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NCT Number: NCT07566091

Noninferiority Trial Of Sirolimus With Ascorbic Acid Versus Everolimus in All-comers

The objective of this study is to demonstrate the primary hypothesis that, in patients with chronic and acute coronary syndromes requiring percutaneous coronary intervention (PCI), the novel sirolimus-ascorbic acid eluting stent (D+Storm Novonix) is non-inferior to the standard treatment, the everolimus-eluting stent (Synergy XD), with respect to the incidence of target lesion failure (TLF) at 1 year after treatment, where TLF is defined as a composite of cardiovascular death, target vessel myocardial infarction, and clinically driven target-lesion revascularization.

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Key information

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Asan Medical Center

Seoul, South Korea

Location contact

Jung-min Ahn, MD

CONTACT

[email protected]

82-2-3010-4728

Jung-min Ahn, MD, PhD

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adult men and women aged 19 years or older
  • Patients with chronic coronary syndrome (CCS) or acute coronary syndrome (ACS) who require percutaneous coronary intervention (PCI) (all-comers)
  • Patients who have voluntarily provided written informed consent to participate in the study

Exclusion criteria

  • Cardiogenic shock within 48 hours prior to the procedure
  • Known hypersensitivity to sirolimus, everolimus, ascorbic acid, or stent components (e.g., cobalt-chromium alloy)
  • Patients unable to maintain dual antiplatelet therapy (DAPT), including aspirin and a P2Y12 inhibitor, for 1 year
  • Women who are pregnant, breastfeeding, or of childbearing potential
  • Clinically significant abnormalities identified during study visits, physical examination, laboratory tests, or electrocardiogram (ECG) that, in the investigator's judgment, may interfere with the safe completion of the study
  • Life expectancy of less than 1 year or presence of serious non-cardiac conditions that may affect compliance with the study protocol
  • Patients who are unwilling or unable to comply with the study protocol

Treatment and study plan

Sirolimus-Ascorbic Acid Eluting Stent

Device

bioabsorbable polymer Sirolimus-Ascorbic Acid Eluting Stent

everolimus-eluting stent

Device

bioabsorbable polymer everolimus-eluting stent

Primary outcomes

  1. The event rate of Target Lesion Failure

    Time frame: 1 year

    Target Lesion Failure is defined as a composite of cardiovascular death, target vessel myocardial infarction, and clinically driven target-lesion revascularization.

Secondary outcomes

  1. The event rate of Device success

    Time frame: 1 year

    Acute Success Endpoints_lesion level

  2. The event rate of Procedural success

    Time frame: 1 year

    Acute Success Endpoints_patient level

  3. The event rate of Death from any causes

    Time frame: 1 year

    Major Composite Clinical Endpoints_Patient-Oriented Clinical Endpoint, POCE

  4. The event rate of Any stroke

    Time frame: 1 year

    Major Composite Clinical Endpoints_Patient-Oriented Clinical Endpoint, POCE

  5. The event rate of Any myocardial infarction

    Time frame: 1 year

    Major Composite Clinical Endpoints_Patient-Oriented Clinical Endpoint, POCE

  6. The event rate of Any repeat revascularization

    Time frame: 1 year

    Major Composite Clinical Endpoints_Patient-Oriented Clinical Endpoint, POCE

  7. The event rate of Cardiovascular death

    Time frame: 1 year

    Major Composite Clinical Endpoints_Target Vessel Failure

  8. The event rate of Target vessel myocardial infarction

    Time frame: 1 year

    Major Composite Clinical Endpoints_Target Vessel Failure

  9. The event rate of Target vessel revascularization

    Time frame: 1 year

    Major Composite Clinical Endpoints_Target Vessel Failure

  10. The event rate of All-cause death

    Time frame: 1 year

    Individual Clinical Endpoints_Mortality

  11. The event rate of Cardiac death

    Time frame: 1 year

    Individual Clinical Endpoints_Mortality

  12. The event rate of Non-cardiac death

    Time frame: 1 year

    Individual Clinical Endpoints_Mortality

  13. The event rate of All myocardial infarction including Q wave and Non-Q wave

    Time frame: 1 year

    Individual Clinical Endpoints_Myocardial Infarction

  14. The event rate of Non-target vessel myocardial infarction

    Time frame: 1 year

    Individual Clinical Endpoints_Myocardial Infarction

  15. The event rate of All revascularization

    Time frame: 1 year

    Individual Clinical Endpoints_Revascularization

  16. The event rate of All target lesion revascularization

    Time frame: 1 year

    Individual Clinical Endpoints_Revascularization

  17. The event rate of All target vessel revascularization

    Time frame: 1 year

    Individual Clinical Endpoints_Revascularization

  18. The event rate of Non-target vessel revascularization

    Time frame: 1 year

    Individual Clinical Endpoints_Revascularization

  19. The event rate of Any stroke

    Time frame: 1 year

    Individual Clinical Endpoints_Stroke

  20. The event rate of Ischemic stroke

    Time frame: 1 year

    Individual Clinical Endpoints_Stroke

  21. The event rate of Hemorrhagic stroke

    Time frame: 1 year

    Individual Clinical Endpoints_Stroke

Other outcomes

  1. The event rate of Definite or probable stent thrombosis

    Time frame: 1 year

    Safety Endpoints

  2. The event rate of Definite stent thrombosis

    Time frame: 1 year

    Safety Endpoints

  3. The event rate of Probable stent thrombosis

    Time frame: 1 year

    Safety Endpoints

  4. The event rate of The Bleeding Academic Research Consortium (BARC) type 2, 3, 4, 5

    Time frame: 1 year

    Safety Endpoints

Study contacts

Contact information is provided by the study sponsor or research team.

Jung-hee Ham Project Manager, Registered Nurse

CONTACT

[email protected]

82-2-3010-4728

Sponsors and collaborators

Lead sponsor

Jung-min Ahn

Other

Collaborators

  • The CardioVascular Research Foundation (CVRF)

Registry information

Acronym: NOVA

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
May 4, 2026
Registry last updated
May 4, 2026

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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