LONG NAGOMI™ PMCF STUDY (LONG NAGOMI)
Long Coronary Lesions: Safety and Performance of the Ultimaster Nagomi™ Stent in This Setting With a One-to-one Approach -One Lesion, One Stent- LONG NAGOMI™ PMCF STUDY
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: FUNDACION EPIC
- Phone Number: 00987876135
- Email: iepic@fundacionepic.org
Study Contact Backup
- Name: TAMARA GARCIA CAMARERO, MD, PhD
- Phone Number: 0034615420460
- Email: tgcamarero@gmail.com
Study Locations
-
-
-
Cabueñes, Spain, 33394
- Recruiting
- Hospital Universitario de Cabueñes
-
Ciudad Real, Spain, 13005
- Recruiting
- Hospital General Universitario de Ciudad Real
-
Elche, Spain, 03203
- Recruiting
- Hospital General Universitario de Elche
-
Huelva, Spain, 21005
- Recruiting
- Hospital Universitario Juan Ramón Jiménez
-
León, Spain, 24008
- Recruiting
- Hospital Universitario de Leon
-
Málaga, Spain, 29010
- Recruiting
- Hospital Universitario Virgen de la Victoria
-
Málaga, Spain, 29010
- Recruiting
- Hospital Universitario Regional de Málaga
-
Pamplona, Spain, 31008
- Recruiting
- Hospital Universitario de Navarra
-
Santander, Spain, 39008
- Recruiting
- Hospital Universitario Marqués de Valdecilla
-
Seville, Spain, 41013
- Recruiting
- Hospital Universitario Virgen del Rocío
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients who meet ALL inclusion criteria will be included:
- Patients aged ≥ 18 years AND;
- Patients who according to standard practice of the hospital are amenable to PCI as indicated and considered adequate according to the European clinical practice guidelines on coronary revascularization AND;
- Patients with at least one lesion fulfilling the "long lesion criteria" suitable for a single stent approach AND;
- Patients who have been informed of the characteristics of the study and have provided written informed consent AND;
- Intention to treat all lesions with the Ultimaster Nagomi™ stent
Exclusion Criteria:
- Patients must not meet any of the following exclusion criteria:
- Patients who expressly decline to participate in the study.
- Pregnant or breastfeeding women.
- Patients with acute coronary syndrome (ACS) under conditions of cardiogenic shock (Killip class 4).
- Patients with contraindications or hypersensitivity to sirolimus.
- Patients with a life expectancy of less than 2 years.
- Patients in whom any surgery requiring general anesthesia is planned, comorbidity or indication likely necessitating the discontinuation of dual anti-platelet therapy before the recommended duration of dual anti-platelet therapy per the ESC or national guidelines.
- Patients included in other clinical trials that did not reach the primary objective.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Coronary Artery Disease (CAD)
|
Patients in whom treatment with long nagomi has been attempted
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Target Lesion Failure (TLF)
Time Frame: 1 year
|
Target Lesion Failure defined as the composite of cardiovascular death, target-vessel related myocardial infarction and clinically driven target lesion revascularization at 1-year post-procedure.
|
1 year
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Device success
Time Frame: Periprocedural
|
Device success defined as delivery success (achievement of successful delivery of study stent to the target lesion, expansion of the study stent and withdrawal of the delivery catheter) with a final residual diameter stenosis of the target lesion of < 20% by visual assessment and/or < 30% by QCA, using the assigned device only.
|
Periprocedural
|
|
Safety of the stent: Freedom from Accidental dislodgement of the stent
Time Frame: Periprocedural
|
Safety of the stent defined as an absence of Accidental stent dislodgement
|
Periprocedural
|
|
Safety of the stent: Freedom from Balloon rupture
Time Frame: Periprocedural
|
Safety of the stent defined as an absence of Balloon rupture o Hypotube rupture.
|
Periprocedural
|
|
Safety of the stent: Freedom from Hypotube rupture o Hypotube rupture
Time Frame: Periprocedural
|
Safety of the stent defined as an absence of o Hypotube rupture o Hypotube rupture.
|
Periprocedural
|
|
Safety of the procedure: Freedom from Challenging withdrawal
Time Frame: Periprocedural
|
Safety of the procedure defined as an absence of Challenging withdrawal
|
Periprocedural
|
|
Safety of the procedure: Freedom from coronary perforation
Time Frame: Periprocedural
|
Safety of the procedure defined as an absence of coronary perforation
|
Periprocedural
|
|
Safety of the procedure: Freedom from dissection >C
Time Frame: Periprocedural
|
Safety of the procedure defined as an absence of dissection >C
|
Periprocedural
|
|
Safety of the procedure: Freedom from no-reflow
Time Frame: Periprocedural
|
Safety of the procedure defined as an absence of no-reflow
|
Periprocedural
|
|
Safety of the procedure: Freedom from stent thrombosis
Time Frame: Periprocedural
|
Safety of the procedure defined as an absence stent thrombosis
|
Periprocedural
|
|
Procedure success
Time Frame: Periprocedural
|
To assess the procedure success rate defined as the achievement of < 20% residual stenosis by visual assessment in all target lesions using any percutaneous method without the occurrence of death, Q wave or WHO defined non-Q wave myocardial Infarction, or need for new revascularization of the target lesion during the hospital stay.
|
Periprocedural
|
|
Performance of the Ultimaster Nagomi™ stent in Severe calcified lesions
Time Frame: Periprocedural
|
To assess Performance of the Ultimaster Nagomi™ stent in Severe calcified lesions
|
Periprocedural
|
|
Performance of the Ultimaster Nagomi™ stent in Severe tortuous vessels
Time Frame: Periprocedural
|
To assess Performance of the Ultimaster Nagomi™ stent in Severe tortuous vessels
|
Periprocedural
|
|
Performance of the Ultimaster Nagomi™ stent in Distal vessels
Time Frame: Periprocedural
|
To assess Performance of the Ultimaster Nagomi™ stent in Distal vessels
|
Periprocedural
|
|
Angina status assessment Seattle Angina Questionnaire (SAQ)
Time Frame: Baseline
|
Angina status assessment Seattle Angina Questionnaire (SAQ)
|
Baseline
|
|
Angina status assessment Seattle Angina Questionnaire (SAQ)
Time Frame: 12 monts
|
Angina status assessment Seattle Angina Questionnaire (SAQ)
|
12 monts
|
|
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Time Frame: After PCI
|
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
|
After PCI
|
|
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Time Frame: 12 Months
|
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
|
12 Months
|
|
Cardiovascular death
Time Frame: 12 months
|
Percentage of cardiovascular death
|
12 months
|
|
Target-vessel related myocardial infarction
Time Frame: 12 Months
|
Percentage of target-vessel related myocardial infarction
|
12 Months
|
|
Clinically driven target lesion revascularization
Time Frame: 12 months
|
Percentage of clinically driven target lesion revascularization
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Khan, M. (2024). Prevalence of in-stent restenosis in patients having drug eluting stents with lengths exceeding 40mm: a single-center study. JHRR, 4(2), 837-841. doi.org/10.61919/jhrr.v4i2.960
- Khanal S, Agarwal A, Kumar B. One-Year Outcomes of Long Coronary Drug-Eluting Stents (>/=40 MM) in Patients With Diffuse Coronary Artery Disease: Findings From a Tertiary Care Hospital in North India. Cureus. 2024 May 3;16(5):e59611. doi: 10.7759/cureus.59611. eCollection 2024 May.
- Park KE, Wu CJ, Chehab B, Maksoud A, Bertolet B, Ying SW, Simoes T, Pingle SC, Chang CJ. One-year Outcomes of XIENCE Skypoint 48-mm Drug-Eluting Stents in Long Coronary Lesions: The SPIRIT 48 Trial. J Soc Cardiovasc Angiogr Interv. 2023 May 18;2(4):101001. doi: 10.1016/j.jscai.2023.101001. eCollection 2023 Jul-Aug.
- Patra S, Chakraborty RN, Pande A, Banerjee S, Jena M, Mandal PC, De SK, Khan A, Das SS, Ghosh D, Nag R. Zotarolimus-eluting Resolute Integrity versus everolimus-eluting Xience Xpedition stents in the management of very long (>30mm) de novo coronary artery stenosis. Cardiovasc Revasc Med. 2017 Apr-May;18(3):160-164. doi: 10.1016/j.carrev.2016.12.007. Epub 2016 Dec 15.
- Gautier A, Hovasse T, Arroyo D, Unterseeh T, Garot P, Champagne S, Neylon A, Sanguineti F, Benamer H, Chevalier B, Lefevre T. Safety and efficacy of 48 mm Xience Xpedition everolimus-eluting stent for the treatment of long coronary lesions. Catheter Cardiovasc Interv. 2022 Aug;100(2):179-187. doi: 10.1002/ccd.30249. Epub 2022 May 27.
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
Other Study ID Numbers
Other Study ID Numbers
- rEPIC19- LONG NAGOMI
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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