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To evaluate the efficacy of the two DES (Drug Eluting Stent) used in terms of device-related adverse events at 12 months after PCI (Percutaneous Coronary Intervention).
To compare the clinical safety and efficacy by comparing net clinical events (defined as the combination of ischemic and hemorrhagic events) of the two DES used at 12 months after PCI.
To evaluate the efficacy of the two DES (Drug Eluting Stent) used in terms of device-related adverse events at 12 months after PCI (Percutaneous Coronary Intervention).
To compare the clinical safety and efficacy by comparing net clinical events (defined as the combination of ischemic and hemorrhagic events) of the two DES used at 12 months after PCI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Comparator: ihtDEStiny® DES | Other |
| |
| Experimental: Xience™ DES | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ihtDEStiny® DES implanted | Device | ihtDEStiny® DES implanted |
| |
| Measure | Description | Time Frame |
|---|---|---|
| EFFICACY: Device-oriented Composite Endpoint (DoCE) | Composite clinical endpoint cardiac Rate at 12 months cause death, target vessel myocardial infraction (TV-MI), and Clinically individual target lesion revascularization (CI-TLR) | 12 months |
| NACE | Composite clinical endpoint Rate of all-cause death, any stroke, any MI, any revascularization and BARC type 3 or 5 bleeding events | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| All-Cause Death Rate at 12 months | All-Cause Death Rate at 12 months | 12 months |
| All-Cause Death Rate at 24 months | All-Cause Death Rate at 24 months |
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Inclusion Criteria:
Patients who meet ALL inclusion criteria will be included:
Exclusion Criteria:
Patients must not meet any of the following exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Armando Pérez de Prado, MD, PhD | Contact | 0034987876135 | admin@fundacionepic.org | |
| FUNDACION EPIC | Contact | 0034987876135 | iepic@fundacionepic.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario San Juan Alicante | Recruiting | Alicante | 03550 | Spain | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33386256 | Background | de la Torre Hernandez JM, Otaegui I, Subinas A, Gomez-Menchero A, Moreno R, Rondan J, Munoz-Garcia E, Sainz-Laso F, Garcia Del Blanco B, Rumoroso JR, Diaz JF, Berenguer A, Gomez-Lara J, Zueco J. First-in-Man Evaluation of a Sirolimus-Eluting Stent With Abluminal Fluoropolymeric/Triflusal Coating With Ultrathin Struts by OCT at 9 Months' Follow-Up: The PROMETHEUS Study. Cardiovasc Revasc Med. 2021 Nov;32:18-24. doi: 10.1016/j.carrev.2020.12.025. Epub 2020 Dec 29. | |
| 34391680 |
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| Xience™ DES implanted |
| Device |
Xience™ DES implanted |
|
| 12 months |
| Cardiac Death Rate at 12 months | Cardiac Death Rate at 12 months | 12 months |
| Cardiac Death Rate at 24 months | Cardiac Death Rate at 24 months | 12 months |
| Myocardial Infarction Rate at 12 months | Myocardial Infarction Rate at 12 months | 12 months |
| Myocardial Infarction Rate at 24 months | Myocardial Infarction Rate at 24 months | 12 months |
| Periprocedural myocardial infarction Rate | Periprocedural myocardial infarction Rate | PCI procedure |
| Definite/Probable stent thrombosis rate at 12 months | Definite/Probable stent thrombosis rate at 12 months | 12 months |
| Definite/Probable stent thrombosis rate at 24 months | Definite/Probable stent thrombosis rate at 24 months | 24 months |
| Any stroke at 12 months | Stroke Rate at 12 months | 12 months |
| Any stroke at 24 months | Stroke Rate at 24 months | 12 months |
| BARC type 2 ,3 or 5 bleeding events at 12 months | Bleeding events type 2, 3 or 5 defined by BARC (Bleeding Academic Research Consortium) criteria at 12 months | 12 months |
| BARC type 2 ,3 or 5 bleeding events at 24 months | Bleeding events type 2, 3 or 5 defined by BARC (Bleeding Academic Research Consortium) criteria at 24 months | 24 months |
| Target vessel revascularization Rate at 12 months | Target vessel revascularization Rate at 12 months | 12 months |
| Target vessel revascularization Rate at 24 months | Target vessel revascularization Rate at 24 months | 24 months |
| Target vessel Failure (TVF) Rate at 12 months | Target vessel Failure (TVF) Rate at 12 months | 12 months |
| Target vessel Failure (TVF) Rate at 24 months | Target vessel Failure (TVF) Rate at 24 months | 24 months |
| Target Lesion Failure (TLF) Rate at 12 months | Target Lesion Failure (TLF) Rate at 12 months | 12 months |
| Target Lesion Failure (TLF) Rate at 24 months | Target Lesion Failure (TLF) Rate at 24 months | 24 months |
| Target Vessel Revascularization Rate (TVR) at 12 months | Target Vessel Revascularization Rate (TVR) at 12 months | 12 months |
| Target Vessel Revascularization Rate (TVR) at 24 months | Target Vessel Revascularization Rate (TVR) at 24 months | 24 months |
| Target lesion ischemia-guided revascularization Rate at 12 months | Target lesion ischemia-guided revascularization Rate at 12 months | 12 months |
| Target lesion ischemia-guided revascularization Rate at 24 months | Target lesion ischemia-guided revascularization Rate at 24 months | 24 months |
| Repeated revascularization Rate at 12 months | Repeated revascularization Rate at 12 months | 12 months |
| Repeated revascularization Rate at 24 months | Repeated revascularization Rate at 24 months | 24 months |
| Major Adverse Cardiac Events (MACE) Rate at 12 months | Major Adverse Cardiac Events (MACE) Rate is defined as cardiac death, MI not clearly attributable to a non-intervention vessel, and clinically-indicated target lesion revascularization at 12 months | 12 months |
| Major Adverse Cardiac Events (MACE) Rate at 24 months | Major Adverse Cardiac Events (MACE) Rate is defined as cardiac death, MI not clearly attributable to a non-intervention vessel, and clinically-indicated target lesion revascularization at 24 months | 24 months |
| Hospital Universitari Germans Trias I Pujol |
| Recruiting |
| Badalona |
| 08916 |
| Spain |
| Hospital Universitario de Cruces | Recruiting | Barakaldo | 48903 | Spain |
| Hospital Universitari Vall d'Hebron | Recruiting | Barcelona | 08035 | Spain |
| Hospital General Universitario de Castellon | Recruiting | Castelló | 12004 | Spain |
| Hospital Universitario Virgen de La Arrixaca | Recruiting | El Palmar | 30120 | Spain |
| Hospital Universitario La Paz | Recruiting | Fuencarral-El Pardo | 28046 | Spain |
| Hospital Universitario Juan Ramón Jiménez | Recruiting | Huelva | 21005 | Spain |
| Hospital Universitario de Leon | Recruiting | León | 24008 | Spain |
| Hospital Universitari Arnau de Vilanova | Recruiting | Lleida | 25198 | Spain |
| Hospital Universitario Lucus Agustí | Recruiting | Lugo | 27003 | Spain |
| Hospital Regional Universitario de Málaga | Recruiting | Málaga | 29010 | Spain |
| Hospital Universitario de Canarias | Recruiting | San Cristóbal de La Laguna | 38320 | Spain |
| Hospital Universitario Marques de Valdecilla | Recruiting | Santander | 39008 | Spain |
| Hospital Clínico Universitario de Santiago | Recruiting | Santiago de Compostela | 15706 | Spain |
| Hospital Universitari de Tarragona Joan XXIII | Recruiting | Tarragona | 43005 | Spain |
| Hospital Clínico Universitario Lozano Blesa | Recruiting | Zaragoza | 50009 | Spain |
| Background |
| Ploumen EH, von Birgelen C. Novel DES Aims at Full Thromboresistance: Another Promising Player on the Field? Cardiovasc Revasc Med. 2021 Nov;32:25-26. doi: 10.1016/j.carrev.2021.07.029. Epub 2021 Aug 11. No abstract available. |
| 40713212 | Background | Linares Vicente JA, Sainz Laso F, Casanova Sandoval JM, Rumoroso Cueva JR, Gomez Menchero A, Gomez Hospital JA, Perez Guerrero A, Santos Martinez S, Fernandez Portales J, Romani S, Garcia Del Blanco B, Ocaranza Sanchez R, Urbano Carrillo C, Garcia San Roman K, Vinhas H, Cid Alvarez B, Sanchis Fores J, Telleria Arrieta M, Torres Bosco A, Pinar Bermudez E, Mendez Castro JJ, Lozano Ruiz de Poveda F, Perez de Prado A, De la Torre Hernandez JM. Long-term outcomes of hydrodynamic ultra-thin strut sirolimus-eluting stent with fluoropolymer containing triflusal: VELAZQUEZ-EPIC26 study. Cardiovasc Revasc Med. 2026 Mar;84:26-33. doi: 10.1016/j.carrev.2025.07.009. Epub 2025 Jul 17. |
| 30827782 | Background | Zaman A, de Winter RJ, Kogame N, Chang CC, Modolo R, Spitzer E, Tonino P, Hofma S, Zurakowski A, Smits PC, Prokopczuk J, Moreno R, Choudhury A, Petrov I, Cequier A, Kukreja N, Hoye A, Iniguez A, Ungi I, Serra A, Gil RJ, Walsh S, Tonev G, Mathur A, Merkely B, Colombo A, Ijsselmuiden S, Soliman O, Kaul U, Onuma Y, Serruys PW; TALENT trial investigators. Safety and efficacy of a sirolimus-eluting coronary stent with ultra-thin strut for treatment of atherosclerotic lesions (TALENT): a prospective multicentre randomised controlled trial. Lancet. 2019 Mar 9;393(10175):987-997. doi: 10.1016/S0140-6736(18)32467-X. Epub 2019 Feb 28. |
| 29891620 | Background | Garcia-Garcia HM, McFadden EP, Farb A, Mehran R, Stone GW, Spertus J, Onuma Y, Morel MA, van Es GA, Zuckerman B, Fearon WF, Taggart D, Kappetein AP, Krucoff MW, Vranckx P, Windecker S, Cutlip D, Serruys PW; Academic Research Consortium. Standardized End Point Definitions for Coronary Intervention Trials: The Academic Research Consortium-2 Consensus Document. Circulation. 2018 Jun 12;137(24):2635-2650. doi: 10.1161/CIRCULATIONAHA.117.029289. |
| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
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