ACOART Paclitaxel SVD:Paclitaxel Coated Coronary Balloon Catheter in Treatment of Coronary Small Vessel Diseases
Primary Purpose
Coronary Disease
Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
test DCB
RESTORE DCB
Sponsored by
About this trial
This is an interventional treatment trial for Coronary Disease focused on measuring coronary small vessel diseases, DCB
Eligibility Criteria
Inclusion Criteria:
- 18 to 80 years of age
- Subjects with symptomatic coronary artery disease with stable and unstable angina pectoris or secondary evaluation of stenosis after acute myocardial infarction (MI) and asymptomatic subjects with coronary atherosclerotic stenosis causing myocardial ischemia determined by the investigator
- Subjects with single, de novo lesion with stenosis of more than 70% (or more than 50% combined with symptoms of ischemia) in a vessel with visually estimated reference vessel diameter (RVD) ≥ 2.00 mm and ≤ 2.75 mm, and ≤ 26 mm in length.
- Subject must agree to clinical follow-up at 1, 6, 9, 12 months, and angiographic follow-up at 9 months.
- Subject can understand the study objectives psychologically and linguistically and shows sufficient compliance to the study protocol. Subjects express acceptance of the risks and benefits described in the informed consent form.
Exclusion Criteria:
- AMI within 1 week.
- Subject has congestive heart failure or NYHA IV.
- Subject with LVEF < 35%.
- Subject has undergone heart transplantation.
- Subject has cardiac arrhythmias, such as high-risk ventricular premature beat and/or ventricular tachycardia.
- Subject suffered stroke, gastrointestinal bleeding or active ulcer within the past 6 months, or with conditions associated with high risk of bleeding.
- Subject with a history of leukopenia (white blood cell count of < 3×109/L for >3 days), neutropenia (ANC<1000/mm3 for >3 days) or thrombocytopenia (platelet <100,000/mm3).
- Known renal insufficiency (eGFR<30 ml/min).
- Subject who is forbidden to use anticoagulation agents or anti-platelet drugs, and tolerate Aspirin or Clopidogrel.
- Life expectancy less than 12 months, or subjects who cannot complete 12-month follow-up.
- Pregnant or nursing subjects and those who plan pregnancy in the period up to 1 year following index procedure.
- Subject is currently participating in another investigational drug or device study that has not yet completed its primary endpoint.
- Subject unsuitable for study according to the investigator due to the investigator due to other reasons related to diseases.
- Angiography exclusions:Target lesion: Total occlusion lesion (TIMI 0), heavy calcified lesion that cannot be successfully dilated, bifurcation lesion (side branch ≥ 2.0 mm in diameter), restenosis lesion, thrombotic lesion, or left main disease;Non-target lesion: More than 2 non-target lesions or non-target lesion cannot be successfully treated.
Sites / Locations
- Shanghai Tongji Hospital, Tongji University School of MedicineRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
test DCB group
RESTORE DCB group
Arm Description
use the DCB made by Acotec Scientific
use the DCB made by CARDIONOVUM GmbH
Outcomes
Primary Outcome Measures
Angiographic percent diameter stenosis
(1-Segmental minimum lumen diameter [MLD]/ segmental reference vessel diameter [RVD]) ×100%
Secondary Outcome Measures
Acute success
Including instrument success rate, lesion success rate and surgical success rate
Rate of target lesion failure
A composite of cardiac death, target-vessel related myocardial infarction, and ischemia-driven target lesion revascularization
Diameter stenosis in-device
(1-the minimum cavity diameter of the device [MLD] / the reference vessel diameter of the device [RVD]) ×100%
Late lumen loss
Loss of late lumen in the segment and device
Full Information
NCT ID
NCT04626687
First Posted
November 4, 2020
Last Updated
October 16, 2023
Sponsor
Acotec Scientific Co., Ltd
Collaborators
Shanghai Tongji Hospital, Tongji University School of Medicine
1. Study Identification
Unique Protocol Identification Number
NCT04626687
Brief Title
ACOART Paclitaxel SVD:Paclitaxel Coated Coronary Balloon Catheter in Treatment of Coronary Small Vessel Diseases
Official Title
Paclitaxel Coated Coronary Balloon Catheter in Treatment of Coronary Small Vessel Diseases
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 6, 2021 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Acotec Scientific Co., Ltd
Collaborators
Shanghai Tongji Hospital, Tongji University School of Medicine
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of the trial is to determine whether DCB made by Acotec Scientific is not inferior to RESTORE DEB made by CARDIONOVUM GmbH in treatment of small vessel coronary disease.
Detailed Description
This is a prospective, multi-center, randomized-controlled clinical trial to verify the efficacy and safety of DCB made by Acotec Scientific versus RESTORE DEB in treatment of small vessel coronary disease. And the primary endpoint is angiographic restenosis at 9 months post-procedure.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Disease
Keywords
coronary small vessel diseases, DCB
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
230 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
test DCB group
Arm Type
Experimental
Arm Description
use the DCB made by Acotec Scientific
Arm Title
RESTORE DCB group
Arm Type
Active Comparator
Arm Description
use the DCB made by CARDIONOVUM GmbH
Intervention Type
Device
Intervention Name(s)
test DCB
Intervention Description
use paclitaxel coated coronary balloon catheters to treat SVD
Intervention Type
Device
Intervention Name(s)
RESTORE DCB
Intervention Description
use paclitaxel coated coronary balloon catheters(RESTORE DCB) with NMPA approval indication for treating SVD
Primary Outcome Measure Information:
Title
Angiographic percent diameter stenosis
Description
(1-Segmental minimum lumen diameter [MLD]/ segmental reference vessel diameter [RVD]) ×100%
Time Frame
at 9 months post-procedure
Secondary Outcome Measure Information:
Title
Acute success
Description
Including instrument success rate, lesion success rate and surgical success rate
Time Frame
in the procedure
Title
Rate of target lesion failure
Description
A composite of cardiac death, target-vessel related myocardial infarction, and ischemia-driven target lesion revascularization
Time Frame
within 12 months post-procedure
Title
Diameter stenosis in-device
Description
(1-the minimum cavity diameter of the device [MLD] / the reference vessel diameter of the device [RVD]) ×100%
Time Frame
at 9 months post-procedure
Title
Late lumen loss
Description
Loss of late lumen in the segment and device
Time Frame
at 9 months post-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:
18 to 80 years of age
Subjects with symptomatic coronary artery disease with stable and unstable angina pectoris or secondary evaluation of stenosis after acute myocardial infarction (MI) and asymptomatic subjects with coronary atherosclerotic stenosis causing myocardial ischemia determined by the investigator
Subjects with single, de novo lesion with stenosis of more than 70% (or more than 50% combined with symptoms of ischemia) in a vessel with visually estimated reference vessel diameter (RVD) ≥ 2.00 mm and ≤ 2.75 mm, and ≤ 26 mm in length.
Subject must agree to clinical follow-up at 1, 6, 9, 12 months, and angiographic follow-up at 9 months.
Subject can understand the study objectives psychologically and linguistically and shows sufficient compliance to the study protocol. Subjects express acceptance of the risks and benefits described in the informed consent form.
Exclusion Criteria:
AMI within 1 week.
Subject has congestive heart failure or NYHA IV.
Subject with LVEF < 35%.
Subject has undergone heart transplantation.
Subject has cardiac arrhythmias, such as high-risk ventricular premature beat and/or ventricular tachycardia.
Subject suffered stroke, gastrointestinal bleeding or active ulcer within the past 6 months, or with conditions associated with high risk of bleeding.
Subject with a history of leukopenia (white blood cell count of < 3×109/L for >3 days), neutropenia (ANC<1000/mm3 for >3 days) or thrombocytopenia (platelet <100,000/mm3).
Known renal insufficiency (eGFR<30 ml/min).
Subject who is forbidden to use anticoagulation agents or anti-platelet drugs, and tolerate Aspirin or Clopidogrel.
Life expectancy less than 12 months, or subjects who cannot complete 12-month follow-up.
Pregnant or nursing subjects and those who plan pregnancy in the period up to 1 year following index procedure.
Subject is currently participating in another investigational drug or device study that has not yet completed its primary endpoint.
Subject unsuitable for study according to the investigator due to the investigator due to other reasons related to diseases.
Angiography exclusions:Target lesion: Total occlusion lesion (TIMI 0), heavy calcified lesion that cannot be successfully dilated, bifurcation lesion (side branch ≥ 2.0 mm in diameter), restenosis lesion, thrombotic lesion, or left main disease;Non-target lesion: More than 2 non-target lesions or non-target lesion cannot be successfully treated.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xuebo Liu, MD
Phone
021-56051080
Email
lxb70@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xuebo Liu, MD
Organizational Affiliation
Shanghai Tongji Hospital, Tongji University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shanghai Tongji Hospital, Tongji University School of Medicine
City
Shanghai
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xuebo Liu, MD
12. IPD Sharing Statement
Learn more about this trial
ACOART Paclitaxel SVD:Paclitaxel Coated Coronary Balloon Catheter in Treatment of Coronary Small Vessel Diseases
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