Status:

NOT_YET_RECRUITING

The Safety and Efficacy of New-Generation BRS vs. DCB for De Novo Large Coronary Artery Lesions: A Prospective RCT

Lead Sponsor:

Xuzhou Third People's Hospital

Conditions:

Coronary Artery Disease(CAD)

de Novo Coronary Lesions

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

This study plans to enroll 150 patients who are candidates for "intervention without implantation" therapy and they will be randomly assigned in a 1:1 ratio to either the new-generation Firesorb scaff...

Eligibility Criteria

Inclusion

  • \- Radiography inclusion criteria
  • angiographically confirmed de novo coronary artery lesion;
  • target lesion stenosis must be ≥70% or ≥50% with clear evidence of myocardial ischaemia (visual assessment);
  • target lesion vessel diameter is between 2.75mm and 4.0mm, target lesion length must be ≤25mm (visual assessment);
  • either one or two target lesions to be treated; if two target lesions, they must be located in different target vessels;
  • successful target lesion preparation: residual stenosis ≤30%, no flow-restricting entrapment, and TIMI grade 3 flow; General inclusion criteria
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  • subjects at the age between ≥18 and ≤80 years old;
  • patients with symptoms or evidence of myocardial ischaemia;
  • subjects are willing to participate in the study, sign informed consent form, and accept clinical follow-up after operation.

Exclusion

  • 1\. in-stent lesions; 2. For the left main disease, chronic total occlusive lesions; 3. bifurcation lesion (reference vessel diameter of side branch vessels \> 2.0 mm); 4. Severely calcified lesions and tortuous lesions; lesions that have failed pretreatment; lesions unsuitable for balloon delivery and dilatation; 5. Previous use of any brand of drug-coated balloon in the target vessel. General inclusion criteria
  • Any patient with myocardial infarction within one month;
  • Patients with severe congestive heart failure (NYHA Level III severe heart failure) or severe valvular heart disease; or left ventricular ejection fraction of less than 40%;
  • Patients with stroke, peptic ulcer or gastrointestinal bleeding within the past 6 months; or patients with bleeding tendency or coagulation disorders;
  • Patients with severe liver failure (ALT and AST are larger than 3 times of the upper limit of normal value), who are judged to be not applicable to angiography by investigators;
  • Patients with severe renal failure(eGFR\<30ml/minute) or such medical history, failure to comply with angiography conditions;
  • Subjects who are intolerance or allergic to heparin, contrast agent, polyethylene oxide and polylactic acid - glycolic acid polymer;
  • Patients who plans to accept selective operation within 1 year;
  • Patients who are participating in the clinical trial of other drug or device without reaching the time limit of primary endpoint;
  • Subjects who are considered to be not applicable to be enrolled by investigators due to other reasons.

Key Trial Info

Start Date :

October 23 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 30 2028

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT07162792

Start Date

October 23 2025

End Date

December 30 2028

Last Update

September 9 2025

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