The objective of this study is to assess the safety and efficacy of the Freesolve resorbable magnesium scaffold (RMS) in the treatment of subjects with up to two de novo lesions in native coronary arteries compared to the Xience coronary drug-eluting stent (DES) system
The BIOMAG-III clinical trial is a prospective, international, multi-center, single-blinded, randomized controlled, non-inferiority trial to compare the Freesolve Sirolimus Eluting Coronary Resorbable Magnesium Scaffold (Freesolve RMS) System with the Xience Everolimus Eluting Stent (Xience DES) System. with respect to Target Lesion Failure (TLF) rate at 12 months. Subjects will be randomized in a 2:1 fashion Freesolve to Xience. A total of up to 1859 subjects will be randomized at up to 120 total sites worldwide including North America, Europe, and Asia Pacific. Clinical follow-up will be conducted at 1, 6, and 12 months and at 2, 3, 4, and 5 years post-procedure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
1,859
Freesolve Sirolimus-Eluting Coronary Resorbable Magnesium Scaffold (RMS) System, a drug-eluting balloon-expandable resorbable scaffold
Xience Everolimus Eluting Stent System
Target Lesion Failure (TLF) rate at 12 months post-index procedure
The primary endpoint is Target Lesion Failure (TLF) at 12 months, a composite of Cardiac Death, Target Vessel Q-wave or non-Q wave MI, or clinically driven target lesion revascularization (TLR).
Time frame: 12 months
Procedure success
Procedure success defined as achievement of \< 30% final residual diameter stenosis \[by Quantitative Coronary Angiography (QCA) or visual estimation\] of the target lesion using the assigned study device only, without the occurrence of cardiac death, Q-wave or non-Q-wave MI, or repeat revascularization of the target lesion during the hospital stay
Time frame: Hospital Discharge (6-24 hours post-index procedure)
Device Success
Device Success defined as a final residual diameter stenosis of \< 30% by QCA or visual estimation, using the assigned device only with * successful delivery of the device to the target lesion, and * appropriate device deployment, and * successful removal of the delivery system
Time frame: Hospital Discharge (6-24 hours post-index procedure)
Target lesion failure (TLF)
TLF is defined as a composite of Cardiac Death, Target Vessel Q-wave or non-Q-wave myocardial infarction (MI), or clinically driven Target Lesion Revascularization (TLR)
Time frame: Time Frame: 1, 6 months and 2, 3, 4 and 5 years post-index procedure
Target Vessel Failure (TVF)
Target Vessel Failure (TVF), a composite of Cardiac Death, Target Vessel Q-wave or non-Q wave MI, or clinically driven Target Vessel Revascularization (TVR)
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Cardiac death
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Cardiovascular death
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
All-cause mortality
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Target vessel MI in accordance with the primary endpoint definitions for periprocedural and non-periprocedural MI
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Any MI (including non-target vessel territory)
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Clinically driven TLR
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Clinically driven TVR
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Scaffold/stent thrombosis (definite, definite/probable, probable) according to Academic Research Consortium (ARC-2) criteria for acute, sub-acute, late, very late and cumulative scaffold/stent thrombosis
Time frame: 1, 6, 12 months and 2, 3, 4 and 5 years post-index procedure
Powered Secondary Endpoint 1: TLF from 1-5 Years
A powered secondary endpoint of cumulative TLF rates between 1 and 5 years post-procedure will be evaluated.
Time frame: 1 to 5 years post-index procedure
Powered Secondary Endpoint 2: TLF at 12 Months in the Diabetic Population
A powered secondary endpoint of TLF at 12 months in the diabetic population will be evaluated.
Time frame: 12 months post-index procedure
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