A Trial of Firesorb in Patients With Coronary Artery Disease: FUTURE-II

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

The FUTURE-II study is a confirmative clinical trial for Sirolimus Target Eluting Bioresorbable Vascular Scaffold (Firesorb) after the feasibility and safety of the device has been preliminary confirmed in a small-scale First-in-Man clinical trial.

Eligibility Criteria

Inclusion

General Inclusion Criteria:

  1. 18-75 years of age, males or non-pregnant females;
  2. With silent ischemia evidence, patients with stable or unstable angina, or in patientswith old myocardial infarction;
  3. Patients with indications for coronary artery bypass graft surgery;
  4. To understand the purpose of testing, voluntary and informed consent, patientsundergoing invasive imaging follow-up. Angiographic Inclusion Criteria:
  5. One or two de novo target lesions:
  6. 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.
  7. If two target lesions are present, they must be present in different epicardialvessels and both must satisfy the angiographic eligibility criteria.
  8. 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.
  9. 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.
  10. Each target lesion may be covered with one stent.

Exclusion

General Exclusion Criteria:

  1. Within 1 week of any acute myocardial infarction or myocardial enzymes did not returnto normal;
  2. Implantation of stent in target vessel within 1 year , patients with plannedintervention again within six months;
  3. Severe congestive heart failure (NYHA III and above) ,or left ventricular ejectionfraction <40% (ultrasound or left ventricular angiography);
  4. Preoperative renal function serum creatinine >2.0mg/DL; receiving hemodialysis;
  5. 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;
  6. Aspirin, clopidogrel, heparin, contrast agent, poly lactic acid polymer and rapamycinallergies;
  7. The patient's life expectancy is less than 12 months;
  8. Top participated in other drug or medical device and does not meet the primary studyendpoint in clinical trials time frame;
  9. Researchers determine patient compliance is poor, unable to complete the study inaccordance with the requirements;
  10. Heart transplantation patients;
  11. The unstable arrhythmia, such as high risk ventricular extrasystole and ventriculartachycardia;
  12. Cancer need chemotherapy;
  13. Immunosuppression and autoimmune diseases, planned or undergoing immunosuppressivetherapy;
  14. Planning or being receiving long-term anticoagulant therapy, such as heparin,warfarin, etc;
  15. Within six months for elective surgery requires stopping aspirin, Clopidogrelpatients;
  16. 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);
  17. Peripheral vascular disease, 6F catheter is not available. Angiographic Exclusion Criteria:
  18. left main coronary artery disease;
  19. severe triple vessel lesion and required revascularization. The following exclusion criteria apply to the target lesion(s) or target vessel(s):
  20. Aorto-ostial right coronary artery (RCA) lesion (within 3 mm of the ostium).
  21. Lesion located within 3 mm of the origin of the Left Anterior Descending Artery (LAD)or left circumflex artery (LCX).
  22. Lesion involving a bifurcation with a:
  23. side branch ≥ 2.5 mm in diameter, or
  24. side branch with diameter stenosis ≥ 50%, or
  25. side branch requiring guide wire, or
  26. side branch requiring dilatation.
  27. Anatomy proximal to or within the lesion that may impair delivery of Firesorb orXIENCE stent:
  28. Extreme angulation (≥ 90°) proximal to or within the target lesion.
  29. Excessive tortuosity (≥ two 45° angles) proximal to or within the target lesion.
  30. Moderate or heavy calcification proximal to or within the target lesion.
  31. Lesion or vessel involves a myocardial bridge.
  32. Vessel contains thrombus as indicated in the angiographic images or by IVUS or OCT.
  33. 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.
  34. Vessel has been previously treated and the target lesion is within 5 mm proximal ordistal to a previously treated lesion.
  35. Lesion which prevents successful balloon pre-dilatation, defined as full balloonexpansion with the following outcomes:
  36. Residual %DS is a maximum of < 40% (per visual estimation), ≤ 20% is stronglyrecommended.
  37. TIMI Grade-3 flow (per visual estimation).
  38. No angiographic complications (e.g. distal embolization, side branch closure).
  39. No dissections National Heart Lung and Blood Institute (NHLBI) grade D-F.
  40. No chest pain lasting > 5 minutes.
  41. 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

This study is a prospective, multicenter, single-blind, randomized controlled trial in patients with coronary artery disease caused by up to two de novo native coronary artery lesions in separate epicardial vessels. The goal is to evaluate the safety and effectiveness of Firesorb to support the approval of the Chinese Food and Drug Administration (CFDA) for this product. The Abbott's XIENCE Everolimus-eluting Coronary Stent System is selected as the control device. 430 subjects will be recruited. All subjects will be 1:1 randomly assigned to experimental group and control group. All subjects will undergo clinical follow-up at 1-month, 6-month, 1-year, 2-year, 3-year, 4-year and 5-year post-index procedure. All subjects will undergo angiographic follow-up at 1-year post-index procedure; of which 3-5 centers will be specified as a subgroup to complete OCT follow-up (n=80, 40 each in test and control group).

Connect with a study center

  • Fu Wai Hospital

    Peking, Beijing 100037
    China

    Site Not Available

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