Study of the 4.0mm Sirolimus-Eluting Stent in the Treatment of Patients With Coronary Artery Lesions
Phase 3
Completed
- Conditions
- Coronary Artery Disease
- Registration Number
- NCT00232752
- Lead Sponsor
- Cordis Corporation
- Brief Summary
The main objective of this study is to assess the safety and effectiveness of the sirolimus-eluting Bx VELOCITYTM stent in reducing in-lesion late loss in patients with de novo native coronary artery lesions.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 100
Inclusion Criteria
- Male or non-pregnant female patients minimum 18 years of age
- Diagnosis of angina pectoris as defined by Canadian Cardiovascular Society Classification (CCS I, II, III, IV) OR unstable angina pectoris (Braunwald Classification B&C, I-II) OR patients with documented silent ischemia;
- Target lesions treatable with 4mm stent (visual estimate);
- Target lesion is 30mm in length (visual estimate);
- Target lesion stenosis is >50% and <100% (visual estimate);
Exclusion Criteria
- Patient has experienced a Q-wave or non-Q-wave myocardial infarction with documented total CK >2 times normal within the preceding 24 hours and the CK and CK-MB enzymes remains above normal at the time of treatment;
- Has unstable angina classified as Braunwald III B or C, or is having a peri infarction;
- Documented Left ventricular ejection fraction 25%;
- Impaired renal function (creatinine > 3.0 mg/dl) at the time of treatment;
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method The primary endpoint is in-lesion late loss at 6 months post-procedure by QCA. 6 months post-procedure
- Secondary Outcome Measures
Name Time Method Composite of Major Adverse Cardiac Events (MACE) defined as death, myocardial infarction (Q wave and non-Q wave), emergent bypass surgery, or repeat target lesion revascularization at 30 days and 6, 9, and 12 months, and 2, 3, 4 and 5 years post-proced 30 days and 6, 9, and 12 months, and 2, 3, 4 and 5 years post-procedure Angiographic in-stent and in-lesion binary restenosis (³50% diameter stenosis) 6 months post-procedure by QCA. 6 months post-procedure In-stent and in-lesion minimum lesion diameter (MLD) at 6 months post-procedure. 6 months post-procedure Target lesion revascularization (TLR) at 6 and 9 months post-procedure. 6 and 9 months post-procedure Target vessel revascularization (TVR) at 6 and 9 months post-procedure. 6 and 9 months post-procedure Target vessel failure (TVF) at 6 and 9 months post-procedure. 6 and 9 months post-procedure Stent lumen and stent obstruction volume by intravascular ultrasound (IVUS) at post-procedure and six months in a subset of approximately 50 patients at selected centers. post-procedure and six months in a subset of approximately 50 patients Device success defined as achievement of a final residual diameter stenosis of <50% (by QCA), using the assigned device only. If QCA is not available, the visual estimate of diameter stenosis is used. End of study Lesion success defined as the attainment of <50% residual stenosis (by QCA) using any percutaneous method. End of Study Procedure success defined as achievement of a final diameter stenosis of <50% (by QCA) using any percutaneous method, without the occurrence of death, MI, or repeat revascularization of the target lesion during the hospital stay. during the hospital stay
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What are the molecular mechanisms by which sirolimus inhibits neointimal hyperplasia in coronary artery disease?
How does the 4.0mm sirolimus-eluting stent compare to bare-metal stents in reducing in-lesion late loss for de novo coronary lesions?
Which biomarkers are associated with improved outcomes following sirolimus-eluting stent implantation in patients with coronary artery disease?
What are the known adverse events and management strategies for sirolimus-eluting stents in coronary artery disease patients?
What is the therapeutic landscape for drug-eluting stents in coronary artery disease, including competitor drugs and combination approaches?
Trial Locations
- Locations (1)
Brigham & Women's Hospital
🇺🇸Boston, Massachusetts, United States
Brigham & Women's Hospital🇺🇸Boston, Massachusetts, United States