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A Randomized Comparison of Clinical Outcomes Between Everolimus-eluting Bioresorbable Vascular Scaffold Versus Everolimus-eluting Metallic Stent in Long Coronary Lesions

Yonsei University logo

Yonsei University

Status

Unknown

Conditions

Coronary Artery Disease

Treatments

Device: PCI with Xience everolimus-eluting metallic stent
Device: PCI with Absorb everolimus-eluting bioresorbable vascular scaffold

Study type

Interventional

Funder types

Other

Identifiers

NCT02796157
1-2016-0025

Details and patient eligibility

About

PCI of diffuse long coronary lesions still remains challenging because of relatively high risk of in-stent restenosis and stent thrombosis compared to short coronary lesions. The purpose of the study is to compare an incidence of composite of major adverse cardiovascular events (MACEs) at 1 year between Absorb everolimus-eluting BVS and Xience EES after coronary intervention in long lesions.

Enrollment

950 estimated patients

Sex

All

Ages

19 to 85 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age 19-85 years
  • Patients with ischemic heart disease requiring PCI
  • Significant coronary de novo lesion (stenosis >50% by quantitative angiographic analysis) requiring stent ≥28 mm in length based on angiographic estimation
  • Reference vessel diameter of 2.5 to 3.75 mm by operator assessment

Exclusion criteria

  • Acute myocardial infarction within 48 hours with unstable hemodynamics requiring pharmacologic or mechanical support
  • Complex coronary morphology including left main disease and bifurcation lesion requiring two-stent technique
  • Contraindication or hypersensitivity to anti-platelet agents or contrast media
  • Treated with any metallic stent or BVS within 3 months at other vessel
  • Cardiogenic shock
  • Left ventricular ejection fraction <40%
  • Pregnant women or women with potential childbearing
  • Inability to follow the patient over the period of 1 year after enrollment, as assessed by the investigator
  • Inability to understand or read the informed content

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

950 participants in 2 patient groups

absorb arm
Active Comparator group
Description:
PCI with Absorb everolimus-eluting bioresorbable vascular scaffold
Treatment:
Device: PCI with Absorb everolimus-eluting bioresorbable vascular scaffold
Xience arm
Experimental group
Description:
PCI with Xience everolimus-eluting metallic stent
Treatment:
Device: PCI with Xience everolimus-eluting metallic stent

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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