The DESSOLVE II clinical trial is to assess the safety and performance of the sirolimus-eluting MiStent for the treatment for improving coronary luminal diameter in patients with symptomatic ischemic heart disease due to discrete de novo lesions in the native coronary arteries.
The DESSOLVE II clinical trial is to assess the safety and performance of the sirolimus-eluting MiStent as compared to the Endeavor DES for the treatment for improving coronary luminal diameter in patients with symptomatic ischemic heart disease due to discrete de novo lesions in the native coronary arteries.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
184
The MiStent is a device/drug combination comprised of two components; a stent and a drug product (sirolimus within an absorbable polymer coating).
The Endeavor is a device/drug combination comprised of two components; a stent and a drug product (everolimus within a durable polymer coating).
Cardiovascular Center
Aalst, Belgium
In-Stent Late Lumen Loss
Measured by the angiographic core laboratory as the difference between the post-procedure MLD in the treated segment (stented region) minus the MLD in the same region at follow-up
Time frame: 9 months
Major Adverse Cardiac Events (MACE)
Defined as death, MI (Qwave and non-Q-wave) and TVR at 9 months post-procedure. Assessed on all patients with adequate follow-up at 270 days.
Time frame: 9 months
Device Success
Achievement of a final in-stent residual diameter stenosis of \<50% (by QCA), using the assigned device only.
Time frame: 8 hours
Lesion Success
Achievement of a final in-stent residual diameter stenosis of \<50% (by QCA) using any percutaneous method.
Time frame: 8 hours
Procedural Success
Achievement of a final in-stent residual diameter stenosis of \<50% (by QCA) using the assigned device (including any adjunctive devices) without cardiac death, MI or repeat revascularization of the target lesion pre-hospital discharge.
Time frame: 8 hours
Total Mortality
Time frame: 9-months
Total Myocardial Infarct (MI)
1. Q-wave MI (QWMI): requires one of the following criteria: development of new abnormal Q waves in ≥2 contiguous ECG leads not present on the patient's baseline (i.e., before intervention) in association with a \>2x ULN elevation of CK levels; chest pain or other acute symptoms consistent with myocardial ischemia and new pathological Q waves in ≥2 contiguous ECG leads in the absence of timely cardiac enzyme data. 2. Non-Q-wave MI (NQWMI):the elevation of CK levels (≥2 times ULN) with elevated CK-MB enzyme levels (≥3 times ULN) in the absence of new pathologic Q waves. 3. Peri-Procedural MI post PCI:Q or non-Q-wave MI, as defined above, prior to hospital discharge, or CK-MB elevation \>3xULN within 48 hours post -PCI, with a normal CK-MB at baseline.
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Antwerp Hospital, ZNA Middelheim
Antwerp, Belgium
Brussels University Hospital
Brussels, Belgium
Ziekenhuis Oost-Limburg
Genk, Belgium
Virga Jesse Ziekenhuis
Hasselt, Belgium
KUL Cardiology Gasthuisberg
Leuven, Belgium
Jacques Cartier Hospital
Massy, France
Claude Galien Hospital
Quincy, France
Clinique Pasteur
Toulouse, France
OLV
Amsterdam, Netherlands
...and 18 more locations
Time frame: 9-months
Clinically-driven Target Lesion Revascularization (TVR)
TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel (main branch or side branch). The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion, which includes upstream and downstream branches, and the target lesion itself.
Time frame: 9-months
Target Vessel Failure (TVF)
Composite endpoint of cardiac death, target-vessel myocardial infarction (Q wave or non-Q wave), and clinically indicated target vessel revascularization
Time frame: 9-months
Target Lesion Failure (TLF)
Composite endpoint of cardiac death, target-lesion myocardial infarction (Q wave or non-Q wave), and clinically indicated target lesion revascularization
Time frame: 9-months
Stent Thrombosis (Definite/Probable)
The presence of an intracoronary thrombus that originates in the stent or in the segments 5 mm proximal or distal to the stent post-procedure
Time frame: 9-months