NCT Number: NCT02086006
Elixir Medical Clinical Evaluation of the DESolve Myolimus Eluting Bioresorbable Coronary Stent System - DESolve I Trial
This prospective, consecutive enrolment, single-arm study will enroll up to 15 patients with single de novo, Type A lesions < 10 mm in length and located in a native coronary artery with a reference vessel diameter of 2.75 mm - 3.0 mm as measured by both offline QCA and IVUS. All patients will receive a 3.0 x 14mm DESolve Stent loaded with approximately 40 mcg of Myolimus.
* Angiographic and intravascular ultrasound (IVUS) will be completed for all patients at baseline and at 6 months. * Optical Coherence Tomography (OCT) will will be completed for all patients at baseline and at 6 months. * Multi-slice computed tomography (MSCT) will be conducted on all patients enrolled at 12 and 24 months.
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Conditions
Age range
18 year and older
Sex eligibility
All sexes
Study type
Interventional
Phase
Not applicable
Primary location
AZ Middelheim Hospital, Antwerp, Belgium
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- Patient must be at least 18 years of age
- Patient is able to verbally confirm understanding of risks, benefits and treatment alternatives of receiving the DESolve Myolimus Eluting BCSS and he/she or his/her legally authorized representative provides written informed consent, as approved by the appropriate Ethics Committee of the respective clinical site, prior to any clinical study related procedure
- Patient must have evidence of myocardial ischemia (e.g., stable or unstable angina, silent ischemia, positive functional study electrocardiogram (ECG) changes consistent with ischemia)
- Patient must be an acceptable candidate for coronary artery bypass graft (CABG) surgery
- Patient must agree to undergo all clinical study required follow-up visits, angiograms, IVUS, OCT and MSCT
- Patient must agree not to participate in any other clinical study for a period of two years following the index procedure
Exclusion criteria
- Patients has a known diagnosis of acute myocardial infarction (AMI) within 72 hours preceding the index procedure and CK and CK-MB have not returned within normal limits at the time of procedure
- The patient is currently experiencing clinical symptoms consistent with AMI
- Patient has current unstable arrhythmias Patient has undergone previous percutaneous interventions for lesions in either a non-target vessel or target vessel Patient has undergone previous percutaneous interventions for lesions in either a non-target vessel or target vessel
- Patient has a known left ventricular ejection fraction (LVEF) < 30%
- Patient has received a heart transplant or any other organ transplant or is on a waiting list for any organ transplant
- Patient is receiving or scheduled to receive chemotherapy for malignancy within 30 days prior to or after the procedure
- Patient is receiving immunosuppression therapy and has known immunosuppressive or autoimmune disease (e.g. human immunodeficiency virus, systemic lupus erythematosus etc.)
- Patient is receiving or scheduled to receive chronic anticoagulation therapy (e.g., heparin, coumadin)
- Patient has a known hypersensitivity or contraindication to aspirin, both heparin and bivalirudin, both clopidogrel and ticlopidine, Myolimus, PLLA polymers or contrast sensitivity that cannot be adequately pre-medicated
- Elective surgery is planned within the first 6 months after the procedure that will require discontinuing either aspirin or clopidogrel
- Patient has a platelet count < 100,000 cells/mm3 or > 700,000 cells/mm3, a WBC of < 3,000 cells/mm3, or documented or suspected liver disease.
- Patient has known renal insufficiency (e.g., serum creatinine level of more than 2.5 mg/dL, or patient on dialysis)
- Patient has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions
- Patient has had a cerebrovascular accident (CVA) or transient ischemic neurological attack (TIA) within the past six months
- Patient has had a significant GI or urinary bleed within the past six months
- Patient has extensive peripheral vascular disease that precludes safe 7 French sheath insertion
- Patient has other medical illness (e.g., cancer or congestive heart failure) or known history of substance abuse (alcohol, cocaine, heroin etc.) that may cause non-compliance with the clinical study plan, confound the data interpretation or is associated with a limited life expectancy (i.e., less than one year)
- Patient is already participating in another clinical study
- Women of childbearing potential who have not undergone surgical sterilization or is not post-menopausal (defined as amenorrheic for at least one year)
Treatment and study plan
Primary outcomes
-
Clinically-Indicated Major Adverse Cardiac Event (CI-MACE)
Time frame: 1 month
-
Clinically-Indicated Target Lesion Failure (CI-TLF)
Time frame: 1 month
-
Clinically-Indicated Target Vessel Failure (CI-TVF)
Time frame: 1 month
-
Clinically-Indicated Target Vessel Revascularization (CI-TVR)
Time frame: 1 month
-
Stent thrombosis
Time frame: 1 month
-
Acute success - Procedure success
Time frame: 7 days
Acute Success is classified according to the following definitions:
Procedure success - Attainment of final result, < 50% residual stenosis of the target site, using the DESolve Myolimus Eluting BCSS device without the occurrence of in-hospital any Major Adverse Cardiac Endpoints.
-
Acute success - Device success
Time frame: 7 days
Acute Success is classified according to the following definitions:
Device success - Attainment of final result, < 50% residual stenosis of the target site, using the study stent without the need for other non-study stents.
-
Stent thrombosis
Time frame: 6 months
-
Stent thrombosis
Time frame: 12 months
-
Stent thrombosis
Time frame: 2 years
-
Stent thrombosis
Time frame: 3 years
-
Stent thrombosis
Time frame: 4 years
-
Stent thrombosis
Time frame: 5 years
-
Clinically-Indicated Major Adverse Cardiac Event (CI-MACE)
Time frame: 6 months
-
Clinically-Indicated Major Adverse Cardiac Event (CI-MACE)
Time frame: 12 months
-
Clinically-Indicated Major Adverse Cardiac Event (CI-MACE)
Time frame: 2 years
-
Clinically-Indicated Major Adverse Cardiac Event (CI-MACE)
Time frame: 3 years
-
Clinically-Indicated Major Adverse Cardiac Event (CI-MACE)
Time frame: 4 years
-
Clinically-Indicated Major Adverse Cardiac Event (CI-MACE)
Time frame: 5 years
-
Clinically-Indicated Target Lesion Failure (CI-TLF)
Time frame: 6 months
-
Clinically-Indicated Target Lesion Failure (CI-TLF)
Time frame: 12 months
-
Clinically-Indicated Target Lesion Failure (CI-TLF)
Time frame: 2 years
-
Clinically-Indicated Target Lesion Failure (CI-TLF)
Time frame: 3 years
-
Clinically-Indicated Target Lesion Failure (CI-TLF)
Time frame: 4 years
-
Clinically-Indicated Target Lesion Failure (CI-TLF)
Time frame: 5 years
-
Clinically-Indicated Target Vessel Failure (CI-TVF)
Time frame: 6 months
-
Clinically-Indicated Target Vessel Failure (CI-TVF)
Time frame: 12 months
-
Clinically-Indicated Target Vessel Failure (CI-TVF)
Time frame: 2 years
-
Clinically-Indicated Target Vessel Failure (CI-TVF)
Time frame: 3 years
-
Clinically-Indicated Target Vessel Failure (CI-TVF)
Time frame: 4 years
-
Clinically-Indicated Target Vessel Failure (CI-TVF)
Time frame: 5 years
-
Clinically-Indicated Target Vessel Revascularization (CI-TVR)
Time frame: 6 months
-
Clinically-Indicated Target Vessel Revascularization (CI-TVR)
Time frame: 12 months
-
Clinically-Indicated Target Vessel Revascularization (CI-TVR)
Time frame: 2 years
-
Clinically-Indicated Target Vessel Revascularization (CI-TVR)
Time frame: 3 years
-
Clinically-Indicated Target Vessel Revascularization (CI-TVR)
Time frame: 4 years
-
Clinically-Indicated Target Vessel Revascularization (CI-TVR)
Time frame: 5 years
Sponsors and collaborators
Lead sponsor
Elixir Medical Corporation
Industry
Registry information
Official study title
A NON-RANDOMIZED, CONSECUTIVE ENROLLMENT EVALUATION OF THE DESolveTM MYOLIMUS ELUTING BIORESORBABLE CORONARY STENT SYSTEM IN THE TREATMENT OF PATIENTS WITH DE NOVO NATIVE CORONARY ARTERY LESIONS
Important dates
- Study start
- 2011
- Primary completion
- 2016
- Study completion
- 2017
- First posted
- Mar 13, 2014
- Registry last updated
- Sep 7, 2023
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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