SIROOP Registry - a Prospective Registry Study to Evaluate the Outcomes of Coronary Artery Disease Patients Treated with SIROlimus or Paclitaxel Eluting Balloon Catheters (SIROOP)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Objectives in detail:
To evaluate procedural success, efficacy, performance and clinical outcomes among various patient cohorts, who undergo PCI using currently available DCBs:
- Periprocedural outcomes/complications, which will be analyzed, include: final result (e.g. residual stenosis, TIMI flow), dissections, perforations, prevalence of thrombus (assessed by angiography and intravascular imaging)
- Short and long-term clinical outcomes of interest comprise among others: new MI, unstable angina (UA), target lesion failure, target vessel revascularization, target lesion failure/ revascularization, repeat hospitalization, new/worsening heart failure, cardiogenic shock, stroke, bleedings, cardiovascular death and all-cause death.
- To describe procedural and clinical performance of various DCB, either alone or in combination with other stent and coronary scaffold devices
- To identify optimal strategies for lesion preparation in cases treated with DCB
- To identify possible predictors for TLR after treatment with DCB
- To describe early and late angiographic and OCT-findings among coronary artery disease (CAD) patients treated with DCB and/or various metallic stent and scaffold devices
- To evaluate the impact of different antithrombotic regimens on patient's clinical outcomes
- To study procedural and clinical outcomes among CAD patients requiring hemodynamic support using mechanical devices.
- To describe economic implications (cost-effectiveness) of various interventional treatments for CAD.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Matthias Bossard, MD
- Phone Number: +41412051477
- Email: matthias.bossard@luks.ch
Study Contact Backup
- Name: Florim Cuculi, MD
- Phone Number: +41412052134
- Email: florim.cuculi@luks.ch
Study Locations
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Lucerne, Switzerland, 6000
- Recruiting
- Luzerner Heart Centre
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Contact:
- Florim Cuculi, MD
- Phone Number: +41412052134
- Email: florim.cuculi@luks.ch
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Subject >18 years of age
- Patients with significant acute or chronic coronary de-novo lesions or ISR lesions requiring treatment using PCI
- Treatment with at least one DCB (device choice at the operator's discretion) In case of a patient with lesions treated at different procedural time, lesions will be separately collected and documented
- Subjects must be willing to sign a patient informed consent (PIC) or must have signed the General Consent (GK).
Exclusion Criteria:
- Patient is <18 years of age
- Patient unwilling or unable to provide informed consent
- pregnancy and lactation
- Indication for surgical revascularization
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Treatment
The project ́s main goal is to collect baseline, clinical and procedural data as well as to assess angiographic and clinical outcomes of CAD patients treated with contemporary DCBs.
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PTCA with either a Sirolimus eluting balloon or Paclitaxel eluting balloon
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Rate of target lesion failure (TLF) and target lesion revascularization (TLR)
Time Frame: at 1 year
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at 1 year
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Rate of combination of major adverse cardiac and cerebrovascular events (MACCE) (including new MI, TLR or cardiovascular death)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of MACE
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of new MI (NSTEMI / STEMI)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of TIA or stroke
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
|
Rate of acute vessel closure
Time Frame: at 180 days, 1, 2 and 5 years
|
at 180 days, 1, 2 and 5 years
|
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Rate of stent thrombosis or ISR
Time Frame: at 180 days, 1, 2 and 5 years
|
at 180 days, 1, 2 and 5 years
|
|
Rate of target vessel revascularization (TVR)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
|
Rate of target lesion revascularization (TLR)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of target lesion failure (TLF)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of ischemia driven TLR
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of all-cause death
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of cardiac death
Time Frame: at 180 days, 1, 2 and 5 years
|
at 180 days, 1, 2 and 5 years
|
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Rate of all myocardial infarction and TV-MI
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of rehospitalization for recurrent angina
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of hospitalization for HF
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of rehospitalization for HF, resuscitated cardiac arrest or implantable cardioverter- defibrillator (ICD) implantation
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of bleeding events (access site or non-access site related) according to the BARC classification
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of vascular complications (according to VARC criteria)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of cardiogenic shock
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of acute renal failure/ contrast-induced nephropathy (CIN)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of new ventricular arrhythmias
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of major adverse limb events (MALE)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
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Rate of new York Heart Association (NYHA) class
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of angina according to Canadian Cardiovascular Society (CCS) Score
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of procedural success (final diameter stenosis < 30% without flow-limiting dissections)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
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Rate of periprocedural complications (e.g. coronary perforations, no-reflow)
Time Frame: at 180 days, 1, 2 and 5 years
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at 180 days, 1, 2 and 5 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Florim Cuculi, MD, Luzerner Kantonsspital
Publications and helpful links
General Publications
- Madanchi M, Cioffi GM, Attinger-Toller A, Seiler T, Somm S, Koch T, Tersalvi G, Wolfrum M, Moccetti F, Toggweiler S, Kobza R, Levine MB, Garcia-Garcia HM, Bossard M, Cuculi F. Metal free percutaneous coronary interventions in all-comers: First experience with a novel sirolimus-coated balloon. Cardiol J. 2022;29(6):906-916. doi: 10.5603/CJ.a2022.0106. Epub 2022 Nov 17.
- Cioffi GM, Madanchi M, Attinger-Toller A, Bossard M, Cuculi F. Pushing the Boundaries: Drug-Coated Balloons to Treat a Calcified and Thrombotic Lesion in Acute Coronary Syndrome. Am J Case Rep. 2022 Oct 5;23:e936950. doi: 10.12659/AJCR.936950.
- Madanchi M, Attinger-Toller A, Gjergjizi V, Majcen I, Cioffi GM, Epper A, Gnan E, Koch T, Zhi Y, Cuculi F, Bossard M. Treatment of coronary lesions with a novel crystalline sirolimus-coated balloon. Front Cardiovasc Med. 2024 Feb 13;11:1316580. doi: 10.3389/fcvm.2024.1316580. eCollection 2024.
- Madanchi M, Bossard M, Majcen I, Cioffi GM, Ferraro F, Gnan E, Gjergjizi V, Zhi Y, Bade V, Wolfrum M, Moccetti F, Toggweiler S, Attinger-Toller A, Cuculi F. Outcomes following coronary chronic total occlusion revascularization with drug-coated balloons. J Invasive Cardiol. 2024 Mar;36(3). doi: 10.25270/jic/23.00260.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
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 (Actual)
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
- Pain
- Neurologic Manifestations
- Vascular Diseases
- Cardiovascular Diseases
- Heart Diseases
- Embolism and Thrombosis
- Arterial Occlusive Diseases
- Chest Pain
- Coronary Stenosis
- Thrombosis
- Coronary Artery Disease
- Myocardial Ischemia
- Arteriosclerosis
- Coronary Disease
- Angina Pectoris
- Angina, Stable
- Angina, Unstable
- Coronary Restenosis
- Anti-Bacterial Agents
- Anti-Infective Agents
- Antibiotics, Antineoplastic
- Antineoplastic Agents
- Antifungal Agents
- Immunosuppressive Agents
- Immunologic Factors
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Sirolimus
- Paclitaxel
Other Study ID Numbers
Other Study ID Numbers
- 2021-00615
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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