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COmparison of Xience PrimE Versus REsolute Integrity in Diabetes or Small Vessel Disease (COPERES)

18. desember 2012 oppdatert av: Lae Young Jung, Chonbuk National University Hospital

Study for Investigate the Effectiveness and Safety of Resolute Integrity or Xience Prime in Diabetes or Small Vessels Lesion Patients

The newer generation ZES (Medtronic, Minneapolis, MN, Resolute Integrity) and EES (Abbott Vascular, Abbott Park, Illinois, Xience Prime) were introduced to South Korea. Although these are thought to be superior in effect and stability compared to ZES and EES of previous generation, there are few clinical data regarding the high risk groups of diabetes patients or small vessels lesion. Moreover, looking at the 8.3% of restenosis in Resolute All Comer study (23% diabetes), the investigators could not know the outcome in high risk patients such as diabetes or small vessels lesion. Therefore, the aim of this study is to investigate the effectiveness and safety of Resolute Integrity or Xience Prime in diabetes or small vessels lesion patients.

Studieoversikt

Status

Ukjent

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Forventet)

600

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Korea, Republikken
    • Chon-buk
      • Jeon-Ju, Chon-buk, Korea, Republikken
        • Rekruttering
        • Devision of cardiology, Chonbuk national university hospital
        • Ta kontakt med:
          • Lae young Jung, fellow
          • Telefonnummer: 82-63-250-2204
          • E-post: young@naver.com

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 90 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  1. Age > 18 years
  2. Patients requiring stent procedure (visual diameter stenosis ≥ 50%)
  3. Stable angina with evidence of myocardial ischemia, acute coronary syndrome(ST segment elevation, non-ST segment elevation acute myocardial infarction, and unstable angina)
  4. Patients diagnosed of type 2 diabetes or small vessel disease
  5. Patients willing to participate in the study through written consent

Exclusion Criteria:

  1. Those hypersensitive to or abstaining from heparin, aspirin, clopidogrel, contrast medium, zotarolimus, or everolimus.
  2. Pregnant women or those having future plans for pregnancy.
  3. Those having hemorrhagic disease or blood-clotting disorders (including heparin-induced thrombocytopenia), or those rejecting blood transfusion.
  4. Those having medical history of digestive and urinary system bleeding during the last 3 months, or who have received major surgery within 2 months.
  5. Those with thrombocytopenia (< 100,000/mm3) or hemoglobin 10.0 g/dL or less.
  6. Those planning a surgery that requires the discontinuation of antiplatelet drugs within next 12 months (especially, thienopyridines type).
  7. When the remaining survival period is expected to be less than 1 year.
  8. Restenosis lesion
  9. Left main coronary artery lesion
  10. Saphenous vein graft stenosis lesion
  11. Left ventricular ejection fraction < 30%
  12. Cardiac shock
  13. Those with liver function failure: When liver enzyme level (ALT) is 3 times the normal upper limit.
  14. Type I diabetes

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: DM arms
comparison of two different stents(Xience prime and Resolute integrity)
Fremgangsmåte: percutaneous coronary intervention using drug eluting stent

1. Intracoronary stenting

  1. The procedure could be conducted via brachial, radial or femoral approaches.
  2. There are no restrictions regarding lesion's length or diameter. For long lesions, overlapping of several stents would be allowed but only allocated type of stents should be used.
  3. When several lesions are included in the study of a patient, each lesion may be allocated in different groups. Only if deployment of the allocated stent is not possible, crossing to other stent would be allowed.
  4. Direct stenting or bifurcation stenting is allowed.
  5. Predilation before stenting, IVUS examination, and administration of glycoprotein IIb/IIIa inhibitor would be determined by investigator.
Andre navn:
  • using two drug eluting stent(XIENCE PRIME and RESOLUTE INTEGRITY)
Aktiv komparator: Small vessel arms
comparison of two different stents(Xience prime and Resolute integrity)
Fremgangsmåte: percutaneous coronary intervention using drug eluting stent

1. Intracoronary stenting

  1. The procedure could be conducted via brachial, radial or femoral approaches.
  2. There are no restrictions regarding lesion's length or diameter. For long lesions, overlapping of several stents would be allowed but only allocated type of stents should be used.
  3. When several lesions are included in the study of a patient, each lesion may be allocated in different groups. Only if deployment of the allocated stent is not possible, crossing to other stent would be allowed.
  4. Direct stenting or bifurcation stenting is allowed.
  5. Predilation before stenting, IVUS examination, and administration of glycoprotein IIb/IIIa inhibitor would be determined by investigator.
Andre navn:
  • using two drug eluting stent(XIENCE PRIME and RESOLUTE INTEGRITY)

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
in-segment late lumen loss (mm)at 12month
Tidsramme: 12month
12month

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
major adverse cardiac events(MACE) at 12month
Tidsramme: 12month

1) Occurrence of major adverse cardiac events (MACE) during 12 months

  • Cardiac death
  • Target vessel related myocardial infarction
  • Ischemia driven Target Vessel Revascularization (TVR)
  • Ischemia driven Target Lesion Revascularization (TLR)
  • Definite / probable stent thrombosis by ARC definition
12month
MACE at 24month
Tidsramme: 24month

2) Occurrence of major adverse cardiac events (MACE) during 24 months

  • Cardiac death
  • Target vessel related myocardial infarction
  • Ischemia driven Target Vessel Revascularization (TVR)
  • Ischemia driven Target Lesion Revascularization (TLR)
  • Definite / probable stent thrombosis by ARC definition
24month
procedure success rate
Tidsramme: 1 day (after procedure)
Procedure success rate proportion of investigational stent deployed successfully without chage to other stent
1 day (after procedure)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Chonbuk National University Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. juli 2011

Primær fullføring (Forventet)

1. juli 2013

Studiet fullført (Forventet)

1. juli 2013

Datoer for studieregistrering

Først innsendt

2. desember 2012

Først innsendt som oppfylte QC-kriteriene

18. desember 2012

Først lagt ut (Anslag)

19. desember 2012

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

19. desember 2012

Siste oppdatering sendt inn som oppfylte QC-kriteriene

18. desember 2012

Sist bekreftet

1. desember 2012

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Andre studie-ID-numre

  • The COPERES trial

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

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