Actively Recruiting

Phase Not Applicable
Age: 18Years - 110Years
All Genders
NCT05908331

MagicTouch for Treatment of In-Stent Restenosis in Coronary Artery Lesions

Led by Concept Medical Inc. · Updated on 2025-02-25

492

Participants Needed

28

Research Sites

219 weeks

Total Duration

On this page

Sponsors

C

Concept Medical Inc.

Lead Sponsor

C

Cardiovascular Research Foundation, New York

Collaborating Sponsor

AI-Summary

What this Trial Is About

A Prospective, Multicenter, Randomized, Two-Arm, Single-blind Superiority Trial to Evaluate the Safety and Efficacy of the MagicTouch™ Sirolimus- Coated Balloon in the Treatment of Coronary Drug-Eluting Stent In-Stent Restenosis. Subjects with prior DES implantation presenting with ISR lesions undergoing PCI will be randomized into two groups: treatment with the MagicTouch™ sirolimus-coated balloon or POBA on a 2:1 basis. Approximately 492 subjects will be enrolled in the randomized study in a maximum of 50 study sites located in the United States. The goal is to establish the safety and efficacy of the MagicTouch™ sirolimus- coated balloon in treatment of coronary in-stent restenosis (ISR).

CONDITIONS

Official Title

MagicTouch for Treatment of In-Stent Restenosis in Coronary Artery Lesions

Who Can Participate

Age: 18Years - 110Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Subject is at least 18 years old
  • Subject or legal guardian understands the trial and provides written informed consent
  • Patient has indication for PCI due to suspected in-stent restenosis
  • Non-target lesion PCI allowed if treated with approved devices before randomization
  • In-stent restenosis after drug-eluting stent implantation in target lesion
  • Target lesion stenosis at least 50% in symptomatic patients or at least 70% or evidence of ischemia in asymptomatic patients
  • Successful lesion preparation with residual stenosis less than 30% and no complications
  • Target lesion in native coronary artery with TIMI grade flow 1 or higher
  • Target reference vessel diameter between 2.0 and 4.0 mm
  • Target lesion length 36.0 mm or less, coverable by one balloon
  • One ISR target lesion treated per patient in a single major coronary artery or side branch
  • Other coronary lesions allowed if treated successfully prior to randomization
Not Eligible

You will not qualify if you...

  • STEMI within 72 hours prior to presentation
  • Non-ST elevation ACS with biomarkers not peaked
  • PCI within 24 hours before index procedure (except non-target lesions during procedure)
  • Prior drug-coated balloon treatment of target lesion ISR
  • Cardiogenic shock or requiring hemodynamic support
  • Subject is intubated
  • Left ventricular ejection fraction less than 30%
  • Contraindication to dual antiplatelet therapy for at least 1 month
  • Indication for chronic oral anticoagulation with contraindication to P2Y12 inhibitor
  • Significant peripheral arterial disease precluding femoral access
  • Hemoglobin less than 9 g/dL
  • Platelet count less than 100,000 or greater than 700,000 cells/mm3
  • White blood cell count less than 3,000 cells/mm3
  • Active infection under treatment
  • Clinically significant liver disease
  • Renal insufficiency with eGFR less than 30 ml/min
  • Active peptic ulcer or active bleeding requiring medical attention within 8 weeks
  • History of bleeding disorders or refusal of blood transfusions
  • Cerebrovascular accident within 3 months or permanent neurological defect from stroke
  • Known allergy to study device components or required medications
  • Co-morbid conditions reducing compliance or life expectancy under 24 months
  • Participation in another investigational drug or device trial not completed
  • Pregnant or breastfeeding women, or intending pregnancy within 12 months
  • Organ transplant recipient or listed for transplant
  • Recent or planned chemotherapy
  • Current oral or intravenous immunosuppressive therapy or life-limiting immunosuppressive/autoimmune disease
  • More than one ISR lesion in target vessel not treatable by single balloon
  • ISR lesion in segment with prior bare metal stent
  • Unprotected left main lesions over 50% or left main intervention
  • Primary PCI for STEMI
  • Coronary artery disease better treated by surgery
  • Lesions likely to require PCI within 12 months after index procedure
  • Prior brachytherapy or drug-coated balloon treatment of target lesion
  • Bifurcation restenosis involving both branches with side branch diameter over 2.0 mm
  • Lesions in arterial or vein grafts or distal to diseased grafts
  • Lesions with large thrombus or heavy calcification
  • Chronic total occlusions without adequate preparation or TIMI 3 flow
  • Diffuse distal disease with impaired runoff

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 28 locations

1

Cardiology, PC - Princeton Baptist Medical Center

Birmingham, Alabama, United States, 35211

Actively Recruiting

2

Dignity Health - Mercy Gilbert Medical Center

Gilbert, Arizona, United States, 85297

Actively Recruiting

3

Cedars - Sinai Medical Center

Los Angeles, California, United States, 90048

Actively Recruiting

4

Yale University / Yale New Haven Hospital

New Haven, Connecticut, United States, 06519

Actively Recruiting

5

Cheek-Powell Heart and Vascular Pavilion

Clearwater, Florida, United States, 33756

Actively Recruiting

6

Clearwater Cardiovascular and Interventional Consultants

Clearwater, Florida, United States, 33756

Actively Recruiting

7

The Cardiac & Vascular Institute Research Foundation

Gainesville, Florida, United States, 32605

Actively Recruiting

8

Tampa General Hospital / University of South Florida

Tampa, Florida, United States, 33606

Actively Recruiting

9

Atlanta VA Medical Center

Decatur, Georgia, United States, 30033

Actively Recruiting

10

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215

Not Yet Recruiting

11

Metropolitan Heart and Vascular Institute

Coon Rapids, Minnesota, United States, 55433

Not Yet Recruiting

12

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, United States, 55407

Actively Recruiting

13

Cardiology Associates Research, LLC

Tupelo, Mississippi, United States, 38801

Actively Recruiting

14

Cardiology Associates Research, LLC

Tupelo, Mississippi, United States, 38801

Actively Recruiting

15

AtlantiCare Regional Medical Center

Pomona, New Jersey, United States, 08240

Actively Recruiting

16

VA New York Harbor Healthcare System

New York, New York, United States, 10010

Actively Recruiting

17

NYU Langone Health

New York, New York, United States, 10016

Actively Recruiting

18

Columbia University Medical Center/NYPH

New York, New York, United States, 10032

Actively Recruiting

19

Montefiore Medical Center - Moses Division

The Bronx, New York, United States, 10467

Actively Recruiting

20

NC Heart and Vascular Research, LLC

Raleigh, North Carolina, United States, 27607

Not Yet Recruiting

21

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

22

Oklahoma University Health (OU Health)

Oklahoma City, Oklahoma, United States, 73104

Actively Recruiting

23

Providence St. Vincent Medical Center

Portland, Oregon, United States, 97225

Actively Recruiting

24

Prisma Health

Greenville, South Carolina, United States, 29605-5601

Actively Recruiting

25

Centennial Medical Center

Nashville, Tennessee, United States, 37203

Actively Recruiting

26

Baylor Scott and White Heart and Vascular Hospital

Dallas, Texas, United States, 75226

Actively Recruiting

27

Baylor Scott & White - The Heart Hospital - Plano

Plano, Texas, United States, 75093

Actively Recruiting

28

West Virginia University and Vascular Institute

Morgantown, West Virginia, United States, 26506

Actively Recruiting

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Research Team

D

Dario Gattuso

CONTACT

F

Farhana Siddique

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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