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SERIES III RUN-IN Clinical Trial: A Comparison of the Supralimus® Stent With the Xience V™ Stent

Primary Purpose

Coronary Artery Disease

Status
Terminated
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Supralimus(R) Sirolimus-Eluting Coronary Stent System
Xience V™ Everolimus Eluting Coronary Stent
Sponsored by
Sahajanand Medical Technologies Limited
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, restenosis, stent thrombosis, coronary stents, angioplasty, drug eluting stents

Eligibility Criteria

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

Inclusion criteria:

  1. Age ≥18 years.
  2. Eligible for percutaneous coronary intervention (PCI)
  3. Acceptable candidate for CABG
  4. Clinical evidence of ischemic heart disease and/or a positive territorial functional study. Documented stable angina pectoris ((Canadian Cardiovascular Society (CCS) Classification 1, 2, 3 or 4) or unstable angina pectoris with documented ischemia (Braunwald Class IB-C, IIB-C or IIIB-C), or documented silent ischemia.
  5. The target lesion is a single de novo coronary artery lesion with ≥ 50% and < 100% stenosis in one of the major epicardial territories (LAD, LCX or RCA). A second target lesion in another major epicardial vessel could be treated and this second lesion should fit with the inclusion/exclusion criteria and will receive the same type of stent.
  6. The target lesion must be covered by one study stent, preferably with a margin of 3 mm on each side of the lesion.
  7. The target lesion must be ≤ 22 mm in length by visual estimate.
  8. The target reference vessel diameter must be ≥ 2.5 mm and ≤ 3.5 mm.
  9. Patient or patient's legal representative has been informed of the nature of the study and agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the clinical site.

Exclusion Criteria:

  1. Female of childbearing potential
  2. Documented left ventricular ejection fraction (LVEF) ≤ 30%
  3. Evidence of an acute Q-wave or non-Q-wave myocardial infarction within 72 hours preceding the index procedure
  4. Known allergies to the following: aspirin, clopidogrel bisulfate (Plavix®, Ceruvin) or ticlopidine (Ticlid®), heparin, sirolimus, everolimus, stainless steel, cobalt, chromium, contrast agent (that cannot be adequately pre-medicated)
  5. A platelet count <100,000 cells/mm3 or >700,000 cells/mm3 or a WBC <3,000 cells/mm3
  6. Acute or chronic renal dysfunction (creatinine >2.0mg/dl or >150µmol/L)
  7. Total occlusion (TIMI 0) or TIMI 1
  8. Target vessel has evidence of thrombus
  9. Target vessel is excessively tortuous which makes it unsuitable for proper stent delivery and deployment
  10. Previous bare metal stenting (less than 1 year) anywhere within the target vessel
  11. Previous drug-eluting stenting anywhere within any epicardial vessel
  12. The target lesion requires treatment with a device other than PTCA prior to stent placement (e.g. but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.)
  13. Significant (>50%) stenosis proximal or distal to the target lesion that might require revascularization or impede run-off
  14. Heavily calcified lesion and/or calcified lesion which cannot be successfully predilated
  15. Target lesion is located in or supplied by an arterial or venous bypass graft
  16. Ostial target lesion
  17. Target lesion involves a side branch >2.0mm in diameter with an ostial disease
  18. Patient is currently participating in an investigational drug or device study, including its follow-up period
  19. Within 30 days prior to procedure, patient has undergone a previous coronary interventional procedure of any kind
  20. Within 60 days post-procedure, patient requires planned interventional treatment of any non-target vessel. Planned intervention of the target vessel after the index procedure is not allowed.
  21. Stroke or transient ischemic attack within the prior 6 months
  22. Unprotected Left Main (LM) coronary artery disease (stenosis >50%)
  23. In the investigator's opinion, patient has a co-morbid condition(s) that could limit the patient's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study
  24. Planned surgery within 6 months after the index procedure
  25. Life expectancy less than 1 year

Sites / Locations

  • Hospital Meridional
  • Centro de Cardiologia e Radiologia Intervencionista
  • Cardiovascular Diagnóstico
  • Santa Casa de misericórdia de Juiz de fora
  • Intistuto do Coracao do Triangulo
  • Hospital Costantino Constantini
  • Incor Hospital
  • Instituto de Cardiologia
  • Hospital Bandeirantes
  • Incor Hospital
  • Instituto Dante Pazzanese
  • Hospital Albert Einstein
  • Hospital Santa Marcelina
  • Escorts Heart Institute & Research Centre
  • Max Devki Devi Heart and Vascular Institute
  • All India Institute of Medical Sciences
  • Life Care Institute
  • Shri.Jayadeva Institute of Cardiology
  • P.R.S Hospital
  • Jaslok Hospital & Research Centre
  • KEM Hospital
  • Ruby Hall Clinic
  • Madras Medical Mission
  • Apollo Hospital
  • Sanjay Gandhi Post Graduate Institute of Medical Sciences
  • Kailash Health Care Limited
  • B.M.Birla Heart Research Center
  • KAUH King Abdl Aziz University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Supralimus(R) Sirolimus Eluting Stent

Xience V™ Everolimus Eluting Stent

Arm Description

Supralimus® Coronary Stent System consisting of the MATRIX® Coronary Stent having Sirolimus eluting from Biodegradable Polymeric Matrix on a Stainless Steel Platform, Drug concentration 1.4 µg/mm2

The XIENCE V™ Everolimus Eluting Coronary Stent System consisting of the MULTI-LINK VISION® Coronary Stent System coated with a formulation containing everolimus, the active ingredient, embedded in a non-erodible polymer., Drug Load: 100 µg/cm2

Outcomes

Primary Outcome Measures

In-stent luminal late loss at 9 months after stent implantation (off-line QCA).

Secondary Outcome Measures

PROCEDURAL: Pre-procedure Syntax Score (by off-line visual assessment), Procedural success rate, Device success rate
ANGIOGRAPHIC : Minimal lumen diameter (MLD), % diameter stenosis, In-segment late loss, Proximal late loss, Distal late loss, Binary restenosis rate
IVUS (in a subset of patients): Minimal lumen area, Vessel volume, Lumen volume, Neointimal hyperplasia, Volume obstruction, Incomplete stent apposition, Plaque behind the stent struts
DEVICE-ORIENTED COMPOSITE ENDPOINT : Cardiac death, MI not clearly attributable to a non-target vessel, Target lesion revascularization (TLR)
PATIENT-ORIENTED COMPOSITE ENDPOINT : All-cause death, Any MI (including non-target vessel territory), Any repeat revascularization (including all target and non-target vessel)
STENT THROMBOSIS

Full Information

First Posted
June 8, 2009
Last Updated
August 22, 2012
Sponsor
Sahajanand Medical Technologies Limited
Collaborators
Cardialysis BV
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1. Study Identification

Unique Protocol Identification Number
NCT00917163
Brief Title
SERIES III RUN-IN Clinical Trial: A Comparison of the Supralimus® Stent With the Xience V™ Stent
Official Title
A Randomized Comparison of the Supralimus® Stent With the Xience V™ Stent in the Treatment of Patients With de Novo Native Coronary Artery Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Terminated
Why Stopped
due to unavoidable circumstances relating to logistic issues and regulatory processes in various countries causing unacceptable delays.
Study Start Date
July 2009 (undefined)
Primary Completion Date
May 2010 (Actual)
Study Completion Date
May 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sahajanand Medical Technologies Limited
Collaborators
Cardialysis BV

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of Series III Run-In Trial is to compare the performance and efficacy of the Supralimus® sirolimus-eluting stent with the Xience V™ everolimus-eluting stent with respect to in-stent luminal late loss at 9 months as assessed by off-line QCA. Ninety percent power to reject the null hypothesis that the Supralimus® stent is inferior to Xience V™ in favor of the alternative hypothesis that the Supralimus® stent is not inferior to Xience V™.
Detailed Description
Series III Run-In is a prospective, multi-center, randomized, single-blind (patient-blind), non-inferiority trial to be conducted at approx. 35 interventional cardiology centers in India, Brazil, Argentina, Thailand and Saudi Aurabia. A total of 360 will be randomized on a 2:1 basis to either the Supralimus® (sirolimus-eluting) stent or the Xience V™ (everolimus-eluting) stent. In selected sites, IVUS will also be recorded in these patients (maximum of 60 IVUS patients in total), at baseline (post-procedure) and at 9-month follow-up. All patients will be followed clinically for up to 5 years after stent implantation. Repeat angiography will be performed in all patients at 9 months after the index procedure.

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, restenosis, stent thrombosis, coronary stents, angioplasty, drug eluting stents

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
13 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Supralimus(R) Sirolimus Eluting Stent
Arm Type
Experimental
Arm Description
Supralimus® Coronary Stent System consisting of the MATRIX® Coronary Stent having Sirolimus eluting from Biodegradable Polymeric Matrix on a Stainless Steel Platform, Drug concentration 1.4 µg/mm2
Arm Title
Xience V™ Everolimus Eluting Stent
Arm Type
Active Comparator
Arm Description
The XIENCE V™ Everolimus Eluting Coronary Stent System consisting of the MULTI-LINK VISION® Coronary Stent System coated with a formulation containing everolimus, the active ingredient, embedded in a non-erodible polymer., Drug Load: 100 µg/cm2
Intervention Type
Device
Intervention Name(s)
Supralimus(R) Sirolimus-Eluting Coronary Stent System
Other Intervention Name(s)
Drug Eluting Stent
Intervention Description
Drug eluting stent implantation in the treatment of coronary artery disease.
Intervention Type
Device
Intervention Name(s)
Xience V™ Everolimus Eluting Coronary Stent
Other Intervention Name(s)
Drug Eluting Stent
Intervention Description
Drug eluting stent implantation in the treatment of coronary artery disease
Primary Outcome Measure Information:
Title
In-stent luminal late loss at 9 months after stent implantation (off-line QCA).
Time Frame
9 months
Secondary Outcome Measure Information:
Title
PROCEDURAL: Pre-procedure Syntax Score (by off-line visual assessment), Procedural success rate, Device success rate
Time Frame
Hospital discharge
Title
ANGIOGRAPHIC : Minimal lumen diameter (MLD), % diameter stenosis, In-segment late loss, Proximal late loss, Distal late loss, Binary restenosis rate
Time Frame
9 months
Title
IVUS (in a subset of patients): Minimal lumen area, Vessel volume, Lumen volume, Neointimal hyperplasia, Volume obstruction, Incomplete stent apposition, Plaque behind the stent struts
Time Frame
9 months
Title
DEVICE-ORIENTED COMPOSITE ENDPOINT : Cardiac death, MI not clearly attributable to a non-target vessel, Target lesion revascularization (TLR)
Time Frame
30 days, 6 months, 9 months, 1, 2, 3, 4, and 5 years
Title
PATIENT-ORIENTED COMPOSITE ENDPOINT : All-cause death, Any MI (including non-target vessel territory), Any repeat revascularization (including all target and non-target vessel)
Time Frame
30 days, 6 months, 9 months, 1, 2, 3, 4, and 5 years
Title
STENT THROMBOSIS
Time Frame
30 days, 6 months, 9 months, 1, 2, 3, 4, and 5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Age ≥18 years. Eligible for percutaneous coronary intervention (PCI) Acceptable candidate for CABG Clinical evidence of ischemic heart disease and/or a positive territorial functional study. Documented stable angina pectoris ((Canadian Cardiovascular Society (CCS) Classification 1, 2, 3 or 4) or unstable angina pectoris with documented ischemia (Braunwald Class IB-C, IIB-C or IIIB-C), or documented silent ischemia. The target lesion is a single de novo coronary artery lesion with ≥ 50% and < 100% stenosis in one of the major epicardial territories (LAD, LCX or RCA). A second target lesion in another major epicardial vessel could be treated and this second lesion should fit with the inclusion/exclusion criteria and will receive the same type of stent. The target lesion must be covered by one study stent, preferably with a margin of 3 mm on each side of the lesion. The target lesion must be ≤ 22 mm in length by visual estimate. The target reference vessel diameter must be ≥ 2.5 mm and ≤ 3.5 mm. Patient or patient's legal representative has been informed of the nature of the study and agrees to its provisions and has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the clinical site. Exclusion Criteria: Female of childbearing potential Documented left ventricular ejection fraction (LVEF) ≤ 30% Evidence of an acute Q-wave or non-Q-wave myocardial infarction within 72 hours preceding the index procedure Known allergies to the following: aspirin, clopidogrel bisulfate (Plavix®, Ceruvin) or ticlopidine (Ticlid®), heparin, sirolimus, everolimus, stainless steel, cobalt, chromium, contrast agent (that cannot be adequately pre-medicated) A platelet count <100,000 cells/mm3 or >700,000 cells/mm3 or a WBC <3,000 cells/mm3 Acute or chronic renal dysfunction (creatinine >2.0mg/dl or >150µmol/L) Total occlusion (TIMI 0) or TIMI 1 Target vessel has evidence of thrombus Target vessel is excessively tortuous which makes it unsuitable for proper stent delivery and deployment Previous bare metal stenting (less than 1 year) anywhere within the target vessel Previous drug-eluting stenting anywhere within any epicardial vessel The target lesion requires treatment with a device other than PTCA prior to stent placement (e.g. but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.) Significant (>50%) stenosis proximal or distal to the target lesion that might require revascularization or impede run-off Heavily calcified lesion and/or calcified lesion which cannot be successfully predilated Target lesion is located in or supplied by an arterial or venous bypass graft Ostial target lesion Target lesion involves a side branch >2.0mm in diameter with an ostial disease Patient is currently participating in an investigational drug or device study, including its follow-up period Within 30 days prior to procedure, patient has undergone a previous coronary interventional procedure of any kind Within 60 days post-procedure, patient requires planned interventional treatment of any non-target vessel. Planned intervention of the target vessel after the index procedure is not allowed. Stroke or transient ischemic attack within the prior 6 months Unprotected Left Main (LM) coronary artery disease (stenosis >50%) In the investigator's opinion, patient has a co-morbid condition(s) that could limit the patient's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study Planned surgery within 6 months after the index procedure Life expectancy less than 1 year
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prof. Patrick W Serruys, MD, Ph.D
Organizational Affiliation
Thoraxcenter,Rotterdam,NL
Official's Role
Study Chair
Facility Information:
Facility Name
Hospital Meridional
City
Vitaria
State/Province
Espirito Santo
ZIP/Postal Code
29156-580
Country
Brazil
Facility Name
Centro de Cardiologia e Radiologia Intervencionista
City
Goiania
State/Province
Goiás.
ZIP/Postal Code
74823-470
Country
Brazil
Facility Name
Cardiovascular Diagnóstico
City
Campo Grande
State/Province
Mato Grosso do Sul
ZIP/Postal Code
79002-250
Country
Brazil
Facility Name
Santa Casa de misericórdia de Juiz de fora
City
Juiz de Fora
State/Province
Minas Gerais
ZIP/Postal Code
36025-040
Country
Brazil
Facility Name
Intistuto do Coracao do Triangulo
City
Uberlandia
State/Province
Minas Gerais
ZIP/Postal Code
38400-299
Country
Brazil
Facility Name
Hospital Costantino Constantini
City
Curitiba
State/Province
Paraná
ZIP/Postal Code
80320-320
Country
Brazil
Facility Name
Incor Hospital
City
Brasília
ZIP/Postal Code
70658-700
Country
Brazil
Facility Name
Instituto de Cardiologia
City
Sao Paulo
ZIP/Postal Code
01323-900
Country
Brazil
Facility Name
Hospital Bandeirantes
City
Sao Paulo
ZIP/Postal Code
01506-000
Country
Brazil
Facility Name
Incor Hospital
City
Sao Paulo
ZIP/Postal Code
04012-180
Country
Brazil
Facility Name
Instituto Dante Pazzanese
City
Sao Paulo
ZIP/Postal Code
04012-180
Country
Brazil
Facility Name
Hospital Albert Einstein
City
Sao Paulo
ZIP/Postal Code
05651-901
Country
Brazil
Facility Name
Hospital Santa Marcelina
City
Sao Paulo
ZIP/Postal Code
08270-070
Country
Brazil
Facility Name
Escorts Heart Institute & Research Centre
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110 025
Country
India
Facility Name
Max Devki Devi Heart and Vascular Institute
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110017
Country
India
Facility Name
All India Institute of Medical Sciences
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110029
Country
India
Facility Name
Life Care Institute
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380014
Country
India
Facility Name
Shri.Jayadeva Institute of Cardiology
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560069
Country
India
Facility Name
P.R.S Hospital
City
Trivandrum
State/Province
Kerala
ZIP/Postal Code
695002
Country
India
Facility Name
Jaslok Hospital & Research Centre
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400 026
Country
India
Facility Name
KEM Hospital
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400012
Country
India
Facility Name
Ruby Hall Clinic
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411001
Country
India
Facility Name
Madras Medical Mission
City
Chennai
State/Province
Tamil Nadu
ZIP/Postal Code
600037
Country
India
Facility Name
Apollo Hospital
City
Chennai
State/Province
Tamilnadu
ZIP/Postal Code
600 006
Country
India
Facility Name
Sanjay Gandhi Post Graduate Institute of Medical Sciences
City
Lucknow
State/Province
Uttar Pradesh
ZIP/Postal Code
226 014
Country
India
Facility Name
Kailash Health Care Limited
City
Noida
State/Province
Uttar Pradesh
ZIP/Postal Code
201 301
Country
India
Facility Name
B.M.Birla Heart Research Center
City
Kolkata
State/Province
West Bengal
ZIP/Postal Code
700 027
Country
India
Facility Name
KAUH King Abdl Aziz University Hospital
City
Jeddah
ZIP/Postal Code
21589
Country
Saudi Arabia

12. IPD Sharing Statement

Citations:
PubMed Identifier
19112780
Citation
Dani S, Kukreja N, Parikh P, Joshi H, Prajapati J, Jain S, Thanvi S, Shah B, Dutta JP. Biodegradable-polymer-based, sirolimus-eluting Supralimus stent: 6-month angiographic and 30-month clinical follow-up results from the series I prospective study. EuroIntervention. 2008 May;4(1):59-63. doi: 10.4244/eijv4i1a11.
Results Reference
background
Citation
Dr. A.Abhyankar; Evaluation of Safety, Efficacy and Procedural Outcomes of Extra Long Sirolimus Eluting Stent with novel polymeric technology for treatment of long de novo coronary lesions; Catheterization Cardiovascular Interventions; 3rd Nov - 2nd Dec 2006; DOI 10.1002/ccd.21033
Results Reference
background

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SERIES III RUN-IN Clinical Trial: A Comparison of the Supralimus® Stent With the Xience V™ Stent

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