Randomized Comparison of Abluminus DES+ Sirolimus-Eluting Stents Versus Everolimus-Eluting Stents in Coronary Artery Disease Patients With Diabetes Mellitus Global (ABILITY)
Diabetes, Coronary Artery Disease, Acute Coronary Syndrome
About this trial
This is an interventional other trial for Diabetes
Eligibility Criteria
Inclusion Criteria:
Clinical Inclusion Criteria
- Patient understands the trial requirements and the treatment procedures and provides written informed consent;
- Age ≥ 18 years of age (> 19 years of age for South Korea and ≥ 21 years of age for Singapore);
Diabetic patient: either:
- Patient with a previous documented diagnosis of diabetes mellitus (Type 1 or Type 2) and currently undergoing pharmacological treatment (oral hypoglycemic agents or insulin)
- Newly diagnosed diabetes: either:
i. Fasting plasma glucose (FPG) ≥126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for ≥8 hours1 or ii. Two-hour plasma glucose ≥200 mg/dL (11.1 mmol/L) following a 75g oral glucose tolerance test or iii. HbA1c level ≥ 7% (53 mmol/mol) Patients who are newly diagnosed are included even if they are not on pharmacological treatment (oral hypoglycemic agents or insulin)
- Symptomatic coronary artery disease including chronic stable angina, silent ischemia, and non-ST-segment elevation acute coronary syndrome (NSTE-ACS)
- Patient is eligible for percutaneous coronary intervention (PCI); Previous PCI (with balloon angioplasty or stenting) is allowed if performed >12 months before index procedure;
Patient is willing and able to comply with all protocol-required follow-up evaluations.
Angiographic Inclusion Criteria (visual estimate)
- Presence of ≥1 de novo coronary artery stenosis >50% in a native coronary artery which can be treated with a stent ranging in diameter from 2.25 to 4.0 mm and can be covered with 1 or multiple stents; and
- No limitation to the number of treated lesions, number of vessels, or lesion length if the patient is judged eligible for PCI by the treating physician according to the local standard of care.
Exclusion Criteria:
Clinical Exclusion Criteria
- Patient lacking capacity (i.e. patient suffering from dementia and others) to provide informed consent
- Patient in cardiogenic shock;
- Patient has known allergy to the study stent system or protocol-required concomitant medications (e.g. aspirin, clopidogrel, prasugrel, ticagrelor, heparin, stainless steel, platinum, chromium, sirolimus, everolimus, radiographic contrast material) that cannot be adequately pre-medicated;
- Planned surgery (cardiac and non-cardiac) within 6 months after the index procedure unless the dual-antiplatelet therapy (DAPT) can be maintained throughout the peri-surgical period;
- Patient undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction (STEMI)
- Patient is pregnant, nursing, or is a woman of child-bearing potential who is not surgically sterile, < 2 years postmenopausal, or does not consistently use effective methods of contraception*;
- Patient has any other serious medical illness (e.g., cancer, end-stage congestive heart failure) that may reduce life expectancy to less than 12 months;
- Acute or chronic renal dysfunction (creatinine >3.0 mg/dl);
Currently participating in another investigational drug or device study.
Angiographic Exclusion Criteria
- In-stent restenotic lesions;
- Lesions involving venous or arterial bypass grafts.
Sites / Locations
- The Prince Charles Hospital
- St Vincent Hospital
- The Wollongong Hospital
- University Heart Center Graz
- Kardinal Schwarzenberg Klinikum
- National Heart Foundation Hospital & Research Institute
- Antwerp Cardiovascular Center Middelheim
- UZ Leuven
- Instituto Dante Pazzanese de Cardiologia
- INSTITUTO DO CORAÇÃO - InCor University of São Paulo Medical School
- University Hospital Brno, Department of Medecine Cardiology
- University Hospital Královské Vinohrady, Department of Medecine Cardiology
- Clinique Axium
- CHRU Brest
- Clinique de Fontaine
- Groupe Hospitalier Mutualiste de Grenoble
- Hôpital La Timone, Service Cardiologie
- Hôpital Privé Jacques Cartier
- CHU de Nîmes
- Hôpital Cochin
- Klinik für Kardiologie und Angiologie II, Herz-Zentrum Bad Krozingen
- Kerckhoff-Klinik GmbH Abteilung Kardiologie/Herzchirurgie
- Herzzentrum, Segeberger Kliniken GmbH
- Charite Berlin, Department of Cardiology, Campus Benjamin Franklin
- Helios Amper-Klinikum Dachau, Dept. of Cardiology & Pneumology
- Elisabeth Krankenhaus Essen
- 121/ MVZ Hamburg, DEU
- UKSH, Campus Kiel, Department of Cardiology
- Heart Center Leipzig
- Universitaetsklinikum Tubingen, DEU
- Schwarzwald Baar Klinikum Villingen-Schwenningen GmbH
- Madras Medical Mission
- Krishna Institute of Medical Sciences
- National University of Ireland, Galway Galway University Hospital
- IRCCS - Policlinico San Donato
- GVM - Cotignola
- Fondazione Poliambulanza di Brescia
- P.O. G. Rodolico
- 075/ Magna Graecia University
- Casa di Cura Montevergine
- Istituto Sant'Ambrogio
- San Carlo Clinic
- San Raffaele Hospital
- 133/Clinica Mederranea
- Division of Cardiology, University of Campania "Luigi Vanvitelli"
- 156/ Policlinico San Matteo
- Ospedale degli infermi
- Azienda Ospedaliera San Camillo Forlanini
- Policlinico Umberto I, "Sapienza" University of Rome Dept.of Cardiovascular, Respiratory, Nephrologic & Anesthesiologic Sciences
- Gachon University Gil Medical Center
- Institut Jantung Negara
- Instituto nacional de cardiologia ignacio chavez
- Grupo Intervención San Luis - Hospital de Especialidades de la Salud - San Luis Potosí City
- IMSS Hospital de Especialidades UMAE 71
- Amsterdam UMC
- Maasstad Hospital
- XII Oddział Kardiologiczny PAKS w Bełchatowie
- Polsko-Amerykańskie Kliniki Serca III Oddział Kardiologii Inwazyjnej, Angiologii i Elektrokardiologii
- MCSN AHoP Chrzanow
- Zgierskie Centrum Kardiologii Med-Pro Polsko-Amerykańskie Kliniki Serca
- University Hospital Krakow
- American Heart of Poland
- Miedziowe Centrum Zdrowia SA
- Nyskie Centrum Kardiologiczne Polsko-Amerykańskich Klinik Serca w Nysie
- Centrum Kardiologii Inwazyjnej, Elektroterapii i Angiologii w Pińczowie
- Szpital Kliniczny Przemienienia Pańskiego
- Oddział Kardiologii Szpitale Polskie Sztum
- X Department of Invasive Cardiology, Tychy American Heart of Poland SA
- I Oddział Kardiologii AHoP
- Department of Interventional Cardiology Med-Pro American Heart of Poland
- Changi General Hospital
- Uppsala University hosp
- Örebro Univ. Hospital, Dpt. of cardiology
- Cardiocentro Ticino
- Hôpital de La Tour
- Triemli Hospital
- University Hospital Zürich
- National Cheng Kung University Hospital
- Mackay Memorial Hospital
- Belfast Health and Social Care Trust
- Royal blackburn hospital
- The Royal Bournemouth Hospital
- Brighton & Sussex University NHS Hospitals Trust
- Golden Jubilee National Hospital
- Craigavon Area Hospital
- Ninewells Hospital
- King's College Hospital NHS Foundation Trust
- Royal Free Hopsital
- Freeman Hospital
- Worcestershire Acute NHS Trust, Worcestershire Royal Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Abluminus DES+ sirolimus- eluting stents (SES)
XIENCE Everolimus-Eluting Stents (EES)
Enrolled patients will undergo angioplasty with Abluminus DES+ sirolimus- eluting stents (SES) and will be followed for two years. The DES procedure will be conducted in accordance with the CE mark instructions for use for the Abluminus DES+ sirolimus- eluting stents (SES).
Enrolled patients will undergo angioplasty with XIENCE Everolimus-Eluting Stents (EES) and will be followed for two years. The DES procedure will be conducted in accordance with the CE mark instructions for use for the XIENCE Everolimus-Eluting Stents (EES).