Randomized Comparison of Abluminus DES+ Sirolimus-Eluting Stents Versus Everolimus-Eluting Stents in Coronary Artery Disease Patients With Diabetes Mellitus Global
NCT ID: NCT04236609
Last Updated: 2023-03-27
Study Results
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Basic Information
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UNKNOWN
NA
3050 participants
INTERVENTIONAL
2020-06-15
2024-09-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
Additional lesions (other vessels) may be staged up to 45 days post-index procedure but must be treated with the same stent.
Dual antiplatelet therapy must be prescribed in alignment with the Instructions for Use of the DES and the guidelines
OTHER
DOUBLE
Study Groups
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Abluminus DES+ sirolimus- eluting stents (SES)
Enrolled patients will undergo angioplasty with Abluminus DES+ sirolimus- eluting stents (SES) and will be followed for two years. The DES procedure will be conducted in accordance with the CE mark instructions for use for the Abluminus DES+ sirolimus- eluting stents (SES).
Abluminus DES+ Sirolimus Eluting Stent System (SES)
The Sirolimus-eluting stent manufactured by Envision and distributed by Concept Medical
XIENCE Everolimus-Eluting Stents (EES)
Enrolled patients will undergo angioplasty with XIENCE Everolimus-Eluting Stents (EES) and will be followed for two years. The DES procedure will be conducted in accordance with the CE mark instructions for use for the XIENCE Everolimus-Eluting Stents (EES).
XIENCE Everolimus Eluting Coronary Stent System (XIENCE family)
The Everolimus-eluting stent manufactured and distributed by Abbott Vascular Santa Clara, CA
Interventions
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Abluminus DES+ Sirolimus Eluting Stent System (SES)
The Sirolimus-eluting stent manufactured by Envision and distributed by Concept Medical
XIENCE Everolimus Eluting Coronary Stent System (XIENCE family)
The Everolimus-eluting stent manufactured and distributed by Abbott Vascular Santa Clara, CA
Eligibility Criteria
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Inclusion Criteria
2. Age ≥ 18 years of age (\> 19 years of age for South Korea and ≥ 21 years of age for Singapore);
3. Diabetic patient: either:
1. Patient with a previous documented diagnosis of diabetes mellitus (Type 1 or Type 2) and currently undergoing pharmacological treatment (oral hypoglycemic agents or insulin)
2. Newly diagnosed diabetes: either:
i. Fasting plasma glucose (FPG) ≥126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for ≥8 hours1 or ii. Two-hour plasma glucose ≥200 mg/dL (11.1 mmol/L) following a 75g oral glucose tolerance test or iii. HbA1c level ≥ 7% (53 mmol/mol) Patients who are newly diagnosed are included even if they are not on pharmacological treatment (oral hypoglycemic agents or insulin)
4. Symptomatic coronary artery disease including chronic stable angina, silent ischemia, and non-ST-segment elevation acute coronary syndrome (NSTE-ACS)
5. Patient is eligible for percutaneous coronary intervention (PCI); Previous PCI (with balloon angioplasty or stenting) is allowed if performed \>12 months before index procedure;
6. Patient is willing and able to comply with all protocol-required follow-up evaluations.
7. Presence of ≥1 de novo coronary artery stenosis \>50% in a native coronary artery which can be treated with a stent ranging in diameter from 2.25 to 4.0 mm and can be covered with 1 or multiple stents; and
8. No limitation to the number of treated lesions, number of vessels, or lesion length if the patient is judged eligible for PCI by the treating physician according to the local standard of care.
Exclusion Criteria
2. Patient in cardiogenic shock;
3. Patient has known allergy to the study stent system or protocol-required concomitant medications (e.g. aspirin, clopidogrel, prasugrel, ticagrelor, heparin, stainless steel, platinum, chromium, sirolimus, everolimus, radiographic contrast material) that cannot be adequately pre-medicated;
4. Planned surgery (cardiac and non-cardiac) within 6 months after the index procedure unless the dual-antiplatelet therapy (DAPT) can be maintained throughout the peri-surgical period;
5. Patient undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction (STEMI)
6. Patient is pregnant, nursing, or is a woman of child-bearing potential who is not surgically sterile, \< 2 years postmenopausal, or does not consistently use effective methods of contraception\*;
7. Patient has any other serious medical illness (e.g., cancer, end-stage congestive heart failure) that may reduce life expectancy to less than 12 months;
8. Acute or chronic renal dysfunction (creatinine \>3.0 mg/dl);
9. Currently participating in another investigational drug or device study.
10. In-stent restenotic lesions;
11. Lesions involving venous or arterial bypass grafts.
18 Years
80 Years
ALL
No
Sponsors
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Concept Medical Inc.
INDUSTRY
Responsible Party
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Principal Investigators
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Roxana Mehran
Role: STUDY_CHAIR
Mount Sinai Heart
Locations
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The Prince Charles Hospital
Chermside, , Australia
St Vincent Hospital
Melbourne, , Australia
The Wollongong Hospital
Wollongong, , Australia
University Heart Center Graz
Graz, , Austria
Kardinal Schwarzenberg Klinikum
Schwarzach im Pongau, , Austria
National Heart Foundation Hospital & Research Institute
Dhaka, , Bangladesh
Antwerp Cardiovascular Center Middelheim
Antwerp, , Belgium
UZ Leuven
Leuven, , Belgium
Instituto Dante Pazzanese de Cardiologia
São Paulo, , Brazil
INSTITUTO DO CORAÇÃO - InCor University of São Paulo Medical School
São Paulo, , Brazil
University Hospital Brno, Department of Medecine Cardiology
Brno, , Czechia
University Hospital Královské Vinohrady, Department of Medecine Cardiology
Prague, , Czechia
Clinique Axium
Aix-en-Provence, , France
CHRU Brest
Brest, , France
Clinique de Fontaine
Fontaine-lès-Dijon, , France
Groupe Hospitalier Mutualiste de Grenoble
Grenoble, , France
Hôpital La Timone, Service Cardiologie
Marseille, , France
Hôpital Privé Jacques Cartier
Massy, , France
CHU de Nîmes
Nîmes, , France
Hôpital Cochin
Paris, , France
Klinik für Kardiologie und Angiologie II, Herz-Zentrum Bad Krozingen
Bad Krozingen, , Germany
Kerckhoff-Klinik GmbH Abteilung Kardiologie/Herzchirurgie
Bad Nauheim, , Germany
Herzzentrum, Segeberger Kliniken GmbH
Bad Segeberg, , Germany
Charite Berlin, Department of Cardiology, Campus Benjamin Franklin
Berlin, , Germany
Helios Amper-Klinikum Dachau, Dept. of Cardiology & Pneumology
Dachau, , Germany
Elisabeth Krankenhaus Essen
Essen, , Germany
121/ MVZ Hamburg, DEU
Hamburg, , Germany
UKSH, Campus Kiel, Department of Cardiology
Kiel, , Germany
Heart Center Leipzig
Leipzig, , Germany
Universitaetsklinikum Tubingen, DEU
Tübingen, , Germany
Schwarzwald Baar Klinikum Villingen-Schwenningen GmbH
Villingen-Schwenningen, , Germany
Madras Medical Mission
Chennai, , India
Krishna Institute of Medical Sciences
Secunderabad, , India
National University of Ireland, Galway Galway University Hospital
Galway, , Ireland
IRCCS - Policlinico San Donato
San Donato Milanese, Milano, Italy
GVM - Cotignola
Cotignola, Ravenna, Italy
Fondazione Poliambulanza di Brescia
Brescia, , Italy
P.O. G. Rodolico
Catania, , Italy
075/ Magna Graecia University
Catanzaro, , Italy
Casa di Cura Montevergine
Mercogliano, , Italy
Istituto Sant'Ambrogio
Milan, , Italy
San Carlo Clinic
Milan, , Italy
San Raffaele Hospital
Milan, , Italy
133/Clinica Mederranea
Napoli, , Italy
Division of Cardiology, University of Campania "Luigi Vanvitelli"
Napoli, , Italy
156/ Policlinico San Matteo
Pavia, , Italy
Ospedale degli infermi
Rivoli, , Italy
Azienda Ospedaliera San Camillo Forlanini
Roma, , Italy
Policlinico Umberto I, "Sapienza" University of Rome Dept.of Cardiovascular, Respiratory, Nephrologic & Anesthesiologic Sciences
Roma, , Italy
Institut Jantung Negara
Kuala Lumpur, , Malaysia
Instituto nacional de cardiologia ignacio chavez
Mexico City, , Mexico
Grupo Intervención San Luis - Hospital de Especialidades de la Salud - San Luis Potosí City
San Luis Potosí City, , Mexico
IMSS Hospital de Especialidades UMAE 71
Torreón, , Mexico
Amsterdam UMC
Amsterdam, , Netherlands
Maasstad Hospital
Rotterdam, , Netherlands
XII Oddział Kardiologiczny PAKS w Bełchatowie
Bełchatów, , Poland
Polsko-Amerykańskie Kliniki Serca III Oddział Kardiologii Inwazyjnej, Angiologii i Elektrokardiologii
Bielsko-Biala, , Poland
MCSN AHoP Chrzanow
Chrzanów, , Poland
Zgierskie Centrum Kardiologii Med-Pro Polsko-Amerykańskie Kliniki Serca
Dąbrowa Górnicza, , Poland
American Heart of Poland
Kędzierzyn-Koźle, , Poland
University Hospital Krakow
Krakow, , Poland
Miedziowe Centrum Zdrowia SA
Lubin, , Poland
Nyskie Centrum Kardiologiczne Polsko-Amerykańskich Klinik Serca w Nysie
Nysa, , Poland
Centrum Kardiologii Inwazyjnej, Elektroterapii i Angiologii w Pińczowie
Pińczów, , Poland
Szpital Kliniczny Przemienienia Pańskiego
Poznan, , Poland
Oddział Kardiologii Szpitale Polskie Sztum
Sztum, , Poland
X Department of Invasive Cardiology, Tychy American Heart of Poland SA
Tychy, , Poland
I Oddział Kardiologii AHoP
Ustroń, , Poland
Department of Interventional Cardiology Med-Pro American Heart of Poland
Zgierz, , Poland
Changi General Hospital
Singapore, , Singapore
Gachon University Gil Medical Center
Incheon, , South Korea
Örebro Univ. Hospital, Dpt. of cardiology
Örebro, , Sweden
Uppsala University hosp
Uppsala, , Sweden
Cardiocentro Ticino
Lugano, , Switzerland
Hôpital de La Tour
Meyrin, , Switzerland
Triemli Hospital
Zurich, , Switzerland
University Hospital Zürich
Zurich, , Switzerland
National Cheng Kung University Hospital
Tainan City, , Taiwan
Mackay Memorial Hospital
Taipei, , Taiwan
Belfast Health and Social Care Trust
Belfast, , United Kingdom
Royal blackburn hospital
Blackburn, , United Kingdom
The Royal Bournemouth Hospital
Bournemouth, , United Kingdom
Brighton & Sussex University NHS Hospitals Trust
Brighton, , United Kingdom
Golden Jubilee National Hospital
Clydebank, , United Kingdom
Craigavon Area Hospital
Craigavon, , United Kingdom
Ninewells Hospital
Dundee, , United Kingdom
King's College Hospital NHS Foundation Trust
London, , United Kingdom
Royal Free Hopsital
London, , United Kingdom
Freeman Hospital
Newcastle upon Tyne, , United Kingdom
Worcestershire Acute NHS Trust, Worcestershire Royal Hospital
Worcester, , United Kingdom
Countries
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References
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International Diabetes Federation 2015. IDF DIABETES ATLAS Seventh Edition. 2015; ISBN: 978-2-930229-81-2
Thiele H, Zeymer U. Chapter: Cardiogenic shock in patients with acute coronary syndromes (p. 441), The ESC Textbook of Intensive and Acute Cardiovascular Care (2 ed.) [IACC]. Edited by Marco Tubaro, Pascal Vranckx, Susanna Price, and Christiaan Vrints. Updated on 22 February 2018 DOI: 10.1093/med/9780199687039.003.0049_update_003
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Denardo SJ, Carpinone PL, Vock DM, Batich CD, Pepine CJ. Changes to polymer surface of drug-eluting stents during balloon expansion. JAMA. 2012 May 23;307(20):2148-50. doi: 10.1001/jama.2012.4111. No abstract available.
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Mulukutla SR, Vlachos HA, Marroquin OC, Selzer F, Holper EM, Abbott JD, Laskey WK, Williams DO, Smith C, Anderson WD, Lee JS, Srinivas V, Kelsey SF, Kip KE. Impact of drug-eluting stents among insulin-treated diabetic patients: a report from the National Heart, Lung, and Blood Institute Dynamic Registry. JACC Cardiovasc Interv. 2008 Apr;1(2):139-47. doi: 10.1016/j.jcin.2008.02.005.
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Dibra A, Kastrati A, Mehilli J, Pache J, Schuhlen H, von Beckerath N, Ulm K, Wessely R, Dirschinger J, Schomig A; ISAR-DIABETES Study Investigators. Paclitaxel-eluting or sirolimus-eluting stents to prevent restenosis in diabetic patients. N Engl J Med. 2005 Aug 18;353(7):663-70. doi: 10.1056/NEJMoa044372. Epub 2005 Aug 16.
Stone GW, Midei M, Newman W, Sanz M, Hermiller JB, Williams J, Farhat N, Mahaffey KW, Cutlip DE, Fitzgerald PJ, Sood P, Su X, Lansky AJ; SPIRIT III Investigators. Comparison of an everolimus-eluting stent and a paclitaxel-eluting stent in patients with coronary artery disease: a randomized trial. JAMA. 2008 Apr 23;299(16):1903-13. doi: 10.1001/jama.299.16.1903.
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Grube E, Chevalier B, Guagliumi G, Smits PC, Stuteville M, Dorange C, Papeleu P, Kaul U, Dzavik V. The SPIRIT V diabetic study: a randomized clinical evaluation of the XIENCE V everolimus-eluting stent vs the TAXUS Liberte paclitaxel-eluting stent in diabetic patients with de novo coronary artery lesions. Am Heart J. 2012 May;163(5):867-875.e1. doi: 10.1016/j.ahj.2012.02.006. Epub 2012 Apr 11.
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Other Identifiers
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COMED.CT.DES.001
Identifier Type: -
Identifier Source: org_study_id
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