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e-NOBORI Observational Registry of Nobori DES

Completed
Conditions
Coronary Artery Disease
Registration Number
NCT01261273
Lead Sponsor
Terumo Europe N.V.
Brief Summary

Title Prospective, single-arm, multi-centre, observational registry to further validate safety and efficacy of the Nobori® DES in real-world patients.

Objective Primary objective The primary objective of e-NOBORI registry is to further validate the safety and efficacy of Nobori® DES system in unselected patients representing everyday clinical practice.

Primary Endpoint: Freedom from Target Lesion Failure (TLF) defined as a composite of cardiac death, target vessel related myocardial infarction (MI) and clinically driven target lesion revascularization (TLR) at 1 year

Detailed Description

* Title Prospective, single-arm, multi-centre, observational registry to further validate safety and efficacy of the Nobori® DES in real-world patients.

* Primary objective The primary objective of e-NOBORI registry is to further validate the safety and efficacy of Nobori® DES system in unselected patients representing everyday clinical practice.

* Primary Endpoint: Freedom from Target Lesion Failure (TLF) defined as a composite of cardiac death, target vessel related myocardial infarction (MI) and clinically driven target lesion revascularization (TLR) at 1 year

* Clinical Site Locations:

Up to 200 centres across Europe, Asia and Central and South America

-Patient Population : \~18000 eligible patients suitable for treatment with the Nobori® DES will be entered in the e-NOBORI registry

Eligibility Criteria

* Patient is more or equal 18 years old;

* Patient is, according to hospital routine practice, eligible for percutaneous coronary intervention using DES (and RVD matches available Nobori® DES sizes);

* Patient has been informed of the nature of the study and agrees to its provisions, has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the respective clinical site, wherever such requirement exists.

NOTE: In order to avoid bias it is recommended that all investigators aim to enrol all consecutive patients complying with study eligibility criteria. It is also desirable to have at least two cardiologists as investigators in each centre.

According to pre-specified criteria, patients will be automatically allocated to one or more sub-studies as following:

* NOBORI Acute Coronary Syndrome

* NOBORI Stable angina

* NOBORI Female

* NOBORI Bifurcation

* NOBORI Diabetes

* Insulin Dependent Diabetes Mellitus (IDDM)

* Non-Insulin Dependent Diabetes Mellitus (NIDDM)

* NOBORI Small Vessels (less or equal 2.75mm)

* NOBORI Long Lesions (more or equal 20mm)

* NOBORI Renal Insufficiency (\> 2.0 mg/dL - 176 µmol/mL)

* NOBORI Elderly (more or equal 80 years of age)

* NOBORI Restenosis

* NOBORI Multivessel Treatment

* NOBORI Complex Lesions

In addition to above mentioned sub-studies there will be geographic sub-studies for the main areas.

Medication Pre-Procedure: According to hospital routine practice Post-Procedure: Mandatory antiplatelet treatment, according to hospital routine practice (minimum 6 months DAT)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
18000
Inclusion Criteria
  • Patient is more or equal 18 years old;
  • Patient is, according to hospital routine practice, eligible for percutaneous coronary intervention using DES (and RVD matches available Nobori® DES sizes);
  • Patient has been informed of the nature of the study and agrees to its provisions, has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the respective clinical site, wherever such requirement exists.
Exclusion Criteria
  • None

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
FREEDOM OF TARGET LESION FAILURE1 YEAR

TLF: COMPOSITE OF CARDIAC DEATH, MYOCARDIAL INFARCTION AND TARGET LESION REVASCULARIZATION

Secondary Outcome Measures
NameTimeMethod
Cardiac death/ Myocardial Infarction1 AND 2 YEARS

Cardiac death/ Myocardial Infarction

Clinically driven target vessel revascularization (TVR)1 AND 2 YEARS

PCI AND CABG

Clinically driven target lesion revascularization (TLR)1 & 2 YEARS

re-PCI or CABG involving target lesion

Peri-procedural myocardial infarction1 MONTH

Peri-procedural myocardial infarction

Acute/subacute stent thrombosis1 MONTH

(definite/probable according to ARC definitions)

Device success1 MONTH

Device Success defined as attainment of a final residual diameter stenosis of the target lesion of \< 30% by visual assessment and/or \< 50% by QCA, using the assigned device only.

Device Success defined as attainment of a final residual diameter stenosis of the target lesion of \< 30% by visual assessment and/or \< 50% by QCA, using the assigned device only.

Device success is defined as attainment of a final residual diameter stenosis of the target lesión of \<30% by visual assessment and/or \>50% QCA, using the assigned device only.

Major vascular and bleeding complications1 MONTH

NOT CABG RELATED

Stent thrombosis1 month, 1 and 2 years post-procedure

definite and probable according to ARC definitions

Clinically driven Target Lesion Revascularization1 MONTH

Clinically driven Target Lesion Revascularization

Procedural success1 MONTH

Procedural success is defined as achievement of a diameter of stenosis of \<30% by visual assessment and/or \<50% by QCA, using any percutaneous method, without the occurrence of death, MI, or repeat revascularization of the target lesión during the hospital stay.

Rate of Major Adverse Cardiac Events (MACE)1 MONTH

Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, MI or clinically driven target vessel revascularization (TVR)

Composite Endpoint of Cardiac death and MI1 MONTH, 1 AND 2 YEARS

Composite Endpoint of Cardiac death and MI

Primary Stent thrombosis1 month, 1 and 2 years post-procedure

definite and probable according to ARC definitions

Composite Endpoint of Cardiac death, post-procedural MI and stent thrombosis rate during the course of DAT versus the same events after cessation of DATUP TO 2 YEARS

Composite Endpoint of Cardiac death, post-procedural MI and stent thrombosis rate during the course of DAT versus the same events after cessation of DAT

Target Lesion Failure (TLF)1 MONTH AND 2 YEARS

Defined as a composite of cardiac death, target vessel related myocardial infarction (MI) and clinically driven target lesion revascularization

Patient Oriented Composite Endpoint defined as any cause of mortality, MI (Q-wave and non Q-wave), or any TVR1 MONTH, 1 AND 2 YEARS

Patient Oriented Composite Endpoint defined as any cause of mortality, MI (Q-wave and non Q-wave), or any TVR

Composite Endpoint of Cardiac death and post-procedural MI1 month, 1 and 2 years post-procedure

Composite Endpoint of Cardiac death and post-procedural MI

Duration of dual antiplatelet therapyUP TO 2 YEARS

Duration of dual antiplatelet therapy

Secondary Stent thrombosis1 month, 1 and 2 years post-procedure

definite and probable according to ARC definitions

Clinically driven Target Vessel Revascularization1 MONTH

Clinically driven Target Vessel Revascularization

Trial Locations

Locations (257)

SMZ-Donauspital Vienna

🇦🇹

Vienna, Austria

National Heart Foundation Hospital & Research Institute

🇧🇩

Dhaka, Bangladesh

Republican Clinical Medical Center (Presidential Hospital)

🇧🇾

Minsk, Belarus

Republican Scientific and Practical Center of Cardiology

🇧🇾

Minsk, Belarus

Mogilev Regional Clinical Hospital

🇧🇾

Mogilev, Belarus

Hospital Madre Teresa

🇧🇷

Belo Horizonte, Brazil

Hospital Santa Isabel-Sociedade Divina Providência

🇧🇷

Blumenau, Brazil

HMCP PUC-Campinas

🇧🇷

Campinas, Brazil

Hospital E Maternidade Madre Teodora

🇧🇷

Campinas, Brazil

Hospital Vera Cruz Campinas

🇧🇷

Campinas, Brazil

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SMZ-Donauspital Vienna
🇦🇹Vienna, Austria
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