Status:

COMPLETED

Zotarolimus-Eluting Stent Versus Sirolimus-Eluting Stent and PacliTaxel-Eluting Stent for Coronary Lesions

Lead Sponsor:

Seung-Jung Park

Collaborating Sponsors:

Medtronic Vascular

Conditions:

Coronary Artery Disease

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is to establish the safety and long-term effectiveness of coronary stenting with the ABT 578-eluting balloon expandable stent (Medtronic, Minneapolis, MN) vs. the sirolimus-e...

Detailed Description

Previous studies have documented that a slow-release polymeric sirolimus-eluting stent (Cypher, Cordis) and paclitaxel-eluting stent (Taxus, Boston Scientific) reduce neointimal formation and result i...

Eligibility Criteria

Inclusion

  • The patient must be at least 18 years of age.
  • Significant coronary artery stenosis (\>50% by visual estimate)
  • Patients with stable (CCS class 1 to 4) or acute coronary syndromes (unstable angina pectoris class IB, IC, IIB, IIC, IIIB, IIIC or NSTEMI) or patients with atypical chest pain or without symptoms but having documented myocardial ischemia, amenable to stent-assisted percutaneous coronary intervention
  • The patient or guardian agrees to the study protocol and the schedule of clinical and angiographic follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.

Exclusion

  • The patient has a known hypersensitivity or contraindication to any of the following medications:
  • • Heparin, Aspirin, Both Clopidogrel and Ticlopidine, Sirolimus, paclitaxel, ABT 578, Stainless steel and/or Contrast media (patients with documented sensitivity to contrast which can be effectively pre-medicated with steroids and diphenhydramine \[e.g. rash\] may be enrolled. Patients with true anaphylaxis to prior contrast media, however, should not be enrolled).
  • Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrollment into this study.
  • Current known current platelet count \<100,000 cells/mm3 or Hgb \<10 g/dL.
  • An elective surgical procedure is planned that would necessitate interruption of antiplatelet drugs during the first 12 months post enrollment.
  • Non-cardiac co-morbid conditions are present with life expectancy \<1 year or that may result in protocol non-compliance (per site investigator's medical judgment).
  • Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period.
  • Patients who have target lesion of in-stent restenosis at the stented segment of drug-eluting stent (in-stent restenosis of bare metal stent can be included).
  • Patients with EF\<30%.
  • Patients with cardiogenic shock
  • Acute STEMI patients within symptom onset \< 12 hours needing primary angioplasty
  • Creatinine level \> 3.0mg/dL or dependence on dialysis.
  • Severe hepatic dysfunction (AST and ALT \> 3 times upper normal reference values).
  • Patients with left main stem stenosis (\>50% by visual estimate)

Key Trial Info

Start Date :

October 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2009

Estimated Enrollment :

2645 Patients enrolled

Trial Details

Trial ID

NCT00418067

Start Date

October 1 2006

End Date

January 1 2009

Last Update

August 21 2012

Active Locations (20)

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Page 1 of 5 (20 locations)

1

Soonchunhyang University Bucheon Hospital

Bucheon-si, South Korea

2

Daegu Catholic University Medical Center

Daegu, South Korea

3

Keimyung University Dongsan Medical Center

Daegu, South Korea

4

Kyungpook National University Hospital

Daegu, South Korea