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The Medtronic RESOLUTE Clinical Trial

Primary Purpose

Coronary Artery Disease

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
Coronary Artery Stenting
Sponsored by
Medtronic Vascular
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease focused on measuring Coronary Disease

Eligibility Criteria

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

Inclusion Criteria: Patient is at least 18 years old Patient is an acceptable candidate for percutaneous coronary intervention and emergent coronary artery bypass graft surgery Patient has clinical evidence of ischemic heart disease or a positive functional study Female patients of childbearing potential must have a negative pregnancy test within 7 days before the trial procedure Patient or patient's legal representative has been informed of the nature of the trial and agrees to its provisions and has provided written informed consent as approved by Human Research Ethics Committee of the respective investigational site Patient agrees to comply with specified follow-up evaluations and to return to the same investigational site where the procedure was performed. Patients participating in the PK sub-study must agree to the additional follow-up procedures as required by the sub-study Exclusion Criteria: Known hypersensitivity or contraindication to aspirin, heparin or bivalirudin, clopidogrel or ticlopidine, cobalt, nickel, chromium, molybdenum, polymer coating components or a sensitivity to contrast media, which cannot be adequately pre-medicated History of an allergic reaction or significant sensitivity to drugs such as ABT-578, rapamycin, tacrolimus, everolimus, or any other analogue or derivative Platelet count < 100,000 cells/mm³ or > 700,000 cells/mm³, or a white blood cell (WBC) count < 3,000 cells/mm³ Serum creatinine level > 170 micromol/L within 7 days prior to index procedure Evidence of an acute myocardial infarction within 72 hours of the intended trial procedure (defined as: Q wave myocardial infarction or non-Q wave myocardial infarction having CK enzymes > 2X the laboratory upper limit of normal with the presence of an elevated CK-MB (any amount above the laboratory upper limit of normal)) Previous stenting anywhere in the target vessel PCI of the target vessel within 30 days prior to the procedure Implantation of a drug eluting stent in any non-target vessel within 30 days prior to the procedure. Implantation of a Cypher stent in any non-target vessel within 90 days prior to the procedure PCI of a non-target vessel with a bare metal stent within 30 days prior to the procedure that results in any MACE event. If the bare metal stent is implanted within 72 hours prior to the procedure, a post procedural serial CK or CK-MB measurement above the investigational site's upper limit of normal (two below upper normal required for enrollment) PCI of a non-target vessel within 24 hours prior to the procedure Planned PCI of any vessel within 30 days post-procedure. Planned stenting of any vessel with a Cypher or Endeavor stent within 60 days post-procedure Planned PCI of the target vessel within 9 months post-procedure During the index procedure, the target lesion requires treatment with a device other than PTCA prior to stent placement History of a stroke or transient ischemic attack within the prior 6 months Active peptic ulcer or upper gastrointestinal bleeding within the prior 6 months History of bleeding diathesis or coagulopathy or will refuse blood transfusions Concurrent medical condition with a life expectancy of less than 12 months Any previous or planned treatment of the target vessel with anti-restenotic therapies including, but not limited to brachytherapy Currently participating in an investigational drug or another device trial that has not completed the primary endpoint or that clinically interferes with the current trial endpoints; or requires coronary angiography, IVUS or other coronary artery imaging procedures Documented left ventricular ejection fraction < 30% at the most recent evaluation

Sites / Locations

  • Monash Medical Centre

Outcomes

Primary Outcome Measures

Late lumen loss (in-stent) as measured by quantitative coronary angiography (QCA)

Secondary Outcome Measures

Major adverse cardiac event (MACE) rate
Acute success (device, lesion, and procedure)
Target vessel failure (TVF)
Target lesion revascularization (TLR)
Neointimal hyperplastic volume and percent volume obstruction (%VO) as measured by intravascular ultrasound (IVUS)
Pharmacokinetic parameters
Angiographic parameters (in-stent and in-segment)

Full Information

First Posted
November 1, 2005
Last Updated
October 18, 2011
Sponsor
Medtronic Vascular
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1. Study Identification

Unique Protocol Identification Number
NCT00248079
Brief Title
The Medtronic RESOLUTE Clinical Trial
Official Title
The Clinical Response Evaluation of the Medtronic Endeavor CR ABT-578 Eluting Coronary Stent System in De Novo Native Coronary Artery Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
October 2011
Overall Recruitment Status
Completed
Study Start Date
November 2005 (undefined)
Primary Completion Date
June 2007 (Actual)
Study Completion Date
October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medtronic Vascular

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To evaluate the clinical safety, efficacy, and pharmacokinetics (PK) of the Endeavor Resolute Zotorolimus Eluting Coronary Stent System for the treatment of single de novo lesions in native coronary arteries with a reference vessel diameter (RVD) between 2.5 and 3.5 mm in diameter.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
Keywords
Coronary Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
139 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Device
Intervention Name(s)
Coronary Artery Stenting
Intervention Description
Initial implant of drug eluting stent (zotarolimus)
Primary Outcome Measure Information:
Title
Late lumen loss (in-stent) as measured by quantitative coronary angiography (QCA)
Time Frame
9 months
Secondary Outcome Measure Information:
Title
Major adverse cardiac event (MACE) rate
Time Frame
30 days, 4, 6, 9 & 12 months
Title
Acute success (device, lesion, and procedure)
Time Frame
4 or 9 Months
Title
Target vessel failure (TVF)
Time Frame
9 months
Title
Target lesion revascularization (TLR)
Time Frame
9 months
Title
Neointimal hyperplastic volume and percent volume obstruction (%VO) as measured by intravascular ultrasound (IVUS)
Time Frame
4 or 9 months
Title
Pharmacokinetic parameters
Time Frame
last measurement at 60 days
Title
Angiographic parameters (in-stent and in-segment)
Time Frame
4 or 9 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is at least 18 years old Patient is an acceptable candidate for percutaneous coronary intervention and emergent coronary artery bypass graft surgery Patient has clinical evidence of ischemic heart disease or a positive functional study Female patients of childbearing potential must have a negative pregnancy test within 7 days before the trial procedure Patient or patient's legal representative has been informed of the nature of the trial and agrees to its provisions and has provided written informed consent as approved by Human Research Ethics Committee of the respective investigational site Patient agrees to comply with specified follow-up evaluations and to return to the same investigational site where the procedure was performed. Patients participating in the PK sub-study must agree to the additional follow-up procedures as required by the sub-study Exclusion Criteria: Known hypersensitivity or contraindication to aspirin, heparin or bivalirudin, clopidogrel or ticlopidine, cobalt, nickel, chromium, molybdenum, polymer coating components or a sensitivity to contrast media, which cannot be adequately pre-medicated History of an allergic reaction or significant sensitivity to drugs such as ABT-578, rapamycin, tacrolimus, everolimus, or any other analogue or derivative Platelet count < 100,000 cells/mm³ or > 700,000 cells/mm³, or a white blood cell (WBC) count < 3,000 cells/mm³ Serum creatinine level > 170 micromol/L within 7 days prior to index procedure Evidence of an acute myocardial infarction within 72 hours of the intended trial procedure (defined as: Q wave myocardial infarction or non-Q wave myocardial infarction having CK enzymes > 2X the laboratory upper limit of normal with the presence of an elevated CK-MB (any amount above the laboratory upper limit of normal)) Previous stenting anywhere in the target vessel PCI of the target vessel within 30 days prior to the procedure Implantation of a drug eluting stent in any non-target vessel within 30 days prior to the procedure. Implantation of a Cypher stent in any non-target vessel within 90 days prior to the procedure PCI of a non-target vessel with a bare metal stent within 30 days prior to the procedure that results in any MACE event. If the bare metal stent is implanted within 72 hours prior to the procedure, a post procedural serial CK or CK-MB measurement above the investigational site's upper limit of normal (two below upper normal required for enrollment) PCI of a non-target vessel within 24 hours prior to the procedure Planned PCI of any vessel within 30 days post-procedure. Planned stenting of any vessel with a Cypher or Endeavor stent within 60 days post-procedure Planned PCI of the target vessel within 9 months post-procedure During the index procedure, the target lesion requires treatment with a device other than PTCA prior to stent placement History of a stroke or transient ischemic attack within the prior 6 months Active peptic ulcer or upper gastrointestinal bleeding within the prior 6 months History of bleeding diathesis or coagulopathy or will refuse blood transfusions Concurrent medical condition with a life expectancy of less than 12 months Any previous or planned treatment of the target vessel with anti-restenotic therapies including, but not limited to brachytherapy Currently participating in an investigational drug or another device trial that has not completed the primary endpoint or that clinically interferes with the current trial endpoints; or requires coronary angiography, IVUS or other coronary artery imaging procedures Documented left ventricular ejection fraction < 30% at the most recent evaluation
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ian Meredith, Professor
Organizational Affiliation
Monash Medical Centre
Official's Role
Principal Investigator
Facility Information:
Facility Name
Monash Medical Centre
City
Melbourne
Country
Australia

12. IPD Sharing Statement

Citations:
PubMed Identifier
23523454
Citation
Silber S, Serruys PW, Leon MB, Meredith IT, Windecker S, Neumann FJ, Belardi J, Widimsky P, Massaro J, Novack V, Yeung AC, Saito S, Mauri L. Clinical outcome of patients with and without diabetes mellitus after percutaneous coronary intervention with the resolute zotarolimus-eluting stent: 2-year results from the prospectively pooled analysis of the international global RESOLUTE program. JACC Cardiovasc Interv. 2013 Apr;6(4):357-68. doi: 10.1016/j.jcin.2012.11.006. Epub 2013 Mar 20.
Results Reference
derived
PubMed Identifier
23468513
Citation
Farooq V, Vranckx P, Mauri L, Cutlip DE, Belardi J, Silber S, Widimsky P, Leon M, Windecker S, Meredith I, Negoita M, van Leeuwen F, Neumann FJ, Yeung AC, Garcia-Garcia HM, Serruys PW. Impact of overlapping newer generation drug-eluting stents on clinical and angiographic outcomes: pooled analysis of five trials from the international Global RESOLUTE Program. Heart. 2013 May;99(9):626-33. doi: 10.1136/heartjnl-2012-303368. Epub 2013 Mar 6.
Results Reference
derived
PubMed Identifier
21586691
Citation
Waseda K, Ako J, Yamasaki M, Koizumi T, Sakurai R, Hongo Y, Koo BK, Ormiston J, Worthley SG, Whitbourn RJ, Walters DL, Meredith IT, Fitzgerald PJ, Honda Y. Impact of polymer formulations on neointimal proliferation after zotarolimus-eluting stent with different polymers: insights from the RESOLUTE trial. Circ Cardiovasc Interv. 2011 Jun;4(3):248-55. doi: 10.1161/CIRCINTERVENTIONS.110.957548. Epub 2011 May 17.
Results Reference
derived
PubMed Identifier
20689221
Citation
Waseda K, Ako J, Yamasaki M, Koizumi T, Ormiston J, Worthley SG, Whitbourn RJ, Walters DL, Honda Y, Meredith IT, Fitzgerald PJ; RESOLUTE Trial Investigators. Short- and mid-term intravascular ultrasound analysis of the new zotarolimus-eluting stent with durable polymer - results from the RESOLUTE trial -. Circ J. 2010 Oct;74(10):2097-102. doi: 10.1253/circj.cj-10-0063. Epub 2010 Aug 3.
Results Reference
derived
PubMed Identifier
20142198
Citation
Remak E, Manson S, Hutton J, Brasseur P, Olivier E, Gershlick A. Cost-effectiveness of the Endeavor stent in de novo native coronary artery lesions updated with contemporary data. EuroIntervention. 2010 Feb;5(7):826-32. doi: 10.4244/eijv5i7a138.
Results Reference
derived
PubMed Identifier
19850258
Citation
Meredith IT, Worthley S, Whitbourn R, Walters DL, McClean D, Horrigan M, Popma JJ, Cutlip DE, DePaoli A, Negoita M, Fitzgerald PJ; RESOLUTE Investigators. Clinical and angiographic results with the next-generation resolute stent system: a prospective, multicenter, first-in-human trial. JACC Cardiovasc Interv. 2009 Oct;2(10):977-85. doi: 10.1016/j.jcin.2009.07.007.
Results Reference
derived

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The Medtronic RESOLUTE Clinical Trial

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