The DECIDE Trial: Prospective, Multi-center, Randomized Study to Evaluate the CoStar Paclitaxel-Eluting Coronary Stent System Using a Direct Stenting Technique Compared to Conventional Stenting With Pre-dilatation Strategy
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Coronary Artery Disease
- Sponsor
- Conor Medsystems
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- Adjudicated MACE at 30 days
- Status
- Terminated
- Last Updated
- 16 years ago
Overview
Brief Summary
The primary objective of this study is to evaluate the safety and effectiveness of a direct stenting technique compared to conventional stenting with pre-dilatation strategy using the CoStar Paclitaxel-eluting coronary stent system for the treatment of a single de novo lesion in a native coronary artery ≤ 25 mm long in a native coronary artery 2.5-3.5 mm diameter.
Detailed Description
Prospective, multi-center, randomized (1:1), open-label study to evaluate direct stenting compared to conventional stenting with pre-dilatation strategy in treatment of a single de novo Lesion of a single native coronary artery in patients undergoing elective percutaneous coronary intervention.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Eligible for percutaneous coronary intervention
- •Documented stable or unstable angina pectoris or with documented ischemia, or with documented silent ischemia
- •Left ventricular ejection fraction (LVEF) ≥25% documented within the last 6 weeks
- •Acceptable candidate for coronary artery bypass graft surgery
- •Single target vessel / single target lesion to be treated
- •Target lesion may be composed of multiple lesions but must be completely coverable by one (1) study stent
- •Cumulative target lesion length per vessel is ≤ 25 mm
- •RVD of 2.5-3.5 mm
- •Target lesion diameter stenosis ≥ 50% and \< 100%
- •Target vessel has not undergone prior revascularization within the preceding 6 months
Exclusion Criteria
- •Known sensitivity to cobalt chromium, Paclitaxel or PLGA
- •Acute MI within 72 hours prior to the index procedure as defined by the presence of a new pathologic Q-wave, or a creatine kinase (CK) level of \> 2x the laboratory upper limits of normal and elevated MB
- •The patient is in cardiogenic shock
- •Cerebrovascular Accident (CVA) within the past 6 months
- •Acute or chronic renal dysfunction (creatinine \> 2.0 mg/dL or \> 150 µmol/L)/
- •Contraindication to ASA or to Clopidogrel
- •Thrombocytopenia (platelet count \<100,000/mm3)
- •Active gastrointestinal (GI) bleeding within the past three months
- •Any prior true anaphylactic reaction to contrast agents
- •Patient is currently taking Colchicine
Outcomes
Primary Outcomes
Adjudicated MACE at 30 days
Time Frame: 30 days
Secondary Outcomes
- Primary & second. device success, Lesion and Procedure success, Adjudicated MACE 8, 9, 12, 24 mos post-proc; Binary restenosis, MLD, Clin. driven TLR 8 mos post-proc; Clinic. driven TVR 8 mos post-proc; Overall TVR/TLR 8 mos post-proc; Stent thrombosis(8, 9, 12, 24 mos post-proc)