Safety Study to Assess the FEasibility of Use of the TRYTON Bifurcation Coronary Stent System (SAFE-TRY)

This study has been completed.
Sponsor:
Collaborators:
Mirano’s Hospital, Mirano, Italy
San Giacomo Apostolo Hospital, Castelfranco Veneto, Italy
Conegliano Veneto's Hospital, Conegliano Veneto, Italy
Information provided by (Responsible Party):
Giuseppe Tarantini, University of Padua
ClinicalTrials.gov Identifier:
NCT01174433
First received: July 28, 2010
Last updated: July 3, 2012
Last verified: July 2012
  Purpose

To assess the safety and feasibility of the use of the Tryton bifurcation coronary stent system for the treatment of single de novo bifurcation lesions in native coronary arteries.


Condition Intervention Phase
Coronary Artery Disease
Angioplasty, Transluminal, Percutaneous Coronary
Device: Tryton
Phase 1
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Safety Study to Assess the FEasibility of Use of the TRYTON Bifurcation Coronary Stent System (SAFE-TRY)

Resource links provided by NLM:


Further study details as provided by University of Padua:

Primary Outcome Measures:
  • A composite of cardiac death, target vessel myocardial infarction (MI) and clinically driven target lesion revascularization (TLR) at 30 days post procedure [ Time Frame: 30 days (plus or minus 3 days) ] [ Designated as safety issue: Yes ]
    A composite of cardiac death, target vessel myocardial infarction (MI) and clinically driven target lesion revascularization (TLR) at 30 days post procedure.


Secondary Outcome Measures:
  • Angiographic and Procedural success [ Time Frame: 30 days (plus or minus 3 days) ] [ Designated as safety issue: Yes ]
    Acute device success, Technical Success, Clinical Procedural Success, Device malfunctions, Ease-of-Use parameters, Main branch and side branch angiographic endpoints, Main branch and side branch IVUS endpoints (Reference Lumen Area; Reference EEM Area; Lesion Lumen Area; Lesion EEM Area; Maximum Atheroma Thickness; Minimum Atheroma Thickness; Lesion Maximum Lumen Diameter; Lesion Minimum Lumen Diameter and derived Measurements; calcium measurement)

  • Total volume of contrast used [ Time Frame: 24 hours ] [ Designated as safety issue: No ]
    Total volume of contrast used, in mL

  • Total index PCI procedure time [ Time Frame: 24 hours ] [ Designated as safety issue: No ]
    Total index PCI procedure time, in minutes

  • Target vessel revascularization (TVR) rate [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
    Target vessel revascularization (TVR) rate, at 9 months

  • Target lesion revascularization (TLR) rate [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
    Target lesion revascularization (TLR) rate, at 9 months

  • Major Adverse Cardiac and Cerebrovascular Events (MAC(C)E) rate [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
    Major Adverse Cardiac and Cerebrovascular Events (MAC(C)E) rate, at 9 months


Enrollment: 241
Study Start Date: September 2009
Study Completion Date: June 2012
Primary Completion Date: June 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Tryton bifurcation stent system Device: Tryton
Percutaneous coronary intervention of a bifurcation lesion, with a Tryton bifurcation coronary stent for the side branch and a drug-eluting coronary stent for the main branch
Other Name: Tryton bifurcation stent system

Detailed Description:

Currently available stents were designed for straight lesions, optimised to provide scaffolding (coverage and radial strength) and ease of deliverability. In straight lesions, these stents have been shown to provide superb acute and long-term results. One lesion subset that continues to challenge the interventionalist is bifurcations lesions. A number of different strategies have been employed with standard stents to address bifurcation lesions each of which have significant limitations. Large contemporary registries characterising current stent usage in bifurcating lesions have demonstrated decreased procedural success with increased rates in restenosis and thrombosis (acute, subacute and delayed). The limitations of currently available stents have led groups to develop stents designed specifically to treat bifurcation lesions. The Tryton Side-Branch Stent Stent TM (Tryton Medical, Inc., Newton, MA, USA) is a balloon expandable cobalt chromium stent, designed specifically to treat bifurcation lesions.

The primary objective of this study is to evaluate the safety and feasibility of the use of the Tryton bifurcation coronary stent system for the treatment of single de novo bifurcation lesions in native coronary arteries with reference vessel diameters (RVD) for the proximal main vessel of 2.5 - 5.0 mm, distal main branch of 2.5 - 5.0 mm, and side branch RVD 2.5 - 3.5 mm.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

General Inclusion Criteria

  • Candidate for percutaneous coronary intervention & emergent coronary artery bypass graft surgery
  • Clinical evidence of ischemic heart disease or a positive functional study
  • Female patients of childbearing potential has negative pregnancy test within 7 days before trial procedure
  • Patient or patient's legal representative provided written informed consent
  • Patient agrees to comply with follow-up evaluations

Angiographic Inclusion Criteria

  • Target lesion in a single de novo true bifurcation lesion (Medina classification Type 1.1.1; 1.0.1; 0.1.1; 0.0.1) involving a native coronary artery with reference vessel diameter for the proximal main of 2.5 - 5.0 mm, distal main of 2.5 - 5.0 mm, & side branch RVD of 2.5 - 3.5 mm
  • Target lesion in main vessel has stenosis of > 50% and <100%
  • Syntax score < 32

Exclusion Criteria:

General Exclusion Criteria

  • Known hypersensitivity/contraindication to aspirin, heparin or bivalirudin, clopidogrel or ticlopidine, cobalt, nickel, chromium, molybdenum, or sensitivity to contrast media, which can't be adequately pre-medicated
  • Platelet count <100,000 cells/mm³ or >700,000 cells/mm³, or a white blood cell (WBC) count <3,000 cells/mm³ within 7 days prior to index procedure
  • Serum creatinine level >170 micromol/L within 7 days prior to index procedure
  • Evidence of acute MI within 72 hours of intended trial procedure (defined as: QWMI or NQWMI having CK enzymes >2X laboratory upper limit of normal in the presence of a confirming cardiac specific biomarker (Troponin I or T)
  • Previous stenting anywhere in target vessel
  • Percutaneous coronary intervention (PCI) of non-target vessel within 30 days prior to procedure that results in any MAC(C)E event. If non target vessel stent is implanted within 72 hours prior to index procedure, 2 post procedural serial CK or CK-MB measurements must be below investigational site's upper limit of normal
  • PCI of non-target vessel within 24 hours prior to procedure
  • Planned PCI of the target vessel within 6 months post-procedure
  • During index procedure, target lesion requires treatment with device other than PTCA or cutting balloon prior to stent placement
  • Documented left ventricular ejection fraction (LVEF) <30% at most recent evaluation
  • History of stroke or transient ischemic attack (TIA) within prior 6 months
  • Active peptic ulcer or upper gastrointestinal (GI) bleeding within prior 6 months
  • History of bleeding diathesis or coagulopathy or will refuse blood transfusions
  • Concurrent medical condition with life expectancy <12 months
  • Currently participating in investigational drug or device trial that's not completed the primary endpoint or that clinically interferes with current trial endpoints; or requires coronary angiography, IVUS or other coronary artery imaging procedures.

Angiographic Exclusion Criteria

  • Target lesion located in native vessel with saphenous vein graft or left/right internal mammary artery (LIMA/RIMA) bypass
  • Target lesion has any of following characteristics:
  • Severely calcified
  • Evidence of thrombus
  • Syntax score ≥33
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01174433

Locations
Italy
Castelfranco Veneto's Hospital
Castelfranco Veneto, Italy, 31033
Conegliano's Hospital
Conegliano, Italy, 31015
Angel's Hospital
Mestre, Italy, 30170
Mirano's Hospital
Mirano, Italy, 30035
Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Italy
Padua, Italy, 35128
Vicenza's Hospital
Vicenza, Italy, 36100
Sponsors and Collaborators
University of Padua
Mirano’s Hospital, Mirano, Italy
San Giacomo Apostolo Hospital, Castelfranco Veneto, Italy
Conegliano Veneto's Hospital, Conegliano Veneto, Italy
Investigators
Principal Investigator: Giuseppe Tarantini, MD, Ph.D. University of Padua, Department of Cardiac, Thoracic and Vascular Sciences
  More Information

No publications provided by University of Padua

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Giuseppe Tarantini, MD, PhD, University of Padua
ClinicalTrials.gov Identifier: NCT01174433     History of Changes
Other Study ID Numbers: 2040P
Study First Received: July 28, 2010
Last Updated: July 3, 2012
Health Authority: Italy: Ministry of Health

Keywords provided by University of Padua:
Bifurcation coronary artery disease
Percutaneous coronary intervention
Tryton Stent

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 July 29, 2014