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Completed

NCT Number: NCT01214148

First in Man Experience With a Drug Eluting Stent in De Novo Coronary Artery Lesions

A prospective, single-treatment, multi centre clinical trial enrolling 30 patients in 2 centres in Romania, with a clinical and angiographic follow-up at 4 and 9 months to determine the primary endpoint of late lumen loss and secondary endpoints. A subgroup of 15 patients will also undergo post implantation, 4 and 9 months IVUS examinations. Additional clinical follow-ups take place at 1 month and yearly up to three (3) years.

The objective of this trial is to assess the safety and clinical performance of the ORSIRO drug eluting stent in patients with single de-novo coronary artery lesions.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Institutul de Urgenţă pentru Boli Cardiovasculare "Prof. Dr. C. C. Iliescu" - Spitalul Clinic Fundeni, Bucharest, Romania

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient is ≥18 years old;
  • Clinical evidence of ischemic heart disease and / or a positive functional study. Documented stable angina pectoris (Canadian cardiovascular society classification (CCS) 1, 2, 3 or 4 ), or documented silent ischemia;
  • Single de novo lesion with ≥50% and <90% stenosis in 1 coronary artery;

Exclusion criteria

  • Documented left ventricular ejection fraction (LVEF) ≤30%;
  • Unstable angina pectoris(Braunwald Class A I-III)
  • Three-vessel coronary artery disease
  • Evidence of myocardial infarction within 72 hours prior to the index procedure;
  • Known allergies to the following: Acetylsalicylic acid (ASA) (Aspirin®), Clopidogrel bisulfate (Plavix®.) or Ticlopidine (Ticlid®.), Heparin, contrast agent (that cannot be adequately premedicated), cobalt-chromium (CoCr), Poly-L-Lactidic Acid (PLLA), silicon carbide (aSiC:H)
  • A platelet count <100.000 cells/mm3 or >700.000 cells/mm3 or a WBC <3.000 cells/mm3;
  • Acute or chronic renal dysfunction (serum creatinine >2.0 mg/dl or >150µmol/L);
  • Total occlusion (TIMI 0 or 1);
  • Target vessel has evidence of thrombus or is excessively tortuous that makes it unsuitable for proper stent delivery and deployment;
  • Significant (>50%) stenosis proximal or distal to the target lesion that might require revascularization or impede run off;
  • Heavily calcified lesion and/or calcified lesion which cannot be successfully predilated;
  • Target lesion is located in or supplied by an arterial or venous bypass graft;
  • Ostial target lesion (within 5.0mm of vessel origin);
  • Target lesion involves a side branch >2.0mm in diameter;
  • Unprotected Left main coronary artery disease (stenosis >50%);

Treatment and study plan

ORSIRO - Drug Eluting Coronary Stent

Device

The coronary stent is delivered to the intended implantation location by means of the fast-exchange delivery system and then expanded to its final diameter by dilating the balloon. It remains in the vessel as a permanent implant.

Primary outcomes

  1. In-stent Late Lumen Loss

    Time frame: 9 months post procedure

Secondary outcomes

  1. In-stent and in-segment binary restenosis rate

    Time frame: 4 and 9 months post procedure.

  2. In-stent and in-segment (proximal and distal) minimum lumen diameter

    Time frame: 4 and 9 months post-procedure

  3. In-segment late lumen loss

    Time frame: 4 and 9 months post procedure

  4. In-stent late lumen loss

    Time frame: 4 months post procedure.

  5. Target Lesion Revascularization

    Time frame: 1, 4 and 9 months and at 1, 2 and 3 years post-procedure

  6. Clinically driven target lesion revascularization

    Time frame: 1, 4 and 9 months and at 1, 2 and 3 years post-procedure

  7. Target Vessel Revascularization

    Time frame: 1, 4 and 9 months and at 1, 2 and 3 years post-procedure

  8. - Composite of cardiac death, MI attributed to the target vessel and clinically driven target lesion revascularization

    Time frame: 1, 4 and 9 month post-procedure, and yearly up to 3 years

  9. - Composite of all-cause mortality, any MI and any revascularization, target vessel revascularization or revascularization of nontarget vessels

    Time frame: 3 years post procedure

  10. Stent thrombosis

    Time frame: 1, 4 and 9 months and 1, 2 and 3 years post-procedure

  11. Neointimal hyperplasia volume (subgroup)

    Time frame: 4 and 9 months post-procedure measured by Intravascular Ultrasound (IVUS)

Sponsors and collaborators

Lead sponsor

Biotronik AG

Industry

Registry information

Official study title

A Prospective, Multi-centre, Single Treatment Clinical Trial With Follow-up Investigations at 1, 4, 9, 12, 24 and 36 Months

Acronym: BIOFLOW-I

Important dates

Study start
2009
Primary completion
2010
Study completion
2013
First posted
Oct 4, 2010
Registry last updated
Aug 12, 2013

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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