Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT06657326

LEADERS FREE IV (RCT): BioFreedom™ Ultra vs BioFreedom™ in HBR Patients

Led by Biosensors Europe SA · Updated on 2025-06-05

444

Participants Needed

6

Research Sites

310 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study aims to demonstrate that the BioFreedom™ Ultra Drug Coated Stent (DCS) is non-inferior to the BioFreedom™ DCS, with respect to in-stent late lumen loss, and that it has safety characteristics similar to the BioFreedom™ DCS.

CONDITIONS

Official Title

LEADERS FREE IV (RCT): BioFreedom™ Ultra vs BioFreedom™ in HBR Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients at high bleeding risk (HBR) with indication for PCI who can tolerate at least one month of dual antiplatelet therapy (DAPT), including those with stable angina, silent ischemia, or acute coronary syndromes (STEMI and NSTEMI)
  • Patients with de novo lesions in native arteries having diameter stenosis greater than 70% by visual estimation and evidence of ischemia in the target vessel territory
  • Patients meeting the ARC-HBR definition with at least 1 major or 2 minor criteria
Not Eligible

You will not qualify if you...

  • Pregnant and breastfeeding women
  • Age under 18 years
  • Patients lacking capacity to provide informed consent (e.g., dementia)
  • Patients unlikely to comply with one month of DAPT
  • Active bleeding at the time of inclusion
  • Procedures requiring non-study stents or therapeutic options not followed by stent implantation
  • More than 2 target lesions
  • Need for stent diameter less than 2.25 mm or greater than 4.0 mm
  • Isolated ostial lesions within 3 mm of the origin of LAD or LCx (except left main lesions involving these ostia)
  • Known left ventricular ejection fraction less than 30%
  • Chronic total occlusion as target lesion(s)
  • Severe calcification preventing stent expansion unless pre-treated with plaque modification device
  • Cardiogenic shock
  • Unlikely compliance with long-term single antiplatelet therapy
  • Known hypersensitivity or contraindications to aspirin, clopidogrel or other P2Y12 inhibitors, cobalt chromium, stainless steel, zinc, Biolimus A9™, or contrast media not adequately pre-medicated
  • PCI within the previous 12 months
  • Participation in another clinical study within 12 months after index procedure
  • Life expectancy less than 12 months

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 6 locations

1

Hospital Sultanah Aminah

Johor Bahru, Johor, Malaysia

Actively Recruiting

2

Hospital Tengku Ampuan Afzan

Kuantan, Pahang, Malaysia

Actively Recruiting

3

Hospital Raja Permaisuri Bainun

Ipoh, Perak, Malaysia

Actively Recruiting

4

Hospital Queen Elizabeth II

Kota Kinabalu, Sabah, Malaysia

Actively Recruiting

5

Pusat Jantung Hospital Umum Sarawak

Kota Kinabalu, Sarawak, Malaysia

Actively Recruiting

6

Hospital Serdang

Kajang, Selangor, Malaysia

Actively Recruiting

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Research Team

K

Kar Imm Ang, MSc.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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