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Supralimus-Core™ Pharmacokinetic (PK) Study

Primary Purpose

Coronary Artery Disease

Status
Completed
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
Supralimus-Core™ Sirolimus eluting Coronary Stent
Sponsored by
Sahajanand Medical Technologies Limited
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease focused on measuring Coronary Artery Disease, Drug Eluting Stents (DES), Pharmacokinetic (PK)

Eligibility Criteria

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

Patients with de novo native coronary artery lesions located in epicardial vessel who qualify for percutaneous coronary intervention will be included according to the inclusion and exclusion criteria specified below:

Inclusion Criteria:

  1. Age ≥18 years.
  2. Eligible for percutaneous coronary intervention (PCI)
  3. Acceptable candidate for CABG
  4. Clinical evidence of ischemic heart disease and/or a positive territorial functional study. Documented stable angina pectoris ((Canadian Cardiovascular Society (CCS) Classification 1, 2, 3 or 4) or unstable angina pectoris with documented ischemia (Braunwald Class IB-C, IIB-C or IIIB-C), or documented silent ischemia.
  5. The target lesion is a single de novo coronary artery lesion with ≥ 50% and < 100% stenosis in one of the major epicardial territories (LAD, LCX or RCA). A second target lesion in another major epicardial vessel could be treated and this second lesion should fit with the inclusion/exclusion criteria and will receive the same type of stent.
  6. The target lesion must be covered by one study stent, preferably with a margin of 3 mm on each side of the lesion.
  7. The target lesion must be ≤ 34 mm in length by visual estimate.
  8. The target reference vessel diameter must be ≥ 2.5 mm and ≤ 3.5 mm.
  9. Patient or patient's legal representative has been informed of the nature of the study and agrees to its provisions and has provided written informed consent as notified / approved by the Institutional Review Board/Ethics Committee of the clinical site.

Exclusion Criteria:

  1. Female of childbearing potential
  2. Documented left ventricular ejection fraction (LVEF) ≤ 25%
  3. Evidence of an acute Q-wave or non-Q-wave myocardial infarction within 72 hours preceding the index procedure
  4. Known allergies to the following: aspirin, clopidogrel bisulfate (Plavix®, Ceruvin) or ticlopidine (Ticlid®), heparin, sirolimus, cobalt chromium, contrast agent (that cannot be adequately pre-medicated)
  5. A platelet count <100,000 cells/mm3 or >700,000 cells/mm3 or a WBC <3,000 cells/mm3
  6. Acute or chronic renal dysfunction (creatinine >2.0mg/dl or >150µmol/L)
  7. Target vessel has evidence of thrombus
  8. Target vessel is excessively tortuous which makes it unsuitable for proper stent delivery and deployment
  9. Previous bare metal stenting (less than 1 year) anywhere within the target vessel
  10. Previous drug-eluting stenting anywhere within any epicardial vessel
  11. The target lesion requires treatment with a device other than PTCA prior to stent placement (e.g. but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.)
  12. Significant (>50%) stenosis proximal or distal to the target lesion that might require revascularization or impede run-off
  13. Heavily calcified lesion and/or calcified lesion which cannot be successfully predilated
  14. Target lesion is located in or supplied by an arterial or venous bypass graft
  15. Ostial target lesion
  16. Patient is currently participating in an investigational drug or device study, including its follow-up period
  17. Within 30 days prior to procedure, patient has undergone a previous coronary interventional procedure of any kind
  18. Within 48 days post-procedure, patient requires planned interventional treatment of any non-target vessel. Planned intervention of the target vessel after the index procedure is not allowed.
  19. CVA within previous 6 months
  20. Unprotected Left Main (LM) coronary artery disease (stenosis >50%)
  21. In the investigator's opinion, patient has a co-morbid condition(s) that could limit the patient's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study
  22. Planned surgery within 48 days after the index procedure
  23. Life expectancy less than 1 year
  24. Any contraindication to blood sampling

Sites / Locations

  • Life Care Institute of Medical Science & research
  • Baroda Heart Institute & Research Center
  • Shree B. D. Mahavir Heart Institute
  • Bankers Heart Institute

Outcomes

Primary Outcome Measures

Cmax, Tmax, AUC24h, AUClast, AUC∞, λz, t½term, CL

Secondary Outcome Measures

Major Adverse Cardiac Event (MACE)

Full Information

First Posted
May 10, 2010
Last Updated
July 3, 2012
Sponsor
Sahajanand Medical Technologies Limited
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1. Study Identification

Unique Protocol Identification Number
NCT01121744
Brief Title
Supralimus-Core™ Pharmacokinetic (PK) Study
Official Title
Supralimus-Core™ Pharmacokinetic (PK) Study: Evaluation of Pharmacokinetic (PK) and Safety of the Supralimus-Core™ Sirolimus Eluting Coronary Stent System in De Novo Native Coronary Artery Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
July 2012
Overall Recruitment Status
Completed
Study Start Date
April 2010 (undefined)
Primary Completion Date
November 2010 (Actual)
Study Completion Date
January 2011 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Sahajanand Medical Technologies Limited

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary objective of this study is to evaluate the pharmacokinetic (PK) and safety associated with Supralimus-Core™ Sirolimus Eluting Coronary Stent system in the treatment of single de novo lesions in native coronary arteries between 2.5 to 3.5 mm in diameter.
Detailed Description
This is a multi-centric, interventional, non-randomized, open label, Uncontrolled, single group assignment, Pharmacokinetics study. Approximately 20 patients will be enrolled in the study. Patients will be followed for 48 days post-procedure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
Keywords
Coronary Artery Disease, Drug Eluting Stents (DES), Pharmacokinetic (PK)

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Device
Intervention Name(s)
Supralimus-Core™ Sirolimus eluting Coronary Stent
Other Intervention Name(s)
Drug Eluting Stent (DES)
Intervention Description
Supralimus-Core™ Coronary Stent System consisting of the Coronnium® coronary stent (CE approved) having Biodegradable Polymeric Matrix on a Co-Cr alloy Platform. Sirolimus Drug concentration is 1.4 µg/mm2.
Primary Outcome Measure Information:
Title
Cmax, Tmax, AUC24h, AUClast, AUC∞, λz, t½term, CL
Time Frame
Up to 48 days
Secondary Outcome Measure Information:
Title
Major Adverse Cardiac Event (MACE)
Time Frame
Up to 48 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Patients with de novo native coronary artery lesions located in epicardial vessel who qualify for percutaneous coronary intervention will be included according to the inclusion and exclusion criteria specified below: Inclusion Criteria: Age ≥18 years. Eligible for percutaneous coronary intervention (PCI) Acceptable candidate for CABG Clinical evidence of ischemic heart disease and/or a positive territorial functional study. Documented stable angina pectoris ((Canadian Cardiovascular Society (CCS) Classification 1, 2, 3 or 4) or unstable angina pectoris with documented ischemia (Braunwald Class IB-C, IIB-C or IIIB-C), or documented silent ischemia. The target lesion is a single de novo coronary artery lesion with ≥ 50% and < 100% stenosis in one of the major epicardial territories (LAD, LCX or RCA). A second target lesion in another major epicardial vessel could be treated and this second lesion should fit with the inclusion/exclusion criteria and will receive the same type of stent. The target lesion must be covered by one study stent, preferably with a margin of 3 mm on each side of the lesion. The target lesion must be ≤ 34 mm in length by visual estimate. The target reference vessel diameter must be ≥ 2.5 mm and ≤ 3.5 mm. Patient or patient's legal representative has been informed of the nature of the study and agrees to its provisions and has provided written informed consent as notified / approved by the Institutional Review Board/Ethics Committee of the clinical site. Exclusion Criteria: Female of childbearing potential Documented left ventricular ejection fraction (LVEF) ≤ 25% Evidence of an acute Q-wave or non-Q-wave myocardial infarction within 72 hours preceding the index procedure Known allergies to the following: aspirin, clopidogrel bisulfate (Plavix®, Ceruvin) or ticlopidine (Ticlid®), heparin, sirolimus, cobalt chromium, contrast agent (that cannot be adequately pre-medicated) A platelet count <100,000 cells/mm3 or >700,000 cells/mm3 or a WBC <3,000 cells/mm3 Acute or chronic renal dysfunction (creatinine >2.0mg/dl or >150µmol/L) Target vessel has evidence of thrombus Target vessel is excessively tortuous which makes it unsuitable for proper stent delivery and deployment Previous bare metal stenting (less than 1 year) anywhere within the target vessel Previous drug-eluting stenting anywhere within any epicardial vessel The target lesion requires treatment with a device other than PTCA prior to stent placement (e.g. but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.) Significant (>50%) stenosis proximal or distal to the target lesion that might require revascularization or impede run-off Heavily calcified lesion and/or calcified lesion which cannot be successfully predilated Target lesion is located in or supplied by an arterial or venous bypass graft Ostial target lesion Patient is currently participating in an investigational drug or device study, including its follow-up period Within 30 days prior to procedure, patient has undergone a previous coronary interventional procedure of any kind Within 48 days post-procedure, patient requires planned interventional treatment of any non-target vessel. Planned intervention of the target vessel after the index procedure is not allowed. CVA within previous 6 months Unprotected Left Main (LM) coronary artery disease (stenosis >50%) In the investigator's opinion, patient has a co-morbid condition(s) that could limit the patient's ability to participate in the study, compliance with follow-up requirements or impact the scientific integrity of the study Planned surgery within 48 days after the index procedure Life expectancy less than 1 year Any contraindication to blood sampling
Facility Information:
Facility Name
Life Care Institute of Medical Science & research
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380014
Country
India
Facility Name
Baroda Heart Institute & Research Center
City
Baroda
State/Province
Gujarat
ZIP/Postal Code
390007
Country
India
Facility Name
Shree B. D. Mahavir Heart Institute
City
Surat
State/Province
Gujarat
ZIP/Postal Code
395001
Country
India
Facility Name
Bankers Heart Institute
City
Vadodara
State/Province
Gujarat
ZIP/Postal Code
390015
Country
India

12. IPD Sharing Statement

Citations:
PubMed Identifier
22664810
Citation
Thakkar AS, Abhyankar AD, Dani SI, Banker DN, Singh PI, Parmar SA, Mehta AA. Systemic exposure of sirolimus after coronary stent implantation in patients with de novo coronary lesions: Supralimus-Core(R) pharmacokinetic study. Indian Heart J. 2012 May-Jun;64(3):273-9. doi: 10.1016/S0019-4832(12)60086-8.
Results Reference
result

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Supralimus-Core™ Pharmacokinetic (PK) Study

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