search
Back to results

Intra-Individual Comparison of Sirolimus and Paclitaxel Coated Stent (FRE-RACE Study)

Primary Purpose

Coronary Artery Disease

Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Paclitaxel-eluting TAXUS(TM)
Sirolimus eluting Cypher Select(TM)
Sponsored by
University Hospital Freiburg
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease focused on measuring coronary artery disease, coronary intervention, drug eluting stent implantation, Cypher - Stent, Sirolimus, Taxus - Stent, Paclitaxel

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: The patient must be >=18 and <=85 years of age Female of childbearing potential must have a negative pregnancy test at the time of enrolment and utilize reliable birth control for the duration of their participation in the trial Diagnosis of angina pectoris as defined by Canadian Cardiovascular Society Classification (CCS I, II, III, IV) OR unstable angina pectoris (Braunwald Classification B&C, I-II-III) and documented ischemia OR patients with documented silent ischemia Two or more de novo lesions < 30 mm in length (visual estimate) Target vessel at lesion site is ≥ 2.25 mm and ≤ 3.0 mm in diameter (visual estimate) Target lesion is located in a native coronary artery which can be covered by one stent (single lesion) Acceptable candidate for coronary artery bypass surgery (CABG) Target lesion stenosis is > 50% and < 100% (thrombolysis in myocardial infarction [TIMI] 1) (visual estimate) Target lesions do not differ in length for more than 6 mm Patient is willing to comply with the specified follow-up evaluation Patient must provide written informed consent prior to the procedure using a form that is approved by the local Ethics Committee Exclusion Criteria: Q-wave or non-Q-wave myocardial infarction within the preceding 72 hours unless the CK and CK-MB enzymes are back to normal Unprotected left main coronary disease with >= 50% stenosis Impaired runoff in the treatment vessel with diffuse distal disease Ostial target lesion Angiographic evidence of thrombus within target lesion Calcified lesions which cannot be successfully predilated Ejection fraction <= 30% Totally occluded vessel (TIMI 0 level) Impaired renal function (creatinine > 3.0 mg/dl) Pretreatment with devices other than balloon angioplasty Target lesion has excessive tortuosity unsuitable for stent delivery and deployment Target lesion involves bifurcation including a side branch >= 2.5 mm in diameter (either stenosis of both main vessel and major branch or stenosis of just major branch) that would require side branch stenting which is likely to occur if side branch is diseased and intended to be stented Prior stent within 5 mm of target lesion this includes in-stent restenosis Significant (> 50%) untreated stenoses proximal or distal to the target lesion that will not be treated during the procedure and may require revascularization or impede runoff Intervention of another lesion has occurred within one month before or is planned or highly probable to be performed within the next 30 days after this index procedure Recipient of heart transplant Patient with a life expectancy less than 12 months Known allergies to aspirin, clopidogrel bisulfate (Plavix®), ticlopidine (Ticlid®), heparin stainless steel, contrast agent, Paclitaxel or Sirolimus Any significant medical condition which in the investigator's opinion may interfere with the patient's optimal participation in the study Target lesion located in an arterial or venous by-pass graft Currently participating in an investigational drug or another device study Unstable angina pectoris Braunwald Classification A I-II-III or is having a peri-infarction

Sites / Locations

  • Albert-Ludwig University Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

1

2

Arm Description

Cypher Stent

Taxus Stent

Outcomes

Primary Outcome Measures

The primary endpoint is angiographic in-stent late loss at 8-months follow-up as determined by quantitative coronary angiography

Secondary Outcome Measures

Target lesion and vessel revascularization (TLR, TVR)
Major adverse cardiac events (MACE) at 30 days, 8 and 12 months

Full Information

First Posted
August 11, 2005
Last Updated
May 14, 2009
Sponsor
University Hospital Freiburg
Collaborators
Cordis Medizinische Apparate GmbH
search

1. Study Identification

Unique Protocol Identification Number
NCT00130546
Brief Title
Intra-Individual Comparison of Sirolimus and Paclitaxel Coated Stent (FRE-RACE Study)
Official Title
A Prospective, Randomized Intra-Individual Study With the Sirolimus Coated Cypher Select(TM) and the Paclitaxel(TM) Coated Express Balloon Expandable Stents for the Treatment of Patients With Two de Novo Native Coronary Artery Lesions.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2009
Overall Recruitment Status
Completed
Study Start Date
November 2004 (undefined)
Primary Completion Date
July 2008 (Actual)
Study Completion Date
July 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
University Hospital Freiburg
Collaborators
Cordis Medizinische Apparate GmbH

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The main objective of this study is to assess the safety and effectiveness of the Sirolimus eluting Cypher Select(TM) stent in reducing angiographic in-stent late loss in de novo native coronary lesions as compared to the TAXUS(TM) Paclitaxel-eluting stent in patients presenting with two or more coronary artery stenoses (prospective, randomized, intra-individual comparison).
Detailed Description
This is a prospective, 2 arm, randomized, multicenter Phase III study (6 centers). A total of 110 patients with at least two de novo native coronary artery lesions (lesion A, lesion B) ≤ 30 mm in length and ≥ 2.25 mm to < 3.0 mm in diameter by visual estimate will be enrolled. Patients will be randomized for implantation of the sirolimus eluting Cypher Select(TM) Balloon-Expandable Stent or to the TAXUS(TM) Paclitaxel-eluting stent for lesion A and B.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
Keywords
coronary artery disease, coronary intervention, drug eluting stent implantation, Cypher - Stent, Sirolimus, Taxus - Stent, Paclitaxel

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
Participant
Allocation
Randomized
Enrollment
112 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Description
Cypher Stent
Arm Title
2
Arm Type
Active Comparator
Arm Description
Taxus Stent
Intervention Type
Device
Intervention Name(s)
Paclitaxel-eluting TAXUS(TM)
Intervention Description
TAXUS(TM) Paclitaxel-eluting stent
Intervention Type
Device
Intervention Name(s)
Sirolimus eluting Cypher Select(TM)
Intervention Description
Sirolimus eluting Cypher Select(TM) stent
Primary Outcome Measure Information:
Title
The primary endpoint is angiographic in-stent late loss at 8-months follow-up as determined by quantitative coronary angiography
Time Frame
8 months
Secondary Outcome Measure Information:
Title
Target lesion and vessel revascularization (TLR, TVR)
Time Frame
12 months
Title
Major adverse cardiac events (MACE) at 30 days, 8 and 12 months
Time Frame
30 days, 8 and 12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient must be >=18 and <=85 years of age Female of childbearing potential must have a negative pregnancy test at the time of enrolment and utilize reliable birth control for the duration of their participation in the trial Diagnosis of angina pectoris as defined by Canadian Cardiovascular Society Classification (CCS I, II, III, IV) OR unstable angina pectoris (Braunwald Classification B&C, I-II-III) and documented ischemia OR patients with documented silent ischemia Two or more de novo lesions < 30 mm in length (visual estimate) Target vessel at lesion site is ≥ 2.25 mm and ≤ 3.0 mm in diameter (visual estimate) Target lesion is located in a native coronary artery which can be covered by one stent (single lesion) Acceptable candidate for coronary artery bypass surgery (CABG) Target lesion stenosis is > 50% and < 100% (thrombolysis in myocardial infarction [TIMI] 1) (visual estimate) Target lesions do not differ in length for more than 6 mm Patient is willing to comply with the specified follow-up evaluation Patient must provide written informed consent prior to the procedure using a form that is approved by the local Ethics Committee Exclusion Criteria: Q-wave or non-Q-wave myocardial infarction within the preceding 72 hours unless the CK and CK-MB enzymes are back to normal Unprotected left main coronary disease with >= 50% stenosis Impaired runoff in the treatment vessel with diffuse distal disease Ostial target lesion Angiographic evidence of thrombus within target lesion Calcified lesions which cannot be successfully predilated Ejection fraction <= 30% Totally occluded vessel (TIMI 0 level) Impaired renal function (creatinine > 3.0 mg/dl) Pretreatment with devices other than balloon angioplasty Target lesion has excessive tortuosity unsuitable for stent delivery and deployment Target lesion involves bifurcation including a side branch >= 2.5 mm in diameter (either stenosis of both main vessel and major branch or stenosis of just major branch) that would require side branch stenting which is likely to occur if side branch is diseased and intended to be stented Prior stent within 5 mm of target lesion this includes in-stent restenosis Significant (> 50%) untreated stenoses proximal or distal to the target lesion that will not be treated during the procedure and may require revascularization or impede runoff Intervention of another lesion has occurred within one month before or is planned or highly probable to be performed within the next 30 days after this index procedure Recipient of heart transplant Patient with a life expectancy less than 12 months Known allergies to aspirin, clopidogrel bisulfate (Plavix®), ticlopidine (Ticlid®), heparin stainless steel, contrast agent, Paclitaxel or Sirolimus Any significant medical condition which in the investigator's opinion may interfere with the patient's optimal participation in the study Target lesion located in an arterial or venous by-pass graft Currently participating in an investigational drug or another device study Unstable angina pectoris Braunwald Classification A I-II-III or is having a peri-infarction
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Manfred Zehender, MD PhD
Organizational Affiliation
University Clinic Freiburg
Official's Role
Principal Investigator
Facility Information:
Facility Name
Albert-Ludwig University Clinic
City
Freiburg
State/Province
Baden-Württemberg
ZIP/Postal Code
79116
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

Intra-Individual Comparison of Sirolimus and Paclitaxel Coated Stent (FRE-RACE Study)

We'll reach out to this number within 24 hrs