- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04660240
Randomized Trial Comparing Two Sirolimus-Eluting Stents in Diabetes Mellitus (INC-DM)
Randomized Trial Investigating Clinical Outcomes of Two Sirolimus-Eluting Stents in Diabetes Mellitus
Study Overview
Status
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Alejandra D Portillo Romero, MD
- Phone Number: 21217 +52 55 5573 2911
- Email: aleportilloromero@gmail.com
Study Contact Backup
- Name: Guering Eid Lidt, MD
- Phone Number: 21217 55 5573 2911
- Email: guering@yahoo.com
Study Locations
-
-
Tlalpan
-
Mexico City, Tlalpan, Mexico, 14080
- Recruiting
- Instituto Nacional de Cardiología Ignacio Chavez
-
Contact:
- Alejandra D Portillo Romero, MD
- Phone Number: 21217 +52 55 5573 2911
- Email: aleportilloromero@gmail.com
-
Contact:
- Guering Edit Lid, MD
- Phone Number: 21217 +52 55 5573 2911
- Email: guering@yahoo.com
-
Principal Investigator:
- Guering Eid Lidt, MD
-
Principal Investigator:
- Julio I Farjat Pasos, MD MSc
-
Principal Investigator:
- Walter O Magaña Ornelas, MD
-
Principal Investigator:
- Alejandra D Portillo Romero, MD
-
Principal Investigator:
- José A Ayón Martinez, MD
-
Sub-Investigator:
- Maria E Soto López, MD PhD
-
Sub-Investigator:
- Iran Diaz Santillán, MD
-
Sub-Investigator:
- Gustavo Salinas Arteaga, MD
-
Sub-Investigator:
- Oscar Preciado, MD
-
Sub-Investigator:
- Jorge Gaspar, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men and women over 18 years of age.
- Provide informed consent and agree to follow up as stipulated in the protocol.
Diabetes mellitus. Whether it is DM 1 or 2 previously diagnosed or newly diagnosed by:
- Fasting glucose> 126 mg / dl (for study terms, fasting will be defined as the absence of caloric intake for> 8 hours)
- Tolerance curve to glucose (75 grams of glucose orally) with a glycemia at 2 hours> 200 mg / dl or,
- HbA1C> 6.5%.
- Coronary artery disease including chronic coronary syndrome, silent ischemia, or non-ST-segment elevation acute coronary ischemic syndrome.
- Presence of 1 or more de novo coronary lesions in native coronary arteries with a site of maximum stenosis> 50% that may be amenable to stenting; without limitation in the number of lesions or vessels affected.
Exclusion Criteria:
- Cardiogenic shock.
- Allergy to acetylsalicylic acid, clopidogrel, ticagrelor, prasugrel, heparin, sirolimus or contrast medium, which cannot be adequately premedicated.
- Acute ST-segment elevation myocardial infarction candidate for primary or urgent coronary angioplasty.
- Left main coronary artery disease.
- In-stent restenosis.
- Lesions in venous or arterial grafts.
- Surgery (cardiac or non-cardiac) planned within 6 months of PCI, unless dual antiplatelet therapy can be continued in the periprocedural period.
- Inability to provide informed consent.
- Life expectancy <1 year
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Abluminus Sirolimus Eluting Stent System (ASES)
The Abluminus sirolimus eluting stent manufactured by Envision and distributed by Concept Medical.
|
The procedure will be conducted in accordance with the CE mark instructions for use for the ASES. The need or not for postdilation in any segment of the stent will be at the discretion of the operator, seeking its adequate expansion and apposition. To consider PCI to be successful, residual stenosis must be less than or equal to 30% by angiography at the end of the procedure, including the absence of coronary dissection that compromises distal flow or a hemodynamically significant pressure gradient across the lesion. |
Experimental: Orsiro Sirolimus Eluting Coronary Stent System (OSES)
The Orsiro sirolimus eluting stent manufactured by Biotronik.
|
The procedure will be conducted in accordance with the CE mark instructions for use for the OSES. The need or not for postdilation in any segment of the stent will be at the discretion of the operator, seeking its adequate expansion and apposition. To consider PCI to be successful, residual stenosis must be less than or equal to 30% by angiography at the end of the procedure, including the absence of coronary dissection that compromises distal flow or a hemodynamically significant pressure gradient across the lesion. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of Target Lesion Failure (TLF)
Time Frame: 12 months
|
To compare the rate of target lesion failure (composed of cardiovascular death, myocardial infarction related to the treated vessel or ischemia driven target lesion revascularization)
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cardiovascular Death
Time Frame: 12 months
|
Cardiovascular death is defined as death resulting from cardiovascular causes. The following categories may be collected:
|
12 months
|
Myocardial Infarction (MI)
Time Frame: 12 months
|
Compare the myocardial infarction related to the treated vessel between both groups. (according to the 4th international definition of myocardial infarction) detection of an increase or decrease in cardiac troponin values with at least 1 of the values above the upper reference limit of the 99th percentile and at least 1 of the following conditions :
|
12 months
|
Target Lesion Revascularization (TLR)
Time Frame: 12 months
|
Revascularization is clinically driven if the target lesion diameter stenosis is > 50% by quantitative coronary angiography (QCA) and the subject has clinical or functional ischemia which cannot be explained by another native coronary or bypass graft lesion.
|
12 months
|
Target vessel revascularization (TVR)
Time Frame: 12 months
|
TVR is a repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion.
|
12 months
|
Target vessel failure (TVF)
Time Frame: 12 months
|
To compare the rate of target vessel failure (composed of cardiovascular death, myocardial infarction related to the treated vessel or ischemia driven target vessel revascularization)
|
12 months
|
Death caused by other cardiovascular causes.
Time Frame: 12 months
|
Compare death from any cause between the two groups. The following categories will be collected:
|
12 months
|
Rate of in-stent restenosis (ISR)
Time Frame: 12 months
|
Compare the rate of stent edge restenosis between both groups. Stenosis> 50% of the diameter and one or more of the following: symptoms suggestive of ischemia, electrocardiographic changes suggestive of ischemia, significant pressure gradient across the lesion; or a> 70% reduction in luminal area, even in the absence of data suggestive of ischemia. The categories will be collected according to the Waksman In-Stent Restenosis Classification:
|
12 months
|
Rate of stent thrombosis (ST)
Time Frame: 12 months
|
Compare the rate of stent thrombosis between both groups, According to the definition of the Academic Research Consortium (ARC) -2:
|
12 months
|
Major bleeding
Time Frame: 12 months
|
Compare the incidence of bleeding complications according to The Bleeding Academic Research Consortium 2 (BARC-2) scale: 3 or greater.
|
12 months
|
Rate of Cerebrovascular Event
Time Frame: 12 months
|
Compare the rate of cerebrovascular event between both groups according to Neuro-ARC stroke/ Transient ischemic attack (TIA) criteria.
|
12 months
|
Contrast Nephropathy
Time Frame: 48 hours
|
Creatinine increase >0.5 mg / dl or >25% over baseline at 48 hours after the procedure.
|
48 hours
|
Technical Success
Time Frame: 12 months
|
Technical success is defined as the ability to cross the occluded segment with both a wire and a balloon, and successfully open the artery; the restoration of antegrade Thrombolysis In Myocardial Infarction (TIMI) flow 2 or 3 and a <30% residual stenosis.
|
12 months
|
Collaborators and Investigators
Investigators
- Study Director: Guering Eid Lidt, MD, Instituto Nacional de Cardiología Ignacio Chavez
- Principal Investigator: Julio I Farjat Pasos, MD MSc, Instituto Nacional de Cardiología Ignacio Chavez
- Principal Investigator: Walter O Magaña Ornelas, MD, Instituto Nacional de Cardiología Ignacio Chavez
- Principal Investigator: Alejandra D Portillo Romero, MD, Instituto Nacional de Cardiología Ignacio Chavez
- Principal Investigator: José A Ayón Martínez, MD, Instituto Nacional de Cardiología Ignacio Chavez
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Glucose Metabolism Disorders
- Metabolic Diseases
- Arteriosclerosis
- Arterial Occlusive Diseases
- Endocrine System Diseases
- Coronary Disease
- Coronary Artery Disease
- Diabetes Mellitus
- Acute Coronary Syndrome
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Anti-Bacterial Agents
- Protein Kinase Inhibitors
- Antibiotics, Antineoplastic
- Antifungal Agents
- Sirolimus
- Temsirolimus
- MTOR Inhibitors
Other Study ID Numbers
- INCAR-DG-DI-342-2020
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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