Prospective, Randomized, Multicenter Study to Assess the Safety and Effectiveness of the Orsiro Sirolimus-eluting Stent (BIOFLOW-IV)
BIOTRONIK-A Prospective, Randomized, Multicenter Study to Assess the Safety and Effectiveness of the Orsiro Sirolimus Eluting Stent in the Treatment of Subjects With up to Two de Novo Coronary Artery Lesions - IV
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Murdoch, Australia, 6961
- Fiona Stanley Hospital
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Sydney, Australia, NSW 2031
- Prince of Wales Hospital Sydney
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Leuven,, Belgium, 3000
- Gasthuisberg Leuven
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Roeselare, Belgium, 8800
- AZ Delta, H. Hart Roeselare
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Roskilde, Denmark, 4000
- Roskilde Sygehus Nord
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Bad Krozingen, Germany, 79189
- Universitäts-Herzzentrum Freiburg Bad Krozingen
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Bad Oeynhausen, Germany, 32545
- Herz- und Diabeteszentrum NRW - Kardiologische Klinik
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Bad Segeberg, Germany, 23795
- Segeberger Kliniken GmbH
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Berlin, Germany, 10117
- Charite Campus Mitte - Med. klinik für Kardiologie
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Bonn, Germany, 53105
- Universitätsklinik Bonn
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Dachau, Germany, 85221
- Amper Kliniken AG
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Hannover, Germany, 30625
- Medizinische Hochschule Hannover (MHH), Klinik für Kardiologie und Angiologie
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Nürnberg, Germany, 90471
- Medizinische Klinik 8-Kardiologie -Klinikum Nürnberg Sued
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Haifa, Israel, 31096
- Rambam Health Corporation, Rambam Medical Center, Batgalim
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Jerusalem,, Israel, 91120
- Hedasit Medical Research Services and Development Ltd. Hadassah Ein-Kerem Medical Center Kiryat Hadassah
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Petach Tikva, Israel, 49100
- Clalit Health Services, Rabin Medical Center, Cardiology
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Fukuoka, Japan
- Tenjinkai Shinkoga Hospital
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Hiroshima, Japan
- Akanekai Tsuchiya General Hospital
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Hokkaido, Japan
- Hospital Hakodate
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Hyogo, Japan
- Sakurakai Takahashi Hospital
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Kanagawa, Japan
- Japan Organization of Occupational Health and Safety Kanto Rosai Hos-pital
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Kanagawa, Japan
- Okinawa Tokushukai Shonan Kamakura General Hospital
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Kanagawa, Japan
- Saiseikai Yokohamashi Tobu Hospital
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Kumamoto, Japan
- Japan Organization of Occupational Health and Safety Kansai Rosai Hospital
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Kumamoto, Japan
- Japan Organization of Occupational Health and Safety Kumamoto Rosai Hospital
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Tokyo, Japan
- Toho University Ohashi Medical Center
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Tokyo, Japan
- Tokai University Hachioji Hospital
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Amsterdam, Netherlands, 1091 AC
- Onze Lieve Vrouwe Gasthuis (OLVG)
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Blaricum, Netherlands, 1262 AN
- Tergooi Blaricum
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Breda, Netherlands, 4818 CK
- Amphia Hospital
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Zwolle, Netherlands, 8025 AB
- Isala Klinieken
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Christchurch, New Zealand, 4710
- Cardiology Department, Christchurch Hospital
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Krakow, Poland, 31-501
- University Hospital Krakow
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Lubin, Poland, 59-300
- Miedziowe Centrum Zdrowia SA
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Poznan, Poland, 61-848
- Clinical Hospital Medical University Poznan
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Warsaw, Poland, 04-628
- General Cardiology & Haemodynamics Dept., Institute of Cardiology
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Barcelona, Spain, 08003
- Hospital del Mar
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Barcelona, Spain, 08036
- Hospital Clínico y Provincial de Barcelona
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Santander, Spain, 39008
- Hospital Universitario Marques de Valdecilla
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Sevilla, Spain, 41071
- Hospital Virgen de la Macarena
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Oerebrö, Sweden, 70185
- Universitetssjukhuset Örebro
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Uppsala, Sweden, 75185
- Akademiska sjukhuset
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Lausanne, Switzerland, 1011
- University Hospital Lausanne
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Lugano, Switzerland, 6900
- Cardiocentro Ticino
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Zürich, Switzerland, 8091
- University Hospital Zurich
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Main Inclusion Criteria:
- Subject must provide written informed consent
- The target reference vessel diameter (RVD) is ≥ 2.50 mm and ≤ 3.75 mm assessed either visually or by online QCA.
- Target lesion length is ≤ 26 mm (assessed either visual estimate or by online QCA) and can be covered by one study stent
- Single de novo lesion with ≥ 50% and < 100% stenosis in up to 2 coronary arteries
Main Exclusion Criteria:
- Subject has evidence of myocardial infarction within 72 hours prior to the index procedure
- Planned intervention of non-target vessel(s) within 30 days after the index procedure
- Planned intervention of target vessel(s) after the index procedure
- Target lesion is located in the left main
- Target lesion is located in or supplied by an arterial or venous bypass graft
- Target lesion involves a side branch > 2.0 mm in diameter by visual estimate or by online QCA
- Proximal or distal to the target lesion located stenosis that might require future revascularization or impede run off
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Active Comparator: Abbott Laboratories Xience
Subjects assigned to Abbott Laboratories Xience can be treated with either the Xience Prime or Xience Xpedition drug eluting stent (DES).
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Experimental: Biotronik Orsiro
Subjects assigned to Biotronik Orsiro will be treated with Biotronik Orsiro
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
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Target Vessel Failure
Time Frame: 12 months post index procedure
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12 months post index procedure
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Rate of clinically-driven target lesion revascularization (TLR)
Time Frame: 1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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Rate of clinically-driven target vessel revascularization (TVR)
Time Frame: 1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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Rate of target lesion failure (TLF), defined as composite of cardiac death, target vessel Q-wave or non-Q wave myocardial infarction (MI), emergent coronary artery bypass graft (CABG), any clinically-driven TLR
Time Frame: 1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Shigeru Saito, MD, Okinawa Tokushukai Shonan Kamakura General Hospital
- Principal Investigator: Ton Slagboom, MD, Onze Lieve Vrouwe Gasthuis
Publications and helpful links
General Publications
- Toelg R, Slagboom T, Waltenberger J, Lefevre T, Saito S, Kandzari DE, Koolen J, Richardt G. Individual patient data analysis of the BIOFLOW study program comparing safety and efficacy of a bioresorbable polymer sirolimus eluting stent to a durable polymer everolimus eluting stent. Catheter Cardiovasc Interv. 2021 Nov 1;98(5):848-856. doi: 10.1002/ccd.29254. Epub 2020 Sep 5.
- Hemetsberger R, Abdelghani M, Toelg R, Garcia-Garcia HM, Farhan S, Mankerious N, Elbasha K, Allali A, Windecker S, Lefevre T, Saito S, Kandzari D, Waksman R, Richardt G. Complex vs. non-complex percutaneous coronary intervention with newer-generation drug-eluting stents: an analysis from the randomized BIOFLOW trials. Clin Res Cardiol. 2022 Jul;111(7):795-805. doi: 10.1007/s00392-022-01994-4. Epub 2022 Feb 25.
- Hemetsberger R, Abdelghani M, Toelg R, Mankerious N, Allali A, Garcia-Garcia HM, Windecker S, Lefevre T, Saito S, Slagboom T, Kandzari D, Koolen J, Waksman R, Richardt G. Impact of Coronary Calcification on Clinical Outcomes After Implantation of Newer-Generation Drug-Eluting Stents. J Am Heart Assoc. 2021 Jun 15;10(12):e019815. doi: 10.1161/JAHA.120.019815. Epub 2021 May 29.
- Dan K, Garcia-Garcia HM, Kolm P, Windecker S, Saito S, Kandzari DE, Waksman R. Comparison of Ultrathin, Bioresorbable-Polymer Sirolimus-Eluting Stents and Thin, Durable-Polymer Everolimus-Eluting Stents in Calcified or Small Vessel Lesions. Circ Cardiovasc Interv. 2020 Sep;13(9):e009189. doi: 10.1161/CIRCINTERVENTIONS.120.009189. Epub 2020 Sep 8.
- Saito S, Toelg R, Witzenbichler B, Haude M, Masotti M, Salmeron R, Witkowski A, Uematsu M, Takahashi A, Waksman R, Slagboom T. BIOFLOW-IV, a randomised, intercontinental, multicentre study to assess the safety and effectiveness of the Orsiro sirolimus-eluting stent in the treatment of subjects with de novo coronary artery lesions: primary outcome target vessel failure at 12 months. EuroIntervention. 2019 Dec 6;15(11):e1006-e1013. doi: 10.4244/EIJ-D-18-01214.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- C1204 (Other Identifier: ANSM)
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