SELUTION SLR™ 014 In-stent Restenosis

Last updated: February 10, 2025
Sponsor: M.A. Med Alliance S.A.
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

N/A

Treatment

SELUTION SLR™ DEB

Control

Clinical Study ID

NCT04280029
SEL-003-2019
  • Ages > 18
  • All Genders

Study Summary

Prospective, multi-center, randomized, single blind, controlled, noninferiority clinical trial.

Subjects with previous bare-metal stent (BMS) or DES and qualifying evidence for ISR will be screened per the protocol inclusion and exclusion criteria. Eligible subjects will be randomized 1:1 to treatment with either the SELUTION SLR™ 014 DEB or SOC to include contemporary DES (zotarolimus-eluting stents [ZES] and everolimus-eluting stents [EES] only) or BA. A maximum of 20% of patients randomized to SOC will be treated with BA.

The primary endpoint will be Target Lesion Failure (TLF) at 12-months in the SOC group vs. the SELUTION SLR™ 014 DEB in all patients.

Eligibility Criteria

Inclusion

Clinical Inclusion Criteria:

  1. Subject age is ≥ 18 years or minimum legal age as required by local regulations.

  2. Female subjects of childbearing potential have a negative pregnancy test ≤ 7 daysbefore the procedure.

  3. Subject presents with chronic coronary syndrome (CCS) (manifest as documented anginaor positive functional testing), unstable angina or stabilized non-ST-elevationmyocardial infarction (NSTEMI) (biomarkers stabilized or down trending) with anindication for percutaneous coronary intervention (PCI) and planned intervention.

  4. Subject is eligible for dual antiplatelet therapy (DAPT) treatment with aspirin pluseither Clopidogrel, Prasugrel, or Ticagrelor. Note: Subjects who require continuedoral anticoagulant therapy my omit aspirin at discretion of investigator.

  5. Life expectancy >1 year in opinion of investigator.

  6. Subject is willing and able to provide informed consent and comply with studyprocedures and required follow-up evaluations.

Angiographic Inclusion Criteria

  1. Target lesion is within a native coronary artery or major branch.

  2. Target lesion is within a previously placed BMS or DES and does not extend furtherthan 5 mm beyond either the proximal or distal edge of the stent.

  3. Up to two (2) non-target lesions in non-target vessels may be treated, butsuccessful PCI of the non-target lesions must be completed before treatment of thetarget lesion. Successful treatment is defined as no greater than 30% residualstenosis by visual estimate, no dissection greater than National Heart, Lung, BloodInstitute (NHLBI) type C, and Thrombolysis in Myocardial Infarction (TIMI) gradeflow in the non-target lesion > 2.

  4. Target lesion is ≤ 26 mm in length.

  5. Target lesion has diameter stenosis of > 50% and ≤ 99% by visual estimate.

  6. Reference vessel diameter (RVD) is ≥ 2.00 mm and ≤ 4.50 mm.

  7. Target lesion must be successfully pre-dilated/pre-treated. Note: Successfulpre-dilation/pre-treatment is defined as dilation or pre-treatment that achievesstent expansion of approximately 80% of the distal RVD (at the discretion of theinvestigator) based on intravascular ultrasound (IVUS)/optical coherence tomography (OCT) and no greater than 30% residual stenosis by visual estimate and no dissectiongreater than NHLBI type C. TIMI grade flow in the target lesion must be > 2. Note:Atherectomy and cutting balloon are permitted for pre-treatment.

Exclusion

Clinical Exclusion Criteria:

  1. Known hypersensitivity or allergy to Sirolimus or other pharmacologic agentsrequired for the procedure.

  2. ST-elevation myocardial infarction (STEMI) within 30 days.

  3. Planned treatment of additional lesions in the target vessel, or more than two (2)non-target lesions within non-target vessels, during the index procedure.

  4. Target lesion is located within a bifurcation with planned treatment of side branchvessel.

  5. Target lesion is the 3rd or greater stent failure (i.e., more than two [2] layers ofstent are present at any segment of the target lesion).

  6. Target vessel had any previous vascular brachytherapy treatment or is planned toundergo brachytherapy at index procedure.

  7. Previous PCI of the target vessel within 30 days.

  8. Planned PCI of a non-target vessel, or a non-target lesion in the target vessel,within 30 days of randomization.

  9. Subject has chronic renal insufficiency (dialysis dependent, or glomerularfiltration rate [GFR] ≤ 30 ml/min/1.73 m² within 30 days of index procedure) or hasundergone renal transplantation.

  10. Subject has acute renal insufficiency confirmed by 50% increase of serum creatininewithin 48 hours before procedure and/or decrease in urine output.

  11. History of active peptic ulcer or gastrointestinal bleeding within prior 6 months orother inability to comply with recommended duration of DAPT.

  12. Subject is pregnant, breast-feeding, or a woman of childbearing potential who is notusing appropriate contraceptives to avoid becoming pregnant.

  13. Documented left ventricular ejection fraction (LVEF) < 25%.

  14. Currently participating in another investigational drug or device study that has notcompleted primary endpoint follow-up.

Angiographic Exclusion Criteria

  1. Target lesion is a total occlusion or has evidence of thrombus.

  2. Target lesion involves an unprotected left main.

  3. Target lesion has > 30% residual stenosis by visual estimate or dissection greaterthan NHLBI type C after pre-dilation/pre-treatment.

Study Design

Total Participants: 418
Treatment Group(s): 2
Primary Treatment: SELUTION SLR™ DEB
Phase:
Study Start date:
July 06, 2020
Estimated Completion Date:
August 31, 2029

Study Description

Prospective, multi-center, randomized, single blind, controlled, noninferiority clinical trial will enroll up to 418 randomized subjects (including up to 60 subjects in an angiographic and optical coherence tomography [OCT] sub-study) at up to 80 sites in the United States (US), Canada, Brazil, and Europe (EU). A minimum of 50% of the subjects will be enrolled in the US.

Subjects with previous bare-metal stent (BMS) or DES and qualifying evidence for ISR will be screened per the protocol inclusion and exclusion criteria. Eligible subjects will be randomized 1:1 to treatment with either the SELUTION SLR™ 014 DEB or SOC to include contemporary DES (zotarolimus-eluting stents [ZES] and everolimus-eluting stents [EES] only) or BA. A maximum of 20% of patients randomized to SOC will be treated with BA.

The primary endpoint will be Target Lesion Failure (TLF) at 12-months in the SOC group vs. the SELUTION SLR™ 014 DEB group.

A subset of up to 60 subjects will be enrolled in the angiographic and OCT sub-study and undergo planned angiographic and OCT follow-up within 30 days after completion of the 12-month primary endpoint clinical follow-up/assessment.

Connect with a study center

  • HartCentrum Hasselt, Jessa Ziekenhuis

    Hasselt,
    Belgium

    Site Not Available

  • HartCentrum Hasslet, Jessa Ziekenhuis

    Hasselt,
    Belgium

    Site Not Available

  • Hospital de Clinicas

    Porto Alegre, RS 90035-903
    Brazil

    Site Not Available

  • Instituto de Cardiologia de Porto Alegre

    Porto Alegre, RS 900040-371
    Brazil

    Site Not Available

  • Instituto Dante Pazzanese de Cardiologia

    São Paulo, SP 04012-180
    Brazil

    Site Not Available

  • Instituto do Coração - São Paulo University

    São Paulo, SP 05403-900
    Brazil

    Site Not Available

  • Foothills Medical Centre

    Calgary, Alberta T2N 2T9
    Canada

    Site Not Available

  • Hamilton Health Sciences

    Hamilton, Ontario L8N 3Z5
    Canada

    Site Not Available

  • IUCPQ Quebec City

    Québec, Quebec G1V 4G5
    Canada

    Site Not Available

  • Clinique Valmy

    Dijon, 21000
    France

    Site Not Available

  • Hôpital Jacques Cartier

    Massy, 91300
    France

    Active - Recruiting

  • Hôpital privé Jacques Cartier

    Massy, 91300
    France

    Site Not Available

  • Hôpital privé Jaques Cartier

    Massy,
    France

    Active - Recruiting

  • Clinique Saint Hilaire

    Rouen, 76000
    France

    Site Not Available

  • CHU Toulouse Rangueil

    Toulouse, 31400
    France

    Site Not Available

  • Maria Cecilia Hospital

    Cotignola, 48033
    Italy

    Site Not Available

  • Instituto Clinico Humanitas Milan

    Milano, 20089
    Italy

    Site Not Available

  • Center Azienda Ospedaliero Universitaria de Padova

    Padova, 35128
    Italy

    Site Not Available

  • Cisanello Hospital, University of Pisa

    Pisa, 56124
    Italy

    Site Not Available

  • Amsterdam UMC, Academic Medical Centre

    Amsterdam, AZ 1105
    Netherlands

    Site Not Available

  • UMC Utrecht

    Utrecht, CX 3584
    Netherlands

    Site Not Available

  • UMCG

    Groningen, GZ 9718
    Netherlands

    Site Not Available

  • Loma Linda University

    Loma Linda, California 92354
    United States

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • Harbor-UCLA Medical Center

    Torrance, California 90502
    United States

    Site Not Available

  • ClinRe 001-001

    Thornton, Colorado 80023
    United States

    Site Not Available

  • Yale University

    New Haven, Connecticut 06520
    United States

    Site Not Available

  • MedStar Heart Institute

    Washington, District of Columbia 20010
    United States

    Site Not Available

  • University of Florida Health

    Jacksonville, Florida 32209
    United States

    Site Not Available

  • Baptist Cardiac & Vascular Institute

    Miami, Florida 33176
    United States

    Site Not Available

  • Atlanta VA Medical Center

    Atlanta, Georgia 30033
    United States

    Site Not Available

  • Piedmont Heart Institute

    Atlanta, Georgia 30309
    United States

    Site Not Available

  • Advocate Christ Medical Center

    Oak Lawn, Illinois 60453
    United States

    Site Not Available

  • Ascension St Vincents Heart Center

    Indianapolis, Indiana 46260
    United States

    Site Not Available

  • Cardiovascular Research Institute of Kansas

    Wichita, Kansas 67226
    United States

    Site Not Available

  • Cardiovascular Institute of the South

    Houma, Louisiana 70360
    United States

    Site Not Available

  • University of Maryland

    Baltimore, Maryland 21201
    United States

    Site Not Available

  • Beth Israel Deaconess Medical Centre, Harvard Medical School

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Brigham and Women's Hospital

    Boston, Massachusetts 02115
    United States

    Site Not Available

  • Ascension Borgess Heart Institute

    Kalamazoo, Michigan 49048
    United States

    Site Not Available

  • Beaumont Hospital

    Royal Oak, Michigan 48073
    United States

    Site Not Available

  • Ascension St John Hospital

    Southfield, Michigan 48075
    United States

    Site Not Available

  • Minneapolis Heart Institute

    Minneapolis, Minnesota 55407
    United States

    Site Not Available

  • Barnes-Jewish Hospital

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Manchester Catholic Medical Center

    Manchester, New Hampshire 03102
    United States

    Site Not Available

  • Morristown Medical Center

    Morristown, New Jersey 07960
    United States

    Site Not Available

  • Rutgers, Robert Wood Johnson Medical School

    New Brunswick, New Jersey 08901
    United States

    Site Not Available

  • Mount Sinai Hospital

    New York, New York 10029
    United States

    Site Not Available

  • St. Francis Hospital & Heart Center

    Roslyn, New York 11576
    United States

    Site Not Available

  • Moses H. Cone Memorial Hospital

    Greensboro, North Carolina 27401
    United States

    Site Not Available

  • NC Heart and Vascular Research, LLC

    Raleigh, North Carolina 27607
    United States

    Site Not Available

  • The Christ Hospital

    Cincinnati, Ohio 45219
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Genesis Healthcare System

    Zanesville, Ohio 43701
    United States

    Site Not Available

  • Integris

    Oklahoma City, Oklahoma 73112
    United States

    Site Not Available

  • UPMC Pinnacle Health

    Harrisburg, Pennsylvania 17104
    United States

    Site Not Available

  • Pennsylvania State University Milton S. Hershey Medical Center

    Hershey, Pennsylvania 17033
    United States

    Site Not Available

  • Lifespan Cardiovascular Institute

    Providence, Rhode Island 02903
    United States

    Site Not Available

  • The Miriam Hospital

    Providence, Rhode Island 02906
    United States

    Active - Recruiting

  • HCA Centennial

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Baylor Scott & White

    Dallas, Texas 75204
    United States

    Site Not Available

  • Texas Tech University Health Sciences Center

    Lubbock, Texas 79430
    United States

    Site Not Available

  • Baylor Scott & White

    Temple, Texas 76508
    United States

    Site Not Available

  • HCA Chippenham/VA Cardiovascular Specialists

    Richmond, Virginia 23225
    United States

    Site Not Available

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