- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus 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
Tutkimuksen yleiskatsaus
Tila
Interventio / Hoito
Yksityiskohtainen kuvaus
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.
Opintotyyppi
Ilmoittautuminen (Todellinen)
Yhteystiedot ja paikat
Opiskelupaikat
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-
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Ahmedabad, Intia, 380054
- Sal Hospital and Medical Institute
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Amritsar, Intia
- Escorts Heart & Superspeciality Institute Ltd.
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Chennai, Intia, 600 037
- Madras Medical Mission
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Cochin, Intia
- Lisie Heart Institute,Lisie Hosp.
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Hyderabad, Intia, 500033
- Apollo Hospital
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Jaipur, Intia
- Heart & General Hospital
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Mumbai, Intia, 400050
- Holy Family Hospital
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New Delhi, Intia, 110025
- Escorts Heart Institute & Research Centre
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New Delhi, Intia, 110017
- Max Devki Devi Heart & Vascular Institute
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New Delhi, Intia, 110 070
- Escorts Heart Institute & Research Centre
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New Delhi, Intia, 110 070
- Fortis Hospital
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Pune, Intia, 411030
- Poona hospital and research centre
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Pune, Intia, 411001
- Jehangir Hospital
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Andhra Pradesh
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Hyderabaad, Andhra Pradesh, Intia, 500034
- Care hospital
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Hyderabad, Andhra Pradesh, Intia, 5000003
- Krishna Heart Institute,
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Gujarat
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Ahmedabad, Gujarat, Intia, 380 006
- Krishna Heart Institute
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Punjab
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Ludhiana, Punjab, Intia, 141001
- Dayanand Medical College & Hospital
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Tamilnadu
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Vellore, Tamilnadu, Intia, 632004
- Christian Medical Center (CMC)
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Lapsi
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Näytteenottomenetelmä
Tutkimusväestö
Kuvaus
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.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
Kohortit ja interventiot
Ryhmä/Kohortti |
Interventio / Hoito |
|---|---|
|
1
The group will be monitored to evaluate XIENCE V® EECSS continued safety and effectiveness during commercial use in real world settings.
|
Drug eluting stent implantation stent in the treatment of coronary artery disease
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Aikaikkuna |
|---|---|
|
Stent thrombosis rates as defined by Academic Research Consortium (ARC)
Aikaikkuna: 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)
Aikaikkuna: at 1 year
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at 1 year
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Aikaikkuna |
|---|---|
|
Composite rate of cardiac death and any MI (Q-wave and non Q-wave)
Aikaikkuna: 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)
Aikaikkuna: at 30, 180 days and at 2 and 3 years
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at 30, 180 days and at 2 and 3 years
|
|
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)
Aikaikkuna: at 30, 180 days and at 2 and 3 years
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at 30, 180 days and at 2 and 3 years
|
|
Death (cardiac death, vascular death, and non-cardiovascular death)
Aikaikkuna: 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)
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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)
Aikaikkuna: 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
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Clinical device and procedural success
Aikaikkuna: 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
Aikaikkuna: at baseline, 180 days, and 1 year
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at baseline, 180 days, and 1 year
|
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Stent thrombosis
Aikaikkuna: 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)
Aikaikkuna: 30, 180 days and 1, 2 and 3 years
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30, 180 days and 1, 2 and 3 years
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Päätutkija: Ashok Seth, MD, Max Devki Devi Heart & Vascular Institute
- Päätutkija: Tejas Patel, MD, Krishna Heart Institute
Julkaisuja ja hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Arvio)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Arvio)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Avainsanat
Muita asiaankuuluvia MeSH-ehtoja
- Sydänsairaudet
- Sydän-ja verisuonitaudit
- Verisuonisairaudet
- Valtimotauti
- Valtimon tukossairaudet
- Sepelvaltimon ahtauma
- Sepelvaltimotauti
- Sydänlihaksen iskemia
- Sepelvaltimotauti
- Sepelvaltimon restenoosi
- Huumeiden fysiologiset vaikutukset
- Antineoplastiset aineet
- Immunosuppressiiviset aineet
- Immunologiset tekijät
- Everolimus
Muut tutkimustunnusnumerot
- 07-378
- REFCTRI000213, 21-10-2008 (Rekisterin tunniste: Clinical Trials Registry - India)
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