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MULTIcentric BElgium/NEtherlands PRO-Kinetic Safety and Efficacy Study (MULTIBENE)

Primary Purpose

Coronary Artery Disease

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Percutaneous coronary intervention
Sponsored by
Biotronik AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

Inclusion Criteria:

  • Patient must be at least 18 years old.
  • Eligible for percutaneous coronary intervention (PCI).
  • Documented stable (Canadian Cardiovascular Society Classification [CCS] 1, 2, 3, or 4) or unstable (Braunwald type I, II, III and A, B or C) angina pectoris, or documented silent ischemia.
  • Left ventricular ejection fraction (LVEF) > 30% documented within the last 6 weeks.
  • Acceptable candidate for coronary artery bypass graft surgery (CABG).
  • Patient understands the study requirements and the treatment procedures and provides written Informed Consent on a form that has been approved the by local Institutional Review Board before any specific test of the study or procedure is performed.
  • Willing to comply with all the specified follow-up evaluations.
  • Single target vessels to be treated.
  • Single target lesion to be treated.
  • Target lesion must be completely coverable by one study stent.
  • Total target lesion length <20 mm based on a visual estimate.
  • RVD of ≥ 2.0 mm to ≤ 5.0 mm based on a visual estimate.
  • Target lesion diameter stenosis ≥ 50% and < 100% based on a visual estimate.
  • Target lesion has not undergone prior revascularization up to now.
  • Target vessel has not undergone prior revascularization within the preceding 6 months.
  • Patient has no child bearing potential, is not pregnant, or intends to become pregnant during the study.

Exclusion Criteria:

  • Planned treatment with any other PCI device in target vessel except the pre-dilatation balloon.
  • MI within 72 hours prior to the index procedure and/or creatine kinase (CK) > 2 times the local laboratory upper limits of normal, measured on the day of the index procedure, associated with elevated MB.
  • The patient is in cardiogenic shock.
  • Cerebrovascular Accident (CVA) within the past 6 months.
  • Acute or chronic renal dysfunction (creatinine > 2.0 mg/dl or > 150 µmol/L).
  • Contraindication to ASA or to clopidogrel.
  • Known Thrombocytopenia (platelet count 100, 000/mm3).
  • Active gastrointestinal (GI) bleeding within the past three months.
  • Known allergy to stainless steel or cobalt chromium.
  • Any prior true anaphylactic reaction to contrast agents.
  • Patient is currently taking colchicine.
  • Life expectancy of less than 24 months due to other medical conditions.
  • 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.
  • Currently participating in another investigational drug or device study that has not completed the primary endpoint or that clinically interferes with the endpoints of this study.
  • Left main coronary artery disease (stenosis > 50%), whether protected or unprotected.
  • Target lesion site is ostial (within 3.0 mm of vessel origin).
  • Target lesion and/or target vessel proximal to the target lesion is severely calcified by visual estimation.
  • Target lesion involves a bifurcation that requires intervention (usually, side branch >2 mm in diameter).
  • Target lesion is totally occluded (100% stenosis usually associated with TIMI flow ≤1).
  • Angiographic presence of probable or definite thrombus.
  • Target vessel will be pre-treated with an unapproved device, directional or rotational coronary atherectomy, laser, cutting balloon or transluminal extraction catheter prior to stent placement.
  • Prior coronary intervention using brachytherapy to any segment of the target vessel.
  • Angiographic restenosis of any segment of the target vessel that has undergone prior percutaneous coronary intervention.
  • Angiographic evidence of atherosclerotic disease with > 50% diameter stenosis (by visual estimate) proximal or distal to the target lesion
  • Prior surgical revascularization of the target vessel with a documented patent graft (either a saphenous vein or an arterial conduit).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    BMS implantation

    Arm Description

    Patients meeting the inclusion criteria and none of the exclusion criteria are treated by implanting the study device (the ProKinetic bare metal stent). Since it is a single arm study design, no patients are enrolled to a control arm.

    Outcomes

    Primary Outcome Measures

    Target Vessel Failure (TVF)
    Target vessel failure is defined as composite of revascularization, recurrent myocardial infarction, or cardiac death.

    Secondary Outcome Measures

    Major Adverse Cardiac Events (MACE)
    MACE is defined as a composite of death, myocardial infarction, target lesion revascularization and coronary artery bypass grafting.

    Full Information

    First Posted
    February 9, 2012
    Last Updated
    March 19, 2013
    Sponsor
    Biotronik AG
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01531725
    Brief Title
    MULTIcentric BElgium/NEtherlands PRO-Kinetic Safety and Efficacy Study
    Acronym
    MULTIBENE
    Official Title
    6 Months Evaluation of the BIOTRONIK PRO-Kinetic Coronary Stent System
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    March 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2007 (undefined)
    Primary Completion Date
    April 2008 (Actual)
    Study Completion Date
    March 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Biotronik AG

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The primary objective of this study is to evaluate safety and efficacy of the BIOTRONIK PRO-Kinetic coronary CoCr-stent in patients with single de novo lesions of native coronary arteries.
    Detailed Description
    The PRO-Kinetic study is a multi-center, prospective, consecutive non-randomized study enrolling 200 patients with single de novo lesions in native coronary arteries meeting the entry criteria. Those who provide informed consent will be enrolled to receive the PRO-Kinetic stent. Telephone follow-up will be performed at 1 month for all enrolled patients. After 6 months 100 patients will have an angiographic follow-up and 100 patients will be checked by telephone again. Additionally, a clinical telephone follow-up will be performed in all patients after 12 months. This study is designed to yield data on the clinical safety and efficacy of the PRO-Kinetic stent in the coronary artery application. The Target Vessel Failure Rate after 6 months shall be below 18 % (max. 35 Serious Adverse Events and Expedited Events) to show a safety/performance profile that could be considered in the range of the currently available bare metal stent systems

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    202 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    BMS implantation
    Arm Type
    Experimental
    Arm Description
    Patients meeting the inclusion criteria and none of the exclusion criteria are treated by implanting the study device (the ProKinetic bare metal stent). Since it is a single arm study design, no patients are enrolled to a control arm.
    Intervention Type
    Device
    Intervention Name(s)
    Percutaneous coronary intervention
    Other Intervention Name(s)
    PRO-Kinetic stent system
    Intervention Description
    Percutaneous coronary intervention
    Primary Outcome Measure Information:
    Title
    Target Vessel Failure (TVF)
    Description
    Target vessel failure is defined as composite of revascularization, recurrent myocardial infarction, or cardiac death.
    Time Frame
    at 180 days post procedure
    Secondary Outcome Measure Information:
    Title
    Major Adverse Cardiac Events (MACE)
    Description
    MACE is defined as a composite of death, myocardial infarction, target lesion revascularization and coronary artery bypass grafting.
    Time Frame
    at 180 days post procedure

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patient must be at least 18 years old. Eligible for percutaneous coronary intervention (PCI). Documented stable (Canadian Cardiovascular Society Classification [CCS] 1, 2, 3, or 4) or unstable (Braunwald type I, II, III and A, B or C) angina pectoris, or documented silent ischemia. Left ventricular ejection fraction (LVEF) > 30% documented within the last 6 weeks. Acceptable candidate for coronary artery bypass graft surgery (CABG). Patient understands the study requirements and the treatment procedures and provides written Informed Consent on a form that has been approved the by local Institutional Review Board before any specific test of the study or procedure is performed. Willing to comply with all the specified follow-up evaluations. Single target vessels to be treated. Single target lesion to be treated. Target lesion must be completely coverable by one study stent. Total target lesion length <20 mm based on a visual estimate. RVD of ≥ 2.0 mm to ≤ 5.0 mm based on a visual estimate. Target lesion diameter stenosis ≥ 50% and < 100% based on a visual estimate. Target lesion has not undergone prior revascularization up to now. Target vessel has not undergone prior revascularization within the preceding 6 months. Patient has no child bearing potential, is not pregnant, or intends to become pregnant during the study. Exclusion Criteria: Planned treatment with any other PCI device in target vessel except the pre-dilatation balloon. MI within 72 hours prior to the index procedure and/or creatine kinase (CK) > 2 times the local laboratory upper limits of normal, measured on the day of the index procedure, associated with elevated MB. The patient is in cardiogenic shock. Cerebrovascular Accident (CVA) within the past 6 months. Acute or chronic renal dysfunction (creatinine > 2.0 mg/dl or > 150 µmol/L). Contraindication to ASA or to clopidogrel. Known Thrombocytopenia (platelet count 100, 000/mm3). Active gastrointestinal (GI) bleeding within the past three months. Known allergy to stainless steel or cobalt chromium. Any prior true anaphylactic reaction to contrast agents. Patient is currently taking colchicine. Life expectancy of less than 24 months due to other medical conditions. 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. Currently participating in another investigational drug or device study that has not completed the primary endpoint or that clinically interferes with the endpoints of this study. Left main coronary artery disease (stenosis > 50%), whether protected or unprotected. Target lesion site is ostial (within 3.0 mm of vessel origin). Target lesion and/or target vessel proximal to the target lesion is severely calcified by visual estimation. Target lesion involves a bifurcation that requires intervention (usually, side branch >2 mm in diameter). Target lesion is totally occluded (100% stenosis usually associated with TIMI flow ≤1). Angiographic presence of probable or definite thrombus. Target vessel will be pre-treated with an unapproved device, directional or rotational coronary atherectomy, laser, cutting balloon or transluminal extraction catheter prior to stent placement. Prior coronary intervention using brachytherapy to any segment of the target vessel. Angiographic restenosis of any segment of the target vessel that has undergone prior percutaneous coronary intervention. Angiographic evidence of atherosclerotic disease with > 50% diameter stenosis (by visual estimate) proximal or distal to the target lesion Prior surgical revascularization of the target vessel with a documented patent graft (either a saphenous vein or an arterial conduit).
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Paul Vermeersch, MD, PhD
    Organizational Affiliation
    ZNA Middelheim, Department Interventional Cardiology
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Maarten J. Suttorp, MD, PhD
    Organizational Affiliation
    St. Antonius Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    23164477
    Citation
    Vermeersch P, Appelman Y, Horstkotte D, Richardt G, Boland J, Lalmand J, Coussement P, Castadot M, Janssens L, Agostoni P, Buysschaert I, Suttorp MJ. Safety and efficacy of the cobalt chromium PRO-Kinetik coronary stent system: results of the MULTIBENE study. Cardiovasc Revasc Med. 2012 Nov-Dec;13(6):316-20. doi: 10.1016/j.carrev.2012.09.006.
    Results Reference
    result

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