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Amsterdam Investigator-initiateD Absorb Strategy All-comers Trial (AIDA)

Primary Purpose

Coronary Artery Disease, Myocardial Infarction

Status
Unknown status
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
ABSORB BVS™
XIENCE™
Sponsored by
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease

Eligibility Criteria

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

Inclusion Criteria:

  • Subject is an acceptable candidate for treatment with a drug-eluting stent in accordance with the applicable guidelines on percutaneous coronary interventions and the Instructions for Use of the ABSORB BVS strategy and XIENCE family.
  • Subject is able to verbally confirm understanding of risks, benefits and treatment alternatives of receiving the ABSORB BVS strategy and he/she or his/her legally authorized representative provides written informed consent prior to any Clinical Investigation related procedure, as approved by the appropriate Ethics Committee.

Exclusion Criteria:

  • Subject is younger than 18 years of age
  • Subject has a true bifurcation lesion where a priori two scaffold/stent strategy is planned.
  • Unsuccessful predilation of one or more of the planned lesion to be treated.
  • Planned treatment of in-stent restenosis of a previously placed metallic stent.
  • Subject has one or more lesion planned to be treated with a scaffold/stent diameter size smaller than 2.5 mm or greater than 4.0 mm.
  • Subject has one or more lesion planned to be treated with a stent/scaffold length greater than 70 mm and/or overlapping of four or more scaffolds/stents.
  • Subject has known hypersensitivity or contraindication to aspirin, both heparin and bivalirudin, antiplatelet medication specified for use in the study (clopidogrel, prasugrel and ticagrelor, inclusive), everolimus, poly (L-lactide), poly (DL-lactide), cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
  • Subjects pregnant or nursing subjects and those who plan pregnancy in the period up to 2 years following index procedure. (Female subjects of child-bearing potential must have a negative pregnancy test done within 28 days prior to the index procedure and contraception must be used during participation in this trial)
  • Subjects with a limited life expectancy less than one year.
  • Subjects with factors that impede clinical follow-up (e.g. no fixed abode).
  • Subject is already participating in another clinical investigation that has not yet reached its primary endpoint.
  • Subject is belonging to a vulnerable population (per investigator's judgment, e.g., subordinate hospital staff or sponsor staff) or subject unable to read or write.

Sites / Locations

  • AMC
  • Onze Lieve Vrouwe Gasthuis
  • Albert Schweitzer Hospital
  • TerGooi Hospital
  • Medical Center Leeuwarden

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

ABSORB BVS™

XIENCE™

Arm Description

Abbott Vascular ABSORB Everolimus Eluting Bioresorbable Vascular Scaffold System

XIENCE PRIME everolimus eluting coronary stent system and the XIENCE Xpedition everolimus eluting coronary stent system

Outcomes

Primary Outcome Measures

Target Vessel Failure (TVF)
The primary composite endpoint is the device-oriented composite of target vessel failure (TVF): Cardiac death Myocardial Infarction (MI) (unless clearly attributable to a non target vessel) Target vessel revascularization

Secondary Outcome Measures

Device success
Successful delivery and deployment of the first study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system with attainment of final in-scaffold/stent residual stenosis of less than 20% by quantitative coronary angiography (QCA) and thrombolysis in myocardial infarction (TIMI) 3 flow grade of the treated vessel.
Procedural success
Achievement of final in-scaffold/stent residual stenosis of less than 20% by QCA and TIMI 3 flow grade of the treated vessel with successful delivery and deployment of at least one study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system for all target lesions without the occurrence of cardiac death, target vessel MI or repeat Target Lesion Revascularization during the hospital stay.
Target vessel failure (TVF)
Cardiac death, MI (not clearly attributable to a nontarget vessel) or target vessel revascularization
Target lesion failure
Cardiac death, MI (not clearly attributable to a nontarget vessel) or target lesion revascularization
All revascularizations
Major adverse cardiac events
All-cause mortality, any MI, any repeat revascularization
All cause mortality
Myocardial Infarction
Q-wave Myocardial Infarction (QMI) and non Q-wave Myocardial Infarction (nonQMI)/target-vessel myocardial infarction (TVMI) and non-TVMI
Target Lesion Revascularization (TLR)
Target Vessel Revascularization (TVR)
Non-Target Vessel Revascularization (NTVR)
Scaffold/Stent Thrombosis
acute, subacute, late/definite and probable
Seattle Angina Questionnaire (SAQ)
Quality of Life Questionnaire (QOL)

Full Information

First Posted
May 10, 2013
Last Updated
January 8, 2019
Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
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1. Study Identification

Unique Protocol Identification Number
NCT01858077
Brief Title
Amsterdam Investigator-initiateD Absorb Strategy All-comers Trial
Acronym
AIDA
Official Title
Amsterdam Investigator-initiateD Absorb Strategy All-comers Trial (AIDA Trial): A Clinical Evaluation Comparing the Efficacy and Performance of ABSORB™ Everolimus Eluting Bioresorbable Vascular Scaffold Strategy Versus the XIENCE Family (XIENCE PRIME™ or XIENCE Xpedition™) Everolimus Eluting Coronary Stent Strategy in the Treatment of Coronary Lesions in Consecutive All-comers.
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Unknown status
Study Start Date
August 2013 (undefined)
Primary Completion Date
December 2017 (Actual)
Study Completion Date
December 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To evaluate the efficacy and performance in an all-comers contemporary population of the ABSORB bioresorbable vascular scaffolds (BVS) strategy versus the XIENCE family (XIENCE PRIME or XIENCE Xpedition) everolimus eluting coronary stent system in the treatment of coronary lesions.
Detailed Description
The AIDA trial is a prospective, randomized (1:1), active control, single blinded, four-center, all-comers, non-inferiority trial. A total of 1845 patients were enrolled. The study population includes both simple and complex lesions, as well as stable and acute coronary syndrome patients. The follow-up will continue for 5 years including clinical endpoint characteristics.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
1845 (Actual)

8. Arms, Groups, and Interventions

Arm Title
ABSORB BVS™
Arm Type
Active Comparator
Arm Description
Abbott Vascular ABSORB Everolimus Eluting Bioresorbable Vascular Scaffold System
Arm Title
XIENCE™
Arm Type
Active Comparator
Arm Description
XIENCE PRIME everolimus eluting coronary stent system and the XIENCE Xpedition everolimus eluting coronary stent system
Intervention Type
Device
Intervention Name(s)
ABSORB BVS™
Other Intervention Name(s)
ABSORB Everolimus Eluting Bioresorbable Vascular Scaffold, ABSORB, ABSORB BVS, BVS
Intervention Description
Bioresorbable scaffold
Intervention Type
Device
Intervention Name(s)
XIENCE™
Other Intervention Name(s)
XIENCE PRIME, XIENCE Xpedition, XIENCE, DES, Drug eluting stent
Intervention Description
Drug eluting metallic stent
Primary Outcome Measure Information:
Title
Target Vessel Failure (TVF)
Description
The primary composite endpoint is the device-oriented composite of target vessel failure (TVF): Cardiac death Myocardial Infarction (MI) (unless clearly attributable to a non target vessel) Target vessel revascularization
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Device success
Description
Successful delivery and deployment of the first study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system with attainment of final in-scaffold/stent residual stenosis of less than 20% by quantitative coronary angiography (QCA) and thrombolysis in myocardial infarction (TIMI) 3 flow grade of the treated vessel.
Time Frame
1 day
Title
Procedural success
Description
Achievement of final in-scaffold/stent residual stenosis of less than 20% by QCA and TIMI 3 flow grade of the treated vessel with successful delivery and deployment of at least one study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system for all target lesions without the occurrence of cardiac death, target vessel MI or repeat Target Lesion Revascularization during the hospital stay.
Time Frame
1 day
Title
Target vessel failure (TVF)
Description
Cardiac death, MI (not clearly attributable to a nontarget vessel) or target vessel revascularization
Time Frame
30 days, and 1, 3, 4 and 5 years
Title
Target lesion failure
Description
Cardiac death, MI (not clearly attributable to a nontarget vessel) or target lesion revascularization
Time Frame
30 days, and 1, 2, 3, 4 and 5 years
Title
All revascularizations
Time Frame
5 year
Title
Major adverse cardiac events
Description
All-cause mortality, any MI, any repeat revascularization
Time Frame
30 days, and 1, 2, 3, 4 and 5 years
Title
All cause mortality
Time Frame
30 days, 1 year, 2, 3, 4 and 5 years
Title
Myocardial Infarction
Description
Q-wave Myocardial Infarction (QMI) and non Q-wave Myocardial Infarction (nonQMI)/target-vessel myocardial infarction (TVMI) and non-TVMI
Time Frame
30 days, 1, 2, 3, 4 and 5 years
Title
Target Lesion Revascularization (TLR)
Time Frame
30 days, 1 year, 2, 3, 4 and 5 years
Title
Target Vessel Revascularization (TVR)
Time Frame
30 days, 1 year, 2, 3, 4 and 5 years
Title
Non-Target Vessel Revascularization (NTVR)
Time Frame
30 days, 1 year, 2, 3, 4 and 5 years
Title
Scaffold/Stent Thrombosis
Description
acute, subacute, late/definite and probable
Time Frame
30 days, 1, 2, 3, 4 and 5 years
Title
Seattle Angina Questionnaire (SAQ)
Time Frame
1 year and 2 years
Title
Quality of Life Questionnaire (QOL)
Time Frame
1 year and 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is an acceptable candidate for treatment with a drug-eluting stent in accordance with the applicable guidelines on percutaneous coronary interventions and the Instructions for Use of the ABSORB BVS strategy and XIENCE family. Subject is able to verbally confirm understanding of risks, benefits and treatment alternatives of receiving the ABSORB BVS strategy and he/she or his/her legally authorized representative provides written informed consent prior to any Clinical Investigation related procedure, as approved by the appropriate Ethics Committee. Exclusion Criteria: Subject is younger than 18 years of age Subject has a true bifurcation lesion where a priori two scaffold/stent strategy is planned. Unsuccessful predilation of one or more of the planned lesion to be treated. Planned treatment of in-stent restenosis of a previously placed metallic stent. Subject has one or more lesion planned to be treated with a scaffold/stent diameter size smaller than 2.5 mm or greater than 4.0 mm. Subject has one or more lesion planned to be treated with a stent/scaffold length greater than 70 mm and/or overlapping of four or more scaffolds/stents. Subject has known hypersensitivity or contraindication to aspirin, both heparin and bivalirudin, antiplatelet medication specified for use in the study (clopidogrel, prasugrel and ticagrelor, inclusive), everolimus, poly (L-lactide), poly (DL-lactide), cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated. Subjects pregnant or nursing subjects and those who plan pregnancy in the period up to 2 years following index procedure. (Female subjects of child-bearing potential must have a negative pregnancy test done within 28 days prior to the index procedure and contraception must be used during participation in this trial) Subjects with a limited life expectancy less than one year. Subjects with factors that impede clinical follow-up (e.g. no fixed abode). Subject is already participating in another clinical investigation that has not yet reached its primary endpoint. Subject is belonging to a vulnerable population (per investigator's judgment, e.g., subordinate hospital staff or sponsor staff) or subject unable to read or write.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joanna Wykrzykowska, MD, PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Rob de Winter, MD, PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jan Piek, MD, PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jan Tijssen, PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Jose Henriques, MD, PhD
Organizational Affiliation
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Official's Role
Principal Investigator
Facility Information:
Facility Name
AMC
City
Amsterdam
State/Province
Noord-Holland
ZIP/Postal Code
1105 AZ
Country
Netherlands
Facility Name
Onze Lieve Vrouwe Gasthuis
City
Amsterdam
Country
Netherlands
Facility Name
Albert Schweitzer Hospital
City
Dordrecht
Country
Netherlands
Facility Name
TerGooi Hospital
City
Hilversum
Country
Netherlands
Facility Name
Medical Center Leeuwarden
City
Leeuwarden
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
24439973
Citation
Woudstra P, Grundeken MJ, Kraak RP, Hassell ME, Arkenbout EK, Baan J Jr, Vis MM, Koch KT, Tijssen JG, Piek JJ, de Winter RJ, Henriques JP, Wykrzykowska JJ. Amsterdam Investigator-initiateD Absorb strategy all-comers trial (AIDA trial): a clinical evaluation comparing the efficacy and performance of ABSORB everolimus-eluting bioresorbable vascular scaffold strategy vs the XIENCE family (XIENCE PRIME or XIENCE Xpedition) everolimus-eluting coronary stent strategy in the treatment of coronary lesions in consecutive all-comers: rationale and study design. Am Heart J. 2014 Feb;167(2):133-40. doi: 10.1016/j.ahj.2013.09.017. Epub 2013 Oct 17.
Results Reference
background
PubMed Identifier
34483094
Citation
Kerkmeijer LSM, Renkens MPL, Tijssen RYG, Hofma SH, van der Schaaf RJ, Arkenbout EK, Weevers APJD, Garcia-Garcia HM, Kraak R, Piek JJ, Tijssen JGP, Henriques JPS, de Winter RJ, Wykrzykowska JJ. Long-term clinical outcomes of everolimus-eluting bioresorbable scaffolds versus everolimus-eluting stents: final five-year results of the AIDA randomised clinical trial. EuroIntervention. 2022 Mar 18;17(16):1340-1347. doi: 10.4244/EIJ-D-21-00419.
Results Reference
derived
PubMed Identifier
28402237
Citation
Wykrzykowska JJ, Kraak RP, Hofma SH, van der Schaaf RJ, Arkenbout EK, IJsselmuiden AJ, Elias J, van Dongen IM, Tijssen RYG, Koch KT, Baan J Jr, Vis MM, de Winter RJ, Piek JJ, Tijssen JGP, Henriques JPS; AIDA Investigators. Bioresorbable Scaffolds versus Metallic Stents in Routine PCI. N Engl J Med. 2017 Jun 15;376(24):2319-2328. doi: 10.1056/NEJMoa1614954. Epub 2017 Mar 29.
Results Reference
derived

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Amsterdam Investigator-initiateD Absorb Strategy All-comers Trial

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