DEBlue Stent vs Cypher Stent in the Treatment of Advanced Coronary Artery Disease (PEPCADIII)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2009 by University Hospital, Saarland.
Recruitment status was  Active, not recruiting
Sponsor:
Collaborator:
B.Braun Vascular Systems, Berlin, Germany
Information provided by:
University Hospital, Saarland
ClinicalTrials.gov Identifier:
NCT00473772
First received: May 14, 2007
Last updated: February 19, 2009
Last verified: February 2009

May 14, 2007
February 19, 2009
July 2007
October 2008   (final data collection date for primary outcome measure)
late lumen loss [ Time Frame: 9 months ] [ Designated as safety issue: No ]
late lumen loss [ Time Frame: 9 months ]
Complete list of historical versions of study NCT00473772 on ClinicalTrials.gov Archive Site
  • MACE [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
  • MACE [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]
  • MACE [ Time Frame: 30 days ] [ Designated as safety issue: Yes ]
  • Binary restenosis rate [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
  • MACE [ Time Frame: 9 months ]
  • MACE [ Time Frame: 3 years ]
  • MACE [ Time Frame: 30 days ]
  • Binary restenosis rate [ Time Frame: 9 months ]
Not Provided
Not Provided
 
DEBlue Stent vs Cypher Stent in the Treatment of Advanced Coronary Artery Disease
Paclitaxel-Eluting PTCA-Balloon in Combination With the CoroflexTM Blue Stent vs the Sirolimus Coated CypherTM Stent in the Treatment of Advanced Coronary Artery Disease

The aim of the study is to assess the safety and efficacy of the Paclitaxel-eluting SeQuent Please S stent system (DEBlue) in the treatment of stenoses in native coronary arteries with nominal stent diameters between ≥ 2.5 mm and ≤ 3.5 mm and < 24 mm in length for procedural success and preservation of vessel patency in comparison to the Sirolimus-eluting CypherTM stent.

The incidence of in-stent restenosis after percutaneous coronary intervention varies between 5 and 35% after bare metal stenting and is as high as 19% after the implantation of a drug-eluting stent in patients at moderate risk. Restenosis due to neointimal hyperplasia is a slow process, suggesting that therapeutic local drug administration would need to be prolonged to be beneficial. Stent-based local drug delivery provides sustained drug release using special release technologies like polymer coating. However, cell culture experiments indicate that even brief contact between vascular smooth muscle cells and lipophilic taxane compounds can inhibit vascular smooth muscle cell proliferation for a long period. In experiments in swine, intracoronary delivery of paclitaxel by contrast media or by a drug-coated balloon catheter was found to result in vascular tissue concentrations capable of producing antiproliferative effects, thus leading to a significant reduction in neointimal proliferation. In these animal studies, the most pronounced reduction of neointimal formation was seen with paclitaxel-coated balloon catheters.

Interventional
Phase 1
Phase 2
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
Coronary Artery Disease
Device: DEBlue stent vs. Cypher stent
DES vs. DEB with BMS
  • Active Comparator: Cypher Stent
    Intervention: Device: DEBlue stent vs. Cypher stent
  • Experimental: DEBlue Stent
    Intervention: Device: DEBlue stent vs. Cypher stent

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
643
January 2011
October 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patients with stable or unstable angina or documented ischemia due to a significant lesion in a native coronary artery
  • Patients eligible for coronary revascularization by means of PCI
  • Intention to treat one lesion with one stent
  • Patients suitable for coronary revascularization of any sort (balloon angioplasty, device-assisted balloon-angioplasty, or coronary artery bypass grafting)
  • Patients must be ≥ 18 years of age
  • Women of childbearing potential may not be pregnant nor have the desire to becoming pregnant during the first year following the study procedure. Hence, patients will be advised to use an adequate birth control method up to and including 9 months follow-up
  • Patients who are mentally and linguistically able to understand the aim of the study and to show sufficient compliance in following the study protocol
  • Patients must agree to undergo the 9 months angiographic follow-up
  • Patients must agree to undergo the 1 and 3 year clinical follow-up
  • Patient is able to verbally acknowledge an understanding of the associated risks, benefits, and treatment alternatives to therapeutic options of this trial, e.g. balloon angioplasty by means of the Paclitaxel-eluting PTCA-balloon catheter in combination with the Coroflex BlueTM stent or the Sirolimus-eluting CypherTM stent. The patients, by providing informed consent, agree to these risks and benefits as stated in the patient informed consent document.
  • Significant stenoses in native coronary arteries with nominal stent diameters between ≥ 2.5 mm and ≤ 3.5 mm and < 24 mm in length

Exclusion Criteria:

  • Unprotected left main
  • In stent restenosis
  • Indication for more than one lesion to treat, even as staged procedure
  • Intended bifurcational stenting
  • Patients requiring chronic anticoagulation
  • SVG and AG
  • Acute MI (STEMI, NSTEMI)
  • Cardiogenic shock
  • Chronic total occlusions
  • Pregnancy
  • Patients with stand alone balloon angioplasty, or stent deployment 6 months prior to enrolment into this study
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Belgium,   Czech Republic,   France,   Germany,   Netherlands,   Spain,   Sweden,   United Kingdom
 
NCT00473772
BBM-VS-54
Yes
Dr. Michael Boxberger, B.Braun Vascular Systems, Berlin, Germany
University Hospital, Saarland
B.Braun Vascular Systems, Berlin, Germany
Principal Investigator: Bruno Scheller University of Saarland - Internal Medicine III, Homburg/Saar, Germany
Principal Investigator: Christian Hamm Kerckhoff-Clinic Bad Nauheim, Germany
University Hospital, Saarland
February 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP