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RESOLUTE ONYX China RCT Study

Primary Purpose

Ischemic Heart Disease, Stenotic Coronary Lesion, Cardiovascular Diseases

Status
Active
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System
Resolute Integrity™ Zotarolimus-Eluting Coronary Stent System
Sponsored by
Medtronic Vascular
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ischemic Heart Disease focused on measuring Major Adverse Cardiac Events (MACE), Myocardial Infarction (MI), Late Lumen Loss (LLL), Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), Target Vessel Failure (TVF), Target Lesion Failure (TLF), Stent Thrombosis (ST), The Randomized Controlled Trial, PERCUTANEOUS CORONARY INTERVENTION (PCI)

Eligibility Criteria

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

Key Inclusion Criteria:

  • The subject is an acceptable candidate for treatment with a drug-eluting stent in accordance with the applicable guidelines on percutaneous coronary interventions, the IB of Resolute Onyx stent, and the IFU of Resolute Integrity stent
  • The subject requires treatment of up to 3 target lesions in up to 2 separate target vessels [2 target lesions in 1 vessel (including its side branches) and 1 target lesion in a separate vessel(including its side branches)] amenable to treatment with stents with diameter from 2.25 mm to 4.0 mm

Key Exclusion Criteria:

  • Known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, P2Y12 inhibitors, mTOR inhibiting drugs such as zotarolimus, Biolimus A9 (or its derivatives), cobalt, nickel, platinum, iridium, chromium, molybdenum, polymer coatings (e.g. BioLinx) or a sensitivity to contrast media, which cannot be adequately pre-medicated
  • PCI of the target vessel within 9 months prior to the procedure
  • Active bleeding
  • Subjects with a life expectancy of less than 12 months
  • Participation in another clinical study
  • Pregnant, or lactating women

Sites / Locations

  • Shengjing Hospital of China Medical University
  • Fuwai Hospital, Chinese Academy of Medical Science

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System

Resolute Integrity™ Zotarolimus-Eluting Coronary Stent System

Arm Description

Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System

Resolute Integrity™ Zotarolimus-Eluting Coronary Stent System

Outcomes

Primary Outcome Measures

In-stent Late lumen loss measured by quantitative coronary angiography (QCA)
Late lumen loss measured by quantitative coronary angiography (QCA)

Secondary Outcome Measures

Device Success
Definition 1: The attainment of <50% residual stenosis of the target lesion using only the assigned device. Definition 2: The attainment of < 30% residual stenosis by QCA (or < 20% by visual assessment) AND a TIMI flow 3 after the procedure, using the assigned device only. These measurements will be made by the independent angiographic core laboratory.
Lesion Success
Definition 1: The attainment of <50% residual stenosis of the target lesion using any percutaneous method. Definition 2: The attainment of < 30% residual stenosis by QCA (or < 20% by visual assessment) AND a TIMI flow 3 after the procedure, using the assigned device only. These measurements will be made by the independent angiographic core laboratory.
Procedure Success
Definition 1: The attainment of <50% residual stenosis of the target lesion and no in-hospital MACE. Definition 2: The attainment of < 30% residual stenosis by QCA (or < 20% by visual assessment) AND a TIMI flow 3 after the procedure, using the assigned device only. These measurements will be made by the independent angiographic core laboratory.
Major Adverse Cardiac Events (MACE)
Defined as composite of death, myocardial infarction (Q wave and non-Q wave), emergent coronary bypass surgery, or clinically-driven repeat target lesion revascularization by percutaneous or surgical methods
Death (Cardiac and Non-cardiac)
All deaths
Myocardial infarction (all MI, and Target Vessel Myocardial Infarction (TVMI))
All myocardial infarction data will be reported per Medtronic historical protocol definitions.
All revascularizations
Target Legion Revascularization (TLR), Target Vessel Revascularization (TVR) and Non-TVR
Target Vessel Failure (TVF)
TVF
Target Lesion Failure (TLF)
TLF
Stent Thrombosis (ST)
ST
In-stent and in-segment percent diameter stenosis (%DS)
Angiographic measures: In-stent and in-segment percent diameter stenosis (%DS)
In-stent and in-segment binary restenosis rate
Angiographic measures:In-stent and in-segment binary restenosis rate
In-stent and in-segment minimal luminal diameter (MLD)
Angiographic measures:In-stent and in-segment minimal luminal diameter (MLD)
In-segment late luminal loss
Angiographic measures: In-segment late luminal loss

Full Information

First Posted
March 1, 2018
Last Updated
October 9, 2023
Sponsor
Medtronic Vascular
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1. Study Identification

Unique Protocol Identification Number
NCT03466151
Brief Title
RESOLUTE ONYX China RCT Study
Official Title
A Randomized Controlled Trial to Evaluate the Safety and Efficacy of the Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System in Comparison With the Medtronic Resolute Integrity™ Zotarolimus-Eluting Coronary Stent System in the Treatment of Subjects Eligible for Percutaneous Transluminal Coronary Angioplasty (PTCA) in China
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 12, 2018 (Actual)
Primary Completion Date
February 12, 2021 (Actual)
Study Completion Date
September 19, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Medtronic Vascular

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
It is a randomized controlled trial to evaluate the safety and efficacy of the Medtronic Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System in comparison with the Medtronic Resolute Integrity™ Zotarolimus-Eluting coronary stent system in the treatment of subjects eligible for percutaneous transluminal coronary angioplasty (PTCA) in China.
Detailed Description
This study is a pre-Market, prospective, multi-center, open-label, randomized controlled trial. Subjects will be 1:1 randomized and followed through 5 Years (screen, implant procedure(including post-procedure assessment),30-Day, 6 Months, 9 Months (primary endpoint_LLL), and annual assessments from 1-5 years).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ischemic Heart Disease, Stenotic Coronary Lesion, Cardiovascular Diseases, Arteriosclerosis, Coronary Artery Disease
Keywords
Major Adverse Cardiac Events (MACE), Myocardial Infarction (MI), Late Lumen Loss (LLL), Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), Target Vessel Failure (TVF), Target Lesion Failure (TLF), Stent Thrombosis (ST), The Randomized Controlled Trial, PERCUTANEOUS CORONARY INTERVENTION (PCI)

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
1:1 Randomization
Masking
None (Open Label)
Allocation
Randomized
Enrollment
550 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System
Arm Type
Experimental
Arm Description
Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System
Arm Title
Resolute Integrity™ Zotarolimus-Eluting Coronary Stent System
Arm Type
Active Comparator
Arm Description
Resolute Integrity™ Zotarolimus-Eluting Coronary Stent System
Intervention Type
Device
Intervention Name(s)
Resolute Onyx™ Zotarolimus-Eluting Coronary Stent System
Intervention Description
Treatment of subjects eligible for percutaneous transluminal coronary angioplasty (PTCA) as per study requirements
Intervention Type
Device
Intervention Name(s)
Resolute Integrity™ Zotarolimus-Eluting Coronary Stent System
Intervention Description
Treatment of subjects eligible for percutaneous transluminal coronary angioplasty (PTCA) as per study requirements
Primary Outcome Measure Information:
Title
In-stent Late lumen loss measured by quantitative coronary angiography (QCA)
Description
Late lumen loss measured by quantitative coronary angiography (QCA)
Time Frame
9 months
Secondary Outcome Measure Information:
Title
Device Success
Description
Definition 1: The attainment of <50% residual stenosis of the target lesion using only the assigned device. Definition 2: The attainment of < 30% residual stenosis by QCA (or < 20% by visual assessment) AND a TIMI flow 3 after the procedure, using the assigned device only. These measurements will be made by the independent angiographic core laboratory.
Time Frame
at the end of the index procedure or during hospital stay: estimated 7 days
Title
Lesion Success
Description
Definition 1: The attainment of <50% residual stenosis of the target lesion using any percutaneous method. Definition 2: The attainment of < 30% residual stenosis by QCA (or < 20% by visual assessment) AND a TIMI flow 3 after the procedure, using the assigned device only. These measurements will be made by the independent angiographic core laboratory.
Time Frame
at the end of the index procedure or during hospital stay: estimated 7 days
Title
Procedure Success
Description
Definition 1: The attainment of <50% residual stenosis of the target lesion and no in-hospital MACE. Definition 2: The attainment of < 30% residual stenosis by QCA (or < 20% by visual assessment) AND a TIMI flow 3 after the procedure, using the assigned device only. These measurements will be made by the independent angiographic core laboratory.
Time Frame
at the end of the index procedure or during hospital stay: estimated 7 days
Title
Major Adverse Cardiac Events (MACE)
Description
Defined as composite of death, myocardial infarction (Q wave and non-Q wave), emergent coronary bypass surgery, or clinically-driven repeat target lesion revascularization by percutaneous or surgical methods
Time Frame
30 day, 6 months, 9 months, 1 year, 2 years,3 years, 4 years, 5 years
Title
Death (Cardiac and Non-cardiac)
Description
All deaths
Time Frame
30 day, 6 months, 9 months, 1 year, 2 years,3 years, 4 years, 5 years
Title
Myocardial infarction (all MI, and Target Vessel Myocardial Infarction (TVMI))
Description
All myocardial infarction data will be reported per Medtronic historical protocol definitions.
Time Frame
30 day, 6 months, 9 months, 1 year, 2 years,3 years, 4 years, 5 years
Title
All revascularizations
Description
Target Legion Revascularization (TLR), Target Vessel Revascularization (TVR) and Non-TVR
Time Frame
30 day, 6 months, 9 months, 1 year, 2 years,3 years, 4 years, 5 years
Title
Target Vessel Failure (TVF)
Description
TVF
Time Frame
30 day, 6 months, 9 months, 1 year, 2 years,3 years, 4 years, 5 years
Title
Target Lesion Failure (TLF)
Description
TLF
Time Frame
30 day, 6 months, 9 months, 1 year, 2 years,3 years, 4 years, 5 years
Title
Stent Thrombosis (ST)
Description
ST
Time Frame
30 day, 6 months, 9 months, 1 year, 2 years,3 years, 4 years, 5 years
Title
In-stent and in-segment percent diameter stenosis (%DS)
Description
Angiographic measures: In-stent and in-segment percent diameter stenosis (%DS)
Time Frame
9 months
Title
In-stent and in-segment binary restenosis rate
Description
Angiographic measures:In-stent and in-segment binary restenosis rate
Time Frame
9 months
Title
In-stent and in-segment minimal luminal diameter (MLD)
Description
Angiographic measures:In-stent and in-segment minimal luminal diameter (MLD)
Time Frame
9 months
Title
In-segment late luminal loss
Description
Angiographic measures: In-segment late luminal loss
Time Frame
9 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: The subject is an acceptable candidate for treatment with a drug-eluting stent in accordance with the applicable guidelines on percutaneous coronary interventions, the IB of Resolute Onyx stent, and the IFU of Resolute Integrity stent The subject requires treatment of up to 3 target lesions in up to 2 separate target vessels [2 target lesions in 1 vessel (including its side branches) and 1 target lesion in a separate vessel(including its side branches)] amenable to treatment with stents with diameter from 2.25 mm to 4.0 mm Key Exclusion Criteria: Known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, P2Y12 inhibitors, mTOR inhibiting drugs such as zotarolimus, Biolimus A9 (or its derivatives), cobalt, nickel, platinum, iridium, chromium, molybdenum, polymer coatings (e.g. BioLinx) or a sensitivity to contrast media, which cannot be adequately pre-medicated PCI of the target vessel within 9 months prior to the procedure Active bleeding Subjects with a life expectancy of less than 12 months Participation in another clinical study Pregnant, or lactating women
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yongjian Wu, MD
Organizational Affiliation
Fuwai Hospital, Chinese Academy of Medical Science
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shengjing Hospital of China Medical University
City
Shenyang
State/Province
Liaoning
Country
China
Facility Name
Fuwai Hospital, Chinese Academy of Medical Science
City
Beijing
ZIP/Postal Code
100037
Country
China

12. IPD Sharing Statement

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RESOLUTE ONYX China RCT Study

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