Keep bIfurcation Single Stenting Simple

NCT ID: NCT04285372

Last Updated: 2024-01-12

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

596 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-03

Study Completion Date

2024-04-30

Brief Summary

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KISS study is an investigator-initiated, multi-centre, prospective, randomized (1:1), parallel, two-arm, non-inferiority trial aiming to compare two bifurcation PCI procedures for Side Branch protection

Detailed Description

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In the treatment of bifurcation lesion, the role of side branch intervention for improving the safety of Percutaneous Coronary Intervention (PCI), when MB is treated according to the Murray law with a Proximal Optimization Technique (POT), remains unclear.

The KISS study will evaluate the non-inferiority of no side branch intervention versus side branch ballooning, in the setting of single stenting with systematic proximal optimization technique.

Conditions

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Coronary Disease

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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Test group

No intervention on the side branch in the context of percutaneous coronary intervention for the treatment of bifurcation lesion

Group Type EXPERIMENTAL

No side branch protection/ballooning

Intervention Type PROCEDURE

No intervention on the side branch

Control group

Side branch protection: Ballooning or Kissing Balloon Technique, in the context of percutaneous coronary intervention for the treatment of bifurcation lesion

Group Type ACTIVE_COMPARATOR

Side branch protection/ballooning

Intervention Type PROCEDURE

Side branch protection in the context of percutaneous coronary intervention for the treatment of bifurcation lesion

Interventions

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Side branch protection/ballooning

Side branch protection in the context of percutaneous coronary intervention for the treatment of bifurcation lesion

Intervention Type PROCEDURE

No side branch protection/ballooning

No intervention on the side branch

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Coronary artery disease requiring revascularization that is amenable to percutaneous coronary intervention (PCI)
2. Any de novo Medina type bifurcation lesion with \>70% lesion in the main vessel by visual assessment except Medina 0,0,1 if the planned strategy does not include a main branch stenting
3. Side branch diameter compatible with a PCI with stent implantation (≥ 2.25mm)
4. Side branch requiring a protection wire according to operator evaluation
5. Anatomy compatible with a proximal optimization technique
6. Post main branch treatment (stenting then POT): Absence of side branch occlusion Or low flow associated with ongoing ischemia (either chest pain or ST changes)
7. Male or female patient \>18 years old

Exclusion Criteria

1. Acute myocardial infarction with ongoing ST-elevation
2. Cardiogenic shock
3. Requirement for ongoing hemodialysis
4. Life-expectancy limited to \<12 months due to co-morbid condition
5. Lesion involves the left main coronary artery
6. Lesion requiring a double stenting
7. Plan to treat \>1 other coronary vessel at the time of the index procedure
8. Two lesions treated in the same session: unsuccessful PCI on the single non bifurcation lesion in a non-target vessel before the treatment of the target lesion.
9. Chronic total occlusion of any target vessel
10. Left ventricular ejection fraction \<20%
11. Side branch TIMI Flow \<3
12. Pre-dilatation of the Side Branch during the procedure prior to randomization
13. Known allergy to Aspirin
14. Known allergy to Clopidorel and Prasugrel and Ticagrelor
15. Known allergy to stent drug elutant
16. Known allergy to any other component of Onyx Resolute stent
17. Ongoing participation in another investigational device or drug study
18. Inability to provide informed consent
19. Patients under judicial protection, tutorship or curatorship
20. Pregnant and breast-feeding women or intention to become pregnant prior to completion of all follow-up procedures
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ceric Sàrl

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bernard CHEVALIER, MD

Role: PRINCIPAL_INVESTIGATOR

ICPS - Institut Cardiovasculaire Paris Sud

Locations

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CHU Caen

Caen, , France

Site Status

Hôpital Privé Dijon Bourgogne

Dijon, , France

Site Status

CHU Timone Adultes

Marseille, , France

Site Status

Hôpital Privé Jacques Cartier ICPS

Massy, , France

Site Status

Clinique du Pont de chaume

Montauban, , France

Site Status

CHU Nîmes

Nîmes, , France

Site Status

Hôpital Privé Claude Galien ICPS

Quincy-sous-Sénart, , France

Site Status

Clinique Saint Hilaire

Rouen, , France

Site Status

CHU Toulouse Rangueuil

Toulouse, , France

Site Status

Universita' Cattolica del Sacro Cuore

Roma, , Italy

Site Status

Istituto Clinico Humanitas

Rozzano, , Italy

Site Status

IRCCS Policlinico San Donato

San Donato, , Italy

Site Status

Hospital de Santa Cruz

Lisbon, , Portugal

Site Status

Hospital Universitario Reina Sofia

Córdoba, , Spain

Site Status

Hospital de Cabuenes

Gijón, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

CHUV Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status

Freeman Hospital Newcastle

Newcastle, Tyne and Wear, United Kingdom

Site Status

Royal Sussex County Hospital

Brighton, , United Kingdom

Site Status

Countries

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France Italy Portugal Spain Switzerland United Kingdom

Other Identifiers

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KISS

Identifier Type: -

Identifier Source: org_study_id

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