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Amsterdam Investigator-initiateD Absorb Strategy All-comers Trial (AIDA)

8. januar 2019 oppdatert av: J.J. Wykrzykowska, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Amsterdam Investigator-initiateD Absorb Strategy All-comers Trial (AIDA Trial): A Clinical Evaluation Comparing the Efficacy and Performance of ABSORB™ Everolimus Eluting Bioresorbable Vascular Scaffold Strategy Versus the XIENCE Family (XIENCE PRIME™ or XIENCE Xpedition™) Everolimus Eluting Coronary Stent Strategy in the Treatment of Coronary Lesions in Consecutive All-comers.

To evaluate the efficacy and performance in an all-comers contemporary population of the ABSORB bioresorbable vascular scaffolds (BVS) strategy versus the XIENCE family (XIENCE PRIME or XIENCE Xpedition) everolimus eluting coronary stent system in the treatment of coronary lesions.

Studieoversikt

Status

Ukjent

Detaljert beskrivelse

The AIDA trial is a prospective, randomized (1:1), active control, single blinded, four-center, all-comers, non-inferiority trial. A total of 1845 patients were enrolled. The study population includes both simple and complex lesions, as well as stable and acute coronary syndrome patients. The follow-up will continue for 5 years including clinical endpoint characteristics.

Studietype

Intervensjonell

Registrering (Faktiske)

1845

Fase

  • Ikke aktuelt

Kontakter og plasseringer

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

Studiesteder

      • Amsterdam, Nederland
        • Onze Lieve Vrouwe Gasthuis
      • Dordrecht, Nederland
        • Albert Schweitzer Hospital
      • Hilversum, Nederland
        • Tergooi Hospital
      • Leeuwarden, Nederland
        • Medical center Leeuwarden
    • Noord-Holland
      • Amsterdam, Noord-Holland, Nederland, 1105 AZ
        • AMC

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 og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Subject is an acceptable candidate for treatment with a drug-eluting stent in accordance with the applicable guidelines on percutaneous coronary interventions and the Instructions for Use of the ABSORB BVS strategy and XIENCE family.
  • Subject is able to verbally confirm understanding of risks, benefits and treatment alternatives of receiving the ABSORB BVS strategy and he/she or his/her legally authorized representative provides written informed consent prior to any Clinical Investigation related procedure, as approved by the appropriate Ethics Committee.

Exclusion Criteria:

  • Subject is younger than 18 years of age
  • Subject has a true bifurcation lesion where a priori two scaffold/stent strategy is planned.
  • Unsuccessful predilation of one or more of the planned lesion to be treated.
  • Planned treatment of in-stent restenosis of a previously placed metallic stent.
  • Subject has one or more lesion planned to be treated with a scaffold/stent diameter size smaller than 2.5 mm or greater than 4.0 mm.
  • Subject has one or more lesion planned to be treated with a stent/scaffold length greater than 70 mm and/or overlapping of four or more scaffolds/stents.
  • Subject has known hypersensitivity or contraindication to aspirin, both heparin and bivalirudin, antiplatelet medication specified for use in the study (clopidogrel, prasugrel and ticagrelor, inclusive), everolimus, poly (L-lactide), poly (DL-lactide), cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
  • Subjects pregnant or nursing subjects and those who plan pregnancy in the period up to 2 years following index procedure. (Female subjects of child-bearing potential must have a negative pregnancy test done within 28 days prior to the index procedure and contraception must be used during participation in this trial)
  • Subjects with a limited life expectancy less than one year.
  • Subjects with factors that impede clinical follow-up (e.g. no fixed abode).
  • Subject is already participating in another clinical investigation that has not yet reached its primary endpoint.
  • Subject is belonging to a vulnerable population (per investigator's judgment, e.g., subordinate hospital staff or sponsor staff) or subject unable to read or write.

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: ABSORB BVS™
Abbott Vascular ABSORB Everolimus Eluting Bioresorbable Vascular Scaffold System
Bioresorbable scaffold
Andre navn:
  • ABSORB BVS
  • BVS
  • ABSORBERE
  • ABSORB Everolimus Eluting Bioresorbable Vascular Scaffold
Aktiv komparator: XIENCE™
XIENCE PRIME everolimus eluting coronary stent system and the XIENCE Xpedition everolimus eluting coronary stent system
Drug eluting metallic stent
Andre navn:
  • DES
  • XIENCE PRIME
  • XIENCE Xpedition
  • XIENCE
  • Drug eluting stent

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Target Vessel Failure (TVF)
Tidsramme: 2 years

The primary composite endpoint is the device-oriented composite of target vessel failure (TVF):

  • Cardiac death
  • Myocardial Infarction (MI) (unless clearly attributable to a non target vessel)
  • Target vessel revascularization
2 years

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Device success
Tidsramme: 1 day
Successful delivery and deployment of the first study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system with attainment of final in-scaffold/stent residual stenosis of less than 20% by quantitative coronary angiography (QCA) and thrombolysis in myocardial infarction (TIMI) 3 flow grade of the treated vessel.
1 day
Procedural success
Tidsramme: 1 day
Achievement of final in-scaffold/stent residual stenosis of less than 20% by QCA and TIMI 3 flow grade of the treated vessel with successful delivery and deployment of at least one study scaffold/stent at the intended target lesion and successful withdrawal of the delivery system for all target lesions without the occurrence of cardiac death, target vessel MI or repeat Target Lesion Revascularization during the hospital stay.
1 day
Target vessel failure (TVF)
Tidsramme: 30 days, and 1, 3, 4 and 5 years
Cardiac death, MI (not clearly attributable to a nontarget vessel) or target vessel revascularization
30 days, and 1, 3, 4 and 5 years
Target lesion failure
Tidsramme: 30 days, and 1, 2, 3, 4 and 5 years
Cardiac death, MI (not clearly attributable to a nontarget vessel) or target lesion revascularization
30 days, and 1, 2, 3, 4 and 5 years
All revascularizations
Tidsramme: 5 year
5 year
Major adverse cardiac events
Tidsramme: 30 days, and 1, 2, 3, 4 and 5 years
All-cause mortality, any MI, any repeat revascularization
30 days, and 1, 2, 3, 4 and 5 years
All cause mortality
Tidsramme: 30 days, 1 year, 2, 3, 4 and 5 years
30 days, 1 year, 2, 3, 4 and 5 years
Myocardial Infarction
Tidsramme: 30 days, 1, 2, 3, 4 and 5 years
Q-wave Myocardial Infarction (QMI) and non Q-wave Myocardial Infarction (nonQMI)/target-vessel myocardial infarction (TVMI) and non-TVMI
30 days, 1, 2, 3, 4 and 5 years
Target Lesion Revascularization (TLR)
Tidsramme: 30 days, 1 year, 2, 3, 4 and 5 years
30 days, 1 year, 2, 3, 4 and 5 years
Target Vessel Revascularization (TVR)
Tidsramme: 30 days, 1 year, 2, 3, 4 and 5 years
30 days, 1 year, 2, 3, 4 and 5 years
Non-Target Vessel Revascularization (NTVR)
Tidsramme: 30 days, 1 year, 2, 3, 4 and 5 years
30 days, 1 year, 2, 3, 4 and 5 years
Scaffold/Stent Thrombosis
Tidsramme: 30 days, 1, 2, 3, 4 and 5 years
acute, subacute, late/definite and probable
30 days, 1, 2, 3, 4 and 5 years
Seattle Angina Questionnaire (SAQ)
Tidsramme: 1 year and 2 years
1 year and 2 years
Quality of Life Questionnaire (QOL)
Tidsramme: 1 year and 2 years
1 year and 2 years

Samarbeidspartnere og etterforskere

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

Etterforskere

  • Studieleder: Joanna Wykrzykowska, MD, PhD, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
  • Hovedetterforsker: Rob de Winter, MD, PhD, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
  • Hovedetterforsker: Jan Piek, MD, PhD, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
  • Hovedetterforsker: Jan Tijssen, PhD, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
  • Hovedetterforsker: Jose Henriques, MD, PhD, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

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. august 2013

Primær fullføring (Faktiske)

1. desember 2017

Studiet fullført (Forventet)

1. desember 2020

Datoer for studieregistrering

Først innsendt

10. mai 2013

Først innsendt som oppfylte QC-kriteriene

16. mai 2013

Først lagt ut (Anslag)

21. mai 2013

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

9. januar 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

8. januar 2019

Sist bekreftet

1. januar 2019

Mer informasjon

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