NCT05540223进行中（未招募）不适用
BIOTRONIK - Safety and Clinical Performance of the Drug Eluting Resorbable Coronary Magnesium Scaffold System (Freesolve®) in the Treatment of Subjects With de Novo Lesions in Native Coronary Arteries: BIOMAG-II: A Randomized Controlled Trial
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- Biotronik AG
- 入组人数
- 1,861
- 试验地点
- 2
- 主要终点
- Percentage of Participants With Target Lesion Failure (TLF) at 12 Months Post-Index Procedure
研究概览
简要总结
The objective of this study is to assess the safety and efficacy of the Freesolve in the treatment of subjects with up to two de novo lesions in native coronary arteries compared to a contemporary drug eluting stent (DES).
详细描述
The Biotronik BIOMAG-II clinical trial is a prospective, international, multi-center, randomized controlled, non-inferiority trial to compare the BIOTRONIK Sirolimus Eluting Resorbable Magnesium Scaffold System (Freesolve RMS) with the Xience Everolimus Eluting Stent System (Xience DES) with respect to Target Lesion Failure (TLF) rate at 12 months. A total of 1859 subjects will be enrolled at approximately 100 study sites Europe and APAC. Subjects will be randomized in a 2:1 ratio to Freesolve or Xience.
Clinical follow-up visits will take place at 1, 6, 12 and at 2-, 3-, 4- and 5-years post procedure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinical Inclusion Criteria:
- •Subject is ≥ 18 years and ≤ 80 years of age
- •Subject has provided written informed consent as approved by the Independent Ethical Committee (IEC) or Institutional Review Board (IRB) of the respective clinical site prior to the study related procedures
- •Subject is eligible for PCI according to the applicable guidelines
- •Subject is an acceptable candidate for coronary artery bypass surgery
- •Subjects with stable or unstable angina pectoris, documented silent ischemia/abnormal physiologic testing or hemodynamically stable non-ST elevation myocardial infarction (NSTEMI) patients without angiographic evidence of thrombus at target lesion
- •Note: STEMI patients may be eligible for the study for treatment of selected non-culprit lesions, if:
- •Subject and target lesion(s) meet all inclusion and no
排除标准
- •and consent occurs at least ≥ 72 hours after successful treatment of the culprit lesion(s) [lesion(s) causing the acute STEMI];
- •Subject is hemodynamically stable with documented declining cardiac biomarkers;
- •Target lesion(s) to be treated are not located in the culprit vessel(s) and are not culprit lesion(s)
- •Subject is eligible for Dual Antiplatelet Therapy (DAPT) with aspirin plus either clopidogrel, prasugrel, ticagrelor or ticlopidine
- •Documented left ventricular ejection fraction (LVEF) ≥ 30% within 6 months prior to or during the procedure (prior to randomization)
- •Subject is willing and able to comply with protocol requirements, including completion of study visits for the duration of the study
- •Angiographic Inclusion Criteria:
- •Subjects with a maximum of two single de novo target lesions each in separate native coronary arteries
- •Target vessel must have a reference diameter between 2.5-4.2 mm by visual estimation, which may be assisted by Quantitative Coronary Angiography (QCA) / Intravascular Ultrasound (IVUS) / Optical Coherence Tomography (OCT)
- •Target lesion must be ≤28mm in length by operator visual estimation, which may be assissted by QCA / IVUS / OCT, (or < 20 mm for target lesion(s) to be treated with a study device < 3.0 mm in diameter) and should be amenable to treatment with a single study device
- •Target lesion stenosis ≥ 50% and < 100% by operator visual estimation, which may be assisted by QCA / IVUS / OCT. Target lesion stenosis < 70% by visual estimation, should have clinical justification for treatment as per local standards.
- •Target lesion must have a Thrombolysis In Myocardial Infarction (TIMI) flow ≥1
- •Clinical Exclusion Criteria:
- •Subject is pregnant and/or breastfeeding or intends to become pregnant during the duration of the study
- •Subject has clinical symptoms and/or electrocardiogram (ECG) changes consistent with STEMI < 72 hours prior to the index procedure.
- •Note: Hemodynamically stable non-STEMI (NSTEMI) subjects are eligible for study enrollment.
- •Subject has undergone prior PCI within the target vessel during the last 12 months prior to the index procedure or prior PCI within a non-target vessel <72 hours prior to the index procedure if successful and uncomplicated
- •Subject is on dialysis or with impaired renal function (serum creatinine > 2.5 mg/dL or 221 µmol/L, determined within 72 hours prior to the index procedure)
- •Subject has a known allergy to contrast medium that cannot be adequately premedicated, or any known allergy to aspirin, P2Y12 inhibitors, both heparin and bivalirudin, sirolimus, everolimus (or similar limus drugs), poly L-lactide, the scaffold material (magnesium, aluminium, tantalum), or Xience stent material (cobalt, chromium, tungsten, nickel, -methacrylic polymer, and fluoropolymer)
- •Subject is receiving oral or intravenous immunosuppressive therapy (inhaled steroids are permitted) or has known life-limiting immunosuppressive or autoimmune disease (e.g., human immunodeficiency virus, systemic lupus erythematosus; diabetes mellitus is permitted)
- •Life expectancy less than 1 year
- •Planned surgery or dental surgical procedure within 6 months after index procedure, unless DAPT can be maintained
- •In the investigator's opinion subject will not be able to comply with the follow-up requirements
- •Subjects under oral anticoagulation therapy (OAC) prior to index procedure unless DAPT + OAC (i.e. triple therapy) can be maintained for a minimum of 1 month
- •Subject has had a stroke or transient ischemic attack (TIA) within 6 months prior to the index procedure
- •Subject with active bleeding disorder, active coagulopathy, or any other reason, who is ineligible for DAPT
- •Subject is currently participating or plans to participate in another study with an investigational device or an investigational drug
- •Angiographic Exclusion Criteria:
- •Target vessel has been previously treated and the target lesion is within 5 mm proximal or distal to the previously treated lesion
- •Left main coronary artery disease
- •Target lesion was totally occluded (100% stenosis)
- •Thrombus in target vessel
- •Future planned staged PCI either in target or non-target vessel
- •Ostial target lesion within the left descending (LAD), left circumflex (LCx), or right coronary artery (within 5.0 mm of vessel origin)
- •Target lesion involves a side branch ≥ 2.0 mm in diameter that requires a two-device strategy after pre-dilatation
- •Target lesion is located in or supplied by an arterial or venous bypass graft
- •Target lesion with excessive tortuosity proximal to or within the lesion based on visual estimation or heavily calcified target lesion which cannot be adequately pre-dilated by a non-compliant and/or cutting/scoring balloon as described in angiographic exclusion criteria
- •The target lesion requires treatment with the device other than the non-compliant balloon and/or cutting/scoring balloon prior to scaffold/stent placement (including but not limited to atherectomy devices, intravascular lithotripsy, drug-coated balloons etc.)
- •Target vessel was treated with brachytherapy any time prior to the index procedure.
- •Unsuccessful pre-dilatation, defined as residual stenosis > 20% (by visual estimation) and / or angiographic complications (e.g. distal embolization, side branch closure, flow-limiting dissections)
研究组 & 干预措施
Freesolve RMS
Experimental
Intervention with a Freesolve Sirolimus Eluting Resorbable Coronary Magnesium Scaffold System
干预措施: Freesolve RMS (Device)
Xience DES
Active Comparator
Intervention with a Xience Everolimus Eluting Stent System
干预措施: Xience DES (Device)
结局指标
主要结局
Percentage of Participants With Target Lesion Failure (TLF) at 12 Months Post-Index Procedure
时间窗: 12 Months
The primary endpoint will be Target Lesion Failure (TLF) at 12 months. TLF is a composite of Cardiac Death, Target Vessel Q-wave or non-Q wave MI, or clinically driven Target Lesion Revascularization (TLR).
次要结局
未报告次要终点
研究者
研究点 (2)
Loading locations...
相似试验
已完成
不适用
BIOFLOW-INDIA Safety and Clinical PerFormance of the Drug Eluting ORSIRO Stent in Single de Novo Coronary Artery LesionsCoronary Artery DiseaseNCT01426139Biotronik AG120
已完成
不适用
BRight DCB First-in-Human StudyPeripheral Artery DiseaseNCT04525794Biotronik CRC Inc.48
已完成
不适用
BIOTRONIK Orsiro Pre-Marketing RegistrationCoronary Artery DiseaseNCT02870985Biotronik (Beijing) Medical Device Ltd.440
已完成
不适用
ProMRI 3T ENHANCED Master StudySafety of MR (Magnetic Resonance)-Conditional ICDsNCT02506569Biotronik SE & Co. KG129
已完成
不适用
A study of safety and efficacy of three-dimensional prostate biopsy method for patients with suspected prostate cancersuspected prostate cancerJPRN-UMIN000015331Department of Urology, Keio University School of Medicine200