- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04462315
10-Years Follow-up of the EXAMINATION Trial (EXAMINAT10N)
August 29, 2022 updated by: Hospital Clinic of Barcelona
Ten-year Follow-up of the Clinical Evaluation of Everolimus-Eluting Coronary Stents in the Treatment of Patients With ST-segment Elevation Myocardial Infarction: EXAMINATION-EXTEND Trial
The EXAMINATION trial was a superiority trial that compared everolimus-eluting stents (EES) versus bare-metal stents (BMS) in an all-comer ST-segment elevation myocardial infarction (STEMI) population.
The patient-oriented endpoint was not superior at 1-year, but it was at 5-year.
However, very-long term follow-up is unknown.
The study had an independent Clinical event Committee (CEC).
All events were adjudicated by an independent clinical committee, according to the Academic Research Consortium 1.
Study Overview
Status
Completed
Conditions
Study Type
Observational
Enrollment (Actual)
1498
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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Ferrara, Italy, 44100
- Azienda Ospedaliero Universitaria S. Anna di Ferrara
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Bergamo
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Seriate, Bergamo, Italy, 24068
- Azienda Ospedaliera Bolognini
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Rotterdam, Netherlands, 3015 GD
- Erasmus MC, Rotterdam
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Madrid, Spain, 28040
- Hospital Clinico San Carlos
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Cataluña
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Barcelona, Cataluña, Spain, 08036
- Hospital Clinic i Provincial de Barcelona
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Barcelona, Cataluña, Spain, 08025
- Hospital de la Santa Creu i Sant Pau
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Barcelona, Cataluña, Spain, 08907
- Hospital de Bellvitge
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Galicia
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A Coruña, Galicia, Spain, 15006
- Complejo Hospitalario U. A Coruña
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Vigo, Galicia, Spain, 36214
- Hospital Álvaro Cunqueiro
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Mallorca
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Palma De Mallorca, Mallorca, Spain, 07014
- Hospital Son Dureta
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Valencia
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Alicante, Valencia, Spain, 03010
- Hospital General de Alicante
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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
Sampling Method
Probability Sample
Study Population
The EXAMINATION trial population was an all-comers population with ST-elevation myocardial infarction, representative of routine clinical practice.
Description
Inclusion Criteria:
- Patients who were enrolled in the EXAMINATION trial (NCT00828087).
Exclusion Criteria:
- None.
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: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Everolimus Arm
Everolimus Eluting Coronary Stent System
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Everolimus Eluting Coronary Stent System (Everolimus Arm) implantation
Other Names:
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Non-drug eluting stent Arm
Cobalt chromium balloon-expandable stent
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Cobalt chromium balloon-expandable stent (non-drug-eluting stent Arm) implantation
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient-oriented Composite Endpoint (PoCE)
Time Frame: 10 years
|
Rate of composite endpoint of all-cause death, any myocardial infarction, and any revascularization.
Defined according to the Academic Research Consortium 1.
|
10 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Device-oriented Composite Endpoint (DoCE)
Time Frame: 10 years
|
Rate of composite endpoint of cardiac death, Target vessel myocardial infarction, and Target lesion revascularization.
Defined according to the Academic Research Consortium 1.
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10 years
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Rate of all cause and cardiac mortality
Time Frame: 10 years
|
Defined according to the Academic Research Consortium 1.
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10 years
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Rate of recurrent myocardial infarction
Time Frame: 10 years
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Defined according to the Academic Research Consortium 1.
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10 years
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Rate of target lesion revascularization
Time Frame: 10 years
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Defined according to the Academic Research Consortium 1.
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10 years
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Rate of stent thrombosis
Time Frame: 10 years
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Defined according to the Academic Research Consortium 1.
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10 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Manel Sabaté, MD, PhD, Hospital Clinic of Barcelona
- Principal Investigator: Salvatore Brugaletta, MD, PhD, Hospital Clinic of Barcelona
- Principal Investigator: Josep Gómez-Lara, MD, PhD, Hospital Universitari de Bellvitge
- Principal Investigator: Luis Ortega-Paz, MD, PhD, Hospital Clinic of Barcelona
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
- Cutlip DE, Windecker S, Mehran R, Boam A, Cohen DJ, van Es GA, Steg PG, Morel MA, Mauri L, Vranckx P, McFadden E, Lansky A, Hamon M, Krucoff MW, Serruys PW; Academic Research Consortium. Clinical end points in coronary stent trials: a case for standardized definitions. Circulation. 2007 May 1;115(17):2344-51. doi: 10.1161/CIRCULATIONAHA.106.685313.
- Sabate M, Cequier A, Iniguez A, Serra A, Hernandez-Antolin R, Mainar V, Valgimigli M, Tespili M, den Heijer P, Bethencourt A, Vazquez N, Gomez-Hospital JA, Baz JA, Martin-Yuste V, van Geuns RJ, Alfonso F, Bordes P, Tebaldi M, Masotti M, Silvestro A, Backx B, Brugaletta S, van Es GA, Serruys PW. Everolimus-eluting stent versus bare-metal stent in ST-segment elevation myocardial infarction (EXAMINATION): 1 year results of a randomised controlled trial. Lancet. 2012 Oct 27;380(9852):1482-90. doi: 10.1016/S0140-6736(12)61223-9. Epub 2012 Sep 3.
- Sabate M, Cequier A, Iniguez A, Serra A, Hernandez-Antolin R, Mainar V, Valgimigli M, Tespili M, den Heijer P, Bethencourt A, Vazquez N, Brugaletta S, Backx B, Serruys P. Rationale and design of the EXAMINATION trial: a randomised comparison between everolimus-eluting stents and cobalt-chromium bare-metal stents in ST-elevation myocardial infarction. EuroIntervention. 2011 Dec;7(8):977-84. doi: 10.4244/EIJV7I8A154.
- Sabate M, Brugaletta S, Cequier A, Iniguez A, Serra A, Jimenez-Quevedo P, Mainar V, Campo G, Tespili M, den Heijer P, Bethencourt A, Vazquez N, van Es GA, Backx B, Valgimigli M, Serruys PW. Clinical outcomes in patients with ST-segment elevation myocardial infarction treated with everolimus-eluting stents versus bare-metal stents (EXAMINATION): 5-year results of a randomised trial. Lancet. 2016 Jan 23;387(10016):357-366. doi: 10.1016/S0140-6736(15)00548-6. Epub 2015 Oct 29.
- Gabani R, Spione F, Arevalos V, Grima Sopesens N, Ortega-Paz L, Gomez-Lara J, Jimenez-Diaz V, Jimenez M, Jimenez-Quevedo P, Diletti R, Pineda J, Campo G, Silvestro A, Maristany J, Flores X, Oyarzabal L, Bastos-Fernandez G, Iniguez A, Serra A, Escaned J, Ielasi A, Tespili M, Lenzen M, Gonzalo N, Bordes P, Tebaldi M, Biscaglia S, Al-Shaibani S, Romaguera R, Gomez-Hospital JA, Rodes-Cabau J, Serruys PW, Sabate M, Brugaletta S. Sex Differences in 10-Year Outcomes Following STEMI: A Subanalysis From the EXAMINATION-EXTEND Trial. JACC Cardiovasc Interv. 2022 Oct 10;15(19):1965-1973. doi: 10.1016/j.jcin.2022.07.038. Epub 2022 Aug 22.
- Brugaletta S, Gomez-Lara J, Ortega-Paz L, Jimenez-Diaz V, Jimenez M, Jimenez-Quevedo P, Diletti R, Mainar V, Campo G, Silvestro A, Maristany J, Flores X, Oyarzabal L, De Miguel-Castro A, Iniguez A, Serra A, Nombela-Franco L, Ielasi A, Tespili M, Lenzen M, Gonzalo N, Bordes P, Tebaldi M, Biscaglia S, Rodriguez-Arias JJ, Al-Shaibani S, Arevalos V, Romaguera R, Gomez-Hospital JA, Serruys PW, Sabate M. 10-Year Follow-Up of Patients With Everolimus-Eluting Versus Bare-Metal Stents After ST-Segment Elevation Myocardial Infarction. J Am Coll Cardiol. 2021 Mar 9;77(9):1165-1178. doi: 10.1016/j.jacc.2020.12.059.
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)
May 1, 2015
Primary Completion (Actual)
May 31, 2020
Study Completion (Actual)
May 31, 2020
Study Registration Dates
First Submitted
July 2, 2020
First Submitted That Met QC Criteria
July 7, 2020
First Posted (Actual)
July 8, 2020
Study Record Updates
Last Update Posted (Actual)
September 1, 2022
Last Update Submitted That Met QC Criteria
August 29, 2022
Last Verified
July 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Ischemia
- Pathologic Processes
- Myocardial Ischemia
- Myocardial Infarction
- Infarction
- Heart Diseases
- Cardiovascular Diseases
- ST Elevation Myocardial Infarction
- Vascular Diseases
- Necrosis
- Physiological Effects of Drugs
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Trace Elements
- Micronutrients
- Everolimus
- Chromium
- Cobalt
Other Study ID Numbers
- HCB/2018/0906
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
Will be made available upon request.
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.
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