To evaluate the safety and effectiveness of paclitaxel-eluting coronary artery balloon dilation catheter (DIOR) in revascularization of coronary bifurcation lesions compared with paclitaxel-eluting balloon (Bingo), and to provide the clinical data for the formal application in China and for the approvement of China marketing.
This is a prospective, multicenter, randomize, control and non-inferior study. 220 patients with bifurcation lesions will be randomized 1:1 to each group. after the main branch has been treated successfully, and if the side branch's stenosis is more than 70% and can be pre-dilated by POBA (plain old balloon angioplasty) successfully, then randomizing. the patients in the study group will be treated with paclitaxel-eluting coronary artery balloon dilatation catheter (DIOR), while those in the control group will be treated with paclitaxel-eluting balloon (Bingo). Clinical follow-up will be conducted at baseline, operation, hospital discharge, 1 month, 6 months, 9 months and 12 months after operation, and angiographic follow-up will be conducted at 9 months. The primary endpoint is late lumen loss (LLL) in the balloon dilatation coverage area of side branch of at 9 month after operation. The secondary endpoints include device success, clinical success, target lesion failure (TLF), target lesion revascularization (TLR), clinical composite endpoints and imaging endpoints. The information of adverse events, serious adverse events and device defects will be collected during the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
220
patients in the study group will be treated by the Paclitaxel-Eluting Coronary Balloon Dilation Catheter (DIOR)
patients in the study group will be treated by the Paclitaxel-Eluting Balloon (Bingo)
Daqing Oil General Hospital
Daqing, Heilongjiang, China
Wuhan Asian Heart Hospital
Wuhan, Hubei, China
Nanjing First Hospital
Nanjing, Jiangsu, China
late lumen loss
in balloon dilated coverage area of the side branch lesion measured by QCA (Quantitative Coronary Angiography)
Time frame: 9 months after operation
device success
define as dilation success in the side branch lesion by study balloon or control ballon, that is the residual stenosis ≤50%,TIMI (Thrombolysis In Myocardial Infarction) 3 flow and without type C or above dissection
Time frame: immediately post procedure
clinical success
define as absence of patients oriented composite endpoints (PoCE) during hospitalization, based on the device success.
Time frame: 1 month after operation
device oriented composite endpoints (DoCE)
that is TLF, define as the composite endpoint include cardiac death, target vessel myocardial infarction and ischemic driven target lesion revascularization (ID-TLR)
Time frame: 1, 6, 9, 12 month after operation
patients oriented composite endpoints (PoCE)
define as a composite endpoints of all cause death, any myocardial infarction and any revascularization
Time frame: 1, 6, 9, 12 month after operation
all cause death
include cardiac death, vascular death, noncardiovascular death
Time frame: 1, 6, 9, 12 month after operation
myocardial infarction (MI)
target vessel MI, non-target vessel MI
Time frame: 1, 6, 9, 12 month after operation
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First Bethune Hospital of Jilin University
Changchun, Jilin, China
The Second Hospital of Dalian University
Dalian, Liaoning, China
General Hospital of Northern Theater Command
Shengyang, Liaoning, China
The First Hospital of China Medical University
Shengyang, Liaoning, China
First Affiliated Hospital of Kunming Medical University
Kunming, Yunnan, China
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
The Second Affiliated Hospital Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
...and 3 more locations
target lesion revasculation
ischemic driven, non-ischemic driven
Time frame: 1, 6, 9, 12 month after operation
target vessel revasculation
ischemic driven, non-ischemic driven
Time frame: 1, 6, 9, 12 month after operation
any coronary revasculation
Time frame: 1, 6, 9, 12 month after operation
thrombosis in the side branch lesion
Time frame: 1, 6, 9, 12 month after operation