Xijing Hospital
Xi'an, Shannxi, 710032, China
Location status: Recruiting
NCT Number: NCT07022587
Bioresorbable scaffold (BRS) was designed aiming to avoid the late adverse events associated with permanent metallic stents by providing temporary support to the vessel wall and promoting vessel remodeling, plaque reduction, and restoring vasomotion after its full absorption. As the first FDA-approved BRS, ABSORB BRS was associated with a significantly higher risk of late scaffold thrombosis compared with everolimus-eluting stent (EES). As a result, the ESC-EAPCI task force recommended that the current ABSORB BRS should not be preferred over conventional DES in clinical practice. To solve this dilemma, improved scaffold technology and optimal implantation techniques are necessary.
The latest generation Firesorb BRS is a PLLA backbone scaffold system abluminally coated with poly(D, L-lactide) mixed with sirolimus using highly accurate and precise point spraying techniques. Compared to the ABSORB BRS, Firesorb features a thinner stent thickness (100-125 μm) while maintaining sufficient radial support, enabling faster degradation and a shorter duration of presence in the coronary. Additionally, inspired by the design of the Firehawk DES, its unique spot-coating process applies a single-sided coating layer exclusively to the stent's outer surface, enabling targeted drug release. Preclinical trials have demonstrated favorable performance for Firesorb, culminating in its approval by the National Medical Products Administration (NMPA) in 2024.
Against these backgrounds, we have designed this trial to investigate whether the Firesorb BRS is non-inferior to the drug-eluting stent in terms of the Device-Oriented Composite Endpoint (DoCE) in patients undergoing percutaneous coronary intervention for de novo lesions.
Interested in participating?
Request Info18 year–75 year
All sexes
Interventional
Not applicable
Xi'an, Shannxi, 710032, China
Location status: Recruiting
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Clinical inclusion criteria
Angiographic inclusion criteria
Exclusion criteria
The Firesorb BRS (MicroPort Medical, Shanghai, China) is a balloon-expandable scaffold with a highly crystallized PLLA backbone, abluminally coated with a poly(D, L-lactide) (PDLLA) matrix incorporating sirolimus (4 μg/mm) through highly accurate and precise point spraying techniques. The scaffold thickness is 100 μm for devices with diameters of 2.5 and 2.75 mm, and 125 μm for those ranging from 3.0 to 4.0 mm in diameter. There are two radiopaque markers at each end of the scaffold, which can identify the position of the stent under X-ray monitoring and help to accurately locate the scaffold.
The Firehawk™ stent (MicroPort Medical, Shanghai, China) is a third-generation balloon-expandable L605 cobalt chromium stent with abluminal grooves containing a biodegradable polymer, which provides controlled release of the anti-proliferative medicinal substance sirolimus. The polymer is biodegradable, leaving only the metallic stent as a permanent implant. The stent is mounted on a rapid exchange delivery catheter system. The unique abluminal grooves are scored at the outer surface of the struts (total strut thickness: 86 μm), with an average sirolimus dosage of 3 µg/mm stent lengths.
Time frame: 36 months
DoCE is a composite clinical endpoint of cardiovascular death, target vessel myocardial infarction (TV-MI), and clinically and physiologically indicated target lesion revascularization (CPI-TLR).
Time frame: 1, 12, and 60 months
Rates of the DoCE beside the time point of primary endpoint
Time frame: 1, 12, 36, and 60 months
PoCE is defined as a composite endpoint including all-cause death, stroke, myocardial infarction, and revascularization
Time frame: 1, 12, 36, and 60 months
TVF is defined as a composite endpoint including cardiovascular death, TV-MI and clinically and physiologically target vessel revascularization
Time frame: 1, 12, 36, and 60 months
Individual components of PoCE
Time frame: 1, 12, 36, and 60 months
Individual components of the DoCE
Time frame: 1, 12, 36, and 60 months
Individual components of PoCE
Time frame: 1, 12, 36, and 60 months
Individual components of PoCE
Time frame: 1, 12, 36, and 60 months
Individual components of DoCE
Time frame: 1, 12, 36, and 60 months
Individual components of PoCE
Time frame: 1, 12, 36, and 60 months
Individual components of TVF
Time frame: 1, 12, 36, and 60 months
Individual components of the DoCE
Time frame: 1, 12, 36, and 60 months
According to ARC-2 definitions
Time frame: 1, 12, 36, and 60 months
Contact information is provided by the study sponsor or research team.
Chao Gao, M.D., Ph.D.
CONTACT
Ruining Zhang, BSc
CONTACT
Xijing Hospital
Other
A Bioresorbable Sirolimus-eluting scaffold Versus a Metallic Sirolimus-eluting Stent for the Treatment of de Novo Coronary Artery Lesions: a Randomized, Open-label, Non-inferiority Trial
Acronym: REC-CAGEFREE Ⅳ
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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