Pre-market Study of the DREAMS 2G Drug Eluting Absorbable Metal Scaffold (BIOSOLVE-III) (BIOSOLVE-III)
BIOTRONIKS - Acute Performance Of a Drug Eluting Absorbable Metal Scaffold (DREAMS 2G) in Patients With de Novo Lesions in NatiVE Coronary Arteries: BIOSOLVE-III
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Antwerp, Belgium, 2020
- Interventional Cardiology Middelheim Hospital (ZNA Middelheim)
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Bad Segeberg, Germany, 23795
- Segeberger Kliniken GmbH
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Berlin, Germany, 10249
- Vivantes Klinikum Friederichshain,
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Dachau, Germany, 85221
- Amper Kliniken AG
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Neuss, Germany, 41464
- Städtische Kliniken Neuss
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Rostock, Germany, 18057
- Universitätsmedizin Rostock
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Rotterdam, Netherlands, 3015 CE
- Thoraxcenter, Erasmus Medical Center
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Bern, Switzerland, 3010
- Universitätsklinik Inselspitalspital Bern
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject is > 18 years and < 80 years of age
- Written subject informed consent available prior to PCI
- Subjects with stable or unstable angina pectoris or documented silent ischemia
- Subject eligible for PCI
- Subject acceptable candidate for coronary artery bypass surgery
- Subjects with a maximum of two single lesions in two separate coronary arteries which have to be de novo lesions.
- Reference vessel diameter between 2.7-3.8 mm by visual estimation, depending on the scaffold size used.
- Target lesion length by visual estimation, assisted by QCA: < 21 mm, depending on the scaffold size used.
- Target lesion stenosis by visual estimation, assisted by QCA > 50% - < 100%
- Eligible for Dual Anti Platelet Therapy (DAPT)
Exclusion Criteria:
- Pregnant or breast-feeding females or females who intend to become pregnant during the time of the study
- Evidence of myocardial infarction within 72 hours prior to index procedure
- Subjects with a ≥2 fold CK level or in absence of CK a ≥3 fold CKMB level above the upper range limit within 24 hours prior to the procedure
- Left main coronary artery disease
- Three-vessel coronary artery disease at time of procedure
- Thrombus in target vessel
- Subject is currently participating in another study with an investigational device or an investigational drug and has not reached the primary endpoint yet
- Planned interventional treatment of any non-target vessel within 30 days post procedure
- Subjects on dialysis
- Planned intervention of the target vessel after the index procedure
- Ostial target lesion (within 5.0 mm of vessel origin)
- Target lesion involves a side branch >2.0 mm in diameter
- Documented left ventricular ejection fraction (LVEF) ≤ 30%
- Heavily calcified lesion
- Target lesion is located in or supplied by an arterial or venous bypass graft
- The target lesion requires treatment with a device other than the pre-dilatation balloon prior to scaffold placement (including but not limited to directional coronary atherectomy, excimer laser, rotational atherectomy, etc.)
- Unsuccessful pre-dilatation, defined as minimal lumen diameter smaller than the respective crossing profile of DREAMS 2G and angiographic complications (e.g. distal embolization, side branch closure, extensive dissections that can't be covered by a single scaffold), by visual estimation
- Known allergies to: Acetylsalicylic Acid (ASA), Heparin, contrast medium, Sirolimus, Everolimus or similar drugs (i.e., ABT 578, Biolimus, Tacrolimus), PLLA, Silicon Carbide Magnesium, Yttrium, Neodymium, Zirconium, Gadolinium, Dysprosium, Tantalum
- Impaired renal function (serum creatinine > 2.5 mg/dl or 221mmol/l) determined within 72 hours prior to intervention
- Subject is receiving oral or intravenous immuno-suppressive therapy ( inhaled steroids are not excluded) or has known life-limiting immunosuppressive or autoimmune disease (e.g., human immunodeficiency virus, systemic lupus erythematosus, but not including diabetes mellitus)
- Proximal or distal to the target lesion located stenosis that might require future revascularization or impede run off detected during diagnostic angiography
- Life expectancy less than 1 year, or other co-morbidities (e.g. Sepsis, Apoplexy or TIA within 6 months prior to the study procedure) (Co-morbidities definitions will be left to the discretion of the Study Investigators)
- Planned surgery or dental surgical procedure within 6 months after index procedure
- Subject with tortuous vessel that may impair scaffold placement in the region of obstruction or proximal to the lesion
- In the investigators opinion subjects will not be able to comply with the follow-up Requirements
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: 'Percutaneous Coronary Intervention' /Scaffold Implantation
PCI for enrolled subjects: implantation of the DREAMS 2G Drug-Eluting Coronary Scaffold System
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Implanttaion fo the DREAMS 2G Scaffold
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Acute performance of the DREAMS 2G
Time Frame: During the hospital stay to a maximum of 7 days post study Procedure
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Acute performance of the DREAMS 2G assessed by procedure success.
Procedure success is defined as: Procedure Success is defined as achievement of a final diameter stenosis of <30% by QCA (using any percutaneous method) without the occurrence of death, Q-wave or non-Q-wave MI, or repeat revascularization of the target lesion during the hospital stay
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During the hospital stay to a maximum of 7 days post study Procedure
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Target Lesion Failure (TLF)
Time Frame: 1, 6 12, 24 and 36 months post procedure
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TLF defined as a composite of Cardiac Death, Target Vessel Q-wave or non-Q wave Myocardial Infarction (MI)**, Coronary Artery Bypass Grafting (CABG), clinically driven Target Lesion Revascularization (TLR)
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1, 6 12, 24 and 36 months post procedure
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Scaffold thrombosis rate
Time Frame: 1, 6 12, 24 and 36 months post procedure
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1, 6 12, 24 and 36 months post procedure
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Binary in-scaffold and in-segment restenosis rate
Time Frame: 12-months
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12-months
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% in-scaffold and in-segment diameter stenosis
Time Frame: 12-months
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12-months
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In-segment late lumen loss
Time Frame: 12-months
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12-months
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In-scaffold late lumen loss
Time Frame: 12-months
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12-months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Michael Haude, MD, Städtische Kliniken Neuss
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
- C1502
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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