The OCT SORT-OUT VIII Study (OCT SORT-OUT)
Randomized Comparison of the Biolimus-eluting Biomatrix Neoflex™ og Everolimus-eluting SYNERGY™ Stents in All-comer Patients With Ischemic Heart Disease - The OCT SORT-OUT VIII
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Aarhus, Denmark, 8200
- Aarhus University Hospital, Skejby
-
Odense, Denmark, 5000
- Odense University Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients >18 years to be treated with one or more drug-eluting stents in a coronary artery at Aarhus University Hospital or Odense University Hospital
Exclusion Criteria:
- Age <18 years
- Do not wish to participate
- Unable to provide written informed consent
- Domicile outside Denmark
- Do not speak Danish
- Inclusion in the SORT-OUT VIII study
- Inclusion in other stent studies
- Expected survival <1 year
- Allergy to aspirin, clopidogrel, prasugrel or ticagrelor
- Hypersensitivity to everolimus or biolimus
- The operator wishes to use other DES
- Reduced renal function; creatinine> 120 mmol / L
- Only bare metal stent (BMS) implantation
- Only plain old balloon angioplasty (POBA)
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 |
|---|---|
|
Experimental: SYNERGY drug eluting stent
Everolimus eluting bioresorbable polymer stent
|
Other Names:
|
|
Experimental: Biomatrix NeoFlex drug eluting stent
Biolimus eluting bioresorbable polymer stent
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Coronary Stent Healing Index
Time Frame: 1 or 3 months
|
Combined endpoint of vessel wall healing parameters assessed by optical coherence tomography (OCT)
|
1 or 3 months
|
|
Uncovered stent struts
Time Frame: 1 or 3 months
|
Uncovered stent struts 2%=1, 5%=2, 10%=3, 15%=4, 20%=5, 25%=6, 30%=7, 35%=8, 40%=9
|
1 or 3 months
|
|
Uncovered stent struts in front of SBs, on acquired or persistent malapposed struts
Time Frame: 1 and 3 months
|
Uncovered stent struts in front of side branchs (SB), on acquired or persistent malapposed struts10%=1, 20%=2, 30%=3 etc to 100%=0
|
1 and 3 months
|
|
Persistent malapposition
Time Frame: 1 and 3 months
|
Persistent malapposition: >2 adjacent struts of at least 1 mm length =1; >2 mm=2; >3 mm=3
|
1 and 3 months
|
|
Neointimal thickness in one frame or lumen mean diameter stenosis
Time Frame: 1 and 3 months
|
Neointimal thickness in one frame or lumen mean diameter stenosis >200=1; >300=2; >400=3 or diameter stenosis >50%=4; >75%=5
|
1 and 3 months
|
|
Acquired malapposition
Time Frame: 1 and 3 months
|
Acquired malapposition: >2 adjacent struts of at least 1 mm length =2; > 2 mm=4; > 3 mm=6
|
1 and 3 months
|
|
Cumulated extra stent lumen increase in matched cross sectional analysis
Time Frame: 1 and 3 months
|
Cumulated extra stent lumen increase in matched cross sectional analysis (measurement mean area)
|
1 and 3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Malapposition
Time Frame: Baseline, 1 and 3 months
|
Detectable separation between the vessel wall and strut in a cross section.
|
Baseline, 1 and 3 months
|
|
Coverage
Time Frame: Baseline, 1 and 3 months
|
Detectable tissue covering the strut
|
Baseline, 1 and 3 months
|
|
Fracture
Time Frame: Baseline, 1 and 3 months
|
Discontinuity of a strut evaluated by 3D reconstruction
|
Baseline, 1 and 3 months
|
|
Neointimal thickness (NIT)
Time Frame: Baseline, 1 and 3 months
|
Thickness of intima from leading strut surface to lumen boarder
|
Baseline, 1 and 3 months
|
|
Lumen area
Time Frame: Baseline, 1 and 3 months
|
Area of lumen in cross section
|
Baseline, 1 and 3 months
|
|
Stent area
Time Frame: Baseline, 1 and 3 months
|
Area of stent in cross section
|
Baseline, 1 and 3 months
|
|
Area stenosis (AS) %
Time Frame: Baseline, 1 and 3 months
|
Minimal luminal area/reference area (interpolated)
|
Baseline, 1 and 3 months
|
|
Minimum expansion of the stent
Time Frame: Baseline, 1 and 3 months
|
Expressed as absolute area and percentage of the closest reference area
|
Baseline, 1 and 3 months
|
|
Late recoil
Time Frame: Baseline, 1 and 3 months
|
Loss in stent area from baseline to follow-up
|
Baseline, 1 and 3 months
|
|
Lumen late loss
Time Frame: Baseline, 1 and 3 months
|
Loss in minimal lumen area from baseline to follow-up
|
Baseline, 1 and 3 months
|
|
Extra stent lumen
Time Frame: Baseline, 1 and 3 months
|
Area outside stent boarder limited by lumen boarder
|
Baseline, 1 and 3 months
|
|
Evaginations
Time Frame: Baseline, 1 and 3 months
|
Counts and descriptive by size (volume and depth)
|
Baseline, 1 and 3 months
|
|
Thrombus on struts
Time Frame: Baseline, 1 and 3 months
|
In final OCT after implantation and at follow-up
|
Baseline, 1 and 3 months
|
|
Acute expansion and late recoil
Time Frame: Baseline, 1 and 3 months
|
In segments with; 1)calcified plaque, 2)lipid plaque, 3)area after predilatation <30% of reference area, 4)stenosed segments (>50% AS) with no dissections after predilatation
|
Baseline, 1 and 3 months
|
|
Target Lesion Failure (TLF)
Time Frame: Within 12 months
|
Stent related combined endpoint of Target Lesion Failure (TLF) hierarchically as cardiac death, non-index procedure related AMI (defined as AMI not clearly related to another lesion than the target lesion), or Target Lesion Revascularisation (TLR) (by PCI or CABG - TLR if significant stenosis + 5mm distal/proximal)
|
Within 12 months
|
|
Cardiac death
Time Frame: Baseline, 12, 24, 36, 48 and 60 months
|
Stent related, major adverse cardiac events (MACE), serious complication at procedure
|
Baseline, 12, 24, 36, 48 and 60 months
|
|
Non-index procedure related acute myocardial infarction (AMI)
Time Frame: Baseline and within 12, 24, 36, 48 and 60 months
|
Defined as AMI not clearly related to another lesion than the target lesion
|
Baseline and within 12, 24, 36, 48 and 60 months
|
|
Target Lesion Revascularisation (TLR)
Time Frame: Baseline and within 12, 24, 36, 48 and 60 months
|
New revascularisation of TLR by percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) (TLR if significant stenosis += 5 mm distal/proximal)
|
Baseline and within 12, 24, 36, 48 and 60 months
|
|
All-cause death
Time Frame: 12, 24, 36, 48 and 60 months
|
12, 24, 36, 48 and 60 months
|
|
|
Stent thrombosis
Time Frame: Baseline, 1, 12, 24, 36, 48 and 60 months
|
According to ARC criteria
|
Baseline, 1, 12, 24, 36, 48 and 60 months
|
|
Device success rate
Time Frame: Baseline
|
Defined as the frequency of successful implantation with residual stenosis <20% of the study stent in all the stenoses scheduled to be treated
|
Baseline
|
|
Procedural success rate
Time Frame: Baseline
|
Defined as the frequency of successful implantation with residual stenosis <20% of the study stent in all the stenoses scheduled to be treated and without serious complications
|
Baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Evald H Christiansen, MD, Aarhus University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
- Pain
- Neurologic Manifestations
- Vascular Diseases
- Cardiovascular Diseases
- Pathologic Processes
- Heart Diseases
- Infarction
- Necrosis
- Arteriosclerosis
- Arterial Occlusive Diseases
- Coronary Disease
- Myocardial Ischemia
- Ischemia
- Chest Pain
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Coronary Artery Disease
- Myocardial Infarction
- Angina Pectoris
- Physiological Effects of Drugs
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Everolimus
Other Study ID Numbers
Other Study ID Numbers
- 1-10-72-125-14
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.