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Prospective, multi center, randomized, single blinded study designed to demonstrate the safety and effectiveness of the Biosensors BioFreedom Drug-Eluting Coronary Stent Delivery System at multiple time points compared to the Taxus Liberte DES in the treatment of single de novo native coronary artery lesions ranging in diameter from ≥2.5 mm to ≤3.0 mm and ≤ 14 mm in length.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BioFreedom Standard Dose | Experimental |
| |
| BioFreedom Low Dose | Experimental |
| |
| Taxus Liberte drug eluting stents | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Biofreedom Drug Eluting Stent | Device | Biofreedom DES with a standard dose of Biolimus A9TM |
|
| Measure | Description | Time Frame |
|---|---|---|
| In-Stent Late Lumen Loss at 12 months post-procedure. | 12 Months |
| Measure | Description | Time Frame |
|---|---|---|
| In-Stent Late Lumen Loss (LL) at 4 months post-procedure for patients receiving IVUS/Angio at 4 months | 4 months | |
| 2. Major adverse cardiac events (MACE) at 30 days, defined as death, myocardial infarction or ischemic target vessel revascularization (PCI or CABG). |
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Inclusion Criteria:
Exclusion Criteria:
Multiple lesions to be treated in the same target vessel.
Patients who require more than one BioFreedom stent except that an additional BioFreedom stent may be implanted in the target lesion for geographic miss or bailout
A documented left ventricular ejection fraction < 30% assessed within 6 months prior to procedure by echocardiography, during a previous angiography or as measured during pre-procedure angiography.
A known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, ticlopidine and, clopidogrel, stainless steel, Biolimus A9, Paclitaxel or a sensitivity to contrast media, which cannot be adequately pre-medicated.
A platelet count <100,000 cells/mm³ or >700,000 cells/mm³, or a WBC <3,000 cells/mm³.
Evidence of an acute myocardial infarction within 72 hours of the intended treatment (defined as: Q wave or non-Q wave infarction having CK enzymes > 2 times the upper laboratory normal with the presence of a CK-MB elevated above the institutions upper limit of normal).
A previous coronary interventional procedure was performed either a.) within 24 hours prior to the procedure or b.) within 12 months prior to the procedure for any lesion in the target vessel.
The subject requires planned interventional treatment of any lesion in either the target vessel within 12 months or in any non-target vessel within 30 days post-procedure.
The target and non-target lesion require treatment with a device other than PTCA prior to stent placement (such as, but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.).
The target vessel has angiographic evidence of thrombus or is excessively (2 bends > 90º to reach the target lesion) tortuous.
The target lesion has any of the following characteristics:
Stenting of the target or non-target lesion would "jail" or cover a side branch >2.0 mm in diameter or occur at the ostium of the sidebranch.
History of a stroke or transient ischemic attack (TIA) within the prior 6 months or permanent neurologic deficit.
History of upper GI bleeding within the prior 6 months.
The subject has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions.
Concurrent medical condition with a life expectancy of less than 18 months.
Currently participating in an investigational drug or another device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints. [Note: Trials requiring extended follow-up for products that were investigational, but have since become commercially available, are not considered investigational trials.]
Any contraindications as mentioned in the TaxusTM LiberteTM Instructions for Use (IFU).
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| Name | Affiliation | Role |
|---|---|---|
| Eberhard Grube, Prof Dr med | Department of Cardiology Hospital Alemao O. Cruz, Sao Paulo, Brazil | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical Care Center, Hamburg University Cardiovascular Center | Hamburg | D-22527 | Germany | |||
| Herzzentrum Leipzig GmbH |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26762911 | Derived | Costa RA, Abizaid A, Mehran R, Schofer J, Schuler GC, Hauptmann KE, Magalhaes MA, Parise H, Grube E; BioFreedom FIM Clinical Trial Investigators. Polymer-Free Biolimus A9-Coated Stents in the Treatment of De Novo Coronary Lesions: 4- and 12-Month Angiographic Follow-Up and Final 5-Year Clinical Outcomes of the Prospective, Multicenter BioFreedom FIM Clinical Trial. JACC Cardiovasc Interv. 2016 Jan 11;9(1):51-64. doi: 10.1016/j.jcin.2015.09.008. |
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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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| Biofreedom Drug Eluting Stent | Device | Biofreedom DES with a low dose of Biolimus A9TM |
|
| Tuxus Liberte Drug Eluting Stent | Device | Standard paclitaxel dose Taxus Liberte DES |
|
| 30 days |
| 3. Major Adverse Cardiac Event (MACE) at hospital discharge, 30 days, 4 months, 12 months, and 2, 3, 4 and 5 years post-procedure. | 5 years |
| Vascular complications through hospital discharge. | 5 years |
| 5. Rates of stent thrombosis, per ARC definition of definite and probable and categorized as early, late or very late, at 30 days, 4 and 12 months, 2, 3, 4 and 5 years post-procedure. | 5 years |
| 6. Biolimus A9 drug systemic drug levels post-procedure, 4 hours post-procedure, at hospital discharge, and at 30 days and 4 months clinical follow-up. | 4 months |
| Leipzig |
| D-04289 |
| Germany |
| HELIOS - Klinikum Siegburg | Siegburg | D-53721 | Germany |
| Krankenhaus der Barmherzigen BrĂ¼der | Trier | D-54292 Trier | Germany |