search
Back to results

First in Men Study: BIOMAG-I

Primary Purpose

Coronary Artery Disease

Status
Active
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Implantation of a Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold
Sponsored by
Biotronik AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject is > 18 years and < 80 years of age
  2. Written subject informed consent available prior to PCI
  3. Subject eligible for PCI
  4. Subjects with a maximum of two single lesions in two separate coronary arteries which have to be de novo lesions and can be covered with 1 device each
  5. Reference vessel diameter between 2.5-4.2 mm by visual estimation, depending on the scaffold size used
  6. Target lesion length ≤ 28 mm by visual estimation, depending on the scaffold size used
  7. Target lesion stenosis by visual estimation > 50% - < 100% and TIMI flow ≥1 (assisted by e.g. QCA / IVUS /FFR).
  8. Subjects with stable or unstable angina pectoris or documented silent ischemia or hemodynamically stable NSTEMI patients without angiographic evidence of thrombus at target lesion
  9. Eligible for Dual Anti Platelet Therapy (DAPT)

Exclusion Criteria:

  1. Pregnant or breast-feeding females or females who intend to become pregnant during the time of the study
  2. Subject has clinical symptoms and/or electrocardiogram (ECG) changes consistent with acute ST elevation myocardial infarction (STEMI) within 72 hours prior to the index procedure.
  3. Left main coronary artery disease
  4. Three-vessels with coronary artery disease requiring treatment at time of procedure
  5. Planned interventional treatment of any non-target vessel within 12-month post-procedure
  6. Subjects on dialysis
  7. Planned intervention of the target vessel post index procedure
  8. Ostial target lesion (within 5.0 mm of vessel origin)
  9. Target lesion involves a side branch >2.0 mm in diameter
  10. Documented left ventricular ejection fraction (LVEF) ≤ 30% within the last 6 months
  11. Heavily calcified lesion
  12. Target lesion is located in or supplied by an arterial or venous bypass graft
  13. Target lesion requiring treatment with a device other than the non-compliant pre-dilatation balloon or scoring balloon prior to scaffold placement (including but not limited to rotational atherectomy, etc.)
  14. Unsuccessful pre-dilatation, defined as a residual stenosis rate more than 20%, estimated by any method and/or angiographic complications (e.g. distal embolization, side branch closure, extensive dissections)
  15. Known allergies to: Acetylsalicylic Acid (ASA), P2Y12 inhibitors, Heparin, Contrast medium, Sirolimus, or similar drugs; or the scaffold material
  16. Subject is receiving an oral or intravenous immuno-suppressive therapy (e.g., inhaled steroids are not excluded) or has a known life-limiting immunosuppressive or autoimmune disease (e.g., human immunodeficiency virus, systemic lupus erythematosus) diabetes mellitus is not excluded)
  17. A stenosis located proximal or distal to the target lesion that might require future revascularization or an impede run off detected during diagnostic angiography
  18. Life expectancy less than 1 year
  19. Planned surgery or dental surgical procedure within 6 months after index procedure unless DAPT will be maintained
  20. In the investigators opinion, subject will not be able to comply with the follow-up requirements
  21. Subject is currently participating in another study with an investigational device or an investigational drug and has not reached the primary endpoint yet

Sites / Locations

  • Medizinische Universität Graz
  • Algemeen Ziekenhuis Middelheim
  • Ziekenhuis Oost-Limburg
  • UZ Leuven Gasthuisberg
  • Segeberger Kliniken
  • Herz-und Gefäßzentrum Oberallgäu-Kempten
  • Johannes Wesling Klinikum Minden
  • Deutsches Herzzentrum
  • Rheinland Klinikum Lukaskrankenhaus Neuss
  • Onze Lieve Vrouwe Gasthuis Amsterdam (OLVG)
  • Miedziowe Centrum Zdrowia SA
  • Hospital Clinico San Carlos
  • Lund University Hospital
  • University Hospital Geneva HUG

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment

Arm Description

All subjects will be implanted with the Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold System (DREAMS 3G) and followed up until 60 months.

Outcomes

Primary Outcome Measures

In scaffold late lumen loss
Independent Core Lab Assessment

Secondary Outcome Measures

Full Information

First Posted
November 6, 2019
Last Updated
July 20, 2022
Sponsor
Biotronik AG
search

1. Study Identification

Unique Protocol Identification Number
NCT04157153
Brief Title
First in Men Study: BIOMAG-I
Official Title
BIOTRONIK - Safety and Clinical Performance of the - Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold System (DREAMS 3G) in the Treatment of Subjects With de Novo Lesions in Native Coronary Arteries
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 27, 2020 (Actual)
Primary Completion Date
August 2022 (Anticipated)
Study Completion Date
February 2027 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A prospective, multi-center, first-in-man trial. Up to 115 subjects will be enrolled.
Detailed Description
Clinical follow-up visits will take place at 1, 6, and 12 months and annually thereafter until 60 months post procedure. All subjects will undergo an angiographic follow-up at 6- and 12-month follow up. IVUS, (including IVUS-VH documentation) and OCT will be performed for all subjects at 6-month and 12-month follow-up (if the safety of the subject allows it and as per the investigator's decision). Vasomotion will be assessed angiographically with Acetylcholine followed by Nitroglycerine at 12 months follow up in a subgroup of subjects, upon the investigators discretion and if subject consents.

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
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
116 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment
Arm Type
Experimental
Arm Description
All subjects will be implanted with the Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold System (DREAMS 3G) and followed up until 60 months.
Intervention Type
Device
Intervention Name(s)
Implantation of a Sirolimus-Eluting Resorbable Coronary Magnesium Scaffold
Intervention Description
Subjects with symptomatic coronary artery disease who qualify for percutaneous coronary intervention (PCI) will be treated with a sirolimus eluting resorbable coronary Magnesium scaffold
Primary Outcome Measure Information:
Title
In scaffold late lumen loss
Description
Independent Core Lab Assessment
Time Frame
At 6 months after index procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is > 18 years and < 80 years of age Written subject informed consent available prior to PCI Subject eligible for PCI Subjects with a maximum of two single lesions in two separate coronary arteries which have to be de novo lesions and can be covered with 1 device each Reference vessel diameter between 2.5-4.2 mm by visual estimation, depending on the scaffold size used Target lesion length ≤ 28 mm by visual estimation, depending on the scaffold size used Target lesion stenosis by visual estimation > 50% - < 100% and TIMI flow ≥1 (assisted by e.g. QCA / IVUS /FFR). Subjects with stable or unstable angina pectoris or documented silent ischemia or hemodynamically stable NSTEMI patients without angiographic evidence of thrombus at target lesion Eligible for Dual Anti Platelet Therapy (DAPT) Exclusion Criteria: Pregnant or breast-feeding females or females who intend to become pregnant during the time of the study Subject has clinical symptoms and/or electrocardiogram (ECG) changes consistent with acute ST elevation myocardial infarction (STEMI) within 72 hours prior to the index procedure. Left main coronary artery disease Three-vessels with coronary artery disease requiring treatment at time of procedure Planned interventional treatment of any non-target vessel within 12-month post-procedure Subjects on dialysis Planned intervention of the target vessel post index procedure Ostial target lesion (within 5.0 mm of vessel origin) Target lesion involves a side branch >2.0 mm in diameter Documented left ventricular ejection fraction (LVEF) ≤ 30% within the last 6 months Heavily calcified lesion Target lesion is located in or supplied by an arterial or venous bypass graft Target lesion requiring treatment with a device other than the non-compliant pre-dilatation balloon or scoring balloon prior to scaffold placement (including but not limited to rotational atherectomy, etc.) Unsuccessful pre-dilatation, defined as a residual stenosis rate more than 20%, estimated by any method and/or angiographic complications (e.g. distal embolization, side branch closure, extensive dissections) Known allergies to: Acetylsalicylic Acid (ASA), P2Y12 inhibitors, Heparin, Contrast medium, Sirolimus, or similar drugs; or the scaffold material Subject is receiving an oral or intravenous immuno-suppressive therapy (e.g., inhaled steroids are not excluded) or has a known life-limiting immunosuppressive or autoimmune disease (e.g., human immunodeficiency virus, systemic lupus erythematosus) diabetes mellitus is not excluded) A stenosis located proximal or distal to the target lesion that might require future revascularization or an impede run off detected during diagnostic angiography Life expectancy less than 1 year Planned surgery or dental surgical procedure within 6 months after index procedure unless DAPT will be maintained In the investigators opinion, subject will not be able to comply with the follow-up requirements Subject is currently participating in another study with an investigational device or an investigational drug and has not reached the primary endpoint yet
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Haude, Prof
Organizational Affiliation
Rheinland Klinikum Lukaskrankenhaus Neuss
Official's Role
Principal Investigator
Facility Information:
Facility Name
Medizinische Universität Graz
City
Graz
Country
Austria
Facility Name
Algemeen Ziekenhuis Middelheim
City
Antwerp
Country
Belgium
Facility Name
Ziekenhuis Oost-Limburg
City
Genk
Country
Belgium
Facility Name
UZ Leuven Gasthuisberg
City
Leuven
Country
Belgium
Facility Name
Segeberger Kliniken
City
Bad Segeberg
Country
Germany
Facility Name
Herz-und Gefäßzentrum Oberallgäu-Kempten
City
Kempten
Country
Germany
Facility Name
Johannes Wesling Klinikum Minden
City
Minden
Country
Germany
Facility Name
Deutsches Herzzentrum
City
Münich
Country
Germany
Facility Name
Rheinland Klinikum Lukaskrankenhaus Neuss
City
Neuss
Country
Germany
Facility Name
Onze Lieve Vrouwe Gasthuis Amsterdam (OLVG)
City
Amsterdam
Country
Netherlands
Facility Name
Miedziowe Centrum Zdrowia SA
City
Lubin
Country
Poland
Facility Name
Hospital Clinico San Carlos
City
Madrid
Country
Spain
Facility Name
Lund University Hospital
City
Lund
Country
Sweden
Facility Name
University Hospital Geneva HUG
City
Geneva
Country
Switzerland

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

First in Men Study: BIOMAG-I

We'll reach out to this number within 24 hrs