2019-08-14

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

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-15

Study Completion Date

2022-06-22

Brief Summary

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A prospective, active control, open-label, multinational, randomized clinical trial comparing single long BioMime™ Morph Coronary Stent System vs. two overlapping Xience family Coronary Stent Systems to evaluate safety and performance in approximately 200 patients with long de novo lesions will be randomly enrolled in a 2:1 ratio \[BioMime™ Morph (n=133) vs. XIENCE family (n=67)\].

The study population should include patients with symptomatic ischemic heart disease due to de novo lesions (lengths ≥26 mm and ≤56 mm irrespective of number of lesions) in native coronary arteries with a reference vessel diameter of (proximal to distal) 2.75 - 2.25 mm, 3.00 - 2.50 mm and 3.5 - 3.00 mm in patients eligible for Percutaneous Transluminal Coronary Angioplasty (PTCA) and stenting procedures.

All patients must meet all the study inclusion / exclusion criteria before enrolment in the study. All subjects shall accept clinical follow up at 1 month, 6 months, 12 months, 24 months post procedure.

10% of the patients \[(2:1) BioMime™ Morph (13) vs. Xience (7)\] will be assessed for OCT analysis from pre-designated site(s) and based on availability of OCT console at the site and Patient's consent. \[Time Frame: Post-procedure and 6 months (±14 days)\]

Detailed Description

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Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study Device :- BioMime™ Morph - Sirolimus Eluting Coronary Stent System Active Control Device :- Xience family Everolimus Coronary Stent Systems
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BioMime™ Morph - Sirolimus Eluting Coronary Stent System

Group Type EXPERIMENTAL

BioMime™ Morph - Sirolimus Eluting Coronary Stent System

Intervention Type DEVICE

Study Device :- BioMime™ Morph - Sirolimus Eluting Coronary Stent System Approximately 200 patients will be randomly enrolled in a 2:1 ratio \[BioMime™ Morph (n=133) vs. XIENCE family (n=67)\].

Xience family Everolimus Coronary Stent Systems

Group Type ACTIVE_COMPARATOR

Xience family Everolimus Coronary Stent Systems

Intervention Type DEVICE

Active Control Device :- Xience family Everolimus Coronary Stent Systems Approximately 200 patients will be randomly enrolled in a 2:1 ratio \[BioMime™ Morph (n=133) vs. XIENCE family (n=67)\].

Interventions

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BioMime™ Morph - Sirolimus Eluting Coronary Stent System

Study Device :- BioMime™ Morph - Sirolimus Eluting Coronary Stent System Approximately 200 patients will be randomly enrolled in a 2:1 ratio \[BioMime™ Morph (n=133) vs. XIENCE family (n=67)\].

Intervention Type DEVICE

Xience family Everolimus Coronary Stent Systems

Active Control Device :- Xience family Everolimus Coronary Stent Systems Approximately 200 patients will be randomly enrolled in a 2:1 ratio \[BioMime™ Morph (n=133) vs. XIENCE family (n=67)\].

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patient must be at least ≥18 years of age.
2. Significant de novo native coronary artery stenosis as part of Ischemic Heart Disease with lesion length of ≥26 mm and ≤56 mm (irrespective of number of lesions) with reference vessel diameter of (Proximal to Distal) 2.75 - 2.25 mm, 3.00 - 2.50 mm and 3.50 - 3.00 mm.
3. Patient with lesion(s), with a visually estimated stenosis of ≥50% and \<100% with a TIMI flow of ≥1.
4. Patient must agree not to participate in any other clinical trial for a period of two years following the index procedure. This includes clinical trials of medication and invasive procedures, questionnaire-based studies, or other studies that are non-invasive and do not require medication are allowed.
5. Female patient without childbearing potential who have either undergone surgical sterilization or is post-menopausal.
6. Patient or his/her legally authorized representative (if applicable) agrees to provide written informed consent as approved by respective Ethics Committee and applicable Regulatory Authorities.
7. Patient must agree to undergo all clinical investigations and follow up visits as per protocol.

Exclusion Criteria

1. Patients with known hypersensitivity or contraindication to aspirin, both heparin and bivalirudin, anti-platelet medication specified for use in the study, everolimus and sirolimus, PLLA, PLGA, cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
2. Pregnant or nursing patients or those who plan pregnancy in the period up to 2 years following index procedure(Pregnancy should be confirmed based on positive urine pregnancy test as part of screening procedure)
3. An elective surgery planned within 6 months after the procedure that will require discontinuing of DAPT.
4. Patient has a known left ventricular ejection fraction (LVEF) \<30% (LVEF may be obtained at the time of the index procedure if the value is unknown and if necessary).
5. Patient has had a known diagnosis of acute myocardial infarction (AMI) preceding the index procedure (CK-MB ≥ 2 times upper limit of normal) and CK-MB/Troponin T/Troponin I values have not returned to within normal limits at the time of procedure.
6. Patient is receiving or scheduled to receive chemotherapy for malignancy within 30 days prior to or within one year after the index procedure.
7. Patient has undergone heart transplant or any other organ transplant or planned to undergo any organ transplant.
8. Patient is receiving immunosuppressant therapy and/or has known immunosuppressive or autoimmune disease.
9. Patient with active bleeding disorders.
10. Patient has a platelet count \<100,000 cells/mm3 or \>700,000 cells/mm3, a White Blood Cell count of \<3,000 cells/mm3 or documented or suspected liver disease (including laboratory evidence of Hepatitis B and C)
11. Known renal insufficiency (e.g., estimated Glomerular Filtration rate \<60 ml/kg/m² or Serum Creatinine level of \> 2.0 mg/dL, or patient on dialysis).
12. Patient has had a Cerebrovascular Accident (CVA) or Transient Ischemic Neurological Attack (TIA) within the past 6 months.
13. Patient belonging to a vulnerable population (per Investigator's judgment, e.g., subordinate hospital staff or Sponsor staff).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Meril Life Sciences Pvt. Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr. Ertugrul Okuyan

Role: PRINCIPAL_INVESTIGATOR

Bagcilar Egitim ve Arastirma Hastanesi

Dr. Omer Kozan

Role: PRINCIPAL_INVESTIGATOR

Siyami Ersek Gogus Kalp ve Damar Cerrahisi Egitim ve Arastirma Hastanesi

Dr. Jan - Peter V Kuijk

Role: PRINCIPAL_INVESTIGATOR

St. Antonius Hospital

Dr. Jakub Podolec

Role: PRINCIPAL_INVESTIGATOR

Krakowski Szpital Specjalistyczny im. Jana Pawla II

Dr. Andrzej Ochala

Role: PRINCIPAL_INVESTIGATOR

Zaklad Kardiologii Inwazyjnej

Dr. Oleg Polonetsky

Role: PRINCIPAL_INVESTIGATOR

National Scientific and Practical Centre - Cardiology

Dr. Orazbek Sakhov

Role: PRINCIPAL_INVESTIGATOR

City Heart Center

Central Contacts

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Dr. Ashok Thakkar, Ph.D

Role: CONTACT

9879443584

Mr. Kartik Vyas

Role: CONTACT

9619129010

Other Identifiers

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MLS/Morph RCT-1

Identifier Type: -

Identifier Source: org_study_id

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