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临床试验/NCT04157153
NCT04157153进行中(未招募)不适用

BIOTRONIK - Safety and Clinical Performance of the - Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold System (DREAMS 3G) in the Treatment of Subjects With de Novo Lesions in Native Coronary Arteries

Biotronik AG14 个研究点 分布在 8 个国家目标入组 116 人开始时间: 2020年4月27日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
Biotronik AG
入组人数
116
试验地点
14
主要终点
In scaffold late lumen loss

研究概览

简要总结

A prospective, multi-center, first-in-man trial. Up to 115 subjects will be enrolled.

详细描述

Clinical follow-up visits will take place at 1, 6, and 12 months and annually thereafter until 60 months post procedure.

All subjects will undergo an angiographic follow-up at 6- and 12-month follow up.

IVUS, (including IVUS-VH documentation) and OCT will be performed for all subjects at 6-month and 12-month follow-up (if the safety of the subject allows it and as per the investigator's decision).

Vasomotion will be assessed angiographically with Acetylcholine followed by Nitroglycerine at 12 months follow up in a subgroup of subjects, upon the investigators discretion and if subject consents.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Subject is > 18 years and < 80 years of age
  • •Written subject informed consent available prior to PCI
  • •Subject eligible for PCI
  • •Subjects with a maximum of two single lesions in two separate coronary arteries which have to be de novo lesions and can be covered with 1 device each
  • •Reference vessel diameter between 2.5-4.2 mm by visual estimation, depending on the scaffold size used
  • •Target lesion length ≤ 28 mm by visual estimation, depending on the scaffold size used
  • •Target lesion stenosis by visual estimation > 50% - < 100% and TIMI flow ≥1 (assisted by e.g. QCA / IVUS /FFR).
  • •Subjects with stable or unstable angina pectoris or documented silent ischemia or hemodynamically stable NSTEMI patients without angiographic evidence of thrombus at target lesion
  • •Eligible for Dual Anti Platelet Therapy (DAPT)

排除标准

  • •Pregnant or breast-feeding females or females who intend to become pregnant during the time of the study
  • •Subject has clinical symptoms and/or electrocardiogram (ECG) changes consistent with acute ST elevation myocardial infarction (STEMI) within 72 hours prior to the index procedure.
  • •Left main coronary artery disease
  • •Three-vessels with coronary artery disease requiring treatment at time of procedure
  • •Planned interventional treatment of any non-target vessel within 12-month post-procedure
  • •Subjects on dialysis
  • •Planned intervention of the target vessel post index procedure
  • •Ostial target lesion (within 5.0 mm of vessel origin)
  • •Target lesion involves a side branch >2.0 mm in diameter
  • •Documented left ventricular ejection fraction (LVEF) ≤ 30% within the last 6 months
  • •Heavily calcified lesion
  • •Target lesion is located in or supplied by an arterial or venous bypass graft
  • •Target lesion requiring treatment with a device other than the non-compliant pre-dilatation balloon or scoring balloon prior to scaffold placement (including but not limited to rotational atherectomy, etc.)
  • •Unsuccessful pre-dilatation, defined as a residual stenosis rate more than 20%, estimated by any method and/or angiographic complications (e.g. distal embolization, side branch closure, extensive dissections)
  • •Known allergies to: Acetylsalicylic Acid (ASA), P2Y12 inhibitors, Heparin, Contrast medium, Sirolimus, or similar drugs; or the scaffold material
  • •Subject is receiving an oral or intravenous immuno-suppressive therapy (e.g., inhaled steroids are not excluded) or has a known life-limiting immunosuppressive or autoimmune disease (e.g., human immunodeficiency virus, systemic lupus erythematosus) diabetes mellitus is not excluded)
  • •A stenosis located proximal or distal to the target lesion that might require future revascularization or an impede run off detected during diagnostic angiography
  • •Life expectancy less than 1 year
  • •Planned surgery or dental surgical procedure within 6 months after index procedure unless DAPT will be maintained
  • •In the investigators opinion, subject will not be able to comply with the follow-up requirements
  • •Subject is currently participating in another study with an investigational device or an investigational drug and has not reached the primary endpoint yet

研究组 & 干预措施

Treatment

Experimental

All subjects will be implanted with the Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold System (DREAMS 3G) and followed up until 60 months.

干预措施: Implantation of a Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold (Device)

结局指标

主要结局

In scaffold late lumen loss

时间窗: At 6 months after index procedure

Independent Core Lab Assessment

次要结局

未报告次要终点

研究者

发起方
Biotronik AG
申办方类型
Industry
责任方
Sponsor

研究点 (14)

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