Coronary Artery Disease Clinical Trial
— DCB-ACSOfficial title:
Safety and Efficacy of Drug-Coated Balloon for De-novo Lesions in Patients With Acute Coronary Syndromes (DCB-ACS): A Prospective, Multi-Center, Randomized-Controlled Clinical Trial
Verified date | August 2023 |
Source | Harbin Medical University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The DCB-ACS trial is a prospective, multi-center, non-inferiority, randomized controlled trail. The purpose of this trial is to evaluate the safety and efficacy of drug-coated balloon(DCB) in de novo lesions for acute coronary syndromes (ACS) .
Status | Active, not recruiting |
Enrollment | 216 |
Est. completion date | March 31, 2024 |
Est. primary completion date | February 18, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: 1. Age=18 Years and <80 years; 2. ACS patients eligible for percutaneous coronary intervention; 3. Successful preparation is defined as = 30% residual stenosis with Thrombolysis in Myocardial Infarction (TIMI) Grade III flow and not evidence of type C-F dissection; 4. Vessel diameter from 2.25mm-4.0 mm ; 5. Lesion length = 28 mm; 6. A single culprit lesion or 1 lesion in each of two vessels ; 7. Eligible for enrollment and provide written informed consent. Exclusion Criteria: Clinical Exclusion Criteria: 1. Stable angina or asymptomatic myocardial ischemia; 2. Cardiogenic shock or requiring mechanical support for breathing and circulation; 3. Hemodynamically unstable tachyarrhythmia or bradyarrhythmia; 4. Plan to perform cardiac surgery or non-cardiac surgery within 24 months of percutaneous coronary intervention; 5. A history of stroke within 6 months; 6. History of severe renal insufficiency; 7. Life expectancy < 12 months; 8. Pregnant women; 9. Allergies to aspirin, clopidogrel, ticagrelor, heparin, contrast agents, and paclitaxel, patients with systemic lupus erythematosus or other systemic immune diseases; 10. Patients not suitable for enrollment considered by researcher; 11. Currently participating in another trial before reaching the primary endpoint; 12. Inability to provide informed consent. Image Exclusion Criteria 1. Chronic total occlusion (CTO); 2. Left main lesion; 3. Bifurcation lesions treated with double stents; 4. Moderate to severe distortion, angulation or severe calcification lesions; 5. Coronary artery graft stenosis; 6. In-stent restenosis; 7. To be re-hospitalized for the other scheduled PCI treatment; 8. Myocardial bridge at the target lesion. |
Country | Name | City | State |
---|---|---|---|
China | The Second Affiliated Hospital of Harbin Medical University | Harbin | Heilongjiang |
Lead Sponsor | Collaborator |
---|---|
Harbin Medical University | Beijing Friendship Hospital, Daqing Oil Field Hospital, Fuwai Central China Cardiovascular Hospital, General Hospital of Taiyuan Iron & Steel Company, Inner Mongolia People's Hospital, Jining Medical University, Peking University First Hospital, Second Affiliated Hospital of Zhengzhou University, Sichuan Provincial People's Hospital, Sir Run Run Shaw Hospital, The First Affiliated Hospital with Nanjing Medical University, The First Hospital of Jilin University, Third Affiliated Hospital of Chinese Pla General Hospital, Tianjin People's Hospital, Tongji Hospital |
China,
Jeger RV, Farah A, Ohlow MA, Mangner N, Mobius-Winkler S, Leibundgut G, Weilenmann D, Wohrle J, Richter S, Schreiber M, Mahfoud F, Linke A, Stephan FP, Mueller C, Rickenbacher P, Coslovsky M, Gilgen N, Osswald S, Kaiser C, Scheller B; BASKET-SMALL 2 Investigators. Drug-coated balloons for small coronary artery disease (BASKET-SMALL 2): an open-label randomised non-inferiority trial. Lancet. 2018 Sep 8;392(10150):849-856. doi: 10.1016/S0140-6736(18)31719-7. Epub 2018 Aug 28. — View Citation
Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, Byrne RA, Collet JP, Falk V, Head SJ, Juni P, Kastrati A, Koller A, Kristensen SD, Niebauer J, Richter DJ, Seferovic PM, Sibbing D, Stefanini GG, Windecker S, Yadav R, Zembala MO; ESC Scientific Document Group. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019 Jan 7;40(2):87-165. doi: 10.1093/eurheartj/ehy394. No abstract available. Erratum In: Eur Heart J. 2019 Oct 1;40(37):3096. — View Citation
Vos NS, Dirksen MT, Vink MA, van Nooijen FC, Amoroso G, Herrman JP, Kiemeneij F, Patterson MS, Slagboom T, van der Schaaf RJ. Safety and feasibility of a PAclitaxel-eluting balloon angioplasty in Primary Percutaneous coronary intervention in Amsterdam (PAPPA): one-year clinical outcome of a pilot study. EuroIntervention. 2014 Sep;10(5):584-90. doi: 10.4244/EIJV10I5A101. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Fractional flow reserve (FFR) | Fractional flow reserve is the ratio of mean coronary pressure distal of the treated lesion to mean aortic pressure during maximum hyperemia. | 9 months follow-up | |
Secondary | Target lesion failure(TLF) | A composite endpoint consisting of cardiac death, target vessel-related myocardial infarction, and revascularization of target lesions | 1 month, 6 months, 9 months, 12 months, 24 months follow-up | |
Secondary | Cardiac death | 1 month, 6 months, 9 months, 12 months, 24 months follow-up | ||
Secondary | Target vessel-related myocardial infarction | 12 months, 24 months follow-up | ||
Secondary | Revascularization of target lesion revascularization (TLR) | 1 month, 6 months, 9 months, 12 months, 24 months follow-up | ||
Secondary | All-cause death and myocardial infarction | 1 month, 6 months, 9 months, 12 months, 24 months follow-up | ||
Secondary | Major bleeding | Defined as Bleeding Academic Research Consortium type 3 to 5 | 1 month, 6 months, 9 months, 12 months, 24 months follow-up | |
Secondary | Procedure success | Including device success, lesion success and procedure success | 1 month | |
Secondary | Patient-oriented composite endpoint (PoCE) | A composite of all-cause mortality, myocardial infarction, and any revascularization. | 1 month, 6 months, 9 months, 12 months ,24 months follow-up | |
Secondary | Diameter stenosis(DS%) | DS% defined as: (1 - minimal luminal diameter /reference vessel diameter) *100%. | 9 months follow-up | |
Secondary | Late lumen loss (LLL) | The difference between the in-segment minimal lumen diameter after the procedure and at angiographic follow-up, as evaluated by quantitative coronary angiography. | 9 months follow-up | |
Secondary | Restenosis rate of target lesion | Diameter stenosis %=50% | 9 months | |
Secondary | Definite and possible thrombotic events | 2 years | ||
Secondary | Rehospitalized due to angina | 2 years | ||
Secondary | Stroke | Diagnosed by a neurologist | 2 years |
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