Elixir Medical Clinical Evaluation of the Novolimus-Eluting Coronary Stent System: A Randomized Study With a Single-Arm Registry "EXCELLA II STUDY"
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Purpose
Randomized Study To evaluate the safety and effectiveness of the Elixir Medical Novolimus-Eluting Coronary Stent System with Durable Polymer through the assessment of clinical, angiographic and IVUS endpoints as compared to the concurrently enrolled Medtronic Zotarolimus-Eluting Coronary Stent System in a randomized, single blind study of up to 200 male and female patients.
Single-Arm Registry To evaluate the safety and effectiveness of the Elixir Medical Novolimus-Eluting Coronary Stent System with Bioabsorbable Polymer through the assessment of clinical, angiographic and IVUS endpoints as compared to the Endeavor control in a single-arm registry enrolling up to 100 male and female patients.
| Condition | Intervention | Phase |
|---|---|---|
|
Coronary Artery Disease |
Device: Medtronic Endeavor Coronary Stent System Device: Elixir Novolimus Stent System with bioabsorbable polymer Device: Elixir Novolimus Stent System with durable polymer |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | A Randomized, Single Blind, Consecutive Enrollment Evaluation of The Elixir Novolimus-Eluting Coronary Stent System With Durable Polymer Compared to the Medtronic Endeavor Zotarolimus-Eluting Coronary Stent System in the Treatment of Patients With De Novo Native Coronary Artery Lesions and a Non-Randomized, Consecutive Enrollment Evaluation of the Elixir Novolimus-Eluting Coronary Stent System With Bioabsorbable Polymer Compared to Contemporary Controls in the Treatment of Patients With De Novo Native Coronary Artery Lesions |
- In-stent late lumen loss assessed by QCA [ Time Frame: 9 months ] [ Designated as safety issue: No ]
- Device-oriented Composite Endpoints [ Time Frame: 1, 6, 9, and 12 months and annually to 5 years ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 300 |
| Study Start Date: | October 2008 |
| Estimated Study Completion Date: | July 2014 |
| Primary Completion Date: | February 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1Novolimus-Eluting Coronary Stent with durable polymer |
Device: Elixir Novolimus Stent System with durable polymer
coronary stent implantation
|
| Active Comparator: 2. Medtronic Endeavor Zotarolimus-Eluting Coronary Stent |
Device: Medtronic Endeavor Coronary Stent System
coronary stent implantation
|
| Experimental: 3 Novolimus-Eluting Coronary Stent with bioabsorbable polymer |
Device: Elixir Novolimus Stent System with bioabsorbable polymer
coronary stent implantation
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The patient has a planned intervention of a single lesion in one or two separate major epicardial territories. Each lesion/vessel must meet the following criteria:
- De novo
- The target lesion reference site must be visually estimated to be > 2.5 mm and < 3.5 mm in diameter.
- The target vessel must be a major coronary artery or major branch with a visually estimated stenosis of > 50% and <100%.
- The visually estimated target lesion must be able to be covered by a single, 14, 18 or 28mm stent Elixir Stent or a single 14, 18, 24 or 30mm Endeavor Stent. Note that the 8mm Endeavor Stent will not be used in this study.
- Maximum lesion length is 24 mm.
- > TIMI 1 coronary flow.
Exclusion Criteria:
- The patient has a known hypersensitivity or contraindication to aspirin, heparin, ticlopidine, clopidogrel, mTOR inhibitor class drugs, cobalt chromium alloy, methacrylate or polylactide polymer, or sensitivity to contrast which cannot be adequately premedicated.
- There will be an untreated significant lesion of > 40% diameter stenosis remaining proximal or distal to the target site after the planned intervention.
- Total occlusion or TIMI 0 coronary flow in the target vessel.
- Restenosis lesion
- The proximal target vessel or target lesion is severely calcified by visual assessment.
- Aorto-ostial location, unprotected left main lesion location, or a lesion within 5 mm of the origin of the LAD or LCX.
- Lesion involvement of a significant side branch (branch diameter > 2 mm) that would be covered by stenting.
- The patient has suffered a myocardial infarction with total creatine kinase (CK) >2 times normal within the past 72 hours (exactly three days).
- The patient has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions.
- The patient suffered a stroke, transient ischemic neurological attack (TIA) or significant gastrointestinal (GI) bleed within the past six months.
- The patient has renal insufficiency as determined by a creatinine of > 2.0mg/dl.
- The target lesion, or the target vessel proximal to the target lesion, contains thrombus.
- Documented left ventricular ejection fraction of < 25%.
- The patient is a recipient of a heart transplant.
- The patient has extensive peripheral vascular disease that precludes safe 6 French sheath insertion or extreme anti-coagulation.
Contacts and Locations| Australia | |
| Monash Medical Center | |
| Melbourne, Australia, 3168 | |
| Belgium | |
| University Hospital Gent | |
| Gent, Belgium, 9000 | |
| Brazil | |
| Instituto Dante Pazzanese | |
| Sao Paulo, Brazil, 0401210 | |
| Germany | |
| Universitäres Herz- und Gefäßzentrum | |
| Hamburg, Germany, 22527 | |
| Netherlands | |
| Thoraxcentrum | |
| Rotterdam, Netherlands, 3015 | |
| New Zealand | |
| Auckland City Hospital | |
| Auckland, New Zealand, 1023 | |
| Poland | |
| Jagiellonian University | |
| Krakow, Poland, 31-501 | |
| Switzerland | |
| University Hospital Bern | |
| Bern, Switzerland, 3010 | |
| Principal Investigator: | Patrick W Serruys, MD, PhD | Thoraxcentrum, Rotterdam, Netherlands |
More Information
No publications provided
| Responsible Party: | Sara Toyloy, Executive Vice President, Regulatory, Clinical and Qualify Affairs, Elixir Medical Corporation |
| ClinicalTrials.gov Identifier: | NCT00792753 History of Changes |
| Other Study ID Numbers: | ELX-CL-0801 |
| Study First Received: | November 14, 2008 |
| Last Updated: | June 6, 2011 |
| Health Authority: | Australia: Department of Health and Ageing Therapeutic Goods Administration Brazil: National Committee of Ethics in Research Belgium: Federal Agency for Medicinal Products and Health Products Germany: German Institute of Medical Documentation and Information New Zealand: Institutional Review Board Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products Netherlands: Dutch Health Care Inspectorate |
Keywords provided by Elixir Medical Corporation:
|
Coronary Artery Disease |
Additional relevant MeSH terms:
|
Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases |
Cardiovascular Diseases Arteriosclerosis Arterial Occlusive Diseases Vascular Diseases |
ClinicalTrials.gov processed this record on May 21, 2013