Initial Study of a MOTHER-DAUGHTER SIDE-BRANCH ACCESS™ DES System (FIH Feasibility Study)
Initial Study of a MOTHER-DAUGHTER SIDE-BRANCH ACCESS™ DES System for Bifurcation Lesions (First-in-Human, Feasibility Study)
研究概览
详细说明
This is a prospective, single-arm, single-center initial feasibility clinical study enrolling subjects with symptomatic ischemic heart disease due to a de novo coronary bifurcation lesion. The objective is to obtain initial insights into the clinical safety of the device-specific aspects of the procedure; whether the device can be successfully delivered and implanted; whether there are any operator technique challenges with device use; human factors; clinical safety of the device and whether the device performs in accordance with its intended purpose.
All enrolled subjects will be treated with the study device during the index procedure and followed after treatment to assess procedural success, clinical safety, and device performance. Follow-up is conducted through 3 years.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Asunción、巴拉圭
- Cirugía Cardiovascular, Sanatorio Italiano
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
Be 21 years of age or older. Have symptomatic ischemic heart disease or objective evidence of reduced blood flow to the heart.
Be eligible for PCI, also known as coronary stenting. Have a new coronary artery narrowing involving a branch point that meets the study's angiographic requirements.
Be willing and able to complete study follow-up. Be able to provide written informed consent. If able to become pregnant, have a negative pregnancy test before the procedure and agree not to become pregnant or breastfeed for 1 year.
Exclusion Criteria:
Are currently participating in another investigational drug or device study that could interfere with this study.
Had a coronary intervention within 30 days before the planned study procedure. Need a planned additional coronary procedure soon after the study procedure. Had a prior stent placed close to the target lesion. Have a target lesion that requires certain other treatment devices before stent placement, other than balloon angioplasty or intravascular lithotripsy.
Have a serious medical condition that could limit participation, follow-up, or interpretation of the study results.
Have a life expectancy of less than 3 years. Have a condition requiring chronic immunosuppressive therapy or have a severe autoimmune or immunosuppressive condition.
Have significantly reduced heart pumping function. Had a recent acute heart attack, unless certain laboratory values have returned to acceptable levels.
Had a stroke or transient ischemic attack within the past 6 months. Have certain abnormal blood test results, including low white blood cell count, low neutrophil count, low platelet count, or significantly reduced kidney function.
Have active stomach or intestinal bleeding, active peptic ulcer disease, a bleeding disorder, or cannot receive blood transfusions.
Have a known allergy or contraindication to required medications, contrast dye, or study device materials that cannot be adequately managed.
Are pregnant, breastfeeding, or planning to become pregnant within 1 year after the study procedure.
Have coronary anatomy that is not suitable for the study device, as determined during coronary angiography (This may include blood clot in the target lesion, severe vessel tortuosity, severe calcification, certain lesion locations, or other significant disease in the target vessel).
Are unable or unwilling, in the opinion of the study doctor, to comply with the study requirements.
学习计划
研究是如何设计的?
设计细节
- 主要用途:设备可行性
- 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:Patients with coronary bifurcation lesions
Patients undergoing PCI to treat a bifurcation lesion
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The MD-SBA DES System is a single use, minimally invasive combination product that consists of a cobalt chromium metal coronary stent, coated with sirolimus in a PEA/BHT matrix, on a rapid exchange (RX) delivery system.
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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Procedure Success
大体时间:Periprocedural
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To determine whether the device can be successfully delivered and implanted, as measured by attainment of <30% final residual stenosis of the target lesion and no in-hospital major adverse cardiac events (MACE).
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Periprocedural
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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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MACE
大体时间:30-days, 6-months, 1-year, 2-years, and 3-years post index procedure
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Percentage of subjects with major adverse cardiac events, defined as cardiac death, myocardial infarction, emergency coronary artery bypass surgery, or clinically driven target lesion revascularization.
Components of MACE, including cardiac death and myocardial infarction, may also be summarized.
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30-days, 6-months, 1-year, 2-years, and 3-years post index procedure
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TVF
大体时间:30-days, 6-months, 1-year, 2-years, and 3-years post index procedure
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Percentage of subjects with target vessel failure, defined as cardiac death, target vessel myocardial infarction, or clinically driven target vessel revascularization.
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30-days, 6-months, 1-year, 2-years, and 3-years post index procedure
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Target Lesion Revascularization of the Side Branch
大体时间:30-days, 6-months, 1-year, 2-years, and 3-years post index procedure
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Percentage of subjects requiring repeat treatment of the side branch by percutaneous or surgical methods.
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30-days, 6-months, 1-year, 2-years, and 3-years post index procedure
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Stent thrombosis
大体时间:6-months, 1-year, 2-years, and 3-years post index procedure
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Percentage of subjects with late stent thrombosis.
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6-months, 1-year, 2-years, and 3-years post index procedure
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Acute Success
大体时间:Index procedure
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Percentage of subjects with successful device delivery and target lesion treatment, including final residual stenosis <30% and adequate side branch flow.
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Index procedure
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Side Branch Access
大体时间:Index procedure
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Percentage of subjects with TIMI-3 flow in the side branch and/or need to re-cross the side branch after study device use.
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Index procedure
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Bleeding / Vascular Complications
大体时间:Hospital discharge
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Percentage of subjects with bleeding or vascular complications.
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Hospital discharge
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Procedure Time
大体时间:Index procedure
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Duration of the index procedure in minutes
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Index procedure
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Fluoroscopy Time
大体时间:Index procedure
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Total fluoroscopy duration during index procedure in minutes
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Index procedure
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Contrast Volume
大体时间:Index procedure
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Total volume of contrast media used during index procedure in milliliters
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Index procedure
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合作者和调查者
调查人员
- 研究主任:Randy E David, PhD、Advanced Bifurcation Systems Inc.
- 学习椅:Mehran Khorsandi, MD、Advanced Bifurcation Systems Inc.
- 首席研究员:Adrian Ebner, MD、Sanatorio Italiano, Asunción, Paraguay
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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