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| ID | Type | Description | Link |
|---|---|---|---|
| REFCTRI000213, 21-10-2008 | Registry Identifier | Clinical Trials Registry - India |
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XIENCE V® India is a prospective, open-label, multi-center, observational, single-arm study to evaluate XIENCE V® EECSS continued safety and effectiveness during commercial use in real world settings.
Long term surveillance studies using a drug eluting stent (DES) may help elucidate mechanisms responsible for death, myocardial infarction, and late stent thrombosis risks not observed during controlled pre-market trials. This study will evaluate XIENCE V® Everolimus Eluting Coronary Stent System (EECSS) performance in the "real world" when used by a broad group of physicians at a variety of health care facilities. Consequently, this protocol will include all consecutively enrolled patients in India who consent to participate and receive the XIENCE V® EECSS, which is expected to represent the range of clinical use during commercialization.
Adjunctive anti-platelet therapy is a critical factor in optimizing long term DES safety. Despite established guidelines that recommend 6-12 months dual antiplatelet therapy, patients with DES implants frequently stop taking their medication early. Consequently, XIENCE V® EECSS India Post-marketing Single-Arm Study (XIENCE V® India) follow-up will document patient adherence and persistence with adjunctive antiplatelet drug therapy at several time points throughout the study.
The long term safety and efficacy of the XIENCE V EECSS have been demonstrated in the SPIRIT FIRST trial up to 5 years, the SPIRIT II trial up to 4 years, and in the SPIRIT III Randomized Control Trial (RCT) up to 3 years. In addition, these pre-approval studies have shown low rates of Target Vessel Failure and Major Adverse Cardiac Events (MACE) that were observed to plateau or gradually decline after about 1 year and were consistently lower than the comparator arm of each study. This benefit in MACE is sustained for up to 5 years and is also independent of the first year results.
The post approval XIENCE V India study demonstrated that the use of the XIENCE EECSS in complex lesions in a real-world population resulted in 1 year MACE, Stent Thrombosis and Target Lesion Revascularization rates that are comparable to those of the previously mentioned pre-approval studies which included patients with more restricted inclusion / exclusion criteria.
Therefore, based on existing data from these trials, Abbott Vascular has decided to discontinue further follow up in the XIENCE V India study, from 5 years to after completion of the three year follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | The group will be monitored to evaluate XIENCE V® EECSS continued safety and effectiveness during commercial use in real world settings. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| XIENCE V® Everolimus Eluting Coronary Stent | Device | Drug eluting stent implantation stent in the treatment of coronary artery disease |
|
| Measure | Description | Time Frame |
|---|---|---|
| Stent thrombosis rates as defined by Academic Research Consortium (ARC) | Annually through to 3 years | |
| Composite endpoint of cardiac death and myocardial infarction (MI) | at 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Composite rate of cardiac death and any MI (Q-wave and non Q-wave) | at 30, 180 days and at 2 and 3 years | |
| Composite rate of all death and any MI (Q-wave and non Q-wave) | at 30, 180 days and at 2 and 3 years |
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Inclusion Criteria:
Exclusion Criteria:
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The group will be all consecutively enrolled patients in India treated by a broad group of physicians at a variety of health care facilities, who consent to participate and receive the XIENCE V® EECSS, which is expected to represent the range of clinical use during commercialization.
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| Name | Affiliation | Role |
|---|---|---|
| Ashok Seth, MD | Max Devki Devi Heart & Vascular Institute | Principal Investigator |
| Tejas Patel, MD | Krishna Heart Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CARE Hospital | Hyderabaad | Andhra Pradesh | 500034 | India | ||
| Krishna Heart Institute, |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25940520 | Derived | Genereux P, Rutledge DR, Palmerini T, Caixeta A, Kedhi E, Hermiller JB, Wang J, Krucoff MW, Jones-McMeans J, Sudhir K, Simonton CA, Serruys PW, Stone GW. Stent Thrombosis and Dual Antiplatelet Therapy Interruption With Everolimus-Eluting Stents: Insights From the Xience V Coronary Stent System Trials. Circ Cardiovasc Interv. 2015 May;8(5):e001362. doi: 10.1161/CIRCINTERVENTIONS.114.001362. |
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| Composite rate of cardiac death , any MI (Q-wave and non Q-wave) attributed to the target vessel, and target lesion revascularization (PCI and CABG) | at 30, 180 days and at 2 and 3 years |
| Death (cardiac death, vascular death, and non-cardiovascular death) | at 30, 180 days and at 2 and 3 years |
| Any MI (Q-wave and non Q-wave) | at 30, 180 days and at 2 and 3 years |
| Major bleeding complications | at 14, 30, 180 days and at 1, 2 and 3 years |
| Compliance and therapy interruptions with prescribed adjunctive antiplatelet therapy | at 14, 30, 180 days and at 1, 2 and 3 years |
| Revascularization (target lesion, target vessel [TVR], and non-target vessel) (PCI and CABG) | at 30, 180 days and at 1, 2 and 3 years |
| Clinical device and procedural success | Acute |
| Patient health status (symptoms, physical function, and quality of life) assessed by the Seattle Angina Questionnaire | at baseline, 180 days, and 1 year |
| Stent thrombosis | 24 hours (acute) and 30 days (sub-acute) |
| Composite rate of all death, any MI (Q-wave and non Q-wave) and any repeat revascularization (PCI and CABG) | 30, 180 days and 1, 2 and 3 years |
| Hyderabad |
| Andhra Pradesh |
| 5000003 |
| India |
| Krishna Heart Institute | Ahmedabad | Gujarat | 380 006 | India |
| Jehangir Hospital | Pune | Pune | 411001 | India |
| Dayanand Medical College & Hospital | Ludhiana | Punjab | 141001 | India |
| Christian Medical Center (CMC) | Vellore | Tamil Nadu | 632004 | India |
| SAL Hospital And Medical Institute | Ahmedabad | 380054 | India |
| Escorts Heart & Superspeciality Institute Ltd. | Amritsar | India |
| Madras Medical Mission | Chennai | 600 037 | India |
| Apollo Hospital | Hyderabad | 500033 | India |
| Heart & General Hospital | Jaipur | India |
| Lisie Heart Institute,Lisie Hosp. | Kochi | India |
| Holy Family Hospital | Mumbai | 400050 | India |
| Escorts Heart Institute & Research Centre | New Delhi | 110 070 | India |
| Fortis Hospital | New Delhi | 110 070 | India |
| Max Devki Devi Heart & Vascular Institute | New Delhi | 110017 | India |
| Escorts Heart Institute & Research Centre | New Delhi | 110025 | India |
| Poona Hospital And Research Centre | Pune | 411030 | India |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D003324 | Coronary Artery Disease |
| D023903 | Coronary Restenosis |
| D014652 | Vascular Diseases |
| D017202 | Myocardial Ischemia |
| D023921 | Coronary Stenosis |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
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