The Titan Versus Everolimus Intracoronary Stent (Xience V) in Diabetic Patients (TITANIC-XV)
Recruitment status was Active, not recruiting
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Purpose
Even though the safety of drug eluting stents has been long established, in roughly 25% o patients their implantation is not considered, for specifically clinical reasons (chronic anticoagulation, bleeding, etc…), which make prolonged use of clopidogrel unsuitable. A considerable percentage of these patients have diabetes mellitus, a well known risk factor for stent thrombosis. Recently, the special characteristics of the titanium stent with nitric oxide have been described, causing it to be considered as a bioactive stent.
The TITANIC-XV trial was a prospective randomized multi-center active-treatment-controlled clinical trial, with the chief aim to evaluate clinical outcome after titanium bare metal stent (Titan2®, Hexacath, Paris, France) implantation as compared with everolimus drug eluting stent (Xience-V®, Abbott Vascular, Santa Clara, California, USA) in diabetic patients undergoing percutaneous coronary intervention.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus Percutaneous Coronary Intervention |
Device: Titanium bare metal stent (Titan2®) Device: Everolimus Drug Eluting Stent (Xience-V®) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | TITANIC-XV Trial: Prospective, Multicenter and Randomized Trial (Bioactive Bare Metal Titanium Stent Versus Everolimus Drug Eluting Stent) |
- Major adverse cardiac events [ Designated as safety issue: No ]Comparison of major adverse cardiac events defined as death, non fatal myocardial infarction, brain stroke or new revascularization at 1, 6, 12 and 24 months follow-up between the two treatment strategies.
- Late luminal loss [ Designated as safety issue: No ]Comparison of late luminal loss within the in-segment zone at 9 months between the two treatment strategies in the subgroup of patients with angiographic follow-up.
| Study Start Date: | January 2009 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Titanium bare metal stent
Titanium bare metal stent (Titan2®, Hexacath, Paris, France)
|
Device: Titanium bare metal stent (Titan2®)
Titan2®, Hexacath, Paris, France
|
|
Experimental: Everolimus Drug Eluting Stent
Xience-V®, Abbott Vascular, Santa Clara, California, USA
|
Device: Everolimus Drug Eluting Stent (Xience-V®)
Xience-V®, Abbott Vascular, Santa Clara, California, USA
|
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age over 18 years
- Diabetes mellitus according to the World Health Organization Report
- Percutaneous coronary intervention due to at least one significant de novo lesion (defined as at least 50% diameter stenosis by visual estimation) in a native coronary artery or coronary bypass graft.
- Informed Consent "signed"
Exclusion Criteria:
- Inclusion in another clinical research protocol
- Pregnancy
- STEMI within 48 hours
- Unprotected left main disease
- Restenotic lesions
- Stent diameter < 2,5 mm or > 3,5 mm
- Stent length more than 28 mm in < 3 mm vessels
- Chronic total occlusions
- Allergy to aspirin, clopidogrel, heparin or abciximab
- Active bleeding or a significant increase in bleeding risk
- Significant renal insufficiency defined as creatinine > 2 mg/dl
- Severely depressed LV function (EF≤35%)
- Cardiogenic shock
- Ischemic stroke within the last 6 months
- Contraindication for DES
- Disease with life expectancy < 12 months
Contacts and Locations| Finland | |
| Heart Center, Satakunta Hospital, Pori, Finland | |
| Satakunta, Pori, Finland, 28500 | |
| Spain | |
| Hospital de Torrevieja | |
| Torrevieja, Alicante, Spain, 03180 | |
| Hospital Puerto Real de Cádiz | |
| Puerto Real, Cadiz, Spain, 11510 | |
| Hospital Universitario Puerta de Hierro Majadahonda | |
| Majadahonda, Madrid, Spain, 28222 | |
| Hospital Universitario Infanta Cristina | |
| Badajoz, Spain, 06006 | |
| Hospital Juan Ramón Jiménez de Huelva | |
| Huelva, Spain, 21005 | |
| Hospital Virgen de la Salud de Toledo | |
| Toledo, Spain, 45004 | |
| Hospital General Universitario de Valencia | |
| Valencia, Spain, 46014 | |
| Principal Investigator: | Jose Ramon Lopez-Minguez, MD | Hospital Universitario Infanta Cristina (Badajoz, Spain). Interventional Cardiology Department. |
More Information
No publications provided
| Responsible Party: | Jose Ramon Lopez Minguez, MD, PhD, Chief of Interventional Cardiology Deparment, Hospital Universitario Infanta Cristina |
| ClinicalTrials.gov Identifier: | NCT01510509 History of Changes |
| Other Study ID Numbers: | TITANIC-XV |
| Study First Received: | January 11, 2012 |
| Last Updated: | January 13, 2012 |
| Health Authority: | Spain: Spanish Agency of Medicines |
Keywords provided by Hospital Universitario Infanta Cristina:
|
Drug Eluting Stent Bioactive Bare Metal Stent |
Additional relevant MeSH terms:
|
Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Everolimus Sirolimus Immunosuppressive Agents Immunologic Factors |
Physiological Effects of Drugs Pharmacologic Actions Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Antifungal Agents Anti-Infective Agents Anti-Bacterial Agents |
ClinicalTrials.gov processed this record on May 23, 2013