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Clinical Trials/NCT03413813
NCT03413813
Completed
Not Applicable

Prospective Observational Registry of Patients With a Bioabsorbable Magnesium Stent Implant -MAGMARIS- in Usual Clinical Practice

Spanish Society of Cardiology31 sites in 1 country262 target enrollmentJuly 26, 2017

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Coronary Artery Disease
Sponsor
Spanish Society of Cardiology
Enrollment
262
Locations
31
Primary Endpoint
A combined rate (incidence of events) of:
Status
Completed
Last Updated
4 years ago

Overview

Brief Summary

The safety and efficacy of percutaneous coronary revascularization has been progressively increasing since its inception, and the problem of restenosis has been minimized.

The efficacy and safety data of the Magmaris stent are quite high, in selected cases.

The objective is to evaluate the efficacy and safety of the bioabsorbable stent MAGMARIS in the percutaneous treatment of severe coronary disease (in vessels between 2.7mm and 3.75 mm) in routine clinical practice in poorly selected populations.

Detailed Description

This is a multicentre, observational, prospective registry of patients without a control group designed to evaluate the efficacy and safety of the bioabsorbable coronary device, according to the indications for use, in routine clinical practice in a consecutive number of patients undergoing percutaneous coronary intervention (PCI) in de novo coronary arteries lesions in a native coronary artery. After the implantation of the device, a telephone or face-to-face follow-up will be carried out in the first month, at 12 months and at 24 months. A total of 445 patients are expected to be included in the registry. Patients, will be included consecutively in each center over a year. A selection period of 23 months or until the estimated sample size has been planned, with a follow-up of two years. Subsequently, it will take at least 3 months for data analysis, another 2 months for the final report and at least 3 more months for the publication of the results for publication. This implies that the total duration of the study will be 55 months counted from the inclusion of the first patient. The procedure will be carried out according to the usual practice of each center, paying special attention to the correct expansion of the scaffold, postdilating with non-compliant balloons when necessary. The collection of information from the study will be carried out on a data collection template in electronic format, which will include clinical, anatomical, procedural and follow-up data; in baseline circumstances, during hospitalization, after discharge and throughout follow-up at 1, 12, and 24 months. The source documents will be the patient's medical records collected at the center. The monitoring will be done monthly and online. Two face-to-face monitoring will be done to 20% of the patients, during the inclusion and follow-up phases. Afterwards, a face-to-face monitoring will be carried out for the closing visit. Descriptive and univariate statistics will be performed. The primary variable is the MACE rate at 12 months, composed of cardiac death, myocardial infarction and TLR induced by ischemia (primary objectives). The secondary variables will be combined indices of events both in the hospital phase, and after discharge in the follow-up at 1, 12 and 24 months. A final report will be prepared containing all the results of the study, in a period of 6 months once the same one finalized. The participating researchers and the Ethical Committees of the hospitals will be informed about this.

Registry
clinicaltrials.gov
Start Date
July 26, 2017
End Date
June 7, 2021
Last Updated
4 years ago
Study Type
Observational
Sex
All

Investigators

Sponsor
Spanish Society of Cardiology
Responsible Party
Principal Investigator
Principal Investigator

Andres Iñiguez Romo, MD

Head of cardiology

Spanish Society of Cardiology

Eligibility Criteria

Inclusion Criteria

  • BASIC CRITERIA:
  • Patients who agree to participate in the study, signing the informed consent form.
  • The implantation of the bioresorbable MAGMARIS coronary device used according to the indications for use in the center's routine clinical practice.
  • Patients of both sexes over 18 years of age.
  • The patient does not present any contraindication regarding the taking of dual therapy of antiplatelet therapy with aspirin indefinitely and with thienopyridines for at least the first 6 months.
  • CLINICAL CRITERIA:
  • Angor stable or anginal equivalent diagnosis of stable chronic ischemic heart disease.
  • Documented silent ischemia
  • Acute coronary syndrome (excluding AMI with ST-segment elevation \<24 hours)
  • Angina Equivalent

Exclusion Criteria

  • Cardiogenic shock
  • Acute Myocardial Infarction (first 24 hours).
  • Concurrent diseases with life expectancy of less than 1 year
  • Women of reproductive age who do not use contraception.
  • Women who are pregnant or breast-feeding.
  • Allergies: AAS, Thienopyridines, Magnesium.
  • ANATOMICS:
  • Main coronary artery lesion
  • Lesion in aorto-coronary graft of saphenous vein or mammary artery.
  • Intra-stent restenosis lesion.

Outcomes

Primary Outcomes

A combined rate (incidence of events) of:

Time Frame: 12 months

Revascularization of the treated lesion (TLR) induced by ischemia (incidence of events)

Secondary Outcomes

  • The rate of:(24 months)
  • The event rate will be calculated for:(24 months)

Study Sites (31)

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