- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00916279
PERVIDEO I Registry, The Lutonix Paclitaxel-Coated Balloon Catheter for the Treatment of Coronary In-Stent Restenosis (PERVIDEO I)
12. januar 2017 opdateret af: C. R. Bard
A Prospective, Multicenter, European Registry Investigating the Lutonix Paclitaxel-Coated Balloon for the Treatment of In-Stent Restenosis Within Bare-Metal Stents
The study will enroll patients with angiographic evidence of in-stent restenosis of a previously placed bare-metal stent.
Subjects will be treated with a Lutonix Catheter.
The purpose is to investigate the feasibility, safety, and efficacy of the Lutonix Catheter in the native coronary system.
Angiographic and clinical outcomes will be assessed.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
41
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Aalst, Belgien, 9300
- Onze Lieve Vrouw Ziekenhuis
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Amsterdam, Holland
- Academic Medical Center
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Eindhoven, Holland
- Catherina Ziekenhuis
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Nieuwegein, Holland
- Sint Antonius Ziehenhuis
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Bad Nauheim, Tyskland, 61231
- Kerckhoff Klinik
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Essen, Tyskland
- Westdeutsches Herzzentrum Essen
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Hamburg, Tyskland, 22527
- Alte Clinic Center for Cardiology
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Leipzig, Tyskland
- Herzzentrum Leipzig GmbH
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Male or non-pregnant/non-breast feeding Female ≥18 Years of age. Women of childbearing potential must have a negative pregnancy test within 7 days of the procedure;
- Documented stable angina pectoris Canadian Cardiovascular Society Classification (CCSC) 1-4, unstable angina pectoris with documented ischemia (Braunwald I-II) or documented silent ischemia;
- Previous history of native coronary bare metal stenting ≥60 days;
- LVEF ≥25%;
- Patient is an acceptable candidate for PTCA, stenting, and emergent CABG;
- Patient is willing to provide informed consent and comply with follow-up visits and testing schedule;
- Target lesion is in a native coronary with previous single bare metal stent; Stenosis is ≥50% and <100% by visual estimate or QCA prior to defined pre-dilatation;
- Reference Vessel Diameter (RVD) is ≥2.5 and ≤3.25;
- Target lesion is ≤40 mm in length and can be treated in its entirety by no more than 2 contiguous Lutonix Catheters;
- Guidewire is able to cross lesion(s) and be placed in distal vessel prior to enrollment;
- Enrollment permitted after successful treatment of 1 to 2 non-study lesions in a single other non-study vessel. Successful treatment is defined as ≤30% residual stenosis with TIMI III flow and no evidence of dissection.
Exclusion Criteria:
- History of Stroke within past 6 months;
- History of MI or thrombolysis within 72 hours of randomization;
- History of previous target vessel perforation;
- Prior vascular brachytherapy;
- Angiographic evidence of thrombus or dissection within the target vessel;
- Intervention of another coronary lesion <60 days before index procedure day or planned following index procedure;
- Target lesion is in the Left Main or vessel ostium and has excessive calcification or tortuosity or involves bifurcation disease of vessel ≥2.5 mm;
- Target lesion is planned to be treated with something other than PTCA (i.e. stent, cutting balloon, atherectomy, VBT, etc.);
- Uncontrollable allergies to procedure medications, materials, or contrast;
- Patient has previous stent procedure with any drug-coated or drug eluting stent device in the target coronary vessel;
- Known sensitivity to paclitaxel or other antimitogenic agent;
- Patient has a stent sandwich (a stench previously deployed within another stent;
- Pre-procedure CKMB >2x ULN or positive Troponin;
- Creatinine >2.0 mg/dl;
- Leukocyte <3500/mL;
- Platelet <100,000 mL or >750,000 mL;
- Currently taking or must resume warfarin;
- Patient is contraindicated for anti-platelet therapy or it will need to be withdrawn for a planned procedure;
- The patient is currently participating in another investigational drug or device study that has not completed its primary endpoint or that clinically interferes with the endpoints of this study;
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Lutonix kateter
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PTCA
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Percent Diameter Stenosis (%DS) in the Analysis Segment
Tidsramme: 6 months
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6 months
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Change in Diameter Stenosis (%DS) From Post-procedure Through 6 Months
Tidsramme: 6 Months
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Paired change in percent diameter stenosis (%DS) in the analysis segment from post-procedure through 6 months.
I.e., %DS at follow-up less %DS post procedure per patient.
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6 Months
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Late Lumen Loss
Tidsramme: 6 months
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Change in (loss of) lumen diameter from baseline through 6 months in the analysis segment (including the treated segment and 5mm proximal and distal).
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6 months
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MACE Rate
Tidsramme: 30 Days
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Major adverse coronary events (MACE), including the composite of cardiac death, myocardial infarction (MI), and target vessel revascularization (TVR).
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30 Days
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Binary Restenosis
Tidsramme: 6 Months
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Subjects with percent diameter stenosis >50% in the analysis segment.
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6 Months
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Laura Mauri, MD, Brigham & Women's Hospital, Boston, MA
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Serruys PW, de Jaegere P, Kiemeneij F, Macaya C, Rutsch W, Heyndrickx G, Emanuelsson H, Marco J, Legrand V, Materne P, et al. A comparison of balloon-expandable-stent implantation with balloon angioplasty in patients with coronary artery disease. Benestent Study Group. N Engl J Med. 1994 Aug 25;331(8):489-95. doi: 10.1056/NEJM199408253310801.
- Scheller B, Speck U, Abramjuk C, Bernhardt U, Bohm M, Nickenig G. Paclitaxel balloon coating, a novel method for prevention and therapy of restenosis. Circulation. 2004 Aug 17;110(7):810-4. doi: 10.1161/01.CIR.0000138929.71660.E0. Epub 2004 Aug 9.
- Speck U, Scheller B, Abramjuk C, Breitwieser C, Dobberstein J, Boehm M, Hamm B. Neointima inhibition: comparison of effectiveness of non-stent-based local drug delivery and a drug-eluting stent in porcine coronary arteries. Radiology. 2006 Aug;240(2):411-8. doi: 10.1148/radiol.2402051248.
- Stone GW, Ellis SG, O'Shaughnessy CD, Martin SL, Satler L, McGarry T, Turco MA, Kereiakes DJ, Kelley L, Popma JJ, Russell ME; TAXUS V ISR Investigators. Paclitaxel-eluting stents vs vascular brachytherapy for in-stent restenosis within bare-metal stents: the TAXUS V ISR randomized trial. JAMA. 2006 Mar 15;295(11):1253-63. doi: 10.1001/jama.295.11.1253. Epub 2006 Mar 12.
- Scheller B, Hehrlein C, Bocksch W, Rutsch W, Haghi D, Dietz U, Bohm M, Speck U. Treatment of coronary in-stent restenosis with a paclitaxel-coated balloon catheter. N Engl J Med. 2006 Nov 16;355(20):2113-24. doi: 10.1056/NEJMoa061254. Epub 2006 Nov 13.
- Holmes DR Jr, Teirstein P, Satler L, Sketch M, O'Malley J, Popma JJ, Kuntz RE, Fitzgerald PJ, Wang H, Caramanica E, Cohen SA; SISR Investigators. Sirolimus-eluting stents vs vascular brachytherapy for in-stent restenosis within bare-metal stents: the SISR randomized trial. JAMA. 2006 Mar 15;295(11):1264-73. doi: 10.1001/jama.295.11.1264. Epub 2006 Mar 12.
- Kastrati A, Mehilli J, von Beckerath N, Dibra A, Hausleiter J, Pache J, Schuhlen H, Schmitt C, Dirschinger J, Schomig A; ISAR-DESIRE Study Investigators. Sirolimus-eluting stent or paclitaxel-eluting stent vs balloon angioplasty for prevention of recurrences in patients with coronary in-stent restenosis: a randomized controlled trial. JAMA. 2005 Jan 12;293(2):165-71. doi: 10.1001/jama.293.2.165.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. juni 2009
Primær færdiggørelse (Faktiske)
1. oktober 2010
Studieafslutning (Faktiske)
1. december 2011
Datoer for studieregistrering
Først indsendt
4. juni 2009
Først indsendt, der opfyldte QC-kriterier
5. juni 2009
Først opslået (Skøn)
9. juni 2009
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
27. februar 2017
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
12. januar 2017
Sidst verificeret
1. januar 2017
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CL0010-01
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ingen
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
produkt fremstillet i og eksporteret fra U.S.A.
Ingen
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med In-Stent Restenosis
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Medical University of WarsawKCRIUkendt
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Fundación Médica para la Investigación y Desarrollo...Abbott Medical Devices; Hospital San Carlos, Madrid; B.Braun Surgical SAUkendt
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Cordis CorporationAfsluttetIn-Stent RestenosisForenede Stater
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Boston Scientific CorporationAktiv, ikke rekrutterende
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Boston Scientific CorporationAktiv, ikke rekrutterende
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Klinikum CoburgUkendt
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Seoul National University HospitalUkendtIn-stent Restenosis læsionKorea, Republikken
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Spectranetics CorporationYale UniversityTrukket tilbage
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University Hospital OstravaRekrutteringIn-Stent Carotis Artery RestenosisTjekkiet
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National Heart, Lung, and Blood Institute (NHLBI)Afsluttet
Kliniske forsøg med Lutonix Paclitaxel-Coated Balloon
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C. R. BardAfsluttetFemoral arterieokklusion | Femoral arteriel stenoseBelgien, Østrig, Frankrig, Tyskland, Schweiz
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Orchestra BioMed, IncRekrutteringKoronararteriesygdomForenede Stater
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University of Rome Tor VergataAfsluttetDrug coated ballon | Plaque Modifikationsteknik | Koronare kalcificerede læsionerItalien
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C. R. BardAfsluttetPerifer arteriesygdomMalaysia, New Zealand, Canada
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C. R. BardAfsluttetPerifer arteriesygdomForenede Stater, Tyskland, Belgien, Østrig, Schweiz
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MedtronicAktiv, ikke rekrutterendeFistel | Arteriovenøs fistel | Arteriovenøs fistelstenose | Arteriovenøs fistelokklusionForenede Stater
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DK Medical Technology (Suzhou) Co., Ltd.Ikke rekrutterer endnuIn-Stent Restenose eller De Novo KoronararterielæsionerKina
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Genoss Co., Ltd.Synex Consulting LtdTilmelding efter invitationKoronar arteriel sygdom (CAD)Sydkorea
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C. R. BardAktiv, ikke rekrutterendeArteriovenøs fistelForenede Stater, Canada