Comparing Sirolimus-coated balloons to drug-eluting stents for coronary artery disease
Sirolimus-coated Balloon Versus Drug-eluting Stent in Native Coronary Vessels
This study is testing whether a special balloon treatment is better than a standard stent for people with narrowed coronary arteries.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 1820 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Fondazione Ricerca e Innovazione Cardiovascolare ETS Academic / other |
| Locations | 25 sites (Dhaka and 24 other locations) |
| Trial ID | NCT04893291 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to evaluate the efficacy of the Magic Touch Sirolimus Coated Balloon (SCB) compared to the everolimus-eluting drug-eluting stent (EES) in treating native coronary artery disease. It is an international, multicentric, open-label, randomized trial that will enroll patients with coronary vessels between 2.0 mm and 3.5 mm in diameter. The study will assess outcomes related to the treatment of coronary artery stenosis and aims to provide insights into the effectiveness of SCB in comparison to the established EES. Participants will be monitored for their response to the interventions over a defined period.
Who should consider this trial
Good fit: Ideal candidates for this study are adults over 18 years with stable coronary artery disease or acute coronary syndromes requiring percutaneous coronary intervention.
Not a fit: Patients with known hypersensitivity to the study medications or those with severe renal impairment may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a less invasive treatment option for patients with coronary artery disease, potentially reducing complications associated with stenting.
How similar studies have performed: Previous studies have shown promising results with drug-coated balloons in coronary interventions, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * age \>18 years; * all patients with a clinical indication to Percutaneous Coronary Intervention (PCI) (stable coronary artery disease or acute coronary syndromes); * native coronary artery lesion in a vessel with diameter \>2.0 mm and ≦3.5 mm at visual estimation; * maximum lesion length: 50 mm. * informed consent to participate in the study. Exclusion Criteria: * patients with known (and untreatable) hypersensitivity or contraindication to aspirin, heparin, clopidogrel, prasugrel, ticagrelor, sirolimus or contrast media, which cannot be adequately pre-medicated; * patients participating in another clinical study; * subject is a woman who is pregnant or nursing (pregnancy test, either urine or blood test must be performed within 7 days prior to the index procedure in woman of child-bearing potential, and must not commit to initiating a pregnancy for 12 weeks after implantation, using effective contraception); * creatinine clearance \<30 ml/min; * left ventricular ejection fraction \<30%; * life expectancy \<12 months; * ST-elevation myocardial infarction in the previous 48 hours; * visible thrombus at lesion site; * culprit lesion stenosis \>99% and/or Thrombolysis In Myocardial Infarction (TIMI) flow \<2; * target lesion/vessel with any of the following characteristics: * concomitant PCI at the same vessel with any device (vessels are considered: left anterior descending, circumflex or right coronary artery); * pre-dilatation of the target lesion not performed or not successful (residual stenosis \>30%); * severe calcification of the target vessel, at lesion site but also proximally; * highly tortuous vessel which could impair device delivery to the lesion site following Investigator's judgement; * previous stent implantation at target vessel (left anterior descending artery; circumflex artery; right coronary artery); * bifurcation lesion where side branch treatment is anticipated; * left main stem stenosis \>50%; * target lesion is in left main stem * Lesion is located within asaphenous vein graft
Where this trial is running
Dhaka and 24 other locations
- National Heart Foundation Hospital & Research Institute — Dhaka, Bangladesh (Recruiting)
- Clinique Louis Pasteur — Essey-lès-Nancy, France (Recruiting)
- Groupe Hospitalier de La Rochelle — La Rochelle, France (Recruiting)
- Centre Hospitalier de SaintMalo — Saint-Malo, France (Recruiting)
- Ospedale San Giuseppe Moscati — Aversa, Italy (Recruiting)
- Fondazione Poliambulanza — Brescia, Italy (Recruiting)
- Ospedale Policlinico San Martino — Genova, Italy (Recruiting)
- Ospedale Civile Sant'Andrea — La Spezia, Italy (Recruiting)
- ASST Grande Ospedale Metropolitano Niguarda — Milano, Italy (Recruiting)
- Istituto clinico Sant'Ambrogio — Milano, Italy (Recruiting)
- Clinica Polispecialistica San Carlo — Paderno Dugnano, Italy (Recruiting)
- Ospedale Sandro Pertini — Roma, Italy (Recruiting)
- Azienda Ospedaliero-Universitaria Sant'Andrea — Roma, Italy (Recruiting)
- Policlinico Tor Vergata — Roma, Italy (Recruiting)
- Ospedale S. Antonio Abate — Trapani, Italy (Recruiting)
- OLVG Onze Lieve Vrouwe Gasthuis location East — Amsterdam, Netherlands (Recruiting)
- Albert Schweitzer Hospital — Dordrecht, Netherlands (Recruiting)
- Medical Center Leeuwarden — Leeuwarden, Netherlands (Recruiting)
- Maasstad Hospital — Rotterdam, Netherlands (Recruiting)
- Hospital General Universitario de Ciudad Real (HGUCR) — Ciudad Real, Spain (Recruiting)
- Hospital Universitario de Araba — Gasteiz / Vitoria, Spain (Recruiting)
- Hospital Universitario Lucus Augusti (HULA) — Lugo, Spain (Recruiting)
- Hospital de La Princesa — Madrid, Spain (Recruiting)
- Hospital Universitario La Paz — Madrid, Spain (Recruiting)
- Hospital Universitario Marqués de Valdecilla (HUMV) — Santander, Spain (Recruiting)
Study contacts
- Study coordinator: Bernardo Cortese, Dr.
- Email: bcortese@gmail.com
- Phone: +39 348 1123968
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.