A Prospective Global Randomized Trial Assessing the Safety and Efficacy of the BuMA Supreme™ Biodegradable Drug Coated Coronary Stent System for Coronary Revascularization in Patients With Stable Coronary Artery Disease or Non-ST Segment Elevation Acute Coronary Syndromes
概览
- 阶段
- 不适用
- 干预措施
- BuMA Supreme DES
- 疾病 / 适应症
- Coronary Artery Disease
- 发起方
- Sino Medical Sciences Technology Inc.
- 入组人数
- 1629
- 试验地点
- 58
- 主要终点
- Percentage of Participants With Target Lesion Failure (TLF) and Constituent Elements
- 状态
- 已完成
- 最后更新
- 3个月前
概览
简要总结
The primary objective of this trial is to compare the safety and efficacy of the SINOMED BuMA Supreme biodegradable coronary stent in patients with up to 3 coronary lesions to either the XIENCE or Promus durable polymer coronary stents.
This prospective, global, multi-center, randomized 2:1, single blind study will enroll up to 1632 subjects at up to 130 investigational sites in North America, Japan, and Europe. Subjects will have clinical follow-up in-hospital and at 30 days, 6 months, 12 months, and 2, 3, 4, and 5 years.
研究者
入排标准
入选标准
- •The patient is a male or non-pregnant female ≥20 years of age.
- •The patient has symptomatic ischemic heart disease, including chronic stable angina (and/or objective evidence of myocardial ischemia on functional study or invasive fractional flow reserve \[FFR\] measurement) or acute coronary syndromes (UA or NSTEMI), that requires elective or urgent percutaneous coronary intervention (PCI).
- •The patient is an acceptable candidate for percutaneous coronary intervention (PCI) with drug-eluting stents, and for emergent coronary bypass graft (CABG) surgery.
- •The patient is willing to comply with specified follow-up evaluations.
- •The patient or legally authorized representative has been informed of the nature of the study, agrees to its provisions, and has been provided written informed consent approved by the appropriate Institutional Review Board (IRB) or Ethics Committee (EC).
排除标准
- •Pregnant or nursing patients and those who plan pregnancy in the period up to 1 year following index procedure. Female patients of childbearing potential must have a negative pregnancy test done within 7 days prior to index procedure per site standard test.
- •Patients with a history of bleeding diathesis or coagulopathy, contraindications to anti-platelet and/or anticoagulant therapy, or who will refuse transfusion.
- •Patients who are receiving or will require chronic anticoagulation therapy for any reason.
- •Known hypersensitivity or contraindication to aspirin, heparin/bivalirudin, ADP receptor antagonists (clopidogrel, prasugrel, ticagrelor, ticlopidine), cobalt chromium, 316L stainless steel or platinum, sirolimus or its analogues, and/or contrast sensitivity that cannot be adequately pre-medicated.
- •ST-segment elevation myocardial infarction (STEMI) at index presentation or within 7 days prior to randomization.
- •Known LVEF \<30% or cardiogenic shock requiring pressors or mechanical circulatory assistance (e.g., intra-aortic balloon pump, left ventricular assist device, other temporary cardiac support blood pump).
- •Renal insufficiency, defined as estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m2 (by the Modification of Diet in Renal Disease equation or Cockcroft-Gault formula) or dialysis at the time of screening.
- •Target vessel percutaneous coronary intervention with stent placement in the previous 3 months.
- •Planned elective surgery that would require discontinuation of DAPT within 6 months of the index procedure.
- •Past or pending heart or any other organ transplant, or on the waiting list for any organ transplant.
研究组 & 干预措施
BuMA Supreme Coronary Stent System
干预措施: BuMA Supreme DES
Xience or Promus Everolimus Stent System
干预措施: Xience or Promus DES
结局指标
主要结局
Percentage of Participants With Target Lesion Failure (TLF) and Constituent Elements
时间窗: 12 months
TLF is defined as the composite of cardiac death, target vessel related myocardial infarction (TV-MI), and clinically-driven target lesion revascularization (TLR)
次要结局
- Number of Participants With Cardiac Death(Assessed at 30 days, 6 months, 12 months, and up to 5 years)
- Number of Participants With Major Adverse Cardiac Events (MACE)(Assessed at 30 days, 6 months, 12 months, and up to 5 years)
- Number of Participants With Myocardial Infarction (MI)(Assessed at 30 days, 6 months, 12 months, and up to 5 years)
- Number of Participants With Stent Thrombosis(Assessed at 30 days, 6 months, 12 months, and up to 5 years)
- Number of Participants With Bleeding Complications (BARC Definitions)(Assessed at 30 days, 6 months, 12 months, and up to 5 years)
- Lesion Success(Post-Procedure)
- Device Success(Post-Procedure)
- Procedure Success(Post procedure/Prior to Discharge, an average of 3 days)
- Clinically-driven Target Vessel Revascularization (TVR)(Assessed at 30 days, 6 months, 12 months, and up to 5 years)
- Target Vessel Failure (TVF)(Assessed at 30 days, 6 months, 12 months, and up to 5 years)