- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01761591
Acrobat Coronary Stent System Effectiveness European Study (ACES)
August 25, 2014 updated by: Svelte Medical Systems Europe
Acrobat Coronary Stent System Effectiveness European Study (European Multicenter Effectiveness Randomized Study of Svelte Medical Systems Acrobat Stent on a Wire Compared to Other BMS PCI in de Novo Coronary Lesions) ACES Trial
The purpose of this randomized controlled trial (RCT) is to demonstrate the clinical benefit and impact on resource utilization of percutaneous coronary interventions (PCI) with the Svelte Acrobat Stent System compared to any other CE marked bare metal stent (BMS) implantable via direct stenting or after lesion pre-dilation, in patients with coronary lesions that are eligible for direct stenting and who are recruited and treated so as to reflect real-life routine practice.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
The main objectives of this study are to test the following hypotheses:
- The evaluated stent is clinically non-inferior to control BMS in terms of freedom of MACE
- The evaluated stent is clinically beneficial compared to control BMS by reducing exposure to radiations, amount of contrast medium administered, procedure time, as well as amount of administered heparin,
- The evaluated stent does not result in more frequent adverse events than control BMS,
- The evaluated stent improves direct stenting success while not decreasing procedural success compared to control BMS.
Resource utilization (R.U.):
- Hospital-perspective resource utilization during the index admission and index procedure is not greater with evaluated the stent and potentially lower than with control BMS
- Resource utilization over a 6-month time-horizon, in relation to routine follow-up and MACE, is not greater with the evaluated stent than with control BMS.
Study Type
Interventional
Enrollment (Anticipated)
300
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Aalst, Belgium, B-9300
- OLV Ziekenhuis
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Antwerpen, Belgium, B-2020
- ZNA Middelheim - Hartcentrum
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Genk, Belgium, B-3600
- ZOL Sint Jan
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Liège, Belgium, B-4000
- CHU LIEGE - Sart Tilman
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-
-
-
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La Tronche, France, 38700
- CHU Nord Grenoble - A. Michalon
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Paris, France, 75015
- AP-HP Hôpital Européen Georges Pompidou
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Paris, France, 75651
- AP-HP La Pitié Salpêtrière
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Pessac, France, 33604
- CHU Bordeaux Sud - Hôpital Cardiologique Haut Lévêque
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Rouen, France, 76000
- Clinique St Hilaire
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Toulouse, France, 31059
- CHU Rangueil
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Toulouse, France, 31300
- Clinique Pasteur
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-
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Eligible for PCI and demonstrating native vessel or vein/arterial graft disease
- symptomatic CAD: either stable angina pectoris (CCS 1, 2, 3 pr 4) or unstable (Braunwald Class 1-3, B-C) or positive functional ischemia study
- Male and post-menopausal female
- Patient provides written informed consent prior to procedure
- Patient willing to comply with protocol
- Acceptable candidate for CABG
- Patient indicated for stenting of one or more de novo stenotic lesions in native coronary arteries or bypass grafts with or without direct stenting
- All target lesions for stenting in single or multi-vessel disease meet all inclusion criteria
- None of the lesions requires stenting with Drug eluting stents
- At least one lesion is visually estimated to be candidate for direct stenting
- All target lesions for stenting have a visually estimatd RVD >= 2.5 mm and <= 3.5 mm
- All target lesions for stenting are visually estimated to have LL =< 20 mm (to cover the lesion with 1 stent)
- All target lesions for stenting visually estimated to have a stenosis > 50% and < 99%
- All target lesions for stenting are ACS lesions TIMI flow >= 1
Exclusion Criteria:
- Currently enrolled in another clinical trial that has not completed the primary endpoint or that clinically interferes with the current study endpoints
- A previous coronary procedure within 30 days
- Any of the target lesion(s) requires treatment with a device other than PTCA prior to stent placement (such as, but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.)
- Previous BMS deployment anywhere in the target vessel within the past 6 months
- Any DES deployment anywhere in the target vessel within the past 9 months
- Any previous stent placement within 10 mm (proximal or distal) of the target lesion
- Patient has diabetes mellitus
- Co-morbid condition(s) that could limit the patient's participation or impact the trial
- Documented LVEF < 30% at the most recent evaluation
- Evidence of AMI within 72 hours of the intended trial procedure and/or with TIMI flow 0
- History of CVA or TIA in the last 6 months
- Leukopenia (<3.5 x 10^9/L)
- Neutropenia (<1000/mm3) <= 3 days prior to enrollment
- Thrombocytopenia (<10^5/mm3) pre-procedure
- Active peptic ulcer or active GI bleeding
- History of bleeding diathesis or coagulopathy or inability to accept blood transfusions
- Known hypersensitivity or contraindication to aspirin, heparin or bivalirudin, clopidogrel or ticlopidine, cobalt, nickel, L-605 Cobalt chromium alloy or sensitivity to contrast media, which cannot be adequately pre-medicated
- Serum creatinine level > 2.5 mg per dl within 7 days prior to index procedure
- In-stent restenosis
- Patient not able to give consent or read or write or protected by law or under guardianship or deprived of civil rights
- Woman of childbearing age
- Patient not covered by health or social insurance
- Unprotected left main CAD with obstruction > 50% , not protected by at least one non-obstructed bypass graft to the LAD or left circumflex (LCX) artery or their branches
- Target vessel exhibiting multiple lesions > 40% diameter stenosis outside of a range of 5 mm proximal and distal to the target lesion(s) to be stented based on visual estimate or on-line QCA
- Any target lesion for stenting exhibits an intraluminal thrombus (occupying > 50% of the true lumen diameter) at any time
- Any target lesion for stenting is excessively tortuous (two bends > 90° to reach the target lesion)
- Lesion location that is aorto-ostial or within 5 mm of the origin of the LAD or LCX
- Any target lesion for stenting is has side branches > 2.0 mm in diameter in which bifurcation stenting is planned
- Any target lesion >20 mm
- Any target lesion totally occluded (CTO)
- Any target lesion has TIMI flow = 0
- Any target lesion with ISR
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Acrobat
Device: PCI with Svelte Acrobat
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Percutaneous coronary intervention with Svelte Acrobat Coronary Stent System
|
Active Comparator: Control BMS
Device: PCI with other BMS
|
Percutaneous coronary intervention with any other routine use CE marked bare metal stent (BMS) implantable either via direct stenting or after lesion pre-dilation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of patients free of Major Adverse Cardiac Event ("MACE-free patients")
Time Frame: From the date and time of randomization until 6 months after the index procedure
|
Major Adverse Cardiac Event ("MACE") is defined here as device-oriented composite endpoint that includes, in hierarchical order: Cardiac death (All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established), Myocardial Infarction ("MI"), Target Lesion Revascularization ("TLR").
|
From the date and time of randomization until 6 months after the index procedure
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
administered dye
Time Frame: intra-procedural
|
Volume (ml) of administered dye i.e. injected radiological contrast medium.
|
intra-procedural
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procedure duration
Time Frame: intra-procedural
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Procedure duration (minutes) from arterial access to closure.
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intra-procedural
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radiation exposure
Time Frame: intra-procedural
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Radiation exposure (gY/cm²) & total fluoroscopy time (min)
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intra-procedural
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acute success
Time Frame: procedure to discharge
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Acute success is measured at procedure end according to 4 criteria:
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procedure to discharge
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heparin administration
Time Frame: intra-procedural
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Amount of heparin administered during the procedure
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intra-procedural
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adverse events
Time Frame: 6 months
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Adverse events occurrence:
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6 months
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
resource utilization
Time Frame: 6 months
|
Resource utilization (R.U.) endpoints: Overall procedural and follow-up R.U. including:
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Jean Fajadet, MD, Clinique Pasteur, 45 avenue Lombez, Toulouse 31300, France, Tel. 33 (0)5 62 21 16 99 - secretariat@interv-cardio-toul.com
- Study Director: Andrew Schut, Svelte Medical Systems, Inc., 675 Central Avenue, New Providence, NJ 07974, USA, Tel. 1.908.264.2181 - aschut@sveltemedical.com
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Piscione F, Piccolo R, Cassese S, Galasso G, D'Andrea C, De Rosa R, Chiariello M. Is direct stenting superior to stenting with predilation in patients treated with percutaneous coronary intervention? Results from a meta-analysis of 24 randomised controlled trials. Heart. 2010 Apr;96(8):588-94. doi: 10.1136/hrt.2009.183277.
- Shao C, Stella PR, Agostoni P. Complex made easy: left anterior descending artery trifurcation lesion completely treated with a single device. J Invasive Cardiol. 2012 Aug;24(8):E164-6.
- de Ribamar Costa J, Abizaid A, Stella P, Fernandez A, Granada J, Feres F, Serruys P. Preliminary results of the svelte trial: first-in-man assessment of the novel acrobat™ SOAW (Stent-On-A-Wire) coronary system. J Am Coll Cardiol. 2011;57(14s1):E1658-E1658. doi:10.1016/S0735-1097(11)61658-6
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2012
Primary Completion (Actual)
January 1, 2014
Study Completion (Actual)
January 1, 2014
Study Registration Dates
First Submitted
December 12, 2012
First Submitted That Met QC Criteria
January 3, 2013
First Posted (Estimate)
January 7, 2013
Study Record Updates
Last Update Posted (Estimate)
August 26, 2014
Last Update Submitted That Met QC Criteria
August 25, 2014
Last Verified
August 1, 2014
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Svelte_13-002
- ID RCB: 2012-A00670-43 (Other Identifier: ANSM)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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.
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