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The study is a pilot clinical trial for Sirolimus-eluting Iron Bioresorbable Coronary Scaffold System(IBS). The main purpose of this study is to evaluate the feasibility, preliminary safety and efficacy of IBS. To provide the basis for subsequent large-scale, multi-center, randomized controlled clinical trials of IBS.
A prospective, single-center, First-in-Man trial;
Study population: 45 subjects.
45 subjects will be randomly assigned into two cohorts: cohort 1(n=30), cohort 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, 5 years post procedure;
The Angiographic, Intra-Vascular Ultrasound (IVUS) and Optical Coherence Tomography (OCT) will be performed at 6 months and 2 years post procedure in cohort 1. The Angiographic, IVUS and OCT will be performed at 1 year and 3 years post procedure in cohort 2.
The primary study endpoints:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IBS implantation | Experimental | Implantation of IBS in patients with coronary artery lesions. All the subjects will be assigned to cohort 1 (n=30) and cohort 2 (n=15). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sirolimus-eluting Iron Bioresorbable Coronary Scaffold System | Device | Implantation of Sirolimus-eluting Iron Bioresorbable Coronary Scaffold System (IBS) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Study Device related Composite Endpoint (Target Lesion Failure) | Target Lesion Failure is defined as the composited endpoints of including cardiac death, Target vessel related myocardial infarction (TV-MI) and clinical indicated target lesion revascularization (CI-TLR), also known as MACE (major adverse cardiac events). | 6 months after implantation |
| Late Lumen Loss | Late Lumen Loss | 6 months after implantation |
| Measure | Description | Time Frame |
|---|---|---|
| Immediate Success Rate |
| Immediate post procedure |
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Inclusion Criteria:
All patients participating in this clinical trial must meet the following criteria:
Exclusion Criteria:
Patients will be excluded if any of the following conditions apply:
General:
Exclusion criteria by angiography:
A.DS% < 40% (visual), highly recommend DS% ≤20% B.TIMI blood flow= class 3 (visual) C.No angiography complications (e.g., distal embolization, lateral branch closed) D.No interlining level NHLBI type D - F E.No continuous chest pain (> 5 minutes), and F.No lower or higher ST segment >5 minutes.
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| Name | Affiliation | Role |
|---|---|---|
| Runlin Gao | Fu Wai Hospital, Beijing, China | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Fuwai hospital | Beijing | 100037 | China |
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|
| Clinical Success | Defined as based on lesion success, there is no major adverse cardiac events in the hospitalization period. | Hospitalized period post procedure within 7 days |
| Performance Evaluation of IBS | 4 class (Excellent, good, general, bad) to evaluate the push ability, performance of through the lesions, performance of cover the lesions, support force, withdraw ability. | Immediate post procedure |
| Device related Composite Endpoint (DoCE) | Target Lesion Failure, defined as the composited endpoints of including cardiac death, target vessel related myocardial infarction (TV-MI) and clinical indicated target lesion revascularization (CI-TLR). | 1 Month, 1 Year, 2 Years, 3 Years, 4 Years, 5 Years post procedure |
| Patient related Clinical Composite Endpoint (PoCE) | Including all-cause mortality, all myocardial infarction and any revascularization. | 1 Month, 6 Months, 1 Year, 2 Years, 3 Years, 4 Years, 5 Years post procedure |
| Stent Thrombosis defined by ARC | Timing (acute, sub-acute, late and very late) Evidence (definite and probable) | Acute (0-24 hours), Subacute (24 hours-30 days), Late (30 days-1 year), Very late (after 1 year) |
| Thickness of acute stent recoil (mm) | Angiographic Endpoint | Immediate post procedure |
| In-stent, in-segment, proximal and distal minimum lumen diameter (MLD) | Angiographic Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| In-stent, in-segment, proximal and distal percent of diameter stenosis (DS, %) | Angiographic Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| In-stent, in-segment, proximal and distal late lumen loss (LLL) | Angiographic Endpoint | 1 year, 2 years, 3 years |
| In-stent, in-segment, proximal and distal angiographic defined restenosis (ABR) | Angiographic Endpoint | 6 months, 1 year, 2 years, 3 years |
| Vasomotion | Defined as the average diameter change of lumen diameter before and after using nitroglycerin. | 6 months,1 year, 2 years, 3 years |
| Analysis of neointimal thickness by OCT | Optical Coherence Tomography Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of proportion of strut coverage by OCT | Optical Coherence Tomography Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of incomplete strut apposition by OCT | Optical Coherence Tomography Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of percentage area obstruction by OCT | Optical Coherence Tomography Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of healing score by OCT | Optical Coherence Tomography Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of late recoil by OCT | Optical Coherence Tomography Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of vessel area by IVUS | Intra-Vascular Ultrasound Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of lumen area by IVUS | Intra-Vascular Ultrasound Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of scaffold area by IVUS | Intra-Vascular Ultrasound Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of neointimal area by IVUS | Intra-Vascular Ultrasound Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of percentage area obstruction by IVUS | Intra-Vascular Ultrasound Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of volumetric obstruction by IVUS | Intra-Vascular Ultrasound Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |
| Analysis of late recoil area by IVUS | Intra-Vascular Ultrasound Endpoint | Immediate post procedure, 6 months, 1 year, 2 years, 3 years |