PERVIDEO I Registry, The Lutonix Paclitaxel-Coated Balloon Catheter for the Treatment of Coronary In-Stent Restenosis (PERVIDEO I)
2017年1月12日 更新者: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.
研究概览
研究类型
介入性
注册 (实际的)
41
阶段
- 阶段2
- 阶段1
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
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Bad Nauheim、德国、61231
- Kerckhoff Klinik
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Essen、德国
- Westdeutsches Herzzentrum Essen
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Hamburg、德国、22527
- Alte Clinic Center for Cardiology
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Leipzig、德国
- Herzzentrum Leipzig GmbH
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Aalst、比利时、9300
- Onze Lieve Vrouw Ziekenhuis
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Amsterdam、荷兰
- Academic Medical Center
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Eindhoven、荷兰
- Catherina Ziekenhuis
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Nieuwegein、荷兰
- Sint Antonius Ziehenhuis
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
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;
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Lutonix 导管
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PTCA
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Percent Diameter Stenosis (%DS) in the Analysis Segment
大体时间:6 months
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6 months
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Change in Diameter Stenosis (%DS) From Post-procedure Through 6 Months
大体时间: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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Late Lumen Loss
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
赞助
调查人员
- 首席研究员:Laura Mauri, MD、Brigham & Women's Hospital, Boston, MA
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- 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.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2009年6月1日
初级完成 (实际的)
2010年10月1日
研究完成 (实际的)
2011年12月1日
研究注册日期
首次提交
2009年6月4日
首先提交符合 QC 标准的
2009年6月5日
首次发布 (估计)
2009年6月9日
研究记录更新
最后更新发布 (实际的)
2017年2月27日
上次提交的符合 QC 标准的更新
2017年1月12日
最后验证
2017年1月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.