- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03567733
Prospective Registry of Patients Over 75 Years Old Treated With Xience Sierra Stents. Sierra 75 Study (SIERRA 75)
August 23, 2025 updated by: Fundación EPIC
Prospective Registry of Patients Over 75 Years Old Treated With Xience Sierra Stents". Sierra 75 Study
This prospective registry is intended to evaluate the safety and efficacy of the XIENCE Sierra stent.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This prospective registry is intended to analyze clinical outcomes in elderly patients treated with XIENCE Sierra stent and in pre-established subgroups (stable and unstable coronary artery disease).
Study Type
Observational
Enrollment (Actual)
1000
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
-
-
-
Almada, Portugal, 2805-267
- Hospital Garcia de Orta
-
Carnaxide, Portugal, 2790-134
- Centro Hospitalar Lisboa Occidental. Hospital de Santa Cruz
-
Espinho, Portugal, 4401-860
- Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE
-
Evora, Portugal, 7000
- Hospital do Espírito Santo de Évora
-
Ponta Delgada, Portugal, 9500-370
- Hospital Do Divino Espirito Santo
-
Ponta Delgada, Portugal, 9500-370
- Hospital Do Divino Espirito Santo De Ponta Delgada
-
Setúbal, Portugal, 2910-446
- Centro Hospitalar de Setubal, EPE - Hospital Sao Bernardo
-
-
-
-
-
Albacete, Spain, 02006
- Hospital General Universitario de Albacete
-
Alicante, Spain, 03550
- Hospital Universitario San Juan de Alicante
-
Badajoz, Spain, 06080
- Hospital Infanta Cristina
-
Barakaldo, Spain, 48903
- Hospital Universitario de Cruces
-
Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
-
Burgos, Spain, 09006
- Hospital Universitario de Burgos
-
Cadiz, Spain, 11009
- Hospital Puerta del Mar
-
Galdakao, Spain, 48960
- Hospital Galdakao-Usansolo
-
Gijón, Spain, 33394
- Hospital de Cabuenes
-
Granada, Spain, 18014
- Hospital Universitario Virgen de las Nieves
-
Huelva, Spain, 21005
- Hospital General Juan Ramon Jimenez
-
Jaén, Spain, 23007
- Complejo Hospitalario de Jaén
-
León, Spain, 24080
- Hospital de Leon
-
Lugo, Spain, 27003
- Hospital Universitario Lucus Augusti
-
Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre
-
Majadahonda, Spain, 28222
- Hospital Universitario Puerta de Hierro Majadahonda
-
Murcia, Spain, 30120
- Hospital Clínico Universitario Virgen de la Arrixaca
-
Málaga, Spain, 29010
- Complejo Hospitalario Regional de Málaga
-
Pamplona, Spain, 31008
- Clinica Universidad de Navarra
-
Salamanca, Spain, 37007
- Hospital Universitario de Salamanca
-
Santa Cruz de Tenerife, Spain, 38320
- Hospital Universitario de Canarias
-
Santa Cruz de Tenerife, Spain, 38010
- Hospital Nuestra Señora de La Candelaria
-
Santander, Spain, 39008
- Hospital Universitario Marqués de Valdecilla
-
Santiago de Compostela, Spain, 15706
- Hospital Clínico Universitario de Santiago
-
Toledo, Spain, 45004
- Hospital Virgen de la Salud
-
Valencia, Spain, 46026
- Hospital Universitari i Politecnic La Fe
-
Valencia, Spain, 46010
- Hospital Clínico Universitario de Valencia
-
Vigo, Spain, 36312
- Hospital Universitario Alvaro Cunqueiro
-
Zaragoza, Spain, 50009
- Hospital Clínico Universitario Lozano Blesa
-
Zaragoza, Spain, 50009
- Hospital Universitario Miguel Servet
-
-
Alicante
-
Elche, Alicante, Spain, 03293
- Hospital Universitario Vinalopo
-
Torrevieja, Alicante, Spain, 03186
- Hospital de Torrevieja
-
-
Badajoz
-
Mérida, Badajoz, Spain, 06800
- Hospital de Merida
-
-
Barcelona
-
Badalona, Barcelona, Spain, 08916
- Hospital Universitari Germans Trias I Pujol de Badalona
-
-
Cádiz
-
Puerto Real, Cádiz, Spain, 11510
- Hospital de Puerto Real
-
-
Mallorca
-
Palma de Mallorca, Mallorca, Spain, 07120
- Hospital Universitari Son Espases
-
-
Álava
-
Vitoria-Gasteiz, Álava, Spain, 01009
- Hospital Universitario de Araba
-
-
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
75 years and older (Older Adult)
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Patients older than 75 years with de novo native coronary artery lesions, candidate to undergo revascularisation with a coronary device.
Description
Inclusion Criteria:
- Age> 75 years.
- With indication of percutaneous revascularization.
- Presence of de novo coronary artery lesions located in a native coronary artery.
- Informed consent signed
Exclusion Criteria:
- Cardiogenic shock at the time of the PCI(Percutaneous Coronary Intervention)
- Cardiac arrest before the PCI
- Life expectancy of the patient under 1 year
- Participation in another study with a drug or device in clinical research
- Clinical decision that excludes the use of drug-eluting stents
- Confirmed allergy to aspirin and / or thienopyridines.
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
- Observational Models: Case-Only
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Coronary Artery Disease
Drug- eluting Stent
|
Percutaneous coronary intervention
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety.The composite of cardiac death, myocardial infarction (MI) and stent thrombosis (Academic Research Consortium definitive/probable). .
Time Frame: 12 month
|
The composite of cardiac death, myocardial infarction (MI) and stent thrombosis (Academic Research Consortium definitive/probable). . |
12 month
|
|
Efficacy.The incidence of clinically driven target lesion revascularization (TLR).
Time Frame: 12 month
|
The incidence of clinically driven target lesion revascularization (TLR).
|
12 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All death.
Time Frame: 12 month
|
All death. Systemic embolism, Major bleeding event (BARC ≥ 2) |
12 month
|
|
Cardiac death.
Time Frame: 12 month
|
Cardiac death.
|
12 month
|
|
Target Vessel revascularization.
Time Frame: 12 month
|
Target Vessel revascularization.
|
12 month
|
|
Target lesion revascularization.
Time Frame: 12 month
|
Target lesion revascularization.
|
12 month
|
|
Stent thrombosis (ARC definite/probable).
Time Frame: 12 month
|
Stent thrombosis (ARC definite/probable).
|
12 month
|
|
Major bleeding event (BARC type 2-5).
Time Frame: 12 month
|
Major bleeding event (BARC type 2-5).
|
12 month
|
|
Stroke.
Time Frame: 12 month
|
Stroke.
|
12 month
|
|
Procedural success.
Time Frame: 12 month
|
Procedural success ( Residual stenosis <30% after implantation at the narrowest point of the treated vascular segment).
|
12 month
|
|
Rate of patients with DAPT.
Time Frame: 1 month
|
Rate of patients with DAPT.
|
1 month
|
|
Rate of patients with DAPT.
Time Frame: From 1 to 3 months
|
Rate of patients with DAPT.
|
From 1 to 3 months
|
|
Rate of patients with DAPT.
Time Frame: From 3 to 6 months
|
Rate of patients with DAPT.
|
From 3 to 6 months
|
|
Rate of patients with DAPT.
Time Frame: From 6 to 12 months
|
Rate of patients with DAPT.
|
From 6 to 12 months
|
|
Collection of imaging data by Optical coherence tomography (OCT).
Time Frame: 12 month
|
Collection of imaging data by OCT.
|
12 month
|
|
Collection of imaging data by Intravascular Ultrasound (IVUS).
Time Frame: 12 month
|
Collection of imaging data by IVUS.
|
12 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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
- Urban P, Meredith IT, Abizaid A, Pocock SJ, Carrie D, Naber C, Lipiecki J, Richardt G, Iniguez A, Brunel P, Valdes-Chavarri M, Garot P, Talwar S, Berland J, Abdellaoui M, Eberli F, Oldroyd K, Zambahari R, Gregson J, Greene S, Stoll HP, Morice MC; LEADERS FREE Investigators. Polymer-free Drug-Coated Coronary Stents in Patients at High Bleeding Risk. N Engl J Med. 2015 Nov 19;373(21):2038-47. doi: 10.1056/NEJMoa1503943. Epub 2015 Oct 14.
- Costa F, van Klaveren D, James S, Heg D, Raber L, Feres F, Pilgrim T, Hong MK, Kim HS, Colombo A, Steg PG, Zanchin T, Palmerini T, Wallentin L, Bhatt DL, Stone GW, Windecker S, Steyerberg EW, Valgimigli M; PRECISE-DAPT Study Investigators. Derivation and validation of the predicting bleeding complications in patients undergoing stent implantation and subsequent dual antiplatelet therapy (PRECISE-DAPT) score: a pooled analysis of individual-patient datasets from clinical trials. Lancet. 2017 Mar 11;389(10073):1025-1034. doi: 10.1016/S0140-6736(17)30397-5.
- Valgimigli M, et al. 2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: The Task Force for dual antiplatelet therapy in coronary artery disease of the European Society of Cardiology (ESC) and of the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2017 Aug 26
- Kedhi E, Stone GW, Kereiakes DJ, Serruys PW, Parise H, Fahy M, Simonton CA, Sudhir K, Sood P, Smits PC. Stent thrombosis: insights on outcomes, predictors and impact of dual antiplatelet therapy interruption from the SPIRIT II, SPIRIT III, SPIRIT IV and COMPARE trials. EuroIntervention. 2012 Sep;8(5):599-606. doi: 10.4244/EIJV8I5A92.
- de Belder A, de la Torre Hernandez JM, Lopez-Palop R, O'Kane P, Hernandez Hernandez F, Strange J, Gimeno F, Cotton J, Diaz Fernandez JF, Carrillo Saez P, Thomas M, Pinar E, Curzen N, Baz JA, Cooter N, Lozano I, Skipper N, Robinson D, Hildick-Smith D; XIMA Investigators. A prospective randomized trial of everolimus-eluting stents versus bare-metal stents in octogenarians: the XIMA Trial (Xience or Vision Stents for the Management of Angina in the Elderly). J Am Coll Cardiol. 2014 Apr 15;63(14):1371-5. doi: 10.1016/j.jacc.2013.10.053. Epub 2013 Nov 21.
- Gao L, Hu X, Liu YQ, Xue Q, Wang Y. Comparison of coronary DES and BMS in octogenarians: A systematic review and meta-analysis. J Geriatr Cardiol. 2013 Dec;10(4):336-43. doi: 10.3969/j.issn.1671-5411.2013.04.004.
- Morice MC, Talwar S, Gaemperli O, Richardt G, Eberli F, Meredith I, Zaman A, Fajadet J, Copt S, Greene S, Urban P. Drug-coated versus bare-metal stents for elderly patients: A predefined sub-study of the LEADERS FREE trial. Int J Cardiol. 2017 Sep 15;243:110-115. doi: 10.1016/j.ijcard.2017.04.079. Epub 2017 Apr 25.
- de la Torre Hernandez JM, Palop RL, Jimenez Mazuecos JM, Saez PC, Gutierez-Barrios A, Pinar E, Cid B, Fernandez L, Camarero TG, Urbano-Carrillo C, Oteo Dominguez JF, Jimenez Diaz VA, Gomez Menchero AE, Fernandez EG, Cordoba Soriano JG, Ocaranza R, Ucar EA, Roman KGS, Leal S, Caceres GM, Linares Vicente JA, Ferre GF, Carrillo X, Rama Merchan JC, Costa C, Sanchis J, Fernandes R, Rodrigues A, Vegas Valle JM, Pereira H, de Prado AP. Prospective application of a bleeding and ischemic risks-adjusted antithrombotic protocol in elderly patients revascularized with everolimus-eluting stents: EPIC05-Sierra75 study. J Geriatr Cardiol. 2022 May 28;19(5):354-366. doi: 10.11909/j.issn.1671-5411.2022.05.009.
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 (Actual)
June 18, 2018
Primary Completion (Actual)
September 1, 2020
Study Completion (Actual)
October 21, 2020
Study Registration Dates
First Submitted
June 12, 2018
First Submitted That Met QC Criteria
June 21, 2018
First Posted (Actual)
June 26, 2018
Study Record Updates
Last Update Posted (Estimated)
August 29, 2025
Last Update Submitted That Met QC Criteria
August 23, 2025
Last Verified
August 1, 2025
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SIERRA 75 EPIC-05
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Coronary Artery Disease
-
Infirmerie Protestante de LyonRecruitingCoronary Artery Bypass | Coronary Artery Disease(CAD) | Off Pump Coronary Artery Bypass Surgery | Hemodynamic Optimization | Hemodynamic Management | Off Pump Coronary Artery Bypass Graft | Coronary Artery Disease With Need for Bypass Surgery | NoradrenalineFrance
-
Shanghai Bluesail Boyuan Medical Technology Co....Not yet recruitingCoronary Artery Disease | Coronary Artery Calcification | Severe Coronary Artery DiseaseChina
-
Scitech Produtos Medicos SANot yet recruitingCoronary Artery Disease (CAD) | Multivessel Coronary Artery Disease | Complex Coronary Lesions | Calcific Coronary Arteriosclerosis | Small Vessel Ischemic Disease | Stenosis CoronaryBrazil
-
Istanbul Mehmet Akif Ersoy Educational and Training...Bakirkoy Dr. Sadi Konuk Research and Training Hospital; Ege University; Istanbul... and other collaboratorsActive, not recruitingCoronary Artery Disease (CAD) | Coronary Bifurcation Lesion | Left Main Coronary Artery StenosisTurkey (Türkiye)
-
I.R.C.C.S Ospedale Galeazzi-Sant'AmbrogioCompletedCoronary Artery Disease (CAD) | Atherosclerosis of Coronary ArteryItaly
-
EBI Anti Sepsis BVCR2O B.V.Not yet recruitingCoronary Artery Disease (CAD) | Coronary Artery Bypass Graft Surgery(CABG)United States, Netherlands, Belgium, United Kingdom
-
University Medical Centre LjubljanaRecruitingCoronary Artery Disease With Myocardial InfarctionSlovenia
-
Elixir Medical CorporationIstituto Clinico HumanitasActive, not recruitingCoronary Artery Disease | Chronic Total Occlusion of Coronary Artery | Multi Vessel Coronary Artery Disease | Bifurcation of Coronary Artery | Long Lesions Coronary Artery DiseaseItaly
-
Shunmei MedicalNot yet recruitingCalcified Coronary Artery Disease | Coronary Arterial DiseasePoland, France, Spain
-
OPCI Core Laboratories LLCNot yet recruitingCoronary Artery Disease (CAD) | Coronary Calcification | Coronary Calcified Disease | Coronary Calcified NodulesUnited States
Clinical Trials on XIENCE Sierra
-
Seung-Jung ParkCardioVascular Research Foundation, KoreaActive, not recruitingCoronary Artery Disease | Coronary DiseaseSouth Korea
-
Seung-Jung ParkAbbott; CardioVascular Research Foundation, KoreaCompletedCoronary Artery Disease | Percutaneous Transluminal Coronary AngioplastySouth Korea
-
Aegis Medical InnovationsApplied Health Research CentreActive, not recruitingAtrial FibrillationUnited States, Canada
-
Abbott Medical DevicesCompletedMyocardial Ischemia | Coronary Artery Disease | Coronary Disease | Coronary Restenosis | Coronary Artery StenosisUnited States, Australia
-
Cardiva2 S.L.CompletedCoronary Artery Disease | Drug-eluting StentSpain
-
Abbott Medical DevicesCompletedMyocardial Ischemia | Coronary Artery Disease | Coronary Arteriosclerosis | Stent Thrombosis | Vascular Disease | Coronary Artery Stenosis | Total Coronary Occlusion | Coronary Artery RestenosisFrance, Italy, Norway, China, Spain, Germany, United Kingdom, Switzerland, Israel, Denmark, Belgium, Austria, Poland, Australia, Portugal, Argentina, Brazil, Hungary, Latvia, Netherlands, India, Greece, Malaysia, Russian Federation, South... and more
-
China National Center for Cardiovascular DiseasesRecruitingCoronary Heart Disease | Acute Coronary SyndromeChina
-
The Catholic University of KoreaCompletedIschemic StrokeKorea, Republic of
-
Kobe UniversityUnknownCoronary Artery DiseaseJapan
-
European Cardiovascular Research CenterActive, not recruitingCoronary Artery LesionItaly, Spain, Belgium, Germany, United Kingdom, France, Czechia, Poland, Netherlands