Comparison of BuMA eG Based BioDegradable Polymer Stent With EXCEL Biodegradable Polymer Sirolimus-eluting Stent in "Real-World" Practice (PANDA-III)
Primary Purpose
Coronary Artery Disease
Status
Completed
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
BuMA
EXCEL
Sponsored by

About this trial
This is an interventional treatment trial for Coronary Artery Disease
Eligibility Criteria
Inclusion Criteria:
- The patient must be ≥18 of age;
- Symptomatic ischemic heart disease and/or objective evidence of myocardial ischemia including chronic stable coronary artery disease, or acute coronary syndrome including non-ST-elevation and ST-elevation myocardial infarction;
- Acceptable candidate for CABG;
- The patient is willing to comply with specified follow-up evaluations;
- Patients who agree to accept the follow-up visits.
- Patients can understand the study objectives psychologically and linguistically and show the sufficient compliance to the study protocol. Patients present acceptance of the risks and benefits described in the informed consent form.
- At least one lesion with a diameter stenosis >50% or more suitable for coronary stent implantation in a vessel with a reference diameter ranging from 2.5 mm to 4.0 mm;
Exclusion Criteria:
- Pregnant or nursing patients and those who plan pregnancy in the period up to 1 year following index procedure.
- Patient has other medical illness (e.g., cancer, known malignancy, congestive heart failure, organ transplant recipient or candidate) or known history of substance abuse (alcohol, cocaine, heroin etc.) that may cause non-compliance with the protocol, confound the data interpretation or is associated with a limited life expectancy (i.e., less than 1 year);
- Patient has a known hypersensitivity or contraindication to aspirin, heparin, clopidogrel/ticlopidine, stainless steel alloy, cobalt chromium, rapamycin , styrene-butylenes-styrene or poly-lactic acid (PLA) polymer, and/or contrast sensitivity that cannot be adequately pre-medicated;
- Any significant medical condition which in the Investigator's opinion may interfere with the patient's optimal participation in the study;
- Currently participating in another investigational drug or device study or patient in inclusion in another investigational drug or device study during follow-up.
Sites / Locations
- Fuwai hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
BuMA group
EXCEL group
Arm Description
Implant BuMA stent only
Implant EXCEL stent
Outcomes
Primary Outcome Measures
Target lesion failure (a composite of cardiac death, target lesion myocardial infarction and ischemia driven target lesionsrevascularization TLR) at 1 year
Secondary Outcome Measures
Full Information
NCT ID
NCT02017275
First Posted
December 16, 2013
Last Updated
March 10, 2016
Sponsor
Sino Medical Sciences Technology Inc.
1. Study Identification
Unique Protocol Identification Number
NCT02017275
Brief Title
Comparison of BuMA eG Based BioDegradable Polymer Stent With EXCEL Biodegradable Polymer Sirolimus-eluting Stent in "Real-World" Practice
Acronym
PANDA-III
Official Title
A Prospective, Multicenter, RAndomized, CoNtrolled, Study Comparing the Safety and Efficacy Between BuMA eG Based BioDegradable Polymer Stent and EXCEL Biodegradable Polymer Sirolimus-eluting Stent in "ReAl-World" Practice (PANDA-III)
Study Type
Interventional
2. Study Status
Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
November 2013 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sino Medical Sciences Technology Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
PANDA III is sought to investigate the safety and efficacy of a PLGA-polymer with electro-grafting base layer sirolimus-eluting stent (SES) versus a PLA-polymer SES at 12 months follow-up.
Detailed Description
The BuMA stent (SINOMED, Beijing, China) was a novel biodegradable PLGA polymer sirolimus-eluting stent (SES), with design of adding an electro-grafting (eG) base layer between the polymer and the stainless steel stent strut.The eG layer can secure adhesion of the biodegradable PLGA coating as a result of the interdigitation, and the PLGA coating ensures 100% drug release within 30 days.The initial investigation showed a high strut coverage rate in both the BuMA stent and the Xience V stent at 3 months follow-up. Moreover, earlier vascular healing after drug-eluting stent implantation may reduce the incidence of stent thrombosis at follow-up and potentially shorten dual antiplatelet therapy duration. Therefore, we performed this randomized trial to investigate 12 months target lesion failure between the BuMA and the EXCEL stent, both with same eluted drug sirolimus, however different biodegradable polymer carriers.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
2348 (Actual)
8. Arms, Groups, and Interventions
Arm Title
BuMA group
Arm Type
Experimental
Arm Description
Implant BuMA stent only
Arm Title
EXCEL group
Arm Type
Active Comparator
Arm Description
Implant EXCEL stent
Intervention Type
Device
Intervention Name(s)
BuMA
Intervention Description
This group will contain 1175 subjects.
Intervention Type
Device
Intervention Name(s)
EXCEL
Intervention Description
This group will contain 1175 subjects.
Primary Outcome Measure Information:
Title
Target lesion failure (a composite of cardiac death, target lesion myocardial infarction and ischemia driven target lesionsrevascularization TLR) at 1 year
Time Frame
12 months after PCI
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
The patient must be ≥18 of age;
Symptomatic ischemic heart disease and/or objective evidence of myocardial ischemia including chronic stable coronary artery disease, or acute coronary syndrome including non-ST-elevation and ST-elevation myocardial infarction;
Acceptable candidate for CABG;
The patient is willing to comply with specified follow-up evaluations;
Patients who agree to accept the follow-up visits.
Patients can understand the study objectives psychologically and linguistically and show the sufficient compliance to the study protocol. Patients present acceptance of the risks and benefits described in the informed consent form.
At least one lesion with a diameter stenosis >50% or more suitable for coronary stent implantation in a vessel with a reference diameter ranging from 2.5 mm to 4.0 mm;
Exclusion Criteria:
Pregnant or nursing patients and those who plan pregnancy in the period up to 1 year following index procedure.
Patient has other medical illness (e.g., cancer, known malignancy, congestive heart failure, organ transplant recipient or candidate) or known history of substance abuse (alcohol, cocaine, heroin etc.) that may cause non-compliance with the protocol, confound the data interpretation or is associated with a limited life expectancy (i.e., less than 1 year);
Patient has a known hypersensitivity or contraindication to aspirin, heparin, clopidogrel/ticlopidine, stainless steel alloy, cobalt chromium, rapamycin , styrene-butylenes-styrene or poly-lactic acid (PLA) polymer, and/or contrast sensitivity that cannot be adequately pre-medicated;
Any significant medical condition which in the Investigator's opinion may interfere with the patient's optimal participation in the study;
Currently participating in another investigational drug or device study or patient in inclusion in another investigational drug or device study during follow-up.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Runlin Gao, Dr
Organizational Affiliation
Fuwai Hospital, Chinese Academy of Medical Science
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fuwai hospital
City
Beijing
ZIP/Postal Code
100037
Country
China
12. IPD Sharing Statement
Citations:
PubMed Identifier
35331810
Citation
Zhang R, Wu S, Yuan S, Guan C, Zou T, Qiao Z, Xie L, Wang H, Song L, Xu B, Dou K. Effects of diabetes mellitus on post-intervention coronary physiological assessment derived by quantitative flow ratio in patients with coronary artery disease underwent percutaneous coronary intervention. Diabetes Res Clin Pract. 2022 Apr;186:109839. doi: 10.1016/j.diabres.2022.109839. Epub 2022 Mar 21.
Results Reference
derived
PubMed Identifier
35101540
Citation
Zhang R, Xu B, Dou K, Guan C, Zhao Y, Wang X, Zou T, Qiao Z, Xie L, Wang H, Yuan S, Song L, Tu S, Wang Y, Wijns W. Post-PCI outcomes predicted by pre-intervention simulation of residual quantitative flow ratio using augmented reality. Int J Cardiol. 2022 Apr 1;352:33-39. doi: 10.1016/j.ijcard.2022.01.054. Epub 2022 Jan 31.
Results Reference
derived
PubMed Identifier
34219669
Citation
Zhang R, Dou K, Guan C, Zou T, Zhang M, Yuan S, Qiao Z, Xie L, Sun Z, Song L, Qiao S, Stone GW, Xu B. Outcomes of quantitative flow ratio-based percutaneous coronary intervention in an all-comers study. EuroIntervention. 2022 Feb 18;17(15):1240-1251. doi: 10.4244/EIJ-D-21-00176.
Results Reference
derived
PubMed Identifier
33040580
Citation
Zhang R, Song C, Guan C, Liu Q, Wang C, Xie L, Sun Z, Cai M, Zhang M, Wang H, Liu J, Dou K, Xu B. Prognostic Value of Quantitative Flow Ratio Based Functional SYNTAX Score in Patients With Left Main or Multivessel Coronary Artery Disease. Circ Cardiovasc Interv. 2020 Oct;13(10):e009155. doi: 10.1161/CIRCINTERVENTIONS.120.009155. Epub 2020 Oct 12.
Results Reference
derived
PubMed Identifier
30990245
Citation
Jia S, Guan C, Yuan J, Cao X, Qin L, Li Y, Li Z, Nie S, Hou S, Zhang M, Brouwer M, Suryapranata H, Xu B, Gao R. Two-year safety evaluation of a biodegradable polymer sirolimus-eluting stent with increased drug elution and polymer absorption kinetics in complex patient and lesion cohort. Catheter Cardiovasc Interv. 2020 Feb;95(2):206-215. doi: 10.1002/ccd.28288. Epub 2019 Apr 16.
Results Reference
derived
PubMed Identifier
29747321
Citation
Wang J, Guan CD, Yuan JS, Gao RL, Xu B, Qiao SB. [Prognostic value of SYNTAX score on 1 year outcome in patients underwent percutaneous coronary intervention]. Zhonghua Xin Xue Guan Bing Za Zhi. 2018 Apr 24;46(4):267-273. doi: 10.3760/cma.j.issn.0253-3758.2018.04.004. Chinese.
Results Reference
derived
PubMed Identifier
27173037
Citation
Xu B, Gao R, Yang Y, Cao X, Qin L, Li Y, Li Z, Li X, Lin H, Guo Y, Ma Y, Wang J, Nie S, Xu L, Cao E, Guan C, Stone GW; PANDA III Investigators. Biodegradable Polymer-Based Sirolimus-Eluting Stents With Differing Elution and Absorption Kinetics: The PANDA III Trial. J Am Coll Cardiol. 2016 May 17;67(19):2249-2258. doi: 10.1016/j.jacc.2016.03.475.
Results Reference
derived
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Comparison of BuMA eG Based BioDegradable Polymer Stent With EXCEL Biodegradable Polymer Sirolimus-eluting Stent in "Real-World" Practice
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