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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01502904
Other study ID # 1-2010-0007
Secondary ID
Status Completed
Phase Phase 4
First received December 29, 2011
Last updated July 25, 2016
Start date July 2010
Est. completion date June 2015

Study information

Verified date July 2016
Source Yonsei University
Contact n/a
Is FDA regulated No
Health authority South Korea: Korea Food and Drug Administration (KFDA)
Study type Interventional

Clinical Trial Summary

There has been little research on neointimal coverage and malapposition after BES implantation using OCT in human coronary artery. Furthermore, specific drug may possibly influence the vascular healing after stent implantation. Therefore, this study will investigate 1) neointimal coverage and malapposition on OCT after BES versus SES implantation and 2) relationship of specific drug treatment and neointimal coverage or late malapposition by the prospective, randomized study.


Recruitment information / eligibility

Status Completed
Enrollment 120
Est. completion date June 2015
Est. primary completion date May 2015
Accepts healthy volunteers No
Gender Both
Age group 20 Years to 80 Years
Eligibility Inclusion Criteria:

1. Age = 20 year old

2. In the case that the blood pressure at rest is greater than systolic 140mmHg or more than diastolic 90mmHg

3. When someone is taking Anti-Hypertensive medication

4. If total cholesterol is more than 200mg/dL and LDL-cholesterol is greater than 130mg/dL or if you are taking a statin

5. Significant coronary de novo lesion (> 70% by quantitative angiographic analysis)

6. Patients with stable angina or acute coronary syndrome considered for percutaneous coronary intervention.

7. Reference vessel diameter of 2.5 to 3.5 mm by operator assessment

8. Stent size of 2.5 to 3.5 mm and stent length = 24 mm

Exclusion Criteria:

1. Contraindication to anti-platelet agents

2. Proximal leison within 15 mm from ostium

3. Creatinine level 2.0 mg/dL or end stage renal disease on dialysis

4. Pregnant women or women with potential childbearing

5. Life expectancy less than 1 year

6. Complex lesion morphologies (aorto-ostial, bifurcation with >2.0 mm side branch, unprotected Left main, thrombus, severe calcification, chronic total occlusion)

7. Vein graft lesion

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Device:
Sirolimus-eluting stent
2x2 randomization by the treatment of dyslipidemia and hypertension(In patients of dyslipidemia: pitavastatin 2mg/day vs. pravastatin 20mg/day, in patients of hypertension: eporsartan 600mg/day vs. Non-ARB) and the types of the implanted DES, SES vs BES.
Biolimus-eluting stents
2x2 randomization by the treatment of dyslipidemia and hypertension(In patients of dyslipidemia: pitavastatin 2mg/day vs. pravastatin 20mg/day, in patients of hypertension: eporsartan 600mg/day vs. Non-ARB) and the types of the implanted DES, SES vs BES.
Drug:
pravastatin 20mg/day after DES implantation
2x2 randomization by the treatment of dyslipidemia and hypertension(In patients of dyslipidemia: pitavastatin 2mg/day vs. pravastatin 20mg/day, in patients of hypertension: eporsartan 600mg/day vs. Non-ARB) and the types of the implanted DES, SES vs BES.
pitavastatin 2mg/day after DES implantation
2x2 randomization by the treatment of dyslipidemia and hypertension(In patients of dyslipidemia: pitavastatin 2mg/day vs. pravastatin 20mg/day, in patients of hypertension: eporsartan 600mg/day vs. Non-ARB) and the types of the implanted DES, SES vs BES.
Non-ARB /day after DES implantation
2x2 randomization by the treatment of dyslipidemia and hypertension(In patients of dyslipidemia: pitavastatin 2mg/day vs. pravastatin 20mg/day, in patients of hypertension: eporsartan 600mg/day vs. Non-ARB) and the types of the implanted DES, SES vs BES.
Eposartan 600mg/day after DES implantation
2x2 randomization by the treatment of dyslipidemia and hypertension(In patients of dyslipidemia: pitavastatin 2mg/day vs. pravastatin 20mg/day, in patients of hypertension: eporsartan 600mg/day vs. Non-ARB) and the types of the implanted DES, SES vs BES.

Locations

Country Name City State
Korea, Republic of Severance Hospital Seoul

Sponsors (1)

Lead Sponsor Collaborator
Yonsei University

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type Measure Description Time frame Safety issue
Primary neointimal coverage To compare the neointimal coverage on 6-month follow-up OCT according to specific drug treatment in 2 patient subgroups at 6-month after DES implantation.
To compare the neointimal coverage on 6-month follow-up OCT according to the randomly assigned BES or SES implantation.
6month No
Secondary stent malapposition and thrombus The secondary endpoint of this study is to compare percent of stent malapposition and thrombus at 6 months according to specific drug treatment in 2 patient subgroups or to the types of implanted DES, SES vs. BES by a 6-month follow-up OCT. 6month No