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OCT Based Edge and In-stent Vascular Response After Cordimax Stent in patIents With NSTE-ACS

Primary Purpose

Angina, Unstable, Non-ST-Segment Elevation Myocardial Infarction

Status
Unknown status
Phase
Phase 4
Locations
Study Type
Interventional
Intervention
OCT
eLuting stent
Sponsored by
Xijing Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Angina, Unstable

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. age ≥18 and ≤ 75 years
  2. Non-ST-segment elevation MI
  3. Patient willing to comply with specified follow-up

5.Patient or legally authorized representative has been informed of the nature of the study, agrees to its provisions and has been provided written informed consent 6.Single or two de novo or non-stented restenotic lesion in a native coronary artery 7. Target lesion to be covered by a single stent of max 30 mm . Reference vessel diameter ≥2.25 to ≤ 4.0 mm by visual estimate 8. The vessel diameter should be measured after pre-dilation procedure and after intra-coronary nitroglycerin if spasm is suspected 9. Target lesion ≥70% stenosed by visual estimate

Exclusion Criteria:

  1. Pregnant or nursing patients and those who plan pregnancy in the period up to 1 year following index procedure. Female patients of childbearing potential must have a negative pregnancy test done within 7 days prior to the index procedure per site standard test
  2. Impaired renal function or on dialysis
  3. Platelet count <100,000 cells/mm3 or >700,000 cells/mm3 or a WBC<3,000 cells/mm3
  4. Patient has a history of bleeding diathesis or coagulopathy or patients in whom anti-platelet and/or anticoagulant therapy is contraindicated
  5. Patient requires low molecular weight heparin (LMWH) treatment postprocedure or has received a dose of LMWH ≤8 hours prior to index procedure
  6. Patient has received any organ transplant or is on a waiting list for any organ transplant;
  7. Patient has other medical illness or known history of substance abuse that may cause non-compliance with the protocol, confound the data interpretation or is associated with a limited life expectancy (<1 year)
  8. Patient has a known hypersensitivity or contraindication to aspirin, heparin/bivalirudin, clopidogrel/ticlopidine, prasugrel, stainless steel alloy, sirolimus and/or contrast sensitivity that cannot be adequately pre-medicated
  9. Patient has previously received murine therapeutic antibodies and exhibited sensitization through the production of Human Anti-Murine Antibodies
  10. Patient presents with cardiogenic shock
  11. Patient has extensive peripheral vascular disease that precludes safe 6 French sheath insertion;
  12. Any significant medical condition which in the Investigator's opinion may interfere with the patient's optimal participation in the study
  13. Currently participating in another investigational drug or device study or patient in inclusion in another investigational drug or device study during follow-up
  14. Calcified target lesion(s) which cannot be successfully predilated
  15. Target lesion has excessive tortuosity unsuitable for stent delivery and deployment;

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    OCT at 3 months

    OCT at 6months

    Arm Description

    OCT at 3 months and 12 OCT at 3 months

    OCT at 6 months and 12 OCT at 3 months

    Outcomes

    Primary Outcome Measures

    Proportion of uncovered and/or malapposed bioDegradable polymer sIrolimus-eLuting stent at 12 month after the implant, as measured by OCT

    Secondary Outcome Measures

    Full Information

    First Posted
    August 11, 2016
    Last Updated
    August 15, 2016
    Sponsor
    Xijing Hospital
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT02868203
    Brief Title
    OCT Based Edge and In-stent Vascular Response After Cordimax Stent in patIents With NSTE-ACS
    Official Title
    Optical Coherence tOmography Based Edge and In-stent Vascular Response After a Novel bioDegradable Polymer sIrolimus-eLuting Stent in patIents With Non-ST Elevation acuTe Coronary sYndrome (NSTE ACS)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    August 2016 (undefined)
    Primary Completion Date
    August 2018 (Anticipated)
    Study Completion Date
    August 2020 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Xijing Hospital

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This study evaluates the completeness of strut coverage and vessel wall response, at different time points (3-6-12 Months), following CordimaxTM stent implantation in patients with non-ST elevation acute coronary syndrome
    Detailed Description
    Major concerns were addressed to the delayed healing process of drug-eluting stents . To date no studies have detailed the in-vivo completeness of CordimaxTM stent coverage at different time points. The objective of this prospective study is to measure the completeness of strut coverage and vessel wall response (neointima disomogeneity, acquired late incomplete strut apposition) at different time points following CordimaxTM stent implantation, in patients with non-ST elevation acute coronary syndrome . Optical Coherence Tomography (OCT) that detects smaller degrees of stent strut coverage more accurately than IVUS will be used at different time points (3-6-12 Months)

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Angina, Unstable, Non-ST-Segment Elevation Myocardial Infarction

    7. Study Design

    Primary Purpose
    Supportive Care
    Study Phase
    Phase 4
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    80 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    OCT at 3 months
    Arm Type
    Active Comparator
    Arm Description
    OCT at 3 months and 12 OCT at 3 months
    Arm Title
    OCT at 6months
    Arm Type
    Active Comparator
    Arm Description
    OCT at 6 months and 12 OCT at 3 months
    Intervention Type
    Device
    Intervention Name(s)
    OCT
    Intervention Description
    OCT after stent implantation
    Intervention Type
    Device
    Intervention Name(s)
    eLuting stent
    Primary Outcome Measure Information:
    Title
    Proportion of uncovered and/or malapposed bioDegradable polymer sIrolimus-eLuting stent at 12 month after the implant, as measured by OCT
    Time Frame
    12 month

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: age ≥18 and ≤ 75 years Non-ST-segment elevation MI Patient willing to comply with specified follow-up 5.Patient or legally authorized representative has been informed of the nature of the study, agrees to its provisions and has been provided written informed consent 6.Single or two de novo or non-stented restenotic lesion in a native coronary artery 7. Target lesion to be covered by a single stent of max 30 mm . Reference vessel diameter ≥2.25 to ≤ 4.0 mm by visual estimate 8. The vessel diameter should be measured after pre-dilation procedure and after intra-coronary nitroglycerin if spasm is suspected 9. Target lesion ≥70% stenosed by visual estimate Exclusion Criteria: Pregnant or nursing patients and those who plan pregnancy in the period up to 1 year following index procedure. Female patients of childbearing potential must have a negative pregnancy test done within 7 days prior to the index procedure per site standard test Impaired renal function or on dialysis Platelet count <100,000 cells/mm3 or >700,000 cells/mm3 or a WBC<3,000 cells/mm3 Patient has a history of bleeding diathesis or coagulopathy or patients in whom anti-platelet and/or anticoagulant therapy is contraindicated Patient requires low molecular weight heparin (LMWH) treatment postprocedure or has received a dose of LMWH ≤8 hours prior to index procedure Patient has received any organ transplant or is on a waiting list for any organ transplant; Patient has other medical illness or known history of substance abuse that may cause non-compliance with the protocol, confound the data interpretation or is associated with a limited life expectancy (<1 year) Patient has a known hypersensitivity or contraindication to aspirin, heparin/bivalirudin, clopidogrel/ticlopidine, prasugrel, stainless steel alloy, sirolimus and/or contrast sensitivity that cannot be adequately pre-medicated Patient has previously received murine therapeutic antibodies and exhibited sensitization through the production of Human Anti-Murine Antibodies Patient presents with cardiogenic shock Patient has extensive peripheral vascular disease that precludes safe 6 French sheath insertion; 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 Calcified target lesion(s) which cannot be successfully predilated Target lesion has excessive tortuosity unsuitable for stent delivery and deployment;
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    ling tao, doctor
    Phone
    86-29-84775183
    Email
    lingtao@fmmu.edu.cn

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes

    Learn more about this trial

    OCT Based Edge and In-stent Vascular Response After Cordimax Stent in patIents With NSTE-ACS

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