Diabetes Clinical Trial
Official title:
The Care China-Diabetes Registry A 12-month, Multi-centre, Prospective, Observational Registry Study to Investigate the Efficacy and Safety of CYPHER Select TM+ Sirolimus-eluting Coronary Stent Among Chinese Diabetic Patients With Coronary Artery Disease in Routine Clinical Practice
This multicenter, prospective, observational registry will assess efficacy and safety outcomes associated with percutaneous coronary intervention (PCI) with implantation of the CYPHER Select™+ Sirolimus-eluting Coronary Stents in Chinese diabetic patients with coronary artery disease in routine clinical practice.
The study objective is to assess the incidences of major adverse cardiovascular events
(MACE; defined as a composite of clinically driven target-lesion revascularization, cardiac
death, any myocardial infarction, and stent thrombosis) at 12-month follow-up, and of stent
thrombosis at 1-day, and 1- and 12-month follow-up. Pre-specified analyses will be performed
among patient subpopulations according to level of glycemic control (HbA1c level < 6.5% or >
6.5%); reference vessel diameter by quantitative coronary angiography (< 2.5 mm and > 2.5
mm); and stented length (8-18 mm; 23-33 mm; and >33 mm). Quantitative coronary angiographic
(QCA) analysis will be performed at the core lab of the China Cardiovascular Research
Foundation for all pre- and post-index procedure angiograms and during the 12-month
follow-up period for the pre- and post-reintervention procedures in those cases of
clinically-driven PCI revascularization. Also, multivariable analyses will be conducted to
investigate potential predictors of 12-month MACE rate in routine clinical practice.
The registry will be conducted at about 45 centers in China, where the CYPHER Select™+
Sirolimus-eluting Coronary Stent is commercially available. Data will be collected on 2,500
diabetic patients treated with the CYPHER Select™ + Sirolimus-eluting Coronary Stent only.
Primary outcome: MACE (clinically driven TLR, cardiac death, MI, ST) at 12 months Secondary
outcome: ARC (probable + definite) ST at 1-day, and 1 and 12 months
;
Observational Model: Case Control, Time Perspective: Prospective
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