FANTOM Post Market Clinical Trial

Last updated: June 13, 2024
Sponsor: REVA Medical, Inc.
Overall Status: Active - Recruiting

Phase

N/A

Condition

Coronary Artery Disease

Cardiovascular Disease

Cardiac Disease

Treatment

Fantom

Clinical Study ID

NCT03587922
HCT6700
  • Ages > 18
  • All Genders

Study Summary

Post Market study of the Fantom Sirolimus-Eluting Bioresorbable Coronary Scaffold

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

Total Participants: 1500
Treatment Group(s): 1
Primary Treatment: Fantom
Phase:
Study Start date:
May 01, 2018
Estimated Completion Date:
May 01, 2025

Connect with a study center

  • Wilhelminenhospital

    Wien,
    Austria

    Active - Recruiting

  • Juedisches Krankenhaus Berlin

    Berlin,
    Germany

    Active - Recruiting

  • Technische Universitat Dresden

    Dresden,
    Germany

    Active - Recruiting

  • Universitatsklinikum Halle

    Halle,
    Germany

    Active - Recruiting

  • Klinikum Herford

    Herford,
    Germany

    Active - Recruiting

  • Universitatsklinikum Schleswig-Holstein, Campus Kiel

    Kiel,
    Germany

    Active - Recruiting

  • Clemenshospital Muenster

    Münster,
    Germany

    Active - Recruiting

  • Klinkum Oldenburg

    Oldenburg,
    Germany

    Active - Recruiting

  • Marien Hospital Witten

    Witten,
    Germany

    Active - Recruiting

  • University Kantonsspital Baselland

    Liestal,
    Switzerland

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.