Phase
Condition
Coronary Artery Disease
Cardiovascular Disease
Cardiac Disease
Treatment
Fantom
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
The patient is at least 18 years of age.
The subject must have evidence of myocardial ischemia
The patient is an acceptable candidate for PTCA, stenting and emergent CABG.
The patient is willing and able to comply with the specified follow-up evaluations.
The patient's written informed consent has been obtained.
Each lesion to be treated with Fantom must meet all the following baseline criteria:
De novo lesion in a native coronary artery
Visually estimated stenosis of > or equal to 50% and <100%.
Visually estimated RVD > or equal to 2.5 mm and less than or equal to 3.75 mm.
Baseline TIMI flow greater than or equal to 2 per visual estimate.
Lesion Length less than or equal to 20 mm, able to be covered by a single scaffold
No angiographic complications (e.g. distal embolization, side branch closure).
No dissections greater than or equal to NHLBI type C.
Patient has no ongoing chest pain or ECG ST-segment of T-wave changes.
Exclusion
Exclusion Criteria:
The patient has a known allergy, intolerance, or is contraindicated to aspirin, bothheparin and bivalirudin, clopidogrel and/or contrast media, and cannot be adequatelypre-medicated.
The patient has experienced an acute ST-segment elevation myocardial infarction (AMI: STEMI) within 72 hours of the procedure and either CK-MB or Troponin has notreturned to within ULN (Note: the patient with a recent NSTEMI with elevatedbiomarkers may still be enrolled).
The patient has a left ventricular ejection fraction of <30%.
The patient has unprotected left main coronary disease with greater than or equal to 50% stenosis.
The patient has undergone prior PCI within the target vessel during the last 12months.
Prior PCI of a non-target vessel within 24 hours prior to the procedure, or within 30 days prior to the procedure if unsuccessful or complicated. Note: Prior PCI of anon-target vessel is acceptable if performed anytime > 30 days before the indexprocedure or between a minimum of 24 hours and 30 days before the index procedure issuccessful and uncomplicated.
Prior PCI within 3 years with a bioresorbable scaffold in any vessel.
The patient requires future staged PCI of any lesion other than a target lesionidentified at the time of the index procedure.
The patient has received any solid organ transplant or is on a waiting list for anysolid organ transplant.
At the time of screening, the subject has a malignancy that is not in remission.
The patient is receiving immunosuppressant therapy or has known immunosuppressive orsevere autoimmune disease that requires chronic immunosuppressive therapy.
The patient has a stent located within 3 mm of the target lesion borders.
The target vessel is totally occluded (TIMI Flow 0 to 1).
Excessive proximal tortuosity, vessel hinging at the lesion location or lesionangulation, such that in the operator's judgment it is unlikely that the FantomBioresorbable Coronary Scaffold or a standard scaffold could be delivered and/orexpanded.
The patient is currently participating in another investigational drug or devicetrial that has not reached its primary endpoint assessment
The patient has co-morbidities which reduce life expectancy to less than or equal to 24 months, or a condition that may interfere with the follow-up procedures of thisprotocol.
The patient has:
Known hepatic impairment (liver function tests (SGOT, SGPT, or ALT) >3 timesnormal);
Known impaired renal function (serum creatinine greater than or equal to 2.5 mg/dL).
A platelet count <100,000 cells/mm3 and/or >700,000 cells/mm3
The patient has a history of stroke (CVA) or TIA within the prior 6 months, or anypermanent neurologic defect, or any prior history of intracerebral bleeding.
The patient has an active peptic ulcer or upper GI bleeding within the prior 6months.
The patient has a history of bleeding diathesis or coagulopathy or will refuse bloodtransfusions.
The patient is a woman that is pregnant or lactating or is planning to get pregnantduring the follow-up period of this trial. Note: Women of child-bearing potentialshould have a negative pregnancy test before enrollment.
Target lesion ostial (within 3mm of vessel origin).
Target lesion is located in the left main or there is a > 30% diameter stenosis inthe left main artery
Target lesion has moderate to severe calcification.
Target segment(s) has one or more side branches >2.0 mm in diameter.
Target segment(s) has a side branch with either an ostial or non-ostial lesion withdiameter stenosis >50% or requiring dilation
Target lesion is located within an arterial bypass graft conduit or saphenous veingraft.
Target lesion is located within a previously stented region.
Target lesion is located within a segment supplied by distal graft.
Target lesion has possible or definite thrombus.
The patient is currently receiving or will require chronic anticoagulation therapy (e.g. coumadin, dabigatran, apixaban, rivaroxaban, or edoxaban for any reason).
The patient is known to need or has a planned surgical procedure or any other reasonis present which might require discontinuing aspirin and/or clopidogrel within 1year of the Fantom scaffold implantation
Patient has a known allergy to tyrosine derived polycarbonate or Sirolimus and itsstructurally related compounds.
Study Design
Connect with a study center
Wilhelminenhospital
Wien,
AustriaActive - Recruiting
Juedisches Krankenhaus Berlin
Berlin,
GermanyActive - Recruiting
Technische Universitat Dresden
Dresden,
GermanyActive - Recruiting
Universitatsklinikum Halle
Halle,
GermanyActive - Recruiting
Klinikum Herford
Herford,
GermanyActive - Recruiting
Universitatsklinikum Schleswig-Holstein, Campus Kiel
Kiel,
GermanyActive - Recruiting
Clemenshospital Muenster
Münster,
GermanyActive - Recruiting
Klinkum Oldenburg
Oldenburg,
GermanyActive - Recruiting
Marien Hospital Witten
Witten,
GermanyActive - Recruiting
University Kantonsspital Baselland
Liestal,
SwitzerlandActive - Recruiting
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