Actively Recruiting
Comparison of PROVISIONal 1-stent Strategy with DEB Versus Planned 2-stent Strategy in Coronary Bifurcation Lesions.
Led by Saint Vincent's Hospital, Korea · Updated on 2025-02-10
750
Participants Needed
1
Research Sites
277 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
\[The Purpose of the Clinical Study\] The purpose of this randomized comparison study is to compare the 1-stent strategy with a drug-eluting balloon and the 2-stent strategy in patients with non-LM coronary true-bifurcation lesions. \[Hypothesis\] In this study, the researchers intend to verify the hypothesis that the 1-stent strategy with a drug-eluting balloon is non-inferior to the 2-stent strategy in terms of target lesion failures (cardiac death, target vessel MI, or target vessel revascularization).
CONDITIONS
Official Title
Comparison of PROVISIONal 1-stent Strategy with DEB Versus Planned 2-stent Strategy in Coronary Bifurcation Lesions.
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 19 years or older
- Patients with visually confirmed branched vessel diameters between 2.25 and 2.75 mm, where the main vessel diameter is at least 2.5 mm
- Presence of a true bifurcation lesion classified as Medina (1,1,1), (1,0,1), or (0,1,1)
- De novo lesion in the involved vessels
- Patients with stable angina, unstable angina, or non-ST segment elevation myocardial infarction at least 24 hours after last treatment
- Patients who understand the study groups, risks, and have given informed consent themselves or via legal representatives
You will not qualify if you...
- Patients with ST-segment elevation myocardial infarction
- Patients with left main coronary true-bifurcation lesions
- Patients deemed unsuitable for 2-stent strategy by the treatment provider due to clinical conditions
- Patients with contraindications to aspirin or P2Y12 inhibitors (ticagrelor or clopidogrel)
- Patients experiencing psychogenic shock at admission or severe left ventricular insufficiency (ejection fraction less than 30%)
- Patients requiring long-term anticoagulant treatment (warfarin or new oral anticoagulants)
- Patients with active bleeding or high risk of major bleeding, including active peptic ulcers, gastrointestinal lesions, or malignant tumors
- Patients with history of intracerebral hemorrhage or aneurysm
- Patients scheduled for surgery requiring antiplatelet therapy within six months
- Patients with severe liver disease (abdominal effusion), platelet count below 80,000 cells/mm3, or hemoglobin below 10 g/dL
- Patients at risk of bradycardia without permanent pacemaker and with grade 2 or higher atrioventricular block
- Pregnant or breastfeeding patients
- Patients with less than one year life expectancy due to comorbidities
- Patients enrolled in other randomized clinical studies with unresolved primary endpoints
- Patients who have not signed informed consent or cannot be followed long-term
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
St. Vincent's Hospital , the Catholic University
Suwon, Gyeonggi-do, South Korea, 16247
Actively Recruiting
Research Team
S
Sung-Ho Her, MD. PhD.
CONTACT
K
Kyusup Lee, MD. PhD.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
CROSSOVER
Primary Purpose
TREATMENT
Number of Arms
2
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