Drug-Coated Coronary Balloons in Different Clinical Scenarios

NCT ID: NCT06915597

Last Updated: 2026-01-13

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

Total Enrollment

1500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-05-31

Study Completion Date

2026-05-31

Brief Summary

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Coronary stents are the best treatment method ever accepted in the treatment of coronary artery stenoses. Due to some limitations and complications of stent use, the operators tried to find new solutions. Drug Coated Balloons (DCBs) have been accepted as a new method in the treatment of in-stent restenosis and small vessel disease. Furthermore, they have been used in the treatment of de novo coronary lesions, chronic total occlusions and bifucation lesions. But data is limited in the short and long term success of DCBs in all these clinical scenarios. In our study we aimed to investigate the procedural success and short and long term outcomes of DCB use in different clinical scenarios.

Detailed Description

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The DCB-DCS (Drug-Coated Balloon in Different Clinical Scenarios) Registry is a multicenter, observational study designed to evaluate the safety, feasibility, and clinical outcomes of drug-coated balloon (DCB) angioplasty in a broad spectrum of coronary artery disease presentations and lesion subsets in real-world practice across Türkiye. The registry aims to provide comprehensive evidence on contemporary DCB use beyond conventional in-stent restenosis, including de novo small and large vessels, bifurcation lesions, chronic total occlusions, acute coronary syndromes, and complex lesion morphologies.

Consecutive patients undergoing percutaneous coronary intervention (PCI) with a DCB-based strategy, either as a stand-alone therapy or in combination with bailout stenting, will be prospectively and retrospectively enrolled from participating high-volume centers. Detailed demographic, clinical, laboratory, angiographic, procedural, and pharmacological data will be systematically collected. Lesion characteristics will be classified according to standard angiographic and anatomical criteria, and procedural techniques including lesion preparation strategy (plain balloon, cutting/scoring balloon, high-pressure non-compliant balloon, atherectomy), use of intravascular imaging (IVUS, OCT, OFDI), and DCB type, size, and inflation protocol will be recorded.

The registry will assess short-term procedural success and long-term clinical outcomes, including major adverse cardiovascular events (MACE), target lesion failure, target vessel revascularization, myocardial infarction, stent thrombosis (when applicable), and all-cause and cardiovascular mortality. Subgroup analyses will explore the impact of different clinical presentations, lesion subsets, and procedural strategies on outcomes, with particular emphasis on the role of optimal lesion preparation, intravascular imaging guidance, and the need for bailout stenting.

By reflecting routine clinical practice in a large, unselected population, the DCB-DCS Registry seeks to define optimal procedural standards, identify predictors of success and failure, and generate hypothesis-forming data to guide future randomized controlled trials comparing DCB-based strategies with new-generation drug-eluting stents across diverse coronary scenarios.

Conditions

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Coronary Arterial Disease (CAD)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Coronary artery disease

Patients with coronary artery disease who were treated with drug coated balloons will be included in the study.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

Age ≥18 years. Patients with coronary artery disease undergoing percutaneous coronary intervention (PCI) in whom a drug-coated balloon (DCB) is used as the intended treatment strategy for at least one target lesion.

DCB use in any clinical presentation, including stable coronary artery disease and acute coronary syndromes.

DCB treatment for different lesion subsets, including de novo lesions, in-stent restenosis, bifurcation lesions, small and large vessels, and chronic total occlusions.

Successful lesion preparation allowing DCB angioplasty (residual stenosis ≤30% and absence of flow-limiting dissection before DCB inflation, according to operator judgment).

Availability of baseline clinical, angiographic, and procedural data. Ability to provide informed consent for prospective enrollment or availability of data according to local regulations for retrospective inclusion.

Planned clinical follow-up.

Exclusion Criteria

Primary treatment strategy without the use of a drug-coated balloon (e.g., exclusive drug-eluting stent implantation without DCB).

Cardiogenic shock at the time of index procedure. Life expectancy less than 1 year due to non-cardiac comorbidities. Contraindication to antiplatelet therapy. Known severe allergy to contrast media not amenable to premedication. Pregnancy. Inability to comply with clinical follow-up. Participation in another interventional clinical trial that could confound outcome assessment.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kutahya Health Sciences University

OTHER

Sponsor Role lead

Pamukkale University

OTHER

Sponsor Role collaborator

Memorial Bahçelievler Hospital

OTHER

Sponsor Role collaborator

Bezmialem Vakif University

OTHER

Sponsor Role collaborator

Dicle University

OTHER

Sponsor Role collaborator

Ordu University

OTHER

Sponsor Role collaborator

Adana City Training and Research Hospital

OTHER

Sponsor Role collaborator

Marmara University

OTHER

Sponsor Role collaborator

Trakya University

OTHER

Sponsor Role collaborator

Kafkas University Health Research and Application Hospital

UNKNOWN

Sponsor Role collaborator

Selcuk University

OTHER

Sponsor Role collaborator

Istanbul University - Cerrahpasa

OTHER

Sponsor Role collaborator

Responsible Party

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Fatih Kahraman

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Pamukkale University

Denizli, , Turkey (Türkiye)

Site Status RECRUITING

Bahcelievler Memorial Hospital

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Bezmialem Vakıf Universitesi

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Goztepe Medicalpark Hastanesi

Istanbul, , Turkey (Türkiye)

Site Status RECRUITING

Kutahya City Hospital

Kütahya, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Fatih Kahraman, Associate Professor

Role: CONTACT

+905442764616

Facility Contacts

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Ismail D Kilic, Professor

Role: primary

+905326434948

Mehmet Kilinc, MD

Role: backup

5073505984

Omer Goktekin, Professor

Role: primary

5323252371

Hasim Tuner, MD

Role: backup

5456176667

Mahmut Uluganyan, Professor

Role: primary

5055853534

Adnan Kaya, Professor

Role: primary

5324009765

Fatih Kahraman, Associate Professor

Role: primary

5442764616

Other Identifiers

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DCB-DCS

Identifier Type: -

Identifier Source: org_study_id

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