e-NOBORI Observational Registry of Nobori DES
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Purpose
Title Prospective, single-arm, multi-centre, observational registry to further validate safety and efficacy of the Nobori® DES in real-world patients.
Objective Primary objective The primary objective of e-NOBORI registry is to further validate the safety and efficacy of Nobori® DES system in unselected patients representing everyday clinical practice.
Primary Endpoint: Freedom from Target Lesion Failure (TLF) defined as a composite of cardiac death, target vessel related myocardial infarction (MI) and clinically driven target lesion revascularization (TLR) at 1 year
| Condition |
|---|
|
Percutaneous Coronary Intervention |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Crossover Time Perspective: Prospective |
| Official Title: | Prospective, Single-Arm, Multi-Centre, Observational Registry to Further Validate Safety and Efficacy of the Nobori DES in Real-World Patients |
- FREEDOM OF TARGET LESION FAILURE [ Time Frame: 1 YEAR ] [ Designated as safety issue: Yes ]TLF: COMPOSITE OF CARDIAC DEATH, MYOCARDIAL INFARCTION AND TARGET LESION REVASCULARIZATION
- Procedural success [ Time Frame: 1 MONTH ] [ Designated as safety issue: No ]
- Device success [ Time Frame: 1 MONTH ] [ Designated as safety issue: No ]
- Acute/subacute stent thrombosis [ Time Frame: 1 MONTH ] [ Designated as safety issue: Yes ](definite/probable according to ARC definitions)
- Peri-procedural myocardial infarction [ Time Frame: 1 MONTH ] [ Designated as safety issue: Yes ]
- Rate of Major Adverse Cardiac Events (MACE) [ Time Frame: 1 MONTH ] [ Designated as safety issue: Yes ]Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, MI or clinically driven target vessel revascularization (TVR)
- Major vascular and bleeding complications [ Time Frame: 1 MONTH ] [ Designated as safety issue: No ]NOT CABG RELATED
- Cardiac death/ Myocardial Infarction [ Time Frame: 1 AND 2 YEARS ] [ Designated as safety issue: Yes ]
- Clinically driven target lesion revascularization (TLR) [ Time Frame: 1 & 2 YEARS ] [ Designated as safety issue: Yes ]re-PCI or CABG involving target lesion
- Stent thrombosis [ Time Frame: 1 AND 2 YEARS ] [ Designated as safety issue: Yes ](definite/probable; ARC definition)
- Clinically driven target vessel revascularization (TVR) [ Time Frame: 1 AND 2 YEARS ] [ Designated as safety issue: Yes ]PCI AND CABG
- Target Lesion Failure (TLF) [ Time Frame: 1 MONTH AND 2 YEARS ] [ Designated as safety issue: Yes ]Defined as a composite of cardiac death, target vessel related myocardial infarction (MI) and clinically driven target lesion revascularization
- Patient Oriented Composite Endpoint defined as any cause of mortality, MI (Q-wave and non Q-wave), or any TVR [ Time Frame: 1 MONTH, 1 AND 2 YEARS ] [ Designated as safety issue: Yes ]
- Composite Endpoint of Cardiac death and MI [ Time Frame: 1 MONTH, 1 AND 2 YEARS ] [ Designated as safety issue: Yes ]
- Composite Endpoint of Cardiac death and post-procedural MI [ Time Frame: 1 month, 1 and 2 years post-procedure ] [ Designated as safety issue: Yes ]
- Stent thrombosis [ Time Frame: 1 month, 1 and 2 years post-procedure ] [ Designated as safety issue: Yes ]definite and probable according to ARC definitions
- Primary Stent thrombosis [ Time Frame: 1 month, 1 and 2 years post-procedure ] [ Designated as safety issue: Yes ]definite and probable according to ARC definitions
- Secondary Stent thrombosis [ Time Frame: 1 month, 1 and 2 years post-procedure ] [ Designated as safety issue: Yes ]definite and probable according to ARC definitions
- Duration of dual antiplatelet therapy [ Time Frame: UP TO 2 YEARS ] [ Designated as safety issue: No ]
- Composite Endpoint of Cardiac death, post-procedural MI and stent thrombosis rate during the course of DAT versus the same events after cessation of DAT [ Time Frame: UP TO 2 YEARS ] [ Designated as safety issue: Yes ]
- Clinically driven Target Lesion Revascularization [ Time Frame: 1 MONTH ] [ Designated as safety issue: Yes ]
- Clinically driven Target Vessel Revascularization [ Time Frame: 1 MONTH ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 8000 |
| Study Start Date: | August 2010 |
| Estimated Study Completion Date: | March 2015 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
| Stable angina |
| Acute Coronary Syndrome |
| Female |
| Bifurcation |
| Insulin Dependent Diabetes Mellitus |
| Non-Insulin Dependent Diabetes Mellitus |
|
Small Vessels
vessels smaller or equal to 2.75mm
|
|
NOBORI Long Lesions
Lesions longer or equal to 20mm
|
| Renal Insufficiency |
|
Elderly
Patients more or equal 80 years old
|
| Restenosis |
| Multivessel Treatment |
| Complex Lesions |
| Overall |
Detailed Description:
- Title Prospective, single-arm, multi-centre, observational registry to further validate safety and efficacy of the Nobori® DES in real-world patients.
- Primary objective The primary objective of e-NOBORI registry is to further validate the safety and efficacy of Nobori® DES system in unselected patients representing everyday clinical practice.
- Primary Endpoint: Freedom from Target Lesion Failure (TLF) defined as a composite of cardiac death, target vessel related myocardial infarction (MI) and clinically driven target lesion revascularization (TLR) at 1 year
- Clinical Site Locations:
Up to 200 centres across Europe, Asia and Central and South America
-Patient Population : ~8000 eligible patients suitable for treatment with the Nobori® DES will be entered in the e-NOBORI registry
Eligibility Criteria
- Patient is more or equal 18 years old;
- Patient is, according to hospital routine practice, eligible for percutaneous coronary intervention using DES (and RVD matches available Nobori® DES sizes);
- Patient has been informed of the nature of the study and agrees to its provisions, has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the respective clinical site, wherever such requirement exists.
NOTE: In order to avoid bias it is recommended that all investigators aim to enrol all consecutive patients complying with study eligibility criteria. It is also desirable to have at least two cardiologists as investigators in each centre.
According to pre-specified criteria, patients will be automatically allocated to one or more sub-studies as following:
- NOBORI Acute Coronary Syndrome
- NOBORI Stable angina
- NOBORI Female
- NOBORI Bifurcation
NOBORI Diabetes
- Insulin Dependent Diabetes Mellitus (IDDM)
- Non-Insulin Dependent Diabetes Mellitus (NIDDM)
- NOBORI Small Vessels (less or equal 2.75mm)
- NOBORI Long Lesions (more or equal 20mm)
- NOBORI Renal Insufficiency (> 2.0 mg/dL - 176 µmol/mL)
- NOBORI Elderly (more or equal 80 years of age)
- NOBORI Restenosis
- NOBORI Multivessel Treatment
- NOBORI Complex Lesions
In addition to above mentioned sub-studies there will be geographic sub-studies for the main areas.
Medication Pre-Procedure: According to hospital routine practice Post-Procedure: Mandatory antiplatelet treatment, according to hospital routine practice (minimum 6 months DAT)
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients suitable for PCI intervention
Inclusion Criteria:
- Patient is more or equal 18 years old;
- Patient is, according to hospital routine practice, eligible for percutaneous coronary intervention using DES (and RVD matches available Nobori® DES sizes);
- Patient has been informed of the nature of the study and agrees to its provisions, has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the respective clinical site, wherever such requirement exists.
Exclusion Criteria:
- None
Contacts and Locations| Contact: Dragica Paunovic, Dr | dragica.paunovic@terumo-europe.com |
Show 81 Study Locations| Study Chair: | Dragica Paunovic, Dr. | Terumo Europe |
More Information
Publications:
| Responsible Party: | Terumo Europe N.V. |
| ClinicalTrials.gov Identifier: | NCT01261273 History of Changes |
| Other Study ID Numbers: | T113E2 |
| Study First Received: | December 14, 2010 |
| Last Updated: | December 6, 2012 |
| Health Authority: | Hungary: National Institute of Pharmacy |
Keywords provided by Terumo Europe N.V.:
|
PCI observational registry |
ClinicalTrials.gov processed this record on June 18, 2013