Noninferiority Trial Of Sirolimus With Ascorbic Acid Versus Everolimus in All-comers
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 2,034
- Locations
- 1
- Primary Endpoint
- The event rate of Target Lesion Failure
Study Overview
Brief Summary
The objective of this study is to demonstrate the primary hypothesis that, in patients with chronic and acute coronary syndromes requiring percutaneous coronary intervention (PCI), the novel sirolimus-ascorbic acid eluting stent (D+Storm Novonix) is non-inferior to the standard treatment, the everolimus-eluting stent (Synergy XD), with respect to the incidence of target lesion failure (TLF) at 1 year after treatment, where TLF is defined as a composite of cardiovascular death, target vessel myocardial infarction, and clinically driven target-lesion revascularization.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 19 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult men and women aged 19 years or older
- •Patients with chronic coronary syndrome (CCS) or acute coronary syndrome (ACS) who require percutaneous coronary intervention (PCI) (all-comers)
- •Patients who have voluntarily provided written informed consent to participate in the study
Exclusion Criteria
- •Cardiogenic shock within 48 hours prior to the procedure
- •Known hypersensitivity to sirolimus, everolimus, ascorbic acid, or stent components (e.g., cobalt-chromium alloy)
- •Patients unable to maintain dual antiplatelet therapy (DAPT), including aspirin and a P2Y12 inhibitor, for 1 year
- •Women who are pregnant, breastfeeding, or of childbearing potential who meet any of the following:
- •Have not confirmed a negative pregnancy test prior to enrollment
- •Do not agree to use, or are unlikely to maintain, an acceptable method of contraception during the study period
- •Clinically significant abnormalities identified during study visits, physical examination, laboratory tests, or electrocardiogram (ECG) that, in the investigator's judgment, may interfere with the safe completion of the study
- •Life expectancy of less than 1 year or presence of serious non-cardiac conditions that may affect compliance with the study protocol
- •Patients who are unwilling or unable to comply with the study protocol
Arms & Interventions
Sirolimus-Ascorbic Acid Eluting Stent
D+STORM NOVONIX stent
Intervention: Sirolimus-Ascorbic Acid Eluting Stent (Device)
Everolimus-Eluting Stent
SYNERGY XD
Intervention: Everolimus-Eluting Stent (Device)
Outcomes
Primary Outcomes
The event rate of Target Lesion Failure
Time Frame: 1 year
Target Lesion Failure is defined as a composite of cardiovascular death, target vessel myocardial infarction, and clinically driven target-lesion revascularization.
Secondary Outcomes
- The event rate of Device success(1 year)
- The event rate of Procedural success(1 year)
- The event rate of Death from any causes(1 year)
- The event rate of Any stroke(1 year)
- The event rate of Any myocardial infarction(1 year)
- The event rate of Any repeat revascularization(1 year)
- The event rate of Cardiovascular death(1 year)
- The event rate of Target vessel myocardial infarction(1 year)
- The event rate of Target vessel revascularization(1 year)
- The event rate of All-cause death(1 year)
- The event rate of Cardiac death(1 year)
- The event rate of Non-cardiac death(1 year)
- The event rate of All myocardial infarction including Q wave and Non-Q wave(1 year)
- The event rate of Non-target vessel myocardial infarction(1 year)
- The event rate of All revascularization(1 year)
- The event rate of All target lesion revascularization(1 year)
- The event rate of All target vessel revascularization(1 year)
- The event rate of Non-target vessel revascularization(1 year)
- The event rate of Ischemic stroke(1 year)
- The event rate of Hemorrhagic stroke(1 year)
Investigators
Jung-min Ahn
Professor in Department of Cardiology, Asan Medical Center
Asan Medical Center
