Intracoronary Stenting and Restenosis - Randomized Trial of Drug-eluting Stent Implantation or Drug-coated Balloon Angioplasty According to Neointima Morphology in Drug-eluting Stent Restenosis 5

NCT ID: NCT05544864

Last Updated: 2025-01-06

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

RECRUITING

Clinical Phase

NA

Total Enrollment

376 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-28

Study Completion Date

2026-09-30

Brief Summary

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The hypothesis of the study is, that there is a significant interaction in treatment effect between the OCT pattern of neointima (heterogeneous or homogeneous) and the type of percutaneous coronary intervention (drug-eluting stent or drug-coated balloon) in patients with in-stent restenosis.

Detailed Description

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Conditions

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Coronary Artery Disease Restenoses, Coronary

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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homogenous

Stratification - homogenous pattern

Group Type OTHER

Drug eluting stent (DES)

Intervention Type DEVICE

DES-implantation with an everolimus-eluting stent (Xience, Abbott Vascular)

Drug coated ballloon (DCB)

Intervention Type DEVICE

DCB angioplasty with any commercially available drug-coated balloon

heterogenous

Stratification - homogenous pattern

Group Type OTHER

Drug eluting stent (DES)

Intervention Type DEVICE

DES-implantation with an everolimus-eluting stent (Xience, Abbott Vascular)

Drug coated ballloon (DCB)

Intervention Type DEVICE

DCB angioplasty with any commercially available drug-coated balloon

Interventions

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Drug eluting stent (DES)

DES-implantation with an everolimus-eluting stent (Xience, Abbott Vascular)

Intervention Type DEVICE

Drug coated ballloon (DCB)

DCB angioplasty with any commercially available drug-coated balloon

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patients with ischemic symptoms and/or evidence of myocardial ischemia
2. Presence of ≥ 50% restenosis after prior implantation of drug-eluting stents in native coronary vessels.
3. Availability of an OCT-pullback of the target lesion
4. Written informed consent by the patient for participation in the study.
5. Age ≥ 18 years

Exclusion Criteria

1. Cardiogenic shock
2. Acute ST-elevation myocardial infarction within 48 hours from symptom onset.
3. Target lesion located in left main trunk or bypass graft.
4. Additional coronary intervention planned within 30 days of the procedure.
5. Non-successful treatment of other lesion(s) during the same procedure
6. Severe renal insufficiency (glomerular filtration rate ≤ 30 ml/min)
7. Contraindications to any components of the investigational devices or dual antiplatelet therapy
8. Pregnancy (present, suspected or planned) or positive pregnancy test.
9. Previous enrollment in this trial or participation in any other study at the time of enrollment.
10. Malignancies or other comorbid conditions with life expectancy less than 12 months or that may result in protocol non-compliance.
11. Patient's inability to fully comply with the study protocol
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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EvidentIQ Germany GmbH

UNKNOWN

Sponsor Role collaborator

Abbott

INDUSTRY

Sponsor Role collaborator

Technical University of Munich

OTHER

Sponsor Role collaborator

Deutsches Herzzentrum Muenchen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Universitätsklinikum Frankfurt

Frankfurt am Main, Hesse, Germany

Site Status RECRUITING

Elisabeth-Krankenhaus Essen GmbH

Essen, , Germany

Site Status RECRUITING

Universitätsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status RECRUITING

Deutsches Herzzentrum München

Munich, , Germany

Site Status RECRUITING

Hospital Universitario de La Princesa Madrid

Madrid, Madrid, Spain

Site Status RECRUITING

Countries

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Germany Spain

Central Contacts

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Felix Voll, MD

Role: CONTACT

+49 89 1218 2749

Salvatore Cassese, MD, PHD

Role: CONTACT

+49 89 1218 2764

Facility Contacts

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David M Leistner, Prof. MD

Role: primary

Lena Marie Seegers, MD

Role: backup

Thomas Schmitz, Dr. med.

Role: primary

+49 201 8973200

Tobias Weinreich, Dr. med.

Role: backup

+49 201 8973200

Fabian J Brunner, MD

Role: primary

Peter M Becher, MD

Role: backup

Felix Voll, MD

Role: primary

+49 89 1218 ext. 2749

Salvatore Cassese, MD, PHD

Role: backup

+49 89 1218 ext. 2764

Fernando Alfonso, Prof. Dr.

Role: primary

+34-680483165

References

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Simonetti F, Voll F, Alfonso F, Grasser C, Janisch M, Joner M, Kessler T, Kuna C, Leistner DM, Lenz T, Presch A, Rheude T, Sager H, Schunkert H, Starnecker F, Wiebe J, Kastrati A, Cassese S, Xhepa E. Intracoronary Stenting and Restenosis - Randomized Trial of Drug-Eluting Stent Implantation or Drug-Coated Balloon Angioplasty According to Neointima Morphology in Drug-Eluting Stent REstenosis 5: Rationale and Design of the ISAR-DESIRE 5 Trial. J Cardiovasc Transl Res. 2025 Jun 30. doi: 10.1007/s12265-025-10650-x. Online ahead of print.

Reference Type DERIVED
PMID: 40588613 (View on PubMed)

Other Identifiers

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GE IDE no. BA00219

Identifier Type: -

Identifier Source: org_study_id

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