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The Galaxy First-in-man study is a small pilot. single arm research , which will enroll a total of 45 patients. The goal is to access the feasibility, safety and efficacy of Rapamycin Drug-Eluting Bioresorbable Coronary Stent System in the treatment of patients with de novo coronary lesion.
This study is a prospective, single arm clinical trial. 45 patients enrolled in the study will be randomly assigned to queue1 (n=30) and queue 2 (n=15). The clinical follow-up will be performed in all subjects at 1 month,6 months,1 year,2 years,3 years,4 years and 5 years after stent implantation; angiographic,IVUS and OCT follow-up will be performed at 6 months and 2 years after stent implantation in queue 1; angiographic,IVUS and OCT follow-up will be performed at 1 year and 3 years after stent implantation in queue 2. The primary endpoint of the study is target lesion failure (TLF) at 30 days after stent implantation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Galaxy stent | Experimental | The galaxy Rapamycin Drug-Eluting Bioresorbable Coronary Stent System will be implanted in all subjects. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rapamycin Drug-Eluting Bioresorbable Coronary Stent System | Device | Implantation of the Rapamycin Drug-Eluting Bioresorbable Coronary Stent System |
|
| Measure | Description | Time Frame |
|---|---|---|
| Device-related composite endpoints (Target Lesion Failure) | contains cardiac death,target vessel myocardial infarction and clinical driven-target lesion revascularization | 1 month after stent implantation |
| Measure | Description | Time Frame |
|---|---|---|
| Device Success | Successful delivery and deployment of the assigned stent at the intended target lesion and successful withdrawal of the delivery system with attainment of final in-stent residual stenosis of less than 30% by quantitative coronary angiography (QCA) | From the start of index procedure to end of index procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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| Procedural Success |
Achievement of final in-stent residual stenosis of less than 30% by QCA (by visual estimation if QCA unavailable) with successful delivery and deployment of at least one assigned stent at the intended target lesion and successful withdrawal of the delivery system for the target lesion without the occurrence of cardiac death, target vessel MI or repeat TLR. |
| At time of procedure up to 7 days in hospital |
| Target Lesion Failure | Target lesion failure is a composite endpoint of cardiac death, target vessel related myocardial infarction (TV-MI) and the ischemia-driven target lesion revascularization | 6 months |
| Target Lesion Failure | 1 year |
| Target Lesion Failure | 2 years |
| Target Lesion Failure | 3 years |
| Target Lesion Failure | 4 years |
| Target Lesion Failure | 5 years |
| Patient Oriented Composite Endpoint | Patients oriented composite endpoint includes all-cause death, all myocardial infarction and any revascularization | 30 days |
| Patient Oriented Composite Endpoint | 6 months |
| Patient Oriented Composite Endpoint | 1 year |
| Patient Oriented Composite Endpoint | 2 years |
| Patient Oriented Composite Endpoint | 3 years |
| Patient Oriented Composite Endpoint | 4 years |
| Patient Oriented Composite Endpoint | 5 years |
| Stent Thrombosis | 30 days |
| Stent Thrombosis | 6 months |
| Stent Thrombosis | 1 year |
| Stent Thrombosis | 2 years |
| Stent Thrombosis | 3 years |
| Stent Thrombosis | 4 years |
| Stent Thrombosis | 5 years |
| Minimal lumen diameter | 6 months, 1year, 2 years and 3years |
| In-stent stenosis | 6 months, 1year, 2 years and 3years |
| Late lumen loss | 6 months, 1year, 2 years and 3years |
| Covered struts percentage | 6 months, 1year, 2 years and 3years |
| Malapposed struts percentage | 6 months, 1year, 2 years and 3years |
| Neointimal hyperplasia area | 6 months, 1year, 2 years and 3years |
| Neointimal hyperplasia area obstruction | 6 months, 1year, 2 years and 3years |
| Struts core area | 6 months, 1year, 2 years and 3years |
| Struts neointimal thickness | 6 months, 1year, 2 years and 3years |
| IVUS mean vessel area | 6 months, 1year, 2 years and 3years |
| IVUS mean lumen area | 6 months, 1year, 2 years and 3years |
| IVUS mean strut area | 6 months, 1year, 2 years and 3years |