- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT00631228
XIENCE V® Everolimus Eluting Coronary Stent System India Post-marketing Single-arm Study (XIENCE V India)
XIENCE V® Everolimus Eluting Coronary Stent System India Post-marketing Single-Arm Study
Přehled studie
Postavení
Intervence / Léčba
Detailní popis
Long term surveillance studies using a drug eluting stent (DES) may help elucidate mechanisms responsible for death, myocardial infarction, and late stent thrombosis risks not observed during controlled pre-market trials. This study will evaluate XIENCE V® Everolimus Eluting Coronary Stent System (EECSS) performance in the "real world" when used by a broad group of physicians at a variety of health care facilities. Consequently, this protocol will include all consecutively enrolled patients in India who consent to participate and receive the XIENCE V® EECSS, which is expected to represent the range of clinical use during commercialization.
Adjunctive anti-platelet therapy is a critical factor in optimizing long term DES safety. Despite established guidelines that recommend 6-12 months dual antiplatelet therapy, patients with DES implants frequently stop taking their medication early. Consequently, XIENCE V® EECSS India Post-marketing Single-Arm Study (XIENCE V® India) follow-up will document patient adherence and persistence with adjunctive antiplatelet drug therapy at several time points throughout the study.
The long term safety and efficacy of the XIENCE V EECSS have been demonstrated in the SPIRIT FIRST trial up to 5 years, the SPIRIT II trial up to 4 years, and in the SPIRIT III Randomized Control Trial (RCT) up to 3 years. In addition, these pre-approval studies have shown low rates of Target Vessel Failure and Major Adverse Cardiac Events (MACE) that were observed to plateau or gradually decline after about 1 year and were consistently lower than the comparator arm of each study. This benefit in MACE is sustained for up to 5 years and is also independent of the first year results.
The post approval XIENCE V India study demonstrated that the use of the XIENCE EECSS in complex lesions in a real-world population resulted in 1 year MACE, Stent Thrombosis and Target Lesion Revascularization rates that are comparable to those of the previously mentioned pre-approval studies which included patients with more restricted inclusion / exclusion criteria.
Therefore, based on existing data from these trials, Abbott Vascular has decided to discontinue further follow up in the XIENCE V India study, from 5 years to after completion of the three year follow-up.
Typ studie
Zápis (Aktuální)
Kontakty a umístění
Studijní místa
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Ahmedabad, Indie, 380054
- Sal Hospital and Medical Institute
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Amritsar, Indie
- Escorts Heart & Superspeciality Institute Ltd.
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Chennai, Indie, 600 037
- Madras Medical Mission
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Cochin, Indie
- Lisie Heart Institute,Lisie Hosp.
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Hyderabad, Indie, 500033
- Apollo Hospital
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Jaipur, Indie
- Heart & General Hospital
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Mumbai, Indie, 400050
- Holy Family Hospital
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New Delhi, Indie, 110025
- Escorts Heart Institute & Research Centre
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New Delhi, Indie, 110017
- Max Devki Devi Heart & Vascular Institute
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New Delhi, Indie, 110 070
- Escorts Heart Institute & Research Centre
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New Delhi, Indie, 110 070
- Fortis Hospital
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Pune, Indie, 411030
- Poona hospital and research centre
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Pune, Indie, 411001
- Jehangir Hospital
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Andhra Pradesh
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Hyderabaad, Andhra Pradesh, Indie, 500034
- Care hospital
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Hyderabad, Andhra Pradesh, Indie, 5000003
- Krishna Heart Institute,
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Gujarat
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Ahmedabad, Gujarat, Indie, 380 006
- Krishna Heart Institute
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Punjab
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Ludhiana, Punjab, Indie, 141001
- Dayanand Medical College & Hospital
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Tamilnadu
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Vellore, Tamilnadu, Indie, 632004
- Christian Medical Center (CMC)
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dítě
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Metoda odběru vzorků
Studijní populace
Popis
Inclusion Criteria:
- The patient agrees to participate in this study by signing the EC approved informed consent form. Alternatively, the patient's legally authorized representative agrees to the patient's participation in this study and signs the informed consent form.
Exclusion Criteria:
- The inability to obtain an informed consent is an exclusion criterion.
Studijní plán
Jak je studie koncipována?
Detaily designu
Kohorty a intervence
Skupina / kohorta |
Intervence / Léčba |
|---|---|
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1
The group will be monitored to evaluate XIENCE V® EECSS continued safety and effectiveness during commercial use in real world settings.
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Drug eluting stent implantation stent in the treatment of coronary artery disease
Ostatní jména:
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Časové okno |
|---|---|
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Stent thrombosis rates as defined by Academic Research Consortium (ARC)
Časové okno: Annually through to 3 years
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Annually through to 3 years
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Composite endpoint of cardiac death and myocardial infarction (MI)
Časové okno: at 1 year
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at 1 year
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Sekundární výstupní opatření
Měření výsledku |
Časové okno |
|---|---|
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Composite rate of cardiac death and any MI (Q-wave and non Q-wave)
Časové okno: at 30, 180 days and at 2 and 3 years
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at 30, 180 days and at 2 and 3 years
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Composite rate of all death and any MI (Q-wave and non Q-wave)
Časové okno: at 30, 180 days and at 2 and 3 years
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at 30, 180 days and at 2 and 3 years
|
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Composite rate of cardiac death , any MI (Q-wave and non Q-wave) attributed to the target vessel, and target lesion revascularization (PCI and CABG)
Časové okno: at 30, 180 days and at 2 and 3 years
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at 30, 180 days and at 2 and 3 years
|
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Death (cardiac death, vascular death, and non-cardiovascular death)
Časové okno: at 30, 180 days and at 2 and 3 years
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at 30, 180 days and at 2 and 3 years
|
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Any MI (Q-wave and non Q-wave)
Časové okno: at 30, 180 days and at 2 and 3 years
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at 30, 180 days and at 2 and 3 years
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Major bleeding complications
Časové okno: at 14, 30, 180 days and at 1, 2 and 3 years
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at 14, 30, 180 days and at 1, 2 and 3 years
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Compliance and therapy interruptions with prescribed adjunctive antiplatelet therapy
Časové okno: at 14, 30, 180 days and at 1, 2 and 3 years
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at 14, 30, 180 days and at 1, 2 and 3 years
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Revascularization (target lesion, target vessel [TVR], and non-target vessel) (PCI and CABG)
Časové okno: at 30, 180 days and at 1, 2 and 3 years
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at 30, 180 days and at 1, 2 and 3 years
|
|
Clinical device and procedural success
Časové okno: Acute
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Acute
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Patient health status (symptoms, physical function, and quality of life) assessed by the Seattle Angina Questionnaire
Časové okno: at baseline, 180 days, and 1 year
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at baseline, 180 days, and 1 year
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Stent thrombosis
Časové okno: 24 hours (acute) and 30 days (sub-acute)
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24 hours (acute) and 30 days (sub-acute)
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Composite rate of all death, any MI (Q-wave and non Q-wave) and any repeat revascularization (PCI and CABG)
Časové okno: 30, 180 days and 1, 2 and 3 years
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30, 180 days and 1, 2 and 3 years
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Spolupracovníci a vyšetřovatelé
Sponzor
Vyšetřovatelé
- Vrchní vyšetřovatel: Ashok Seth, MD, Max Devki Devi Heart & Vascular Institute
- Vrchní vyšetřovatel: Tejas Patel, MD, Krishna Heart Institute
Publikace a užitečné odkazy
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia
Primární dokončení (Aktuální)
Dokončení studie (Aktuální)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Odhad)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Srdeční choroba
- Kardiovaskulární choroby
- Cévní onemocnění
- Arterioskleróza
- Arteriální okluzivní onemocnění
- Koronární stenóza
- Ischemická choroba srdeční
- Ischémie myokardu
- Koronární onemocnění
- Koronární restenóza
- Fyziologické účinky léků
- Antineoplastická činidla
- Imunosupresivní látky
- Imunologické faktory
- Everolimus
Další identifikační čísla studie
- 07-378
- REFCTRI000213, 21-10-2008 (Identifikátor registru: Clinical Trials Registry - India)
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