Coronary Artery Disease Clinical Trial
Official title:
Zotarolimus-eluting Endeavor Sprint Stent in Uncertain DES Candidates (ZEUS) Study
To prospectively evaluate in a multicenter open label trial whether the use of zotarolimus-eluting ENDEAVOR Stent implantation in patients at low restenosis or at high bleeding or thrombotic risk will decrease the incidence of 12-month major adverse cardiac events (MACE) including overall death, any myocardial infarction (MI) or any target vessel revascularization (TVR).
The aim of this study is to conduct a multicenter, international, randomized trial to test
whether the Endeavor stent is superior to BMS in terms of efficacy and safety in
1. Patients with coronary artery disease lesions at low risk of in-stent restenosis;
2. Patients at high risk for bleeding or carrying impossibility to comply with dual
anti-platelet treatment at long-term.
3. Patients at high thrombosis risk due to systemic disorders or planned non-cardiac
surgery within 12 months
As the use of DES in these two patient/lesion subsets is debated due to lack of evidence,
patients fulfilling at least one of these three medical conditions qualify for bare metal
stent implantation and physicians may believe DES to be even contra-indicated in such cases.
The current protocol has been developed on purpose to address the value of the Endeavor
Sprint stent, which differs in many aspects from other FDA approved DES, including fast and
complete degree of strut coverage after implantation and quick release of active drug after
deployment (~15 days) which may help decreasing the need for prolonged dual antiplatelet
treatment down to 1 month as it is currently recommended for bare metal stent implantation.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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