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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
REVA Medical, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Myocardial Ischemia

Eligibility Criteria

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

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

First Posted
December 16, 2010
Last Updated
March 27, 2023
Sponsor
REVA Medical, Inc.
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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

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Safety Study of a Bioresorbable Coronary Stent

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