Italian Multi-center Registry of Self-apposing Coronary Stent in Patients With STEMI (iPOSITION)
Prospective, Observational, Italian Multi-center Registry of Self-aPposing cOronary Stent in Patients Presenting With ST-segment Elevation Myocardial InfarcTION: the iPOSITION Registry
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Serena Rossi, MD
- Phone Number: 3286721396
- Email: rossisere.rs@gmail.com
Study Contact Backup
- Name: Livio Giuliani, MD PhD
- Phone Number: 347360091
- Email: lvgiuliani@gmail.com
Study Locations
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Alessandria, Italy, 15121
- Not yet recruiting
- Dipartimento cardiotoracico e vascolare - S.S Emodinamica Azienda Ospedaliera Nazionale SS Antonio e Biagio e Cesare Arrigo.
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Contact:
- Gioel Gabrio Secco, MD PhD
- Email: gioel.gabrio.secco@gmail.com
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Ascoli Piceno, Italy, 63100
- Not yet recruiting
- UOC Cardiologia- UTIC Ospedale Civile "C. e G.Mazzoni"
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Contact:
- Pierfrancesco Grossi, MD
- Email: p.f.grossi@tiscali.it
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Chieti, Italy, 66100
- Recruiting
- UOSD Emodinamica Diagnostica e Interventistica Ospedale SS Annunziata
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Contact:
- Livio Giuliani, MD PhD
- Phone Number: 3473690091
- Email: lvgiuliani@gmail.com
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Contact:
- Serena Rossi, MD
- Phone Number: 3286721396
- Email: rossisere.rs@gmail.com
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Messina, Italy, 98121
- Recruiting
- UOC Terapia cardiologica intensiva ed interventistica Azienda Ospedaliera Universitaria G. Martino
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Contact:
- Franco Saporito, MD
- Email: fsaporito@unime.it
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Pesaro, Italy
- Not yet recruiting
- UOC Cardiologia Emodinamica Ospedale San Salvatore - Centrale
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Contact:
- Rosario Alessandro Parisi, MD
- Email: saroparisi@hotmail.it
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Pescara, Italy, 65121
- Not yet recruiting
- UOC UTIC e Cardiologia Interventistica Ospedale S. Spirito
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Contact:
- Leonardo Paloscia, MD
- Email: leonardo.paloscia@auls.pe.it
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Siracusa, Italy, 96100
- Recruiting
- UOC Emodinamica Ospedale Umberto I
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Contact:
- Marco Contarini, MD
- Email: marcocontarini@gmail.com
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Contact:
- Giorgio Sacchetta, MD
- Email: giorgiosacchetta@gmail.com
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Torino, Italy, 10154
- Not yet recruiting
- S.S. Emodinamica Ospedale San Giovanni Bosco
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Contact:
- Roberto Garbo, MD
- Email: r.garbo68@gmail.com
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Contact:
- Fabrizio Ugo, MD
- Email: ugo.fabrizio@tiscali.it
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients 18 years of age and older presenting with symptoms consistent with a ST-Elevation Myocardial Infarction (STEMI) lasting ≤12 hrs in duration, with ≥2 mm of ST-segment elevation in ≥2 contiguous leads, treated with primary stent implantation (Xposition S planned per operator's assessment).
Exclusion Criteria:
- Cardiogenic shock
- Multiple lesions requiring stenting in the target vessel.
- Highly calcified lesions or excessive tortuosity at target lesion site.
- Intrastent pathology.
- Subject unable to take or comply with dual antiplatelet therapy as recommended per guidelines.
- Female subjects of childbearing potential known to be pregnant.
- Co-morbidities with life expectancy less than 1 year
- Patient unable to provide written informed consent.
- Known allergies to stent component.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
STEMI treated with STENTYS Xposition S
Patients 18 years of age and older presenting with symptoms consistent with a ST-Elevation Myocardial Infarction (STEMI) lasting ≤12 hrs in duration, with ≥2 mm of ST-segment elevation in ≥2 contiguous leads, treated with primary stent implantation (Xposition S planned per operator's assessment).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Target Lesion Failure (TLF)
Time Frame: 12 months post procedure
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target lesion failure will be assessed as the composite of cardiac death; recurrent Target Vessel-Related Myocardial Infarction (MI) and clinically driven Target Lesion Revascularization (TLR) by percutaneous or surgical methods (CABG).
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12 months post procedure
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Procedural success without the occurrence of death and repeat ischemia-driven revascularization of the target lesion during the hospital stay
Time Frame: during the hospitalization, an average of 6 days
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during the hospitalization, an average of 6 days
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Target lesion failure at 30-day post-procedure
Time Frame: 30 day post procedure
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30 day post procedure
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Death from any cause
Time Frame: 12 months post procedure
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12 months post procedure
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Stent thrombosis rate at 30-day and 12-months after the procedure
Time Frame: 30 days post procedure and 12 months post procedure
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30 days post procedure and 12 months post procedure
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Livio Giuliani, MD PhD, UOSD Emodinamica Diagnostica e Interventistica
Publications and helpful links
General Publications
- Sianos G, Papafaklis MI, Serruys PW. Angiographic thrombus burden classification in patients with ST-segment elevation myocardial infarction treated with percutaneous coronary intervention. J Invasive Cardiol. 2010 Oct;22(10 Suppl B):6B-14B.
- van Geuns RJ, Yetgin T, La Manna A, Tamburino C, Souteyrand G, Motreff P, Koch KT, Vrolix M, IJsselmuiden A, Amoroso G, Berland J, Montalescot G, Teiger E, Christiansen EH, Spaargaren R, Wijns W. STENTYS Self-Apposing sirolimus-eluting stent in ST-segment elevation myocardial infarction: results from the randomised APPOSITION IV trial. EuroIntervention. 2016 Feb;11(11):e1267-74. doi: 10.4244/EIJV11I11A248.
- Kim YS, Koo BK, Seo JB, Park KW, Suh JW, Lee HY, Park JS, Kang HJ, Cho YS, Chung WY, Chae IH, Choi DJ, Kim HS, Oh BH, Park YB. The incidence and predictors of postprocedural incomplete stent apposition after angiographically successful drug-eluting stent implantation. Catheter Cardiovasc Interv. 2009 Jul 1;74(1):58-63. doi: 10.1002/ccd.21961.
- Gutierrez-Chico JL, Regar E, Nuesch E, Okamura T, Wykrzykowska J, di Mario C, Windecker S, van Es GA, Gobbens P, Juni P, Serruys PW. Delayed coverage in malapposed and side-branch struts with respect to well-apposed struts in drug-eluting stents: in vivo assessment with optical coherence tomography. Circulation. 2011 Aug 2;124(5):612-23. doi: 10.1161/CIRCULATIONAHA.110.014514. Epub 2011 Jul 18.
- Foin N, Gutierrez-Chico JL, Nakatani S, Torii R, Bourantas CV, Sen S, Nijjer S, Petraco R, Kousera C, Ghione M, Onuma Y, Garcia-Garcia HM, Francis DP, Wong P, Di Mario C, Davies JE, Serruys PW. Incomplete stent apposition causes high shear flow disturbances and delay in neointimal coverage as a function of strut to wall detachment distance: implications for the management of incomplete stent apposition. Circ Cardiovasc Interv. 2014 Apr;7(2):180-9. doi: 10.1161/CIRCINTERVENTIONS.113.000931. Epub 2014 Mar 18.
- Cook S, Eshtehardi P, Kalesan B, Raber L, Wenaweser P, Togni M, Moschovitis A, Vogel R, Seiler C, Eberli FR, Luscher T, Meier B, Juni P, Windecker S. Impact of incomplete stent apposition on long-term clinical outcome after drug-eluting stent implantation. Eur Heart J. 2012 Jun;33(11):1334-43. doi: 10.1093/eurheartj/ehr484. Epub 2012 Jan 26.
- Nakano M, Yahagi K, Otsuka F, Sakakura K, Finn AV, Kutys R, Ladich E, Fowler DR, Joner M, Virmani R. Causes of early stent thrombosis in patients presenting with acute coronary syndrome: an ex vivo human autopsy study. J Am Coll Cardiol. 2014 Jun 17;63(23):2510-2520. doi: 10.1016/j.jacc.2014.02.607. Epub 2014 Apr 23.
- Amoroso G, van Geuns RJ, Spaulding C, Manzo-Silberman S, Hauptmann KE, Spaargaren R, Garcia-Garcia HM, Serruys PW, Verheye S. Assessment of the safety and performance of the STENTYS self-expanding coronary stent in acute myocardial infarction: results from the APPOSITION I study. EuroIntervention. 2011 Aug;7(4):428-36. doi: 10.4244/EIJV7I4A71.
- van Geuns RJ, Tamburino C, Fajadet J, Vrolix M, Witzenbichler B, Eeckhout E, Spaulding C, Reczuch K, La Manna A, Spaargaren R, Garcia-Garcia HM, Regar E, Capodanno D, Van Langenhove G, Verheye S. Self-expanding versus balloon-expandable stents in acute myocardial infarction: results from the APPOSITION II study: self-expanding stents in ST-segment elevation myocardial infarction. JACC Cardiovasc Interv. 2012 Dec;5(12):1209-19. doi: 10.1016/j.jcin.2012.08.016.
- Koch KT, Grundeken MJ, Vos NS, IJsselmuiden AJ, van Geuns RJ, Wessely R, Dengler T, La Manna A, Silvain J, Montalescot G, Spaargaren R, Tijssen JG, Amoroso G. One-year clinical outcomes of the STENTYS Self-Apposing coronary stent in patients presenting with ST-segment elevation myocardial infarction: results from the APPOSITION III registry. EuroIntervention. 2015 Jul;11(3):264-71. doi: 10.4244/EIJY15M02_08.
- Grundeken MJ, Lu H, Mehran R, Cutlip DE, Leon MB, Yeung A, Koch KT, Montalescot G, van Geuns RJ, Spaargaren R, Buchbinder M. APPOSITION V: STENTYS coronary stent system clinical trial in subjects with ST-segment elevation myocardial infarction--rationale and design. Am Heart J. 2014 Nov;168(5):652-60. doi: 10.1016/j.ahj.2014.07.011. Epub 2014 Jul 24.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary 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 (Estimate)
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
- CH2016-01
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