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The purpose of this study is to compare the BioMatrix Flex (Biolimus A9-Eluting) stent system with the Cypher SELECT (Sirolimus-Eluting) stent system in a non-inferiority trial.
Compare the safety and efficacy of the BioMatrix Flex (Biolimus A9-Eluting) stent system with the Cypher SELECT (Sirolimus-Eluting) stent system in a prospective, multi-center, randomized, controlled, non-inferiority trial in patients undergoing percutaneous coronary intervention in routine clinical practice.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BioMatrix Flex stent | Active Comparator | Coronary stent placement with Biolimus A9 coated stent with biodegradable polymer |
|
| Cypher Select stent | Active Comparator | Coronary stent placement with Sirolimus coated stent with durable polymer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coronary stent placement | Device | Coronary stent placement |
|
| Measure | Description | Time Frame |
|---|---|---|
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 9 month |
| Measure | Description | Time Frame |
|---|---|---|
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Stephan Windecker, Prof. | Medizinische Universitätsklinik, Swiss Cardiovacular Center Bern | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Onze Lieve Vrouw Ziekenhuis, Cardiologisch Centrum, Moorselbaan 164 | Aalst | B-9300 | Belgium | |||
| L'Institut Cardiovasculaire Paris Sud, Institut Hospitalier Jacques Cartier, Service de Coronarographie, 6, Avenue du Noyer Lambert |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18765162 | Result | Windecker S, Serruys PW, Wandel S, Buszman P, Trznadel S, Linke A, Lenk K, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, Davies S, van Geuns RJ, Eerdmans P, van Es GA, Meier B, Juni P. Biolimus-eluting stent with biodegradable polymer versus sirolimus-eluting stent with durable polymer for coronary revascularisation (LEADERS): a randomised non-inferiority trial. Lancet. 2008 Sep 27;372(9644):1163-73. doi: 10.1016/S0140-6736(08)61244-1. Epub 2008 Aug 31. | |
| 20562074 |
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| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D023921 | Coronary Stenosis |
| D023903 | Coronary Restenosis |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| Cardiac death | Cardiac death | 30 days |
| All deaths | All deaths (cardiac and non-cardiac) | 30 days |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 30 days |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 30 days |
| In-stent and in-segment binary restenosis rate as assessed by QCA. | In-stent and in-segment binary restenosis rate as assessed by QCA. | 9 month |
| In-stent and in-segment minimal luminal diameter (MLD) as assessed by QCA. | In-stent and in-segment minimal luminal diameter (MLD) as assessed by QCA | 9 month |
| In-segment percent diameter stenosis (%DS). | In-segment percent diameter stenosis (%DS) as assessed by QCA | 9 month |
| In-stent and in-segment late luminal loss | In-stent and in-segment late luminal loss as assessed by QCA | 9 month |
| Device success, lesion success and procedural success. | at implant |
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 6 month |
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 1 year |
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 2 years |
| Cardiac death | Cardiac death | 6 month |
| Cardiac death | Cardiac death | 9 month |
| Cardiac death | Cardiac death | 1 year |
| Cardiac death | Cardiac death | 2 year |
| Cardiac death | Cardiac death | 3 year |
| Cardiac death | Cardiac death | 4 year |
| Cardiac death | Cardiac death | 5 year |
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 3 year |
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 4 year |
| Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. | Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR) | 5 year |
| All deaths | All deaths (cardiac and non-cardiac) | 6 month |
| All deaths | All deaths (cardiac and non-cardiac) | 9 month |
| All deaths | All deaths (cardiac and non-cardiac) | 1 year |
| All deaths | All deaths (cardiac and non-cardiac) | 2 years |
| All deaths | All deaths (cardiac and non-cardiac) | 3 years |
| All deaths | All deaths (cardiac and non-cardiac) | 4 years |
| All deaths | All deaths (cardiac and non-cardiac) | 5 years |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 6 month |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 9 month |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 1 year |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 2 years |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 3 years |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 4 years |
| Myocardial infarction | Myocardial infarction (Q-wave and NQWMI) | 5 years |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 6 month |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 9 month |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 1 year |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 2 years |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 3 years |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 4 years |
| Angiographic and clinical stent thrombosis. | Angiographic and clinical stent thrombosis | 5 years |
| Massy |
| 91300 |
| France |
| Herzzentrum Leipzig, Innere Medizin/Kardiologie, Struimpellstrasse 39 | Leipzig | D-04289 | Germany |
| Universitatsklinikum Munchen, Medizinische Klinik Kardiologie, Ziemssenstrasse 1 | Munich | 80336 | Germany |
| Klinikum Bogenhausen der Stad München, Abteilung für Kardiologie und Pnemlogie, Englschalkstrasse 77 | Munich | D-8000 | Germany |
| University Medical Center Rotterdam Erasmus, Thoraxcentrum | Rotterdam | 3015 GD | Netherlands |
| American Heart of Poland Sp. z o.o. | Dąbrowa Górnicza | 43100 | Poland |
| Medizinische Universitätsklinik, Swiss Cardiovacular Center Bern, Inselspital | Bern | CH-3010 | Switzerland |
| University Hospital Zürich, Director of Invasive Cardiology, Rämistrasse 100 | Zurich | 8091 | Switzerland |
| Royal Brompton Hospital, Sydney Street | London | SW3 6NP | United Kingdom |
| Result |
| Garg S, Sarno G, Serruys PW, de Vries T, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, Di Mario C, van Geuns RJ, Eerdmans P, van Es GA, Meier B, Juni P, Windecker S. The twelve-month outcomes of a biolimus eluting stent with a biodegradable polymer compared with a sirolimus eluting stent with a durable polymer. EuroIntervention. 2010 Jun;6(2):233-9. |
| 20152241 | Result | Sarno G, Garg S, Onuma Y, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, van Geuns RJ, Eerdmans P, Garcia-Garcia HM, van Es GA, Goedhart D, de Vries T, Juni P, Meier B, Windecker S, Serruys P. The impact of body mass index on the one year outcomes of patients treated by percutaneous coronary intervention with Biolimus- and Sirolimus-eluting stents (from the LEADERS Trial). Am J Cardiol. 2010 Feb 15;105(4):475-9. doi: 10.1016/j.amjcard.2009.09.055. Epub 2010 Jan 5. |
| 19778775 | Result | Wykrzykowska JJ, Serruys PW, Onuma Y, de Vries T, van Es GA, Buszman P, Linke A, Ischinger T, Klauss V, Corti R, Eberli F, Wijns W, Morice MC, di Mario C, van Geuns RJ, Juni P, Windecker S. Impact of vessel size on angiographic and clinical outcomes of revascularization with biolimus-eluting stent with biodegradable polymer and sirolimus-eluting stent with durable polymer the LEADERS trial substudy. JACC Cardiovasc Interv. 2009 Sep;2(9):861-70. doi: 10.1016/j.jcin.2009.05.024. |
| 19736154 | Result | Wykrzykowska JJ, Raber L, de Vries T, Bressers M, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, Regar E, Juni P, Windecker S, Serruys PW. Biolimus-eluting biodegradable polymer versus sirolimus-eluting permanent polymer stent performance in long lesions: results from the LEADERS multicentre trial substudy. EuroIntervention. 2009 Aug;5(3):310-7. doi: 10.4244/v5i3a49. |
| 35676012 | Derived | Yuan H, Wu Z, Lu T, Wei T, Zeng Y, Liu Y, Huang C. Comparison of biodegradable and durable polymer drug-eluting stents in acute coronary syndrome: a meta-analysis. BMJ Open. 2022 Jun 8;12(6):e058075. doi: 10.1136/bmjopen-2021-058075. |
| 26823484 | Derived | Koskinas KC, Siontis GC, Piccolo R, Franzone A, Haynes A, Rat-Wirtzler J, Silber S, Serruys PW, Pilgrim T, Raber L, Heg D, Juni P, Windecker S. Impact of Diabetic Status on Outcomes After Revascularization With Drug-Eluting Stents in Relation to Coronary Artery Disease Complexity: Patient-Level Pooled Analysis of 6081 Patients. Circ Cardiovasc Interv. 2016 Feb;9(2):e003255. doi: 10.1161/CIRCINTERVENTIONS.115.003255. |
| 26649651 | Derived | Grundeken MJ, Wykrzykowska JJ, Ishibashi Y, Garg S, de Vries T, Garcia-Garcia HM, Onuma Y, de Winter RJ, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, Meier B, Juni P, Yazdani A, Copt S, Windecker S, Serruys PW. First generation versus second generation drug-eluting stents for the treatment of bifurcations: 5-year follow-up of the LEADERS all-comers randomized trial. Catheter Cardiovasc Interv. 2016 Jun;87(7):E248-60. doi: 10.1002/ccd.26344. Epub 2015 Dec 9. |
| 25423953 | Derived | Zhang YJ, Iqbal J, Windecker S, Linke A, Antoni D, Sohn HY, Corti R, van Es GA, Copt S, Eerdmans P, Saitta R, Morice MC, Di Mario C, Juni P, Wijns W, Buszman P, Serruys PW. Biolimus-eluting stent with biodegradable polymer improves clinical outcomes in patients with acute myocardial infarction. Heart. 2015 Feb;101(4):271-8. doi: 10.1136/heartjnl-2014-306359. Epub 2014 Nov 25. |
| 24531331 | Derived | Vranckx P, Kalesan B, Stefanini GG, Farooq V, Onuma Y, Silber S, de Vries T, Juni P, Serruys PW, Windecker S. Clinical outcome of patients with stable ischaemic heart disease as compared to those with acute coronary syndromes after percutaneous coronary intervention. EuroIntervention. 2015 Jun;11(2):171-9. doi: 10.4244/EIJV11I2A31. |
| 23968698 | Derived | Serruys PW, Farooq V, Kalesan B, de Vries T, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Wijns W, Morice MC, Di Mario C, Corti R, Antoni D, Sohn HY, Eerdmans P, Rademaker-Havinga T, van Es GA, Meier B, Juni P, Windecker S. Improved safety and reduction in stent thrombosis associated with biodegradable polymer-based biolimus-eluting stents versus durable polymer-based sirolimus-eluting stents in patients with coronary artery disease: final 5-year report of the LEADERS (Limus Eluted From A Durable Versus ERodable Stent Coating) randomized, noninferiority trial. JACC Cardiovasc Interv. 2013 Aug;6(8):777-89. doi: 10.1016/j.jcin.2013.04.011. |
| 23816026 | Derived | Gutierrez-Chico JL, Raber L, Regar E, Okamura T, di Mario C, van Es GA, Windecker S, Serruys PW. Tissue coverage and neointimal hyperplasia in overlap versus nonoverlap segments of drug-eluting stents 9 to 13 months after implantation: in vivo assessment with optical coherence tomography. Am Heart J. 2013 Jul;166(1):83-94. doi: 10.1016/j.ahj.2013.04.001. Epub 2013 May 3. |
| 22440496 | Derived | Stefanini GG, Kalesan B, Pilgrim T, Raber L, Onuma Y, Silber S, Serruys PW, Meier B, Juni P, Windecker S. Impact of sex on clinical and angiographic outcomes among patients undergoing revascularization with drug-eluting stents. JACC Cardiovasc Interv. 2012 Mar;5(3):301-10. doi: 10.1016/j.jcin.2011.11.011. |
| 22093210 | Derived | Gutierrez-Chico JL, Juni P, Garcia-Garcia HM, Regar E, Nuesch E, Borgia F, van der Giessen WJ, Davies S, van Geuns RJ, Secco GG, Meis S, Windecker S, Serruys PW, di Mario C. Long-term tissue coverage of a biodegradable polylactide polymer-coated biolimus-eluting stent: comparative sequential assessment with optical coherence tomography until complete resorption of the polymer. Am Heart J. 2011 Nov;162(5):922-31. doi: 10.1016/j.ahj.2011.09.005. Epub 2011 Oct 7. |
| 22075451 | Derived | Stefanini GG, Kalesan B, Serruys PW, Heg D, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Wijns W, Morice MC, Di Mario C, Corti R, Antoni D, Sohn HY, Eerdmans P, van Es GA, Meier B, Windecker S, Juni P. Long-term clinical outcomes of biodegradable polymer biolimus-eluting stents versus durable polymer sirolimus-eluting stents in patients with coronary artery disease (LEADERS): 4 year follow-up of a randomised non-inferiority trial. Lancet. 2011 Dec 3;378(9807):1940-8. doi: 10.1016/S0140-6736(11)61672-3. Epub 2011 Nov 8. |
| 21851904 | Derived | Klauss V, Serruys PW, Pilgrim T, Buszman P, Linke A, Ischinger T, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, van Geuns RJ, van Es GA, Kalesan B, Wenaweser P, Juni P, Windecker S. 2-year clinical follow-up from the randomized comparison of biolimus-eluting stents with biodegradable polymer and sirolimus-eluting stents with durable polymer in routine clinical practice. JACC Cardiovasc Interv. 2011 Aug;4(8):887-95. doi: 10.1016/j.jcin.2011.03.017. |
| 21768536 | Derived | Gutierrez-Chico JL, Regar E, Nuesch E, Okamura T, Wykrzykowska J, di Mario C, Windecker S, van Es GA, Gobbens P, Juni P, Serruys PW. Delayed coverage in malapposed and side-branch struts with respect to well-apposed struts in drug-eluting stents: in vivo assessment with optical coherence tomography. Circulation. 2011 Aug 2;124(5):612-23. doi: 10.1161/CIRCULATIONAHA.110.014514. Epub 2011 Jul 18. |
| 21205944 | Derived | Wykrzykowska JJ, Garg S, Onuma Y, de Vries T, Goedhart D, Morel MA, van Es GA, Buszman P, Linke A, Ischinger T, Klauss V, Corti R, Eberli F, Wijns W, Morice MC, di Mario C, van Geuns RJ, Juni P, Windecker S, Serruys PW. Value of age, creatinine, and ejection fraction (ACEF score) in assessing risk in patients undergoing percutaneous coronary interventions in the 'All-Comers' LEADERS trial. Circ Cardiovasc Interv. 2011 Feb 1;4(1):47-56. doi: 10.1161/CIRCINTERVENTIONS.110.958389. Epub 2011 Jan 4. |
| 20633818 | Derived | Wykrzykowska JJ, Garg S, Girasis C, de Vries T, Morel MA, van Es GA, Buszman P, Linke A, Ischinger T, Klauss V, Corti R, Eberli F, Wijns W, Morice MC, di Mario C, van Geuns RJ, Juni P, Windecker S, Serruys PW. Value of the SYNTAX score for risk assessment in the all-comers population of the randomized multicenter LEADERS (Limus Eluted from A Durable versus ERodable Stent coating) trial. J Am Coll Cardiol. 2010 Jul 20;56(4):272-7. doi: 10.1016/j.jacc.2010.03.044. |