Status:

RECRUITING

DCB vs. DES in Bifurcation Coronary Lesions

Lead Sponsor:

Fondazione Ricerca e Innovazione Cardiovascolare ETS

Conditions:

Coronary Artery Disease

DCB

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This is an investigator-driven prospective, multicentric, international, randomized clinical study, in an open-label randomized fashion, where patients with bifurcation coronary artery disease (Medina...

Eligibility Criteria

Inclusion

  • Subject must be age ≥18 years.
  • Subject has silent ischemia, or stable/unstable angina, or acute MI older than 1-week from the onset of chest pain to admission.
  • Subject understands the trial design and treatment procedures and provides written informal consent before entering the trial
  • Subject is willing to comply with all protocol-required follow-up evaluations.
  • Target lesion must be native non-LM bifurcation lesion
  • Target lesion must be a bifurcation lesion on coronary angiography (defined as Medina 0,1,1, Medina 1,0,1, Medina 1,1,1 or Medina 0,0,1 coronary bifurcation lesions) and is eligible for percutaneous coronary intervention (PCI).
  • Target lesion reference vessel diameter (both main vessel and side branch)
  • 0 mm by visual estimation.
  • Target lesion must have visually estimated stenosis ≥50%.
  • Target lesion length of side branch must be \<25 mm by visual estimation.

Exclusion

  • Patient with STEMI (within 3 days from the onset of chest pain to coronarography).
  • Patient has known allergy to the study balloon/stent system.
  • Patient has any other serious medical illness that may reduce life expectancy to less than 12 months.
  • Patient is pregnant or nursing.
  • Patient is participating in another clinical trial that has not reached its primary endpoint within 24 months after the index procedure.
  • Patient has a planned procedure that may cause non-compliance with the protocol or confound data interpretation.
  • In-stent restenosis lesion.
  • Chronic total occlusion (CTO) lesion in either main vessel or side branch.
  • Left ventricular ejection fraction \<30%;
  • Visible and untreatable thrombus at lesion site;
  • Target lesion/vessel with any of the following characteristics:
  • Severe and/or \>270° calcification of the target vessel, also proximal to the lesion (intravascular imaging);
  • Bifurcation lesion where stent strategy is anticipated;
  • Left main stem stenosis \>50%;
  • Target lesion is in the left main stem;
  • Lesions length \>50 mm (main vessel)
  • Lesions length \>25 mm (side branch)

Key Trial Info

Start Date :

August 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2028

Estimated Enrollment :

321 Patients enrolled

Trial Details

Trial ID

NCT06551662

Start Date

August 1 2025

End Date

February 1 2028

Last Update

December 4 2025

Active Locations (17)

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Page 1 of 5 (17 locations)

1

Fondazione Ricerca e Innovazione Cardiovascolare

Milan, Italy

2

First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland

Gdansk, Poland

3

Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland

Katowice, Poland, 40-635

4

Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Kraków, Poland

Krakow, Poland

DCB vs. DES in Bifurcation Coronary Lesions | DecenTrialz