The BioFreedom BA9 (Stainless Steel) Drug Coated Stent is an approved stent that is already commercially available in Europe and Asia. The purpose of this registry is to assess the safety and efficacy of the BioFreedom stent for treatment of a specific group of patients; patients with a myocardial infarction (STEMI). The objective is to capture patients' outcomes and antithrombotic strategies data using one or several BioFreedom Stents in the routine treatment of these STEMI patients.
The purpose of this registry is to assess the safety and efficacy of the BioFreedom stent for treatment of STEMI patients. The objective is to capture patients' outcomes and antithrombotic strategies data using one or several BioFreedom Stents in the routine treatment of STEMI patients. This will be a fully observational post market registry designed to enroll 1000 STEMI patients at about 20 centers in up to 8 Asian countries where the BioFreedom BA9 (SS) DCS is available for clinical use. The primary endpoint is LTF, which is a composite of cardiac death, target vessel-related reinfarction, and ischemia-driven target-lesion revascularization. The investigators expect event rates of the composite of cardiac death, target vessel-related reinfarction, and ischemia-driven target-lesion revascularization to be 4.3% at one year as observed in the COMFORTABLE AMI study. Assuming a one-sided type I error (α) of 0.025, and a non-inferiority margin of 1.9%, a cohort of 1000 patients will have more than 80% power to conclude non-inferiority. The complete data analysis will be described in a Statistical Analysis Plan (SAP) that will be finalized and signed before the one year database lock. Primary and secondary endpoint related events will be adjudicated by independent adjudicators. The study will be monitored per a monitoring plan, data will be collected in an electronic data capture system. All enrolled patients will be followed up at 1, 4 and 12 months to collect information on their current status, review of cardiac medication taken and any adverse events that they have experienced. Both CERC and Biosensors will follow company SOP's which are GCP and ISO 14155:2011 compliant.
Study Type
OBSERVATIONAL
Enrollment
914
The placement of 1 or more stents in the diseased coronary artery lesion(s).
Queen Mary Hospital
Hong Kong, Hong Kong
Tan Tock Seng Hospital
Singapore, Singapore
Seoul National University Bundang Hospital
Seoul, South Korea
Mackay Memorial Hospital
Taipei, Taiwan
Her Majesty Cardiac Centre
Target Lesion Failure (TLF)
TLF (Target Lesion Failure) defined as composite of cardiovascular death, target-vessel related myocardial infarction (Q-wave and non-Q-wave), or ischemia-driven target lesion revascularization within 12 months (device-oriented outcome per ARC2 definitions).
Time frame: 12 months
1. All-cause mortality
1\. All-cause mortality
Time frame: 12 months
2. Cardiovascular death
2\. Cardiovascular death (cardiovascular and undetermined)
Time frame: 12 months
3. The composite of cardiac death, Target Lesion (TL)-related myocardial infarction and TL-related definite or probable stent thrombosis
3\. The composite of cardiac death, Target Lesion (TL)-related myocardial infarction and TL-related definite or probable stent thrombosis at one year
Time frame: 12 months
4. Stroke disabling and non-disabling ARC definition
4\. Stroke disabling and non-disabling ARC definition
Time frame: 12 months
5. Myocardial infarction (according to the Third Universal Definition) a. Q wave, non-Q wave and all myocardial infarctions
5\. Myocardial infarction (according to the Third Universal Definition) a. Q wave, non-Q wave and all myocardial infarctions
Time frame: 12 months
6. ARC2 ST
6\. ARC2 ST
Time frame: 12 months
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Bangkok, Thailand
7. Clinically driven TLR at any follow-up time point
7\. Clinically driven TLR at any follow-up time point
Time frame: 12 months
8. Clinically driven target vessel revascularization
8\. Clinically driven target vessel revascularization
Time frame: 12 months
9. Any revascularization within 12 months following the index procedure, unless they are planned within the 1st month
9\. Any revascularization within 12 months following the index procedure, unless they are planned within the 1st month
Time frame: 12 months
10. Bleeding per BARC criteria a. BARC 3 to 5
10\. Bleeding per BARC criteria a. BARC 3 to 5
Time frame: 12 months