A Randomized Controlled Trial With Resolute Onyx in One Month Dual Antiplatelet Therapy (DAPT) for High-Bleeding Risk Patients (Onyx ONE)
Coronary Artery Disease

About this trial
This is an interventional treatment trial for Coronary Artery Disease
Eligibility Criteria
Inclusion Criteria:
- Age ≥ 75 years old
- Any prior documented intracerebral bleed
- Any documented stroke in the last 12 months
- Hospital admission for bleeding during the prior 12 months
- Non-skin cancer diagnosed or treated ≤3 years
- Planned surgery within the next 12 months
- Renal failure defined as: Creatinine clearance <40 ml/min
- Thrombocytopenia (PLT <100,000/mm3)
- Severe chronic liver disease defined as: subjects who have developed any of the following: variceal hemorrhage, ascites, hepatic encephalopathy or jaundice
Exclusion Criteria:
- Pregnant and breastfeeding women
- Subjects requiring a planned PCI procedure after 1 month of index procedure
- Active bleeding at the time of inclusion
- Cardiogenic shock
- A known hypersensitivity or contraindication to aspirin, heparin and bivalirudin, P2Y12 inhibitors, mTOR inhibiting drugs such as zotarolimus, Biolimus A9 (or its derivatives), cobalt, nickel, platinum, iridium, chromium, molybdenum, polymer coatings (eg, BioLinx™), stainless steel (or other metal ions found in 316L stainless steel), zinc, or a sensitivity to contrast media, which cannot be adequately pre-medicated.
- PCI during the previous 6 months for a lesion other than the target lesion of the index procedure
- Participation in another clinical study within 12 months after index procedure
- Subjects with life expectancy of less than 2 years
Sites / Locations
- Royal North Shore Hospital
- Royal Brisbane and Women's Hospital
- Bundaberg Cardiology - Friendly Society Private Hospital
- Cairns Hospital
- The Prince Charles Hospital
- Princess Alexandra Hospital
- Adelaide Cardiology
- Flinders Medical Centre
- Saint Vincent's Hospital (Melbourne)
- The Alfred Hospital
- Fiona Stanley Hospital
- LKH - Universitätsklinikum Graz
- A.ö. Landeskrankenhaus - Universitätskliniken Innsbruck
- Allgemeines Krankenhaus - Universitätskliniken Wien
- C.H.U. de Charleroi
- UZ Leuven - Campus Gasthuisberg
- CHU de Liège - Hôpital du Sart Tilman
- Acibadem City Clinic
- Clinique Axium
- Hôpital Privé Jacques Cartier
- Queen Elizabeth Hospital (Hong Kong)
- Queen Mary Hospital
- Galway University Hospitals - University Hospital Galway (UHG)
- Azienda Ospedaliera Bolognini Seriate - Ospedale Bolognini
- Presidio Ospedaliero Ferrarotto Alessi
- San Raffaele Scientific Institute
- Centro Cardiologico Monzino
- Umberto I - Policlinico di Roma
- Keimyung University Dongsan Medical Center
- Chonnam National University Hospital
- Seoul National University Bundang Hospital
- Severance Hospital
- Seoul National University Hospital
- Samsung Medical Center
- Seoul Saint Mary's Hospital
- Asan Medical Center
- Wonju Severance Christian Hospital
- Paula Stradina Kliniska universitates slimnica
- Riga East University Hospital
- Hospital of Lithuanian University of Health Sciences Kauno Klinikos
- Vilnius University Hospital Santariskiu Klinikos
- Queen Elizabeth II Hospital
- Sarawak Heart Centre
- Hospital Serdang
- Sarawak Heart Centre
- Institut Jantung Negara - National Heart Institute
- HagaZiekenhuis - Locatie Leyweg
- Universitair Medisch Centrum Groningen
- Zuyderland Medisch Centrum Heerlen
- Maastricht Universitair Medisch Centrum (MUMC)
- St. Antonius Ziekenhuis
- VieCuri Medisch Centrum voor Noord-Limburg - Locatie Venlo
- Isala Zwolle
- Auckland City Hospital
- Waikato Hospital
- Waikato Hospital
- Wellington Hospital
- Oslo Universitetssykehus-Ullevål Universitetssykehus
- Stavanger Universitetssjukehus - Helse Stavanger HF
- Górnośląskie Centrum Medyczne im prof Leszka Gieca Śląskiego Uniwersytetu Medycznego w Katowicach
- Miedziowe Centrum Zdrowia
- Szpital Kliniczny Przemienienia Panskiego
- National University Hospital
- Tan Tock Seng Hospital
- Stredoslovensky Ustav Srdcovych a Cievnych Chorob a.s
- Hospital Clínico Universitario Virgen de la Arrixaca
- Hospital Universitario de Canarias
- Hospital General Universitario de Alicante
- Hospital del Mar
- Hospital Universitari Bellvitge
- Hospital Universitario La Paz
- Hospital Clinico Universitario de Salamanca
- Hospital Universitario Marques de Valdecilla
- Gävle sjukhus
- Södersjukhuset
- Karolinska University Hospital in Solna
- Västmanlands Sjukhus
- Universitetssjukhuset Örebro
- Inselspital - Universitätsspital Bern
- Cardiocentro Ticino
- Siriraj Hospital
- Cardiff and Vale University Health Board - University Hospital of Wales (UHW)
- Royal Infirmary of Edinburgh
- Royal Devon and Exeter NHS Foundation Trust
- Golden Jubilee National Hospital - NHS Trust
- Royal Free Hospital
- The James Cook University Hospital - South Tees Hospitals NHS
- The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital
- Queen Alexandra Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Resolute Onyx stent
BioFreedom stent
Subjects who fulfill the inclusion criteria and none of the exclusion criteria will be randomly allocated in a 1:1 fashion to treatment with a Resolute Onyx stent or the BioFreedom stent followed by 1-month DAPT. Subjects implanted with the Resolute Onyx stent will be assessed for non-inferiority compared to those implanted with the BioFreedom stent using a composite safety endpoint of cardiac death, myocardial infarction, and definite/probable stent thrombosis, at 1 year post-procedure.
Subjects who fulfill the inclusion criteria and none of the exclusion criteria will be randomly allocated in a 1:1 fashion to treatment with a Resolute Onyx stent or the BioFreedom stent followed by 1-month DAPT. Subjects implanted with the Resolute Onyx stent will be assessed for non-inferiority compared to those implanted with the BioFreedom stent using a composite safety endpoint of cardiac death, myocardial infarction, and definite/probable stent thrombosis, at 1 year post-procedure.