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| Name | Class |
|---|---|
| Conor Medsystems | INDUSTRY |
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To demonstrate non-inferiority in 6-month angiographic in-stent late lumen loss of the pimecrolimus-eluting coronary stent (Corio) compared to the CoStar coronary stent control arm and the dual pimecrolimus/paclitaxel-eluting (Symbio) coronary stent compared to the CoStar coronary stent control arm for the treatment of single de novo lesions <25 mm in length in native coronary arteries 2.5 - 3.5 mm in diameter.
This study is designed to evaluate 6 month in-stent late lumen loss of the 1) Corio™ pimecrolimus-eluting coronary stent system and the 2) SymBio™ dual pimecrolimus/paclitaxel-eluting coronary stent system compared to the CoStar™ Paclitaxel-Eluting Coronary Stent System control arm.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Corio™ Pimecrolimus-Eluting Cobalt Chromium Coronary Stent System |
|
| 2 | Experimental | SymBio™ Pimecrolimus/Paclitaxel-Eluting Coronary Stent System |
|
| Control Arm | Active Comparator | Costar ™ Paclitaxel-Eluting Coronary Stent System |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Corio™ Pimecrolimus-Eluting Coronary Stent System | Device | Drug-eluting stent |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Primary angiographic late loss in the stent as measured by Quantitative Coronary Angiography (QCA) | 6 months post-procedure |
| Measure | Description | Time Frame |
|---|---|---|
| MACE (composite of non-cardiac death, new Qw/nonQw MI, and TVR) as described below | Major Adverse Cardiac Events (MACE) defined as an adjudicated composite of death that cannot be clearly attributed to a non-cardiac event or non-intervention vessel, new myocardial infarction (Q-wave or non-Q-wave) that cannot be clearly attributed to a non-intervention vessel and clinically driven target vessel revascularization (TVR) |
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Inclusion Criteria:
General Inclusion Criteria
Exclusion Criteria:
General Exclusion Criteria
General Angiographic Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nicholas Curzen, M.D. | Southampton University Hospital | Principal Investigator |
| Stefan Verheye, M.D. | AZ Middelheim Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Southampton University Hospital | Southampton | SO16 YD | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19463427 | Result | Verheye S, Agostoni P, Dawkins KD, Dens J, Rutsch W, Carrie D, Schofer J, Lotan C, Dubois CL, Cohen SA, Fitzgerald PJ, Lansky AJ. The GENESIS (Randomized, Multicenter Study of the Pimecrolimus-Eluting and Pimecrolimus/Paclitaxel-Eluting Coronary Stent System in Patients with De Novo Lesions of the Native Coronary Arteries) trial. JACC Cardiovasc Interv. 2009 Mar;2(3):205-14. doi: 10.1016/j.jcin.2008.12.011. |
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| SymBio™ Pimecrolimus/Paclitaxel-Eluting Coronary Stent System |
| Device |
Drug-eluting stent |
|
| Costar ™ Paclitaxel-Eluting Coronary Stent System | Device | Drug-eluting Stent |
|
| 30 days and 6 months |
| Primary Device Success defined as attainment of <50% in-stent residual stenosis of the target lesion using only the assigned device in the absence of device malfunction and device-related complication. | 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure |
| Lesion Success defined as attainment of <50% residual stenosis of the target lesion using the assigned study device or any percutaneous method. | 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure |
| Procedure Success defined as attainment of final lesion success in the absence of in-hospital MACE. | 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure |
| Angiographic in-stent and in-segment binary restenosis (≥50% diameter stenosis). | 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure |
| In-stent and in-segment MLD | 6 months post-procedure |
| In-segment angiographic late loss | 6 months post-procedure |
| Clinically driven Target Lesion Revascularization (TLR) | 6 months post-procedure |
| Percent volume obstruction of the stent by intravascular ultrasound (IVUS) in the IVUS cohort. | 6 months post-procedure |
| Incidence of late acquired incomplete stent to vessel apposition (stent malapposition) by IVUS in the IVUS cohort. | 6 months post-procedure |
| Incidence of reported MACE | 1, 2, 3, 4 and 5 years post-procedure |
| Comparison of the pimecrolimus-eluting stent to the pimecrolimus/paclitaxel-eluting stent for primary and secondary endpoints. | 30 days and 6 months, 1, 2, 3, 4, and 5 years post-procedure |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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