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The DESSOLVE I clinical trial is to assess the safety and performance of the sirolimus-eluting MiStent SES.
The DESSOLVE I clinical trial is to assess the safety and performance of the sirolimus-eluting MiStent for the treatment for improving coronary luminal diameter in patients with symptomatic ischemic heart disease due to discrete de novo lesions < 20 mm in length in the native coronary arteries with reference vessel diameters between 2.5 mm and 3.5 mm.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MiStent SES | Experimental | The MiStent SES is a device/drug combination comprised of two components; a stent and a drug product (sirolimus within an absorbable polymer coating). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MiStent SES | Device | The MiStent SES is a device/drug combination comprised of two components; a stent and a drug product (sirolimus within an absorbable polymer coating). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Angiographic In-Stent Late Lumen Loss | In-stent late lumen loss as measured by the angiographic core laboratory as the difference between the post-procedure minimal lumen diameters (MLD) in the treated segment (stented region) minus the MLD in the same region at follow-up. | 8 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Experiencing Major Adverse Cardiac Events (MACE) | Major Adverse Cardiac Events (MACE) defined as death, myocardial infarction (Q-wave and non-Q-wave) and target vessel revascularization (TVR) | 240 days |
| Device Success |
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Inclusion Criteria:
Exclusion Criteria:
Female of childbearing potential not on some form of birth control with a confirmed negative pregnancy test at baseline;
Recent Q-wave myocardial infarction occurred <72 hours prior to the index procedure. Recent myocardial infarction with elevated levels of cardiac markers;
Left ventricular ejection fraction <30%;
Patients in cardiogenic shock;
Cerebrovascular accident or transient ischemic attack within 6 months;
Active GI bleed within three months;
Any prior true anaphylactic reaction to contrast agents;
Patient receiving/scheduled to receive chemotherapy within 30-days before or after the index procedure;
Patient is receiving immunosuppressive therapy or has known life-limiting immunosuppressive/autoimmune disease;
Renal dysfunction (creatinine > 2.0 mg/dL or 177 µmol/L);
Platelet count <100,000 cells/mm³ or >700,000 cells/mm³;
White blood cell count <3,000 cells/mm3;
Hepatic disease;
Heart transplant recipient;
Known contraindication to dual antiplatelet therapy;
Known hypersensitivity to sirolimus, cobalt-chromium, or to medications such as aspirin, heparin, and all three of the following: clopidogrel bisulfate (Plavix), ticlopidine (Ticlid), and Prasugrel (Effient);
Life expectancy <12 months;
Any major medical condition that may interfere with the optimal participation of the patient in this study;
Patient is currently participating/planning to participate in an investigational drug or another device study prior to completing 12-months follow-up;
Target vessel(s) has been treated within 10 mm proximal or distal to target lesion with any type of PCI within a year prior to index procedure;
Planned or actual target vessel(s) treatment with an unapproved device, directional or rotational coronary atherectomy, laser, cutting balloon, or transluminal extraction catheter prior to stent placement;
Previous coronary intravascular brachytherapy;
Planned coronary angioplasty or coronary artery bypass grafting (CABG)in the first 9 months after the index procedure;
Prior PCI of a non-target vessel must be at least 30 days prior to study enrollment;
The intent to direct stent the target lesion;
Angiographic Exclusion Criteria: Assessed prior to stent placement;
Non-target lesion to be treated during the index procedure meets any of the following criteria:
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| Name | Affiliation | Role |
|---|---|---|
| William Wijns, MD | Cardiovascular Center, Onze-Lieve-Vrouwziekenhuis Aalst (OLV Hospital) | Principal Investigator |
| John Ormiston, MD | Mercy Angiography Unit | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Vincent's Hospital Melbourne | Melbourne | Australia | ||||
| Onze-Lieve-Vrouwziekenhuis Aalst (OLV Hospital) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24055443 | Result | Ormiston J, Webster M, Stewart J, Vrolix M, Whitbourn R, Donohoe D, Knape C, Lansky A, Attizzani GF, Fitzgerald P, Kandzari DE, Wijns W. First-in-human evaluation of a bioabsorbable polymer-coated sirolimus-eluting stent: imaging and clinical results of the DESSOLVE I Trial (DES with sirolimus and a bioabsorbable polymer for the treatment of patients with de novo lesion in the native coronary arteries). JACC Cardiovasc Interv. 2013 Oct;6(10):1026-34. doi: 10.1016/j.jcin.2013.05.013. Epub 2013 Sep 18. | |
| 23992957 |
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| ID | Title | Description |
|---|---|---|
| FG000 | MiStent SES | The MiStent SES is a device/drug combination comprised of two components; a stent and a drug product (sirolimus within an absorbable polymer coating). |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Patients with symptomatic ischemic heart disease due to discrete de novo lesions < 20 mm in length in the native coronary arteries with reference vessel diameters between 2.5 mm and 3.5 mm.
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| ID | Title | Description |
|---|---|---|
| BG000 | MiStent SES | The MiStent is a device/drug combination comprised of two components; a stent and a drug product (sirolimus within an absorbable polymer coating). |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Angiographic In-Stent Late Lumen Loss | In-stent late lumen loss as measured by the angiographic core laboratory as the difference between the post-procedure minimal lumen diameters (MLD) in the treated segment (stented region) minus the MLD in the same region at follow-up. | Last observation used, such that patients (n=10) in the 8 month analysis is reported. | Posted | Mean | Standard Deviation | mm | 8 months |
|
|
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Regular investigator assessment.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | MiStent SES | The MiStent is a device/drug combination comprised of two components; a stent and a drug product (sirolimus within an absorbable polymer coating). |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina pectoris | Cardiac disorders | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina pectoris | Cardiac disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dennis Donohoe, MD, Chief Medical Advisor | Micell Technologies | 919-313-2102 | ddonohoeconsult@gmail.com |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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Achievement of a final in-stent residual diameter stenosis of <50% (by QCA), using the assigned device only
| 8 hours |
| Lesion Success | Achievement of a final in-stent residual diameter stenosis of <50% (by QCA) using any percutaneous method | 8 hours |
| Procedural Success | Achievement of a final in-stent residual diameter stenosis of <50% (by QCA) using the assigned device (including any adjunctive devices) without cardiac death, Myocardial infarction (MI) or repeat revascularization of the target lesion pre-hospital discharge | 8 hours |
| Total Mortality | Total mortality (cardiac and non-cardiac) | 240 days |
| Total Myocardial Infarction (MI) |
| 240 days |
| Clinically-driven Target Lesion Revascularization (TLR) Rates | A revascularization is considered clinically driven if angiography at follow-up shows a percent diameter stenosis ≥ 50% (Angiographic Core Laboratory QCA assessment) and if one of the following occurs:
| 240 days |
| Clinically-driven Target Vessel Revascularization (TVR) Rates | A revascularization is considered clinically driven if angiography at follow-up shows a percent diameter stenosis ≥ 50% (Angiographic Core Laboratory QCA assessment) and if one of the following occurs:
| 240 days |
| Target Vessel Failure (TVF) | Target vessel failure (TVF) is defined as the composite endpoint of:
| 240 days |
| Target Lesion Failure (TLF) | Target lesion failure (TLF) is defined as the composite endpoint of:
| 240 days |
| Stent Thrombosis | The presence of an intracoronary thrombus that originates in the stent or in the segments 5 mm proximal or distal to the stent post-procedure | 240 days |
| Angiographic Evaluation: In-stent Binary Restenosis | Binary Restenosis is defined as ≥50% luminal narrowing at follow-up angiography. | 4 months, 6 months, 8 months |
| Angiographic Evaluation: In-stent Binary Restenosis | Binary Restenosis is defined as ≥50% luminal narrowing at follow-up angiography. | 18 months |
| Intravascular Ultrasound (IVUS) Evaluation: % Neointimal Volume Obstruction | % neointimal volume obstruction is defined as the neointimal volume divided by stent volume. | 8 months |
| IVUS Evaluation: % Neointimal Volume Obstruction | % neointimal volume obstruction is defined as the neointimal volume divided by stent volume. | 18 months |
| Optical Coherence Tomography (OCT) Evaluation: % Stent Strut Uncovered | % stent strut uncovered is defined as the ratio of uncovered struts to total struts in all cross-sections. | 8 months |
| OCT Evaluation: % Stent Strut Uncovered | % stent strut uncovered is defined as the ratio of uncovered struts to total struts in all cross-sections. | 18 M |
| Aalst |
| Belgium |
| Ziekenhuis Oost-Limburg | Genk | Belgium |
| Auckland City Hospital | Auckland | 1032 | New Zealand |
| Mercy Angiography Unit - Mercy Hospital | Aukland | 1032 | New Zealand |
| Result |
| Attizzani GF, Bezerra HG, Ormiston J, Wang W, Donohoe D, Wijns W, Costa MA. Serial assessment by optical coherence tomography of early and late vascular responses after implantation of an absorbable-coating Sirolimus-Eluting stent (from the first-in-human DESSOLVE I trial). Am J Cardiol. 2013 Nov 15;112(10):1557-64. doi: 10.1016/j.amjcard.2013.07.013. Epub 2013 Aug 29. |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Gender | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Participants |
|
|
| Secondary | Percentage of Participants Experiencing Major Adverse Cardiac Events (MACE) | Major Adverse Cardiac Events (MACE) defined as death, myocardial infarction (Q-wave and non-Q-wave) and target vessel revascularization (TVR) | Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Device Success | Achievement of a final in-stent residual diameter stenosis of <50% (by QCA), using the assigned device only | Posted | Number | 95% Confidence Interval | percentage of participants | 8 hours |
|
|
|
| Secondary | Lesion Success | Achievement of a final in-stent residual diameter stenosis of <50% (by QCA) using any percutaneous method | Posted | Number | 95% Confidence Interval | percentage of participants | 8 hours |
|
|
|
| Secondary | Procedural Success | Achievement of a final in-stent residual diameter stenosis of <50% (by QCA) using the assigned device (including any adjunctive devices) without cardiac death, Myocardial infarction (MI) or repeat revascularization of the target lesion pre-hospital discharge | Posted | Number | 95% Confidence Interval | percentage of participants | 8 hours |
|
|
|
| Secondary | Total Mortality | Total mortality (cardiac and non-cardiac) | Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Total Myocardial Infarction (MI) |
| Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Clinically-driven Target Lesion Revascularization (TLR) Rates | A revascularization is considered clinically driven if angiography at follow-up shows a percent diameter stenosis ≥ 50% (Angiographic Core Laboratory QCA assessment) and if one of the following occurs:
| Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Clinically-driven Target Vessel Revascularization (TVR) Rates | A revascularization is considered clinically driven if angiography at follow-up shows a percent diameter stenosis ≥ 50% (Angiographic Core Laboratory QCA assessment) and if one of the following occurs:
| Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Target Vessel Failure (TVF) | Target vessel failure (TVF) is defined as the composite endpoint of:
| Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Target Lesion Failure (TLF) | Target lesion failure (TLF) is defined as the composite endpoint of:
| Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Stent Thrombosis | The presence of an intracoronary thrombus that originates in the stent or in the segments 5 mm proximal or distal to the stent post-procedure | Posted | Number | 95% Confidence Interval | percentage of participants | 240 days |
|
|
|
| Secondary | Angiographic Evaluation: In-stent Binary Restenosis | Binary Restenosis is defined as ≥50% luminal narrowing at follow-up angiography. | Patients evaluated at 4(n=10), 6(n=10) and 8(n=10) months. | Posted | Number | participants | 4 months, 6 months, 8 months |
|
|
|
| Secondary | Angiographic Evaluation: In-stent Binary Restenosis | Binary Restenosis is defined as ≥50% luminal narrowing at follow-up angiography. | Population includes participants from whom data was collected. | Posted | Number | participants | 18 months |
|
|
|
| Secondary | Intravascular Ultrasound (IVUS) Evaluation: % Neointimal Volume Obstruction | % neointimal volume obstruction is defined as the neointimal volume divided by stent volume. | Patients evaluated at 4(n=10), 6(n=10) and 8(n=10) months. Only 25/30 patients had evaluable IVUS data. | Posted | Mean | Standard Deviation | percentage of volume obstruction | 8 months |
|
|
|
| Secondary | IVUS Evaluation: % Neointimal Volume Obstruction | % neointimal volume obstruction is defined as the neointimal volume divided by stent volume. | 20 out of 30 participants analyzed | Posted | Mean | Standard Deviation | percentage of volume obstruction | 18 months |
|
|
|
| Secondary | Optical Coherence Tomography (OCT) Evaluation: % Stent Strut Uncovered | % stent strut uncovered is defined as the ratio of uncovered struts to total struts in all cross-sections. | Patients evaluated at 4(n=10), 6(n=10) and 8(n=10) months. Only 9/30 patients had evaluable OCT at the 8 month timeframe. | Posted | Median | Full Range | percentage of struts uncovered | 8 months |
|
|
|
| Secondary | OCT Evaluation: % Stent Strut Uncovered | % stent strut uncovered is defined as the ratio of uncovered struts to total struts in all cross-sections. | 27 out of 30 patients analyzed | Posted | Median | Full Range | percentage of struts uncovered | 18 M |
|
|
|
| 7 |
| 30 |
| 11 |
| 30 |
| Arteriospasm coronary | Cardiac disorders | Systematic Assessment |
|
| Atrial fibrillation | Cardiac disorders | Systematic Assessment |
|
| Atrioventricular block | Cardiac disorders | Systematic Assessment |
|
| Cerebrovascular accident | Nervous system disorders | Systematic Assessment |
|
| Hemiparesis | Nervous system disorders | Systematic Assessment |
|
| Lacunar infarction | Nervous system disorders | Systematic Assessment |
|
| Sensory disturbance | Nervous system disorders | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Dizziness | Nervous system disorders | Systematic Assessment |
|
| Increase tendency to bruise | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Hypertension | Surgical and medical procedures | Systematic Assessment |
|
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| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |