Prospective, multi-center registry to be conducted at 6 Canadian interventional cardiology centers. The e-BioMatrix data will be compared with a historical control group, the Cypher arm of the Biosensors Leaders study consisting of 313 patients. All patients will be followed for up to 2 years.
The purpose of this registry is to capture additional "on-label" clinical data of the CE-marked BioMatrix Flex™ (BA9™-Eluting) stent system in relation to safety and effectiveness. This prospective, multi-center registry will enroll a total of 533 patients. The BioMatrix FlexTM has been studied in randomized controlled trials and has been granted the CE mark. The data have been reviewed by Health Canada and no further randomized trials were requested. Prior to marketing approval, Health Canada requested that a registry be implemented to provide data in Canada on 'on label patients' to supplement the data already available from the Leaders trial, conducted on 'all comers' patients. The registry follows the normal medical practice for drug eluting stents in Canada. 100% informed consents will be checked, and at least all Major Adverse Cardiac Events up to 2 years will be source data verified. All MACEs developing in the patient population will be adjudicated by an independent Clinical Events Committee. The patients will be followed clinically for up to 2 years after stent implantation. A third party Contract Research Organisation, Centre for Innovative Medicine has has been appointed to perform site monitoring and project management. The appropriate Data Management and Validation, Statistical Analysis, Safety, Monitoring Plans and guidelines have been put into place to address quality and consistency of data. A Clinical Event Committee (CEC) has been put in place for this registry, consisting of cardiologists not participating in the registry. The mandate of this CEC will be to review all Major Adverse Cardiac Events (MACE), to adjudicate and to classify them. In addition, and in order to protect study participants, there will be a regular review of all reported safety events by the sponsor Clinical Safety Officer and a weekly assessment of the incidence of the important risks pertaining to the registry in order to detect any safety signals. The sites have been trained during the Site Initiation Visits on registry operations and analysis activities, such as patient recruitment, data collection, data management, data analysis, reporting for adverse events, and change management.
Study Type
OBSERVATIONAL
Enrollment
535
Percutaneous coronary intervention
Victoria Heart Institute Foundation
Victoria, British Columbia, Canada
Sunnybrook Health Sciences
Toronto, Ontario, Canada
Toronto General Hospital
Toronto, Ontario, Canada
Royal Victoria Hospital
Montreal, Quebec, Canada
Registry device-related MACE
Registry device oriented major adverse cardiac events (MACE) plus bleeding events in the overall population, defined as composite of cardiac death, myocardial infarction (Q-wave and non-Q-wave), or justified target vessel revascularization at 12 months.
Time frame: 12 months
Primary and secondary stent thrombosis
definite and probable according to ARC definitions
Time frame: 30days, 6 months, 12 months and 2 years
Registry device oriented major adverse cardiac events (MACE) in the overall population
Defined as composite of cardiac death, myocardial infarction (Q- wave and non-Q-wave), or justified target vessel revascularization
Time frame: 30d, 6m and 2y
Individual MACE components
cardiac death, myocardial infarction, justified target vessel revascularization and bleeding events)
Time frame: 30d, 6m, 12m and 2y
Bleeding per BARC criteria
BARC 3 to 5, all BARC, by vascular access site (femoral/radial)
Time frame: 30d, 6m, 12m, 2y;
Patient Oriented Composite Endpoint
Defined as any cause mortality, MI (Q-wave and non-Q-wave), or any clinically driven target vessel revascularization;
Time frame: 30d, 6m, 12m, 2y
Death and MI
Time frame: 30d, 6m, 12m, 2y
Death and post-procedural MI
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Time frame: 30d, 6m, 12m, 2y
Antiplatelet compliance
Time frame: 30d, 6m, 12m, 2y