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Comparison of Drug Eluting Balloon and Drug Eluting Stent

Phase 2
Completed
Conditions
Stable Angina
Unstable Angina
NSTEMI
Coronary Artery Disease
Interventions
Device: drug eluting stent (Zotarolimus-eluting stent)
Device: Drug eluting balloon + Bare metal stent
Registration Number
NCT01539603
Lead Sponsor
Seoul National University Bundang Hospital
Brief Summary

The purpose of this study is to evaluate the safety and efficacy of Drug-Eluting Balloon first and then bare metal stent compared with drug-eluting stent for treatment of de novo lesions (DEB first).

Detailed Description

A recent trial to test premount bare metal stent on drug-eluting balloon failed to demonstrate non-inferiority and safety compared to drug-eluting stent alone for treatment of coronary artery stenosis.

We think that inappropriate drug delivery to diseased vessel due to stent strut might affect the efficacy of drug-eluting balloon. Therefore, we design a clinical study with a different protocol, that is, drug-eluting balloon first and then bare metal stent implantation in comparison to drug-eluting stent.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
180
Inclusion Criteria
  • De novo lesion
  • 2.5mm =< Reference diameter =< 4mm
  • Lesion length =< 28mm
  • Type A, B1/B2 lesion
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Exclusion Criteria
  • ST-segment elevation MI
  • Reference diameter < 2.5mm or > 4mm
  • Bifurcation lesion
  • Type C lesion
  • history of AMI or stroke within 1 year F. chronic renal disease (Cr > 2mg/dL)
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Drug eluting stentdrug eluting stent (Zotarolimus-eluting stent)conventional PCI with drug eluting stent drug eluting stent (Zotarolimus-eluting stent)
DEB-BMSDrug eluting balloon + Bare metal stentDrug eluting balloon + Bare metal stent
Primary Outcome Measures
NameTimeMethod
in-segment late loss9 month

angiographic in-segment late loss measure by QCA program

Secondary Outcome Measures
NameTimeMethod
stent thrombosis9 month

any stent thrombosis

MACE9 month

death, MI and TVF

angiographic and procedure success9 month

Angiographic success denotes that residual diameter stenosis is less than 10% without complication such as coronarhy dissection or thrombosis.

Procedural success means that adequate DEB+BMS or DES delivery to the target lesion without geographic miss.

Trial Locations

Locations (1)

Seoul National Universtiy Bundang Hospital

🇰🇷

Seongnam, Korea, Republic of

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