Last updated: October 23, 2023
Sponsor: Shanghai MicroPort Medical (Group) Co., Ltd.
Overall Status: Active - Not Recruiting
Phase
N/A
Condition
Atherosclerosis
Cardiac Disease
Chest Pain
Treatment
Firesorb
XIENCE
Clinical Study ID
NCT02890160
MicroPort_Firesorb_RCT
Ages 18-75 All Genders
Study Summary
Eligibility Criteria
Inclusion
General Inclusion Criteria:
- 18-75 years of age, males or non-pregnant females;
- With silent ischemia evidence, patients with stable or unstable angina, or in patientswith old myocardial infarction;
- Patients with indications for coronary artery bypass graft surgery;
- To understand the purpose of testing, voluntary and informed consent, patientsundergoing invasive imaging follow-up. Angiographic Inclusion Criteria:
- One or two de novo target lesions:
- If there is one target lesion, a second non-target lesion may be treated but thenon-target lesion must be present in a different epicardial vessel, and must betreated first with a successful, uncomplicated result prior to randomization ofthe target lesion.
- If two target lesions are present, they must be present in different epicardialvessels and both must satisfy the angiographic eligibility criteria.
- The definition of epicardial vessels means the LAD, LCX and RCA and theirbranches. Thus, the patient must not have lesions requiring treatment in e.g.both the LAD and a diagonal branch.
- Target lesion(s) must be located in a native coronary artery with a visually estimatedor quantitatively assessed % diameter stenosis (DS) of ≥ 50% and < 100% with athrombolysis in myocardial infarction (TIMI) flow of ≥1 and one of the following:stenosis ≥ 70%, an abnormal functional test (e.g. fractional flow reserve, stresstest), unstable angina or post-infarct angina. Lesion(s) must be located in a nativecoronary artery with RVD by visual estimation of ≥ 2.5 mm and ≤4.0 mm. Lesion(s) mustbe located in a native coronary artery with length by visual estimation of ≤ 25 mm.
- Each target lesion may be covered with one stent.
Exclusion
General Exclusion Criteria:
- Within 1 week of any acute myocardial infarction or myocardial enzymes did not returnto normal;
- Implantation of stent in target vessel within 1 year , patients with plannedintervention again within six months;
- Severe congestive heart failure (NYHA III and above) ,or left ventricular ejectionfraction <40% (ultrasound or left ventricular angiography);
- Preoperative renal function serum creatinine >2.0mg/DL; receiving hemodialysis;
- Bleeding, active gastrointestinal ulcers, brain hemorrhage or subarachnoid hemorrhageand half year history of ischemic stroke, antiplatelet agents and would not allow ananticoagulant therapy contraindications patients undergoing antithrombotic therapy;
- Aspirin, clopidogrel, heparin, contrast agent, poly lactic acid polymer and rapamycinallergies;
- The patient's life expectancy is less than 12 months;
- Top participated in other drug or medical device and does not meet the primary studyendpoint in clinical trials time frame;
- Researchers determine patient compliance is poor, unable to complete the study inaccordance with the requirements;
- Heart transplantation patients;
- The unstable arrhythmia, such as high risk ventricular extrasystole and ventriculartachycardia;
- Cancer need chemotherapy;
- Immunosuppression and autoimmune diseases, planned or undergoing immunosuppressivetherapy;
- Planning or being receiving long-term anticoagulant therapy, such as heparin,warfarin, etc;
- Within six months for elective surgery requires stopping aspirin, Clopidogrelpatients;
- Blood test prompted platelet counts of less than 100x10E9/L or greater than 700x10E9/L, white blood cells than 3x10E9/L; known or suspected liver disease (such ashepatitis);
- Peripheral vascular disease, 6F catheter is not available. Angiographic Exclusion Criteria:
- left main coronary artery disease;
- severe triple vessel lesion and required revascularization. The following exclusion criteria apply to the target lesion(s) or target vessel(s):
- Aorto-ostial right coronary artery (RCA) lesion (within 3 mm of the ostium).
- Lesion located within 3 mm of the origin of the Left Anterior Descending Artery (LAD)or left circumflex artery (LCX).
- Lesion involving a bifurcation with a:
- side branch ≥ 2.5 mm in diameter, or
- side branch with diameter stenosis ≥ 50%, or
- side branch requiring guide wire, or
- side branch requiring dilatation.
- Anatomy proximal to or within the lesion that may impair delivery of Firesorb orXIENCE stent:
- Extreme angulation (≥ 90°) proximal to or within the target lesion.
- Excessive tortuosity (≥ two 45° angles) proximal to or within the target lesion.
- Moderate or heavy calcification proximal to or within the target lesion.
- Lesion or vessel involves a myocardial bridge.
- Vessel contains thrombus as indicated in the angiographic images or by IVUS or OCT.
- Vessel has been previously treated with a stent at any time prior to the indexprocedure such that the Firesorb or XIENCE would need to cross the stent to reach thetarget lesion.
- Vessel has been previously treated and the target lesion is within 5 mm proximal ordistal to a previously treated lesion.
- Lesion which prevents successful balloon pre-dilatation, defined as full balloonexpansion with the following outcomes:
- Residual %DS is a maximum of < 40% (per visual estimation), ≤ 20% is stronglyrecommended.
- TIMI Grade-3 flow (per visual estimation).
- No angiographic complications (e.g. distal embolization, side branch closure).
- No dissections National Heart Lung and Blood Institute (NHLBI) grade D-F.
- No chest pain lasting > 5 minutes.
- No ST depression or elevation lasting > 5 minutes.
Study Design
Total Participants: 430
Treatment Group(s): 2
Primary Treatment: Firesorb
Phase:
Study Start date:
August 24, 2017
Estimated Completion Date:
October 31, 2024
Study Description
Connect with a study center
Fu Wai Hospital
Peking, Beijing 100037
ChinaSite Not Available
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