The Bioheart Randomized Controlled Trial is a prospective multicentred paralleled study, which will enroll 430 patients and randomized 1:1 to study group and control group. Aim to assess the efficacy and safety of Rapamycin Drug-Eluting Bioresorbable Coronary Stent System compare with XIENCE stent in the treatment of patients with up to two coronary lesions.
This study is a prospective, multicentred randomized controlled trial, planning to enroll 430 subjects and randomize 1:1 to study group and control group. All subjects will accept clinical evaluation at 1 month, 6 month, 9 month and 1, 2, 3, 4, 5 year post procedure. All subjects will accept angiographic evaluation at 1 year post procedure, and simutaneously 80 subjects (40 in study group and 40 in control group) will accepted OCT evaluation. To assess the efficacy and safety, the primary endpoint will be in segment late luminal loss at 1 year post procedure, the secondary endpoint is neointima coverage percentage of stent strut (%) at 1 year post procedure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
431
study group in which patient will accept the treatment of Bioresorbable Coronary Stent
control group in which patient will accept the treatment of Drug Eluting Stent of Abbott's XIENCE PRIME™ or XIENCE V®
in segment late luminal loss
In-segment late loss is defined as the change in minimal lumen diameter (MLD) from post-procedure to 1 year by angiography,in segment is defined within the margins of the scaffold/stent and 5 mm proximal and 5 mm distal to the scaffold/stent.
Time frame: 1 year post procedure
neointima coverage percentage of stent strut (%)
only in OCT subgroup
Time frame: 1 year post procedure
device success
defined as attainment of residual stenosis less than 30% by visual estimation and TIMI flow grade 3 post stent implantation
Time frame: immediately post procedure
lesion success
defined as attainment of diameter residual stenosis less than 30% by visual estimation and TIMI flow grade 3, after the target lesion treated by any PCI methods
Time frame: immediately post procedure
clinical success
defined as attainment of lesion success and without any major adverse cardiac events during hospitalization (up to 7 days after proceduce)
Time frame: at 1 month post procedure
Device oriented composite endpoint (DoCE)/target lesion failure (TLF)
defined as Cardiac Death, target vessel - myocardial infarction (TV-MI), and ischemic driven - target lesion revascularization (ID-TLR)
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure
Patient oriented composite endpoint (PoCE)
defined as all caused death, any myocardial infarction, and any revascularization.
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Beijing Anzhen Hospital Capital Medical University
Beijing, Beijing Municipality, China
BeijingChao-YangHospital
Beijing, Beijing Municipality, China
Fuwai Hospital Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
Fujian Provincial Hospital
Fuzhou, Fujian, China
Nanfang Hospital
Guangzhou, Guangdong, China
The Frist Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China
Zhujiang Hospital of Southern Medical University
Guangzhou, Guangdong, China
The People's Hospital of Guangxi Zhuang Autonomous Region
Nanning, Guangxi, China
Zhongshan People's Hospital
Zhongshan, Gunagdong, China
Cangzhou Central Hospital
Cangzhou, Hebei, China
...and 15 more locations
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure
death
cardiac death, vascular death, non-cardiovascular death
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure
myocardial infarction (MI)
target vessel MI, non-target vessel MI
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure
target lesion revascularization
ischemic driven, non-ischemic driven
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure
target vessel revascularization
ischemic driven, non-ischemic driven
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure
any coronary revascularization
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure
ARC--defined stent thrombosis
timing (acute, subacute, late and very late stent thrombosis); relationship (definite, probable and possible stent thrombosis)
Time frame: at 1, 6, 9 month and1, 2, 3, 4, 5 year post procedure