- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04937803
Safety and Efficacy of Drug-Coated Balloon for De-novo Lesions in Patients With Acute Coronary Syndromes (DCB-ACS) (DCB-ACS)
August 21, 2023 updated by: Yu Bo, Harbin Medical University
Safety and Efficacy of Drug-Coated Balloon for De-novo Lesions in Patients With Acute Coronary Syndromes (DCB-ACS): A Prospective, Multi-Center, Randomized-Controlled Clinical Trial
The DCB-ACS trial is a prospective, multi-center, non-inferiority, randomized controlled trail.
The purpose of this trial is to evaluate the safety and efficacy of drug-coated balloon(DCB) in de novo lesions for acute coronary syndromes (ACS) .
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
Patients with ACS and indications for percutaneous coronary intervention were randomly assigned (1:1) to receive angioplasty with DCB or implantation of a Zotarolimus-Eluting Coronary Stent(ZES) .
Dual anti-platelet therapy was given according to current guidelines.
Follow-up was originally scheduled at by telephone or clinical visit at 1 month, 6 months, 12 months, and 24 months after discharge, and coronary angiography and FFR measurements will be carried out at 9 months.The primary objective is to show non-inferiority of DCB versus drug-eluting stent(DES) regarding the functional assessment of target lesion by FFR at 9 months.
Study Type
Interventional
Enrollment (Actual)
216
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
-
-
Heilongjiang
-
Harbin, Heilongjiang, China, 150081
- The Second Affiliated Hospital of Harbin Medical University
-
-
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 to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Age≥18 Years and <80 years;
- ACS patients eligible for percutaneous coronary intervention;
- Successful preparation is defined as ≤ 30% residual stenosis with Thrombolysis in Myocardial Infarction (TIMI) Grade III flow and not evidence of type C-F dissection;
- Vessel diameter from 2.25mm-4.0 mm ;
- Lesion length ≤ 28 mm;
- A single culprit lesion or 1 lesion in each of two vessels ;
- Eligible for enrollment and provide written informed consent.
Exclusion Criteria:
Clinical Exclusion Criteria:
- Stable angina or asymptomatic myocardial ischemia;
- Cardiogenic shock or requiring mechanical support for breathing and circulation;
- Hemodynamically unstable tachyarrhythmia or bradyarrhythmia;
- Plan to perform cardiac surgery or non-cardiac surgery within 24 months of percutaneous coronary intervention;
- A history of stroke within 6 months;
- History of severe renal insufficiency;
- Life expectancy < 12 months;
- Pregnant women;
- Allergies to aspirin, clopidogrel, ticagrelor, heparin, contrast agents, and paclitaxel, patients with systemic lupus erythematosus or other systemic immune diseases;
- Patients not suitable for enrollment considered by researcher;
- Currently participating in another trial before reaching the primary endpoint;
- Inability to provide informed consent. Image Exclusion Criteria
1. Chronic total occlusion (CTO); 2. Left main lesion; 3. Bifurcation lesions treated with double stents; 4. Moderate to severe distortion, angulation or severe calcification lesions; 5. Coronary artery graft stenosis; 6. In-stent restenosis; 7. To be re-hospitalized for the other scheduled PCI treatment; 8. Myocardial bridge at the target lesion.
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: Drug-coated balloon group
Patients assigned to drug-coated balloon group will receive angioplasty with drug-coated balloon for treatment of lesions.
|
Drug-coated balloon is a fast-exchange balloon dilatation catheter, used to treat coronary artery stenosis lesions and improve myocardial blood flow.
|
Active Comparator: Stent group
Patients assigned to drug-eluting stent group will receive a Zotarolimus -Eluting Coronary Stent treatment .
|
Zotarolimus-Eluting Coronary Stent is treated for coronary artery stenosis lesions .
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Fractional flow reserve (FFR)
Time Frame: 9 months follow-up
|
Fractional flow reserve is the ratio of mean coronary pressure distal of the treated lesion to mean aortic pressure during maximum hyperemia.
|
9 months follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Target lesion failure(TLF)
Time Frame: 1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
A composite endpoint consisting of cardiac death, target vessel-related myocardial infarction, and revascularization of target lesions
|
1 month, 6 months, 9 months, 12 months, 24 months follow-up
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Cardiac death
Time Frame: 1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
|
Target vessel-related myocardial infarction
Time Frame: 12 months, 24 months follow-up
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12 months, 24 months follow-up
|
|
Revascularization of target lesion revascularization (TLR)
Time Frame: 1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
|
All-cause death and myocardial infarction
Time Frame: 1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
|
Major bleeding
Time Frame: 1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
Defined as Bleeding Academic Research Consortium type 3 to 5
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1 month, 6 months, 9 months, 12 months, 24 months follow-up
|
Procedure success
Time Frame: 1 month
|
Including device success, lesion success and procedure success
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1 month
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Patient-oriented composite endpoint (PoCE)
Time Frame: 1 month, 6 months, 9 months, 12 months ,24 months follow-up
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A composite of all-cause mortality, myocardial infarction, and any revascularization.
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1 month, 6 months, 9 months, 12 months ,24 months follow-up
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Diameter stenosis(DS%)
Time Frame: 9 months follow-up
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DS% defined as: (1 - minimal luminal diameter /reference vessel diameter) *100%.
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9 months follow-up
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Late lumen loss (LLL)
Time Frame: 9 months follow-up
|
The difference between the in-segment minimal lumen diameter after the procedure and at angiographic follow-up, as evaluated by quantitative coronary angiography.
|
9 months follow-up
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Restenosis rate of target lesion
Time Frame: 9 months
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Diameter stenosis %≥50%
|
9 months
|
Definite and possible thrombotic events
Time Frame: 2 years
|
2 years
|
|
Rehospitalized due to angina
Time Frame: 2 years
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2 years
|
|
Stroke
Time Frame: 2 years
|
Diagnosed by a neurologist
|
2 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Bo Yu, MD,PhD, The Second Affiliated Hospital of Harbin Medical University
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
- Jeger RV, Farah A, Ohlow MA, Mangner N, Mobius-Winkler S, Leibundgut G, Weilenmann D, Wohrle J, Richter S, Schreiber M, Mahfoud F, Linke A, Stephan FP, Mueller C, Rickenbacher P, Coslovsky M, Gilgen N, Osswald S, Kaiser C, Scheller B; BASKET-SMALL 2 Investigators. Drug-coated balloons for small coronary artery disease (BASKET-SMALL 2): an open-label randomised non-inferiority trial. Lancet. 2018 Sep 8;392(10150):849-856. doi: 10.1016/S0140-6736(18)31719-7. Epub 2018 Aug 28.
- Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, Byrne RA, Collet JP, Falk V, Head SJ, Juni P, Kastrati A, Koller A, Kristensen SD, Niebauer J, Richter DJ, Seferovic PM, Sibbing D, Stefanini GG, Windecker S, Yadav R, Zembala MO; ESC Scientific Document Group. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019 Jan 7;40(2):87-165. doi: 10.1093/eurheartj/ehy394. No abstract available. Erratum In: Eur Heart J. 2019 Oct 1;40(37):3096.
- Vos NS, Dirksen MT, Vink MA, van Nooijen FC, Amoroso G, Herrman JP, Kiemeneij F, Patterson MS, Slagboom T, van der Schaaf RJ. Safety and feasibility of a PAclitaxel-eluting balloon angioplasty in Primary Percutaneous coronary intervention in Amsterdam (PAPPA): one-year clinical outcome of a pilot study. EuroIntervention. 2014 Sep;10(5):584-90. doi: 10.4244/EIJV10I5A101.
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)
April 19, 2021
Primary Completion (Actual)
February 18, 2023
Study Completion (Estimated)
March 31, 2024
Study Registration Dates
First Submitted
June 10, 2021
First Submitted That Met QC Criteria
June 22, 2021
First Posted (Actual)
June 24, 2021
Study Record Updates
Last Update Posted (Actual)
August 22, 2023
Last Update Submitted That Met QC Criteria
August 21, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- LPCTP-2020-001
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.
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