Comparison of DCB and DES for Severe Calcification of de Novo Lesion in Elderly CHD

NCT ID: NCT05750771

Last Updated: 2024-06-26

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

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-20

Study Completion Date

2025-12-20

Brief Summary

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The goal of this clinical trial was to compare the effectiveness of drug balloons versus drug-coated stents in calcified lesions in elderly coronary artery disease. The main question it aims to answer is whether the application of DCB is non-inferior to DES for in situ large vessel calcified lesions in the elderly coronary arteries.

And to develop a method to precisely identify the nature and extent of calcified lesions and to rationalize the choice of pretreatment.

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

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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DCB Group

Implantation of drug-coated balloons in patients with satisfactory pretreatment

Group Type EXPERIMENTAL

DCB

Intervention Type DEVICE

Drug-coated balloon with paclitaxel as drug coating

DES Group

Implantation of drug-eluting stents in patients with satisfactory pretreatment

Group Type EXPERIMENTAL

DES

Intervention Type DEVICE

Second-generation drug-eluting stents

Interventions

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DES

Second-generation drug-eluting stents

Intervention Type DEVICE

DCB

Drug-coated balloon with paclitaxel as drug coating

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 1\. older than 60 years of age.
* 2\. meeting the indications for coronary intervention.
* 3\. IVUS examination suggests severe calcified lesions (calcification angle \> 270° at the target lesion) or OCT examination suggests severe calcified lesions (calcification angle \> 180° and/or length \> 5 mm and/or thickness \> 0.5 mm);
* 4\. Target lesion vessel diameter \> 2.5 mm

Exclusion Criteria

* 1\. inability to provide written informed consent.
* 2\. unable to administer antiplatelet agents and anticoagulant therapy; have allergies to heparin, contrast agents, etc.
* 3\. the subject is participating in another uncompleted clinical trial
* 4\. life expectancy \<1 year.
* 5\. non-in situ vascular lesions.
* 6\. cardiogenic shock.
* 7\. Patients with hemodynamic instability
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Henan Institute of Cardiovascular Epidemiology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Muwei Li, MD

Role: STUDY_CHAIR

Fuwai central China cardiovascular hospotial

Locations

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Fuwai central China cardiovascular Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Quan Guo, MD

Role: CONTACT

+8615670510031

Facility Contacts

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Quan Guo

Role: primary

+8615670510031

Other Identifiers

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HenanICE202303

Identifier Type: -

Identifier Source: org_study_id

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