XIENCE V: SPIRIT WOMEN Sub-study
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| ClinicalTrials.gov Identifier: NCT01182428 |
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Recruitment Status :
Completed
First Posted : August 16, 2010
Results First Posted : July 13, 2012
Last Update Posted : August 7, 2012
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Sponsor:
Abbott Medical Devices
Information provided by (Responsible Party):
Abbott Medical Devices
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Brief Summary:
The purpose of this Clinical Evaluation is the continued assessment of the XIENCE Everolimus Eluting Coronary Stent System (XIENCE V® and XIENCE PRIME™ EECSS) with the primary focus on clinical outcomes in the treatment of female patients with de novo coronary artery lesions, and the characterization of the female population undergoing stent implantation with a XIENCE stent.
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Coronary Artery Stenosis Coronary Arteriosclerosis Coronary Artery Disease Coronary Artery Restenosis Total Coronary Occlusion Stent Thrombosis Vascular Disease Myocardial Ischemia | Device: XIENCE V®/ XIENCE PRIME™ Device: CYPHER SELECT | Phase 4 |
SPIRIT Women Randomized Sub-study is a prospective, single-blind, double arm, randomized multi-center sub-study comparing the XIENCE V® EECSS and XIENCE PRIME™ EESS to the CYPHER SELECT™ PLUS Sirolimus-eluting Coronary Stent in the treatment of female patients with coronary artery lesions.
The long term safety and efficacy of the XIENCE V EECSS have been demonstrated in the SPIRIT FIRST trial up to 5 years, the SPIRIT II trial up to 4 years, and in the SPIRIT III Randomized Control Trial (RCT) up to 3 years. In addition, these pre-approval studies have shown low rates of Target Vessel Failure and Major Adverse Cardiac Events (MACE) that were observed to plateau or gradually decline after about 1 year and were consistently lower than the comparator arm of each study. This benefit in MACE is sustained for up to 5 years and is also independent of the first year results.
The post approval SPIRIT V study demonstrated that the use of the XIENCE EECSS in complex lesions in a real-world population resulted in 1 year MACE, Stent Thrombosis and Target Lesion Revascularization rates that are comparable to those of the previously mentioned pre-approval studies which included patients with more restricted inclusion / exclusion criteria.
Therefore, based on existing data from these trials, Abbott Vascular has decided to discontinue further follow up in the SPIRIT Women study after 2 years.
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 455 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | Single (Participant) |
| Primary Purpose: | Treatment |
| Official Title: | A Clinical Evaluation of the XIENCE Everolimus Eluting Coronary Stent System in the Treatment of Women With de Novo Coronary Artery Lesions |
| Study Start Date : | September 2008 |
| Actual Primary Completion Date : | February 2011 |
| Actual Study Completion Date : | July 2011 |
| Arm | Intervention/treatment |
|---|---|
| Experimental: XIENCE V® / XIENCE PRIME™ |
Device: XIENCE V®/ XIENCE PRIME™
Coronary artery placement of a XIENCE V®/ XIENCE PRIME™ Everolimus Eluting Stent System |
| Active Comparator: CYPHER SELECT |
Device: CYPHER SELECT
XIENCE V® / XIENCE PRIME™ to CYPHER SELECT in female patients with de novo coronary artery lesions |
Primary Outcome Measures :
- Adjudicated Composite Rate of All Death, All MI and Target Vessel Revascularization (TVR). [ Time Frame: at 1 year ]This measure adds together all subjects who were determined by an expert panel to have died, had MI or had TVR as a result of their procedure.
- In-stent Late Loss (LL) (Main Secondary Endpoint) [ Time Frame: at 270 days ]In-stent Minimal Lumen Diameter (MLD)post-procedure - in-stent MLD at follow-up.
Secondary Outcome Measures :
- Clinical Device Success [ Time Frame: Intra-operative ]Successful delivery and deployment of the study stent at the intended target lesion and successful withdrawal of the stent delivery system.
- Clinical Procedure Success [ Time Frame: Intra-operative ]Successful delivery and deployment of the study stent or stents at the intended target lesion and successful withdrawal of the stent delivery system without adverse cardiac events.
- Adjudicated Stent Thrombosis (Definite, Probable) [ Time Frame: < 1 day (Acute) ]
- Adjudicated Stent Thrombosis (Definite, Probable) [ Time Frame: 1 to 30 days (Sub-Acute) ]
- Adjudicated Stent Thrombosis (Definite, Probable) [ Time Frame: 30 days to 1 year (Late) ]
- Adjudicated Stent Thrombosis (Definite, Probable, Possible) [ Time Frame: 30 days to 1 year (Late) ]
- Adjudicated Composite Rate of Cardiac Death, MI Attributed to the Target Vessel and Clinically Indicated Target Lesion Revascularization (CI-TLR). [ Time Frame: at 30 days ]
- Adjudicated Composite Rate of Cardiac Death, MI Attributed to the Target Vessel and CI-TLR. [ Time Frame: at 240 days ]
- Adjudicated Composite Rate of Cardiac Death, MI Attributed to the Target Vessel and CI-TLR. [ Time Frame: at 1 year ]
- Adjudicated Composite Rate of All Death, All MI and Target Vessel Revascularization (TVR). [ Time Frame: at 30 days ]
- Adjudicated Composite Rate of All Death, All MI and Target Vessel Revascularization (TVR). [ Time Frame: at 240 days ]
- Adjudicated Composite Rate of All Death, All MI and All Revascularization (TLR/TVR/Non TVR). [ Time Frame: at 30 days ]
- Adjudicated Composite Rate of All Death, All MI and All Revascularization (TLR/TVR/Non TVR). [ Time Frame: at 240 days ]
- Adjudicated Composite Rate of All Death, All MI and All Revascularization (TLR/TVR/Non TVR). [ Time Frame: at 1 year ]
- Adjudicated Cardiac Death, Non-Cardiovascular Death, Vascular Death, Q-wave MI and Non Q-wave MI (Peri-Procedural, Unrelated to PCI). [ Time Frame: at 30 days ]
- Adjudicated Cardiac Death, Non-Cardiovascular Death, Vascular Death, Q-wave MI and Non Q-wave MI (Peri-Procedural, Unrelated to PCI). [ Time Frame: at 240 days ]
- Adjudicated Cardiac Death, Non-Cardiovascular Death, Vascular Death, Q-wave MI and Non Q-wave MI (Peri-Procedural, Unrelated to PCI). [ Time Frame: at 1 year ]
- In-segment Late Loss (LL) [ Time Frame: at 270 days ]LL = Minimal Lumen Diameter (MLD) post-procedure minus MLD at follow-up
- In-stent Angiographic Binary Restenosis Rates [ Time Frame: at 270 days ]Only a certain number of patients were required to have angiographic follow-up. Percent of subjects with a follow-up in-stent percent diameter stenosis of ≥ 50% per quantitative coronary angiography (QCA).
- In-segment Angiographic Binary Restenosis Rates [ Time Frame: at 270 days ]Only a certain number of patients were required to have angiographic follow-up. Percent of subjects with a follow-up in-stent percent diameter stenosis of ≥ 50% per quantitative coronary angiography (QCA).
- In-stent Percent Diameter Stenosis [ Time Frame: at 270 days ]
- In-segment Percent Diameter Stenosis [ Time Frame: at 270 days ]
- Adjudicated Revascularization (TLR/TVR/All Revascularizations) [ Time Frame: at 30 days ]Composite of Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), all revascularizations
- Adjudicated Revascularization (TLR/TVR/All Revascularizations) [ Time Frame: at 240 days ]Composite of Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), all revascularizations
- Adjudicated Revascularization (TLR/TVR/All Revascularizations) [ Time Frame: at 1 year ]Composite of Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), all revascularizations
- Aneurysm [ Time Frame: at 270 days ]All subjects with aneurysm of the target lesion up to the 270 day follow-up visit
- Thrombus [ Time Frame: at 270 days ]All subjects with thrombus of the target lesion up to the 270 day follow-up visit
- Persisting Dissection [ Time Frame: at 270 days ]All subjects with persisting dissection of the target lesion up to the 270 day follow-up visit
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| Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Criteria
General Inclusion Criteria:
- Patient must be female.
- Patient must be at least 18 years of age.
- Patient is able to verbally confirm understanding of risks, benefits and treatment alternatives and she or her legally authorized representative provides written informed consent prior to any study related procedure, as approved by the appropriate Medical Ethics Committee of the respective clinical site.
- Patient must have evidence of myocardial ischemia (e.g., stable or unstable angina, silent ischemia, positive functional study or a reversible change in the electrocardiogram (ECG) consistent with ischemia).
- Patient must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
- Patient must agree to undergo all protocol-required follow-up examinations.
- Patients of childbearing potential must have had a negative pregnancy test within 7 days before treatment, and must not be nursing at the time of treatment.
Angiographic Inclusion Criteria:
- Patients' artery morphology and disease is suitable to be optimally treated with a maximum of 4 planned study stents.
- Target lesions must be de novo lesions (no prior stent implant, no prior brachytherapy).
- Target vessel reference diameter must be between 2.5 mm and 4.0 mm by visual estimate. The diameter range will be expanded to 2.25 mm when the 2.25 mm stent is available.
- Target lesion greater than or equal to 28 mm in length by visual estimate.
General Exclusion Criteria:
- Patient has other medical illness (e.g., cancer or congestive heart failure) or known history of substance abuse (alcohol, cocaine, heroin etc.) that may cause non-compliance with the clinical investigation plan, confound the data interpretation or is associated with a limited life expectancy (i.e., less than one year).
- Patient has a known hypersensitivity or contraindication to aspirin, either heparin or bivalirudin, both clopidogrel and ticlopidine, everolimus, cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
- Participation in another device or drug study or has completed the follow-up phase of another study within the last 30 days.
- Patient who is judged to have a lesion that prevents complete inflation of an angioplasty balloon.
- Patient has had a previous stent implant, either Bare Metal Stent (BMS) or Drug Eluting Stent (DES) within the target vessel(s)
Information from the National Library of Medicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01182428
Locations
Show 25 study locations
Sponsors and Collaborators
Abbott Medical Devices
Investigators
| Principal Investigator: | Marie-Claude Morice | Institut Cardiovasculaire Paris Sud (ICPS), Paris, France | |
| Principal Investigator: | Stephan Windecker | University Hospital Bern, Bern, Switzerland |
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Abbott Medical Devices |
| ClinicalTrials.gov Identifier: | NCT01182428 |
| Other Study ID Numbers: |
07-377 sub-study |
| First Posted: | August 16, 2010 Key Record Dates |
| Results First Posted: | July 13, 2012 |
| Last Update Posted: | August 7, 2012 |
| Last Verified: | July 2012 |
Keywords provided by Abbott Medical Devices:
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Stents Angioplasty Total coronary occlusions |
Coronary restenosis Stent thrombosis Everolimus |
Additional relevant MeSH terms:
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Coronary Artery Disease Myocardial Ischemia Thrombosis Vascular Diseases Arteriosclerosis Coronary Stenosis Coronary Occlusion Coronary Restenosis |
Ischemia Coronary Disease Heart Diseases Cardiovascular Diseases Arterial Occlusive Diseases Pathologic Processes Embolism and Thrombosis |