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The Efficacies of The New Paclitaxel-Eluting CoroflexTM Please Stent in Percutaneous Coronary Intervention

Primary Purpose

Coronary Artery Disease

Status
Unknown status
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Coroflex Please stent implantation
Taxus stent implantation
Sponsored by
Seoul National University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease

Eligibility Criteria

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

Inclusion Criteria

  • General Inclusion Criteria

    1. Subject must be at least 18 years of age.
    2. Subject is able to verbally confirm understandings of risks, benefits and treatment alternatives of receiving the CoroflexTM Please stent and he/she or his/her legally authorized representative provides written informed consent prior to any study related procedure.
    3. Subject must have coronary artery stenosis (>50% by visual estimate) with evidence of myocardial ischemia (e.g., stable, unstable angina, myocardial infarction, silent ischemia, positive functional study or a reversible changes in the electrocardiogram (ECG) consistent with ischemia.) or Subject must have significant coronary artery stenosis (>70% by visual estimate)
  • Angiographic Inclusion Criteria

    1. Target lesion(s) must be located in a native coronary artery with visually estimated diameter of ≥ 2.5 mm and ≤ 4.0 mm.
    2. Target lesion(s) must be amenable for percutaneous coronary intervention

Exclusion Criteria

  • General Exclusion Criteria

    1. The patient has a known hypersensitivity or contraindication to any of the following medications:

      • Heparin
      • Aspirin
      • Both Clopidogrel and Ticlopidine
      • Paclitaxel
      • Stainless steel
      • Contrast media(*) (*)Patients with documented sensitivity to contrast media which can be effectively pre-medicated with steroids and diphenhydramine [e.g. rash] may be enrolled. Those with true anaphylaxis to prior contrast media, however, should not be enrolled.
    2. Systemic (intravenous) Paclitaxel use within 12 months.
    3. Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrollment into this study.
    4. History of bleeding diathesis or known coagulopathy (including heparin- induced thrombocytopenia), or will refuse blood transfusions.
    5. Gastrointestinal or genitourinary bleeding within the prior 3 months, or major surgery within 2 months.
    6. An elective surgical procedure is planned that would necessitate interruption of thienopyridines during the first 6 months post enrollment.
    7. Non-cardiac co-morbid conditions are present with life expectancy <1 year or that may result in protocol non-compliance (per site investigator's medical judgment).
    8. Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period.
    9. Patients with LVEF<25% or those with cardiogenic shock
    10. Patients with acute ST elevation myocardial infarction who requires primary PCI
    11. Patients with acute ST elevation myocardial infarction within 48hrs
    12. Creatinine level ≥ 3.0mg/dL or dependence on dialysis.
  • Angiographic Exclusion Criteria

    1. Patients with significant left main stem stenosis which requires revascularization therapy
    2. Patients who's target lesion has in-stent restenosis at the stented segment of drug-eluting stents or bare metal stents
    3. Target lesions with bifurcating disease which require side branch stenting

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    C

    T

    Arm Description

    Coroflex Please stent implantation

    Taxus stent implantation

    Outcomes

    Primary Outcome Measures

    Clinically driven Target vessel Revascularization (TVR)

    Secondary Outcome Measures

    Major Cardiac Adverse Events (MACE; All Death, cardiac death, Myocardial infarction (Q-wave and non-Q wave), TVR)
    Target Vessel Failure (TVF; cardiovascular death, myocardial infarction, clinically driven TVR)
    Stent thrombosis
    In-stent binary restenosis by QCA
    In-stent and in-lesion late loss by QCA
    In-stent and in-lesion MLD and percentage diameter stenosis by QCA

    Full Information

    First Posted
    June 16, 2008
    Last Updated
    December 15, 2013
    Sponsor
    Seoul National University Hospital
    Collaborators
    B. Braun Melsungen AG
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00699543
    Brief Title
    The Efficacies of The New Paclitaxel-Eluting CoroflexTM Please Stent in Percutaneous Coronary Intervention
    Official Title
    The Efficacies of The New Paclitaxel-Eluting CoroflexTM Please Stent in Percutaneous Coronary Intervention: Comparison or Efficacy Between COroflex PLEASe ANd TaxusTM Stent
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2013
    Overall Recruitment Status
    Unknown status
    Study Start Date
    July 2008 (undefined)
    Primary Completion Date
    December 2013 (Anticipated)
    Study Completion Date
    December 2013 (Anticipated)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Seoul National University Hospital
    Collaborators
    B. Braun Melsungen AG

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Objectives : To evaluate the clinical efficacy, angiographic outcomes, and safety of the new paclitaxel-eluting coronary stent (CoroflexTM Please, B Braun, Germany), compared with another paclitaxel-eluting coronary stent system (TaxusTM, Boston Scientific, USA) in the treatment of coronary stenosis. Study Design : Prospective, open label, 2: 1 randomized multi-center trial. Patients will be randomized according to the type of drug eluting stent ( CoroflexTM Please vs. TaxusTM). Randomization will also be stratified per hospital for the presence of DM and the presence of long lesions (lesion length > 28mm) Patient Enrollment :915 patients enrolled at 13 centers in Korea. Patient Follow-Up :Clinical follow-up will occur at 1, 4, 9, 12 months and 2, 3years after intervention. Investigator or designee may conduct follow-up as telephone contacts or office visits. Primary Endpoint :Clinically driven Target vessel Revascularization (TVR) at 9 months. Secondary Endpoints :A. Clinical safety and efficacy end points Major Cardiac Adverse Events (MACE; All Death, cardiac death, Myocardial infarction (Q-wave and non-Q wave), TVR) Target Vessel Failure (TVF; cardiovascular death, myocardial infarction, clinically driven TVR) Stent thrombosis B. Angiographic efficacy end points in-stent binary restenosis by QCA in-stent and in-lesion late loss by QCA in-stent and in-lesion MLD and percentage diameter stenosis by QCA immediately after the index procedure and at 9 months of follow-up

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Coronary Artery Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    915 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    C
    Arm Type
    Experimental
    Arm Description
    Coroflex Please stent implantation
    Arm Title
    T
    Arm Type
    Active Comparator
    Arm Description
    Taxus stent implantation
    Intervention Type
    Device
    Intervention Name(s)
    Coroflex Please stent implantation
    Other Intervention Name(s)
    Coroflex Please stent
    Intervention Description
    Use Coroflex Please stent in the treatment of coronary stenosis
    Intervention Type
    Device
    Intervention Name(s)
    Taxus stent implantation
    Other Intervention Name(s)
    Taxus stent
    Intervention Description
    Use Taxus stent in the treatment of coronary stenosis
    Primary Outcome Measure Information:
    Title
    Clinically driven Target vessel Revascularization (TVR)
    Time Frame
    9 months.
    Secondary Outcome Measure Information:
    Title
    Major Cardiac Adverse Events (MACE; All Death, cardiac death, Myocardial infarction (Q-wave and non-Q wave), TVR)
    Time Frame
    1, 4, 9, 12 months and 2, 3years
    Title
    Target Vessel Failure (TVF; cardiovascular death, myocardial infarction, clinically driven TVR)
    Time Frame
    1, 4, 9, 12 months and 2, 3years
    Title
    Stent thrombosis
    Time Frame
    1, 4, 9, 12 months and 2, 3years
    Title
    In-stent binary restenosis by QCA
    Time Frame
    9 months
    Title
    In-stent and in-lesion late loss by QCA
    Time Frame
    9 months
    Title
    In-stent and in-lesion MLD and percentage diameter stenosis by QCA
    Time Frame
    Immediately after the index procedure and at 9 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria General Inclusion Criteria Subject must be at least 18 years of age. Subject is able to verbally confirm understandings of risks, benefits and treatment alternatives of receiving the CoroflexTM Please stent and he/she or his/her legally authorized representative provides written informed consent prior to any study related procedure. Subject must have coronary artery stenosis (>50% by visual estimate) with evidence of myocardial ischemia (e.g., stable, unstable angina, myocardial infarction, silent ischemia, positive functional study or a reversible changes in the electrocardiogram (ECG) consistent with ischemia.) or Subject must have significant coronary artery stenosis (>70% by visual estimate) Angiographic Inclusion Criteria Target lesion(s) must be located in a native coronary artery with visually estimated diameter of ≥ 2.5 mm and ≤ 4.0 mm. Target lesion(s) must be amenable for percutaneous coronary intervention Exclusion Criteria General Exclusion Criteria The patient has a known hypersensitivity or contraindication to any of the following medications: Heparin Aspirin Both Clopidogrel and Ticlopidine Paclitaxel Stainless steel Contrast media(*) (*)Patients with documented sensitivity to contrast media which can be effectively pre-medicated with steroids and diphenhydramine [e.g. rash] may be enrolled. Those with true anaphylaxis to prior contrast media, however, should not be enrolled. Systemic (intravenous) Paclitaxel use within 12 months. Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrollment into this study. History of bleeding diathesis or known coagulopathy (including heparin- induced thrombocytopenia), or will refuse blood transfusions. Gastrointestinal or genitourinary bleeding within the prior 3 months, or major surgery within 2 months. An elective surgical procedure is planned that would necessitate interruption of thienopyridines during the first 6 months post enrollment. Non-cardiac co-morbid conditions are present with life expectancy <1 year or that may result in protocol non-compliance (per site investigator's medical judgment). Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period. Patients with LVEF<25% or those with cardiogenic shock Patients with acute ST elevation myocardial infarction who requires primary PCI Patients with acute ST elevation myocardial infarction within 48hrs Creatinine level ≥ 3.0mg/dL or dependence on dialysis. Angiographic Exclusion Criteria Patients with significant left main stem stenosis which requires revascularization therapy Patients who's target lesion has in-stent restenosis at the stented segment of drug-eluting stents or bare metal stents Target lesions with bifurcating disease which require side branch stenting
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Hyo-Soo Kim, MD, PhD
    Organizational Affiliation
    Seoul National University Hospital
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    In-Ho Chae, MD, PhD
    Organizational Affiliation
    Seoul National University Bundang Hospital
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Seung-Ho Hur, MD, Ph
    Organizational Affiliation
    Keimyung University Dongsan Medical Center
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Tae-Jin Youn, MD, PhD
    Organizational Affiliation
    Seoul National University Bundang Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Soo-Joong Kim, MD, PhD
    Organizational Affiliation
    Kyunghee University Medical Center
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Keum-Soo Park, MD, PhD
    Organizational Affiliation
    Inha University Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Byung-Ok Kim, MD, PhD
    Organizational Affiliation
    Inje University Sang-gye Paik Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Min-Su Hyon, MD, PhD
    Organizational Affiliation
    Soon Chun Hyang University Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Sang-Wook Kim, MD, PhD
    Organizational Affiliation
    Chung-Ang University Hosptial, Chung-Ang University College of Medicine
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Jong-Seon Park, MD, PhD
    Organizational Affiliation
    Yeungnam University Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Doo-Il Kim, MD, PhD
    Organizational Affiliation
    Inje University
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Tae-Joon Cha, MD, PhD
    Organizational Affiliation
    Kosin University Gospel Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Sang-Gon Lee, MD, PhD
    Organizational Affiliation
    Ulsan University Hospital
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Hee-Kyoung Jeon, MD, PhD
    Organizational Affiliation
    Uijeongbu St. Mary's Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    23622910
    Citation
    Seo JB, Kang SH, Hur SH, Park KW, Youn TJ, Park JS, Yang HM, Lee HY, Kang HJ, Koo BK, Bae JH, Kim SW, Moon KW, Choi JW, Lee SG, Chung WY, Kim SJ, Kim DI, Kim BO, Hyon MS, Park KS, Cha TJ, Yoo CW, Jeon HK, Kim HS. Randomized trial comparing the efficacy between different types of paclitaxel-eluting stents: the comparison of efficacy between COroflex PLEASe ANd Taxus stent (ECO-PLEASANT) randomized controlled trial. Am Heart J. 2013 May;165(5):733-43. doi: 10.1016/j.ahj.2013.02.009. Epub 2013 Mar 20.
    Results Reference
    derived
    PubMed Identifier
    19849864
    Citation
    Seo JB, Jeon HK, Park KW, Park JS, Bae JH, Kim SW, Moon KW, Choi JW, Lee SG, Chung WY, Youn TJ, Kim SJ, Kim DI, Kim BO, Hyon MS, Park KS, Cha TJ, Hwang HK, Hur SH, Kim HS. Efficacies of the new paclitaxel-eluting Coroflex Please stent in percutaneous coronary intervention; comparison of efficacy between Coroflex Please and Taxus (ECO-PLEASANT) trial: study rationale and design. Trials. 2009 Oct 23;10:98. doi: 10.1186/1745-6215-10-98.
    Results Reference
    derived

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    The Efficacies of The New Paclitaxel-Eluting CoroflexTM Please Stent in Percutaneous Coronary Intervention

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