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| Name | Class |
|---|---|
| Baim Institute for Clinical Research | OTHER |
| Cardiovascular Research Foundation, New York | OTHER |
| Stanford University | OTHER |
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The main objective of this study is to assess the safety and efficacy of Liposomal Alendronate in the treatment of de novo stenotic lesions in native coronary arteries in a population undergoing PCI with implantation of a bare metal stent.
Study hypothesis: Liposomal Alendronate will reduce in-stent restenosis as compared to placebo.
This is a Phase II dose-finding, randomized, multi-center, prospective, double blind clinical study. Subjects undergoing percutaneous coronary intervention (PCI) with the Presillion™ CoCr bare metal stent will be randomized into three groups and administered (in a single dose intravenously (IV) through a peripheral venous catheter) either: low dose Liposomal Alendronate of 0.001 mg, high dose Liposomal Alendronate of 0.01 mg, or placebo (IV saline infusion) on a 1:1:1 basis.
All subjects will undergo angiographic follow-up at 6 months and 110 subjects enrolled from pre-specified sites will undergo intravascular ultrasound (IVUS) at baseline and follow-up at 6 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| low dose | Experimental | Liposomal Alendronate dose of 0.001 mg |
|
| high dose | Experimental | Liposomal Alendronate dose of 0.01 mg |
|
| placebo | Placebo Comparator | IV saline infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Liposomal Alendronate | Drug | IV in a single low dose during the index procedure (coronary stent implantation) over 2 hours |
|
| Measure | Description | Time Frame |
|---|---|---|
| In-stent late loss: measured at 6 months post-procedure as determined by quantitative coronary angiography (QCA). | 6 months post-procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Major Adverse Cardiac Events (MACE) | at 30, 180 and 360 days as well as yearly through 5 years post-procedure |
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Inclusion Criteria:
Exclusion Criteria:
General
Angiographic Exclusion Criteria
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| Name | Affiliation | Role |
|---|---|---|
| Prof Shmuel Banai, MD | The Tel Aviv Sourasky Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hillel Yaffe Medical Center | Hadera | 38100 | Israel | |||
| Bnei Zion Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23351827 | Derived | Banai S, Finkelstein A, Almagor Y, Assali A, Hasin Y, Rosenschein U, Apruzzese P, Lansky AJ, Kume T, Edelman ER. Targeted anti-inflammatory systemic therapy for restenosis: the Biorest Liposomal Alendronate with Stenting sTudy (BLAST)-a double blind, randomized clinical trial. Am Heart J. 2013 Feb;165(2):234-40.e1. doi: 10.1016/j.ahj.2012.10.023. Epub 2012 Dec 11. |
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| ID | Term |
|---|---|
| D023921 | Coronary Stenosis |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
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| Liposomal Alendronate | Drug | IV in a single high dose during the index procedure (coronary stent implantation) over 2 hours |
|
|
| Saline infusion (placebo) | Drug | IV saline infusion during the index procedure (coronary stent implantation) over 2 hours |
|
|
| Haifa |
| 31048 |
| Israel |
| Rambam Health Care Campus | Haifa | 31096 | Israel |
| Lady Davis Carmel Medical Center | Haifa | 34362 | Israel |
| Shaare Zedek Medical Center | Jerusalem | 91031 | Israel |
| Meir Medical Center | Kfar Saba | 44281 | Israel |
| Western Galilee Hospital, Nahariya | Nahariya | 22100 | Israel |
| Rabin Medical Center | Petah Tikva | 49100 | Israel |
| The Baruch Padeh Medical Center, Poriya | Poria – Neve Oved | 15218 | Israel |
| Sheba Medical Center, Tel Hashomer | Ramat Gan | 52521 | Israel |
| Kaplan Medical Center | Rehovot | 76100 | Israel |
| The Tel Aviv Sourasky Medical Center | Tel Aviv | 64239 | Israel |
| D014652 |
| Vascular Diseases |
| D017670 |
| Sodium Compounds |