To demonstrate non-inferiority in 6-month angiographic in-stent late lumen loss of the pimecrolimus-eluting coronary stent (Corio) compared to the CoStar coronary stent control arm and the dual pimecrolimus/paclitaxel-eluting (Symbio) coronary stent compared to the CoStar coronary stent control arm for the treatment of single de novo lesions \<25 mm in length in native coronary arteries 2.5 - 3.5 mm in diameter.
This study is designed to evaluate 6 month in-stent late lumen loss of the 1) Corio™ pimecrolimus-eluting coronary stent system and the 2) SymBio™ dual pimecrolimus/paclitaxel-eluting coronary stent system compared to the CoStar™ Paclitaxel-Eluting Coronary Stent System control arm.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
246
Drug-eluting stent
Drug-eluting stent
Drug-eluting Stent
Southampton University Hospital
Southampton, United Kingdom
Primary angiographic late loss in the stent as measured by Quantitative Coronary Angiography (QCA)
Time frame: 6 months post-procedure
MACE (composite of non-cardiac death, new Qw/nonQw MI, and TVR) as described below
Major Adverse Cardiac Events (MACE) defined as an adjudicated composite of death that cannot be clearly attributed to a non-cardiac event or non-intervention vessel, new myocardial infarction (Q-wave or non-Q-wave) that cannot be clearly attributed to a non-intervention vessel and clinically driven target vessel revascularization (TVR)
Time frame: 30 days and 6 months
Primary Device Success defined as attainment of <50% in-stent residual stenosis of the target lesion using only the assigned device in the absence of device malfunction and device-related complication.
Time frame: 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure
Lesion Success defined as attainment of <50% residual stenosis of the target lesion using the assigned study device or any percutaneous method.
Time frame: 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure
Procedure Success defined as attainment of final lesion success in the absence of in-hospital MACE.
Time frame: 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure
Angiographic in-stent and in-segment binary restenosis (≥50% diameter stenosis).
Time frame: 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure
In-stent and in-segment MLD
Time frame: 6 months post-procedure
In-segment angiographic late loss
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Time frame: 6 months post-procedure
Clinically driven Target Lesion Revascularization (TLR)
Time frame: 6 months post-procedure
Percent volume obstruction of the stent by intravascular ultrasound (IVUS) in the IVUS cohort.
Time frame: 6 months post-procedure
Incidence of late acquired incomplete stent to vessel apposition (stent malapposition) by IVUS in the IVUS cohort.
Time frame: 6 months post-procedure
Incidence of reported MACE
Time frame: 1, 2, 3, 4 and 5 years post-procedure
Comparison of the pimecrolimus-eluting stent to the pimecrolimus/paclitaxel-eluting stent for primary and secondary endpoints.
Time frame: 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure