Safety Study of a Bioresorbable Coronary Stent (RESTORE)
Primary Purpose
Myocardial Ischemia, Coronary Artery Stenosis, Coronary Disease
Status
Completed
Phase
Not Applicable
Locations
Brazil
Study Type
Interventional
Intervention
ReZolve Stent
Sponsored by
About this trial
This is an interventional treatment trial for Myocardial Ischemia
Eligibility Criteria
Inclusion Criteria:
- Evidence of myocardial ischemia or a positive functional study.
- Normal CK-MB.
- Target lesion must be located in a native coronary artery where target vessel diameter is ≥ 2.9 mm and ≤ 3.3 mm and target lesion length is ≤ 12 mm, both assessed by on-line QCA and IVUS
- Target lesion must be in a major artery or branch with a visually estimated stenosis of ≥ 50% and < 100% with a TIMI flow of ≥ 2.
- Staged procedures are allowed in non-target vessels >24 hours before or > 30 days after REVA stent implantation
Exclusion Criteria:
- A myocardial infarction (CK-MB or Troponin > 3 times normal) within 72 hours of the procedure, has signs or symptoms of an ongoing myocardial infarction or has any visible thrombus
- Unprotected left main coronary disease with >50% stenosis
- The target vessel is totally occluded (TIMI Flow 0 to 1)
- Target lesion involves a bifurcation (a lesion with a side branch >2.0 mm in diameter containing a >50% stenosis)
- Target lesion is located within a segment supplied by distal graft
- Target lesion has possible or definite thrombus
Sites / Locations
- Instituto Dante Pazzanese de Cardiologia
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
REVA Medical ReZolve Stent
Arm Description
ReZolve Sirolimus-Eluting Bioresorbable Coronary Stent
Outcomes
Primary Outcome Measures
Ischemia-driven Target Lesion Revascularization (TLR)
Defined as any clinically-driven (as defined for TLR) repeat percutaneous intervention of the target vessel or bypass surgery of the target vessel.
Secondary Outcome Measures
QCA & IVUS derived parameters
Late Loss, Restenosis Rate, %DS, MLD & Neointimal Volume
Major Adverse Coronary Events
Major Adverse Cardiac Events - Combined events consisting of death, Myocardial Infarction (Q-Wave, Non Q-wave: CPK > 2xULN + MB>ULN) (MI), and target vessel revascularization (TVR).
Procedural and Technical Success
percentage of patients with angiographic success successful delivery and deployment of the device
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01262703
Brief Title
Safety Study of a Bioresorbable Coronary Stent
Acronym
RESTORE
Official Title
Pilot Study of the ReZolve™ Sirolimus-Eluting Bioresorbable Coronary Stent
Study Type
Interventional
2. Study Status
Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
December 2011 (Actual)
Primary Completion Date
October 2013 (Actual)
Study Completion Date
December 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
REVA Medical, Inc.
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
To evaluate the safety of a new bioresorbable (non-permanent) stent platform in native coronary arteries.
Detailed Description
Today, coronary artery disease is often treated by placing a metal stent inside the vessel that serves as a permanent scaffold. However, it is hypothesized that the stent is no longer needed once the artery has healed. This study will evaluate the safety of a bioresorbable (non-permanent) stent for the treatment of coronary artery disease. The stent is designed to restore blood flow to the artery which allows the artery to remodel (heal), and then resorb from the body. The stent supports the vessel during the critical 90-day healing process, and then gradually resorbs and is cleared from the body.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myocardial Ischemia, Coronary Artery Stenosis, Coronary Disease, Coronary Artery Disease, Coronary Restenosis, Cardiovascular Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
49 (Actual)
8. Arms, Groups, and Interventions
Arm Title
REVA Medical ReZolve Stent
Arm Type
Experimental
Arm Description
ReZolve Sirolimus-Eluting Bioresorbable Coronary Stent
Intervention Type
Device
Intervention Name(s)
ReZolve Stent
Intervention Description
ReZolve Sirolimus-Eluting Bioresorbable Coronary Stent
Primary Outcome Measure Information:
Title
Ischemia-driven Target Lesion Revascularization (TLR)
Description
Defined as any clinically-driven (as defined for TLR) repeat percutaneous intervention of the target vessel or bypass surgery of the target vessel.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
QCA & IVUS derived parameters
Description
Late Loss, Restenosis Rate, %DS, MLD & Neointimal Volume
Time Frame
12 months
Title
Major Adverse Coronary Events
Description
Major Adverse Cardiac Events - Combined events consisting of death, Myocardial Infarction (Q-Wave, Non Q-wave: CPK > 2xULN + MB>ULN) (MI), and target vessel revascularization (TVR).
Time Frame
60 months
Title
Procedural and Technical Success
Description
percentage of patients with angiographic success successful delivery and deployment of the device
Time Frame
Acute
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Evidence of myocardial ischemia or a positive functional study.
Normal CK-MB.
Target lesion must be located in a native coronary artery where target vessel diameter is ≥ 2.9 mm and ≤ 3.3 mm and target lesion length is ≤ 12 mm, both assessed by on-line QCA and IVUS
Target lesion must be in a major artery or branch with a visually estimated stenosis of ≥ 50% and < 100% with a TIMI flow of ≥ 2.
Staged procedures are allowed in non-target vessels >24 hours before or > 30 days after REVA stent implantation
Exclusion Criteria:
A myocardial infarction (CK-MB or Troponin > 3 times normal) within 72 hours of the procedure, has signs or symptoms of an ongoing myocardial infarction or has any visible thrombus
Unprotected left main coronary disease with >50% stenosis
The target vessel is totally occluded (TIMI Flow 0 to 1)
Target lesion involves a bifurcation (a lesion with a side branch >2.0 mm in diameter containing a >50% stenosis)
Target lesion is located within a segment supplied by distal graft
Target lesion has possible or definite thrombus
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alexandre Abizaid, MD
Organizational Affiliation
Instituto Dante Pazzanese de Cardiologia
Official's Role
Principal Investigator
Facility Information:
Facility Name
Instituto Dante Pazzanese de Cardiologia
City
Sao Paulo
Country
Brazil
12. IPD Sharing Statement
Learn more about this trial
Safety Study of a Bioresorbable Coronary Stent
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