Coronary Artery Disease Clinical Trial
Official title:
PLATINUM: A Prospective, Randomized, Multicenter Trial to Assess an Everolimus-Eluting Coronary Stent System (PROMUS Elementâ„¢) for the Treatment of up to Two De Novo Coronary Artery Lesions - Long Lesion Sub-trial
The purpose of this study is to evaluate the safety and effectiveness of the PROMUS Elementâ„¢ Everolimus-Eluting Coronary Stent System for the treatment of patients with up to 2 de novo atherosclerotic coronary artery lesions. The lesions can be longer than average-sized.
The wide-spread use of drug-eluting stents (DES) has evolved as standard of care in de novo
lesions. The proposed study will evaluate the safety and effectiveness of PROMUS Element for
the treatment of de novo atherosclerotic lesions in native coronary arteries. The study
design is consistent with the draft guidance for industry titled, "Coronary Drug-Eluting
Stents - Nonclinical and Clinical Studies" (March 2008).
During the trial, thienopyridines must be administered according to the 2007 American College
of Cardiology (ACC)/American Heart Association (AHA)/Society for Cardiovascular Angiography
and Interventions (SCAI) guidelines, which recommended that clopidogrel (75 mg daily) or
ticlopidine (250 mg twice daily) be prescribed after stent implantation for at least 6 months
in all patients, and for at least 12 months in patients who are not at high risk of bleeding.
For sites in the United States, the use of prasugrel is not allowed as part of the PLATINUM
Clinical Trial. For sites in other countries, prasugrel may be prescribed according to its
approved dosing in countries in which it is available. For patients taking aspirin daily a
loading dose is recommended; for patients who have not been taking aspirin daily, aspirin
must be administered as a loading dose. Patients continue to take aspirin indefinitely to
reduce the risk of thrombosis.
This PLATINUM Long Lesion study is a sub-trial associated with the PLATINUM Workhorse
Randomized Controlled Trial, which is registered under NCT00823212.
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