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Qvanteq Bioactive Coronary Stent System First in Man (FIM) Clinical Investigation

Primary Purpose

Coronary Artery Disease

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Qvanteq bioactive coronary stent
Sponsored by
Qvanteq AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease focused on measuring CAD, PCI, bioactive coronary stent, OCT

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects must be at least 18 years of age
  • Evidence of myocardial ischemia without elevated cardiac biomarkers (e.g. stable or unstable angina with stable haemodynamic condition, silent ischemia demonstrated by positive territorial functional study)
  • The patient has a planned intervention of one single de novo lesion in one or two separate major epicardial territories (LAD, LCX, or RCA).
  • The lesion must have a visually estimated diameter stenosis of ≥ 50% and < 100%
  • Lesion length must be ≤16 mm
  • The vessel size must be between 2.5 and 3.5 mm
  • Written informed consent
  • The patient agrees to the follow-up visits including angiographic follow-up and OCT control at 6 months

Key Exclusion Criteria:

  • Evidence of ongoing acute myocardial infarction (AMI) in ECG and/or elevated cardiac biomarkers (according to local standard hospital practice) have not returned within normal limits at the time of procedure.
  • Patient suffered from stroke/TIA or myocardial infarction during the last 6 months
  • LVEF <30%
  • Platelet count <100,000 cells/mm3 or >400,000 cells/mm3, a WBC of <3,000 cells/mm3, or documented or suspected liver disease (including laboratory evidence of hepatitis)
  • Known renal insufficiency (Creatinine clearance less than 30 mL/Min), or subject on dialysis, or acute kidney failure
  • Patient undergoing planned surgery within 6 months with the necessity to stop ASA
  • Patient requiring prolonged DAPT for other diagnoses (>1 month)
  • History of bleeding diathesis or coagulopathy
  • Patient requiring oral anticoagulation (Coumadin, NOAC)
  • The patient is a recipient of a heart transplant
  • Known hypersensitivity or contraindication to aspirin, heparin, clopidogrel or cobalt-chromium
  • Other medical illness (e.g. cancer, stroke with neurological deficiency) or known history of substance abuse (alcohol, cocaine, heroin etc.) as per physician judgment that may cause non-compliance with the protocol or confound the data interpretation or is associated with a limited life expectancy
  • Female of child bearing potential (age <50 years and last menstruation within the last 12 months), who did not underwent tubal ligation, ovariectomy or hysterectomy.
  • Previous CABG

Angiographic Exclusion Criteria:

  • Severe tortuous, calcified or angulated coronary anatomy of the study vessel that in the opinion of the investigator would result in suboptimal imaging or excessive risk of complication from placement of an OCT catheter
  • Target lesion in left main stem.
  • Target lesion involves a side branch > 2.0mm in diameter
  • Aorto-ostial target lesion (within 3 mm of the aorta junction).
  • Total occlusion or TIMI flow <3, prior to wire crossing
  • The target vessel contains visible thrombus
  • Restenotic lesion.

Sites / Locations

  • Thoraxcentrum Twente, Medisch Spectrum Twente
  • Thoraxcenter Erasmus MC Universitair Medisch Centrum Rotterdam
  • Universitätsklinik für Kardiologie Schweizer Herz- und Gefässzentrum Bern
  • Cardiologie interventionnelle HUG - Hôpitaux Universitaires de Genève
  • HerzKlinik Hirslanden
  • Stadtspital Triemli Zürich Klinik für Kardiologie

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Qvanteq bioactive coronary stent system

Arm Description

Open-label, single arm, non-randomized study

Outcomes

Primary Outcome Measures

In-stent Late Lumen Loss (LLL) assessed by off-line QCA
Mean neointimal thickness assessed by off-line OCT analysis

Secondary Outcome Measures

Acute lumen gain assessed by off-line QCA
In-segment Late Lumen Loss assessed by off-line QCA
Mean Lumen Diameter (MLD) assessed by off-line QCA
Diameter stenosis assessed by off-line QCA
Binary restenosis (diameter stenosis > = 50%) assessed by off-line QCA
Prolapse area/volume assessed by off-line OCT analysis
Mean/minimal lumen diameter/area/volume assessed by off-line OCT analysis
Mean/minimal stent diameter/area/volume assessed by off-line OCT analysis
Stent symmetry assessed by off-line OCT analysis
Stent expansion assessed by off-line OCT analysis
Incomplete strut apposition assessed by off-line OCT analysis
In-stent neointimal hyperplasia volume obstruction (%) assessed by off-line OCT analysis
Neointimal hyperplasia area/volume assessed by off-line OCT analysis
Mean/maximal thickness of the struts coverage assessed by off-line OCT analysis
Percentage number of covered struts assessed by off-line OCT analysis
Percentage of incomplete apposed struts assessed by off-line OCT analysis
Healing score assessed by off-line OCT analysis
Acute success (device and procedural)
Device-oriented composite endpoints (cardiac death, MI not clearly attributable to a non-intervention vessel, clinically indicated target lesion revascularization)
Myocardial infarction (Q-wave, Non q-wave)
Clinically indicated revascularization of the target vessel
Any revascularization
Stent thrombosis according to ARC definitions

Full Information

First Posted
June 25, 2014
Last Updated
September 2, 2016
Sponsor
Qvanteq AG
Collaborators
Cardialysis BV
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1. Study Identification

Unique Protocol Identification Number
NCT02176265
Brief Title
Qvanteq Bioactive Coronary Stent System First in Man (FIM) Clinical Investigation
Official Title
Qvanteq Bioactive Coronary Stent System First in Man (FIM) Clinical Investigation
Study Type
Interventional

2. Study Status

Record Verification Date
September 2016
Overall Recruitment Status
Completed
Study Start Date
September 2014 (undefined)
Primary Completion Date
February 2016 (Actual)
Study Completion Date
August 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qvanteq AG
Collaborators
Cardialysis BV

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Objective of this First in Man study is to assess feasibility and safety of Qvanteq's bioactive coronary stent for treatment of stable coronary artery disease patients with de novo coronary artery stenosis in native vessels. The proprietary surface of Qvanteq's bioactive coronary stent improves the in-growth behavior of the stent in the treated vessel. In-vivo animal studies revealed fast in-growth (similar to BMS), which however is not resulting in excessive tissue overgrowth as observed in BMS but rather has an efficacy profile similar to drug-eluting stent (DES), meaning suppression of tissue overgrowth. This should reduce the risk of restenosis and thrombus formation despite the presence of a short term dual anti platelet therapy (DAPT). Furthermore, prolonged DAPT time as applied with current DES increases the bleeding risk of patients. The study is a prospective, multicenter, open-label, single arm study; conducted in up to 6 cardiology centers in CH and NL. In total, approx. 35 patients will be enrolled. All patients will be treated with the Qvanteq's bioactive coronary stent. Clinical follow-up will occur at 1, 6 & 12 months post-stent implantation. All patients will undergo angiography assessment (QCA) and Optical Coherence Tomography investigation (OCT) at baseline and at 6 months follow-up. Baseline OCT should be performed after the successfully completed angiographic procedure (documentary OCT). 1 and 12 months clinical follow-ups are conducted via telephone. Primary Angiographic endpoint is in-stent Late Lumen Loss at 6 months; assessed by off-line QCA. Primary OCT endpoint is mean neointimal thickness at 6 months; assessed by off-line OCT analysis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
Keywords
CAD, PCI, bioactive coronary stent, OCT

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
31 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Qvanteq bioactive coronary stent system
Arm Type
Experimental
Arm Description
Open-label, single arm, non-randomized study
Intervention Type
Device
Intervention Name(s)
Qvanteq bioactive coronary stent
Intervention Description
PCI
Primary Outcome Measure Information:
Title
In-stent Late Lumen Loss (LLL) assessed by off-line QCA
Time Frame
At 6 months after stent implantation
Title
Mean neointimal thickness assessed by off-line OCT analysis
Time Frame
At 6 months after stent implantation
Secondary Outcome Measure Information:
Title
Acute lumen gain assessed by off-line QCA
Time Frame
At 6 months after stent implantation
Title
In-segment Late Lumen Loss assessed by off-line QCA
Time Frame
At 6 months after stent implantation
Title
Mean Lumen Diameter (MLD) assessed by off-line QCA
Time Frame
At 6 months after stent implantation
Title
Diameter stenosis assessed by off-line QCA
Time Frame
At 6 months after stent implantation
Title
Binary restenosis (diameter stenosis > = 50%) assessed by off-line QCA
Time Frame
At 6 months after stent implantation
Title
Prolapse area/volume assessed by off-line OCT analysis
Time Frame
At baseline
Title
Mean/minimal lumen diameter/area/volume assessed by off-line OCT analysis
Time Frame
At baseline and at 6 months after stent implantation
Title
Mean/minimal stent diameter/area/volume assessed by off-line OCT analysis
Time Frame
At baseline and at 6 months after stent implantation
Title
Stent symmetry assessed by off-line OCT analysis
Time Frame
At baseline and at 6 months after stent implantation
Title
Stent expansion assessed by off-line OCT analysis
Time Frame
At baseline and at 6 months after stent implantation
Title
Incomplete strut apposition assessed by off-line OCT analysis
Time Frame
At baseline and at 6 months after stent implantation
Title
In-stent neointimal hyperplasia volume obstruction (%) assessed by off-line OCT analysis
Time Frame
At 6 months after stent implantation
Title
Neointimal hyperplasia area/volume assessed by off-line OCT analysis
Time Frame
At 6 months after stent implantation
Title
Mean/maximal thickness of the struts coverage assessed by off-line OCT analysis
Time Frame
At 6 months after stent implantation
Title
Percentage number of covered struts assessed by off-line OCT analysis
Time Frame
At 6 months after stent implantation
Title
Percentage of incomplete apposed struts assessed by off-line OCT analysis
Time Frame
At 6 months after stent implantation
Title
Healing score assessed by off-line OCT analysis
Time Frame
At 6 months after stent implantation
Title
Acute success (device and procedural)
Time Frame
At baseline
Title
Device-oriented composite endpoints (cardiac death, MI not clearly attributable to a non-intervention vessel, clinically indicated target lesion revascularization)
Time Frame
At 1, 6 and 12 months after stent implantation
Title
Myocardial infarction (Q-wave, Non q-wave)
Time Frame
At 1, 6 and 12 months after stent implantation
Title
Clinically indicated revascularization of the target vessel
Time Frame
At 1, 6 and 12 months after stent implantation
Title
Any revascularization
Time Frame
At 1, 6 and 12 months after stent implantation
Title
Stent thrombosis according to ARC definitions
Time Frame
Up to 12 months after stent implantation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects must be at least 18 years of age Evidence of myocardial ischemia without elevated cardiac biomarkers (e.g. stable or unstable angina with stable haemodynamic condition, silent ischemia demonstrated by positive territorial functional study) The patient has a planned intervention of one single de novo lesion in one or two separate major epicardial territories (LAD, LCX, or RCA). The lesion must have a visually estimated diameter stenosis of ≥ 50% and < 100% Lesion length must be ≤16 mm The vessel size must be between 2.5 and 3.5 mm Written informed consent The patient agrees to the follow-up visits including angiographic follow-up and OCT control at 6 months Key Exclusion Criteria: Evidence of ongoing acute myocardial infarction (AMI) in ECG and/or elevated cardiac biomarkers (according to local standard hospital practice) have not returned within normal limits at the time of procedure. Patient suffered from stroke/TIA or myocardial infarction during the last 6 months LVEF <30% Platelet count <100,000 cells/mm3 or >400,000 cells/mm3, a WBC of <3,000 cells/mm3, or documented or suspected liver disease (including laboratory evidence of hepatitis) Known renal insufficiency (Creatinine clearance less than 30 mL/Min), or subject on dialysis, or acute kidney failure Patient undergoing planned surgery within 6 months with the necessity to stop ASA Patient requiring prolonged DAPT for other diagnoses (>1 month) History of bleeding diathesis or coagulopathy Patient requiring oral anticoagulation (Coumadin, NOAC) The patient is a recipient of a heart transplant Known hypersensitivity or contraindication to aspirin, heparin, clopidogrel or cobalt-chromium Other medical illness (e.g. cancer, stroke with neurological deficiency) or known history of substance abuse (alcohol, cocaine, heroin etc.) as per physician judgment that may cause non-compliance with the protocol or confound the data interpretation or is associated with a limited life expectancy Female of child bearing potential (age <50 years and last menstruation within the last 12 months), who did not underwent tubal ligation, ovariectomy or hysterectomy. Previous CABG Angiographic Exclusion Criteria: Severe tortuous, calcified or angulated coronary anatomy of the study vessel that in the opinion of the investigator would result in suboptimal imaging or excessive risk of complication from placement of an OCT catheter Target lesion in left main stem. Target lesion involves a side branch > 2.0mm in diameter Aorto-ostial target lesion (within 3 mm of the aorta junction). Total occlusion or TIMI flow <3, prior to wire crossing The target vessel contains visible thrombus Restenotic lesion.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lorenz Räber, MD
Organizational Affiliation
Dep. of Cardiology, University Hospital Bern, Switzerland
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Patrick W Serruys, Prof
Organizational Affiliation
Erasmus Medical Center, Thoraxcenter, Rotterdam, the Netherlands
Official's Role
Study Chair
Facility Information:
Facility Name
Thoraxcentrum Twente, Medisch Spectrum Twente
City
Enschede
ZIP/Postal Code
7513
Country
Netherlands
Facility Name
Thoraxcenter Erasmus MC Universitair Medisch Centrum Rotterdam
City
Rotterdam
ZIP/Postal Code
3015
Country
Netherlands
Facility Name
Universitätsklinik für Kardiologie Schweizer Herz- und Gefässzentrum Bern
City
Bern
ZIP/Postal Code
3010
Country
Switzerland
Facility Name
Cardiologie interventionnelle HUG - Hôpitaux Universitaires de Genève
City
Geneva
ZIP/Postal Code
1205
Country
Switzerland
Facility Name
HerzKlinik Hirslanden
City
Zürich
ZIP/Postal Code
8032
Country
Switzerland
Facility Name
Stadtspital Triemli Zürich Klinik für Kardiologie
City
Zürich
ZIP/Postal Code
8063
Country
Switzerland

12. IPD Sharing Statement

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Qvanteq Bioactive Coronary Stent System First in Man (FIM) Clinical Investigation

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