Evaluation of Sirolimus-Eluting, Heparin-Coated CoCr Stent in the Treatment of de Novo Coronary Artery Lesions in Small Vessels(EVOLUTION)
Sirolimus-Eluting, Heparin-Coated Cobalt Chromium Balloon-Expandable Stent in the Treatment of Patients With de Novo Coronary Artery Lesions in Small Vessels (EVOLUTION)
1 other identifier
interventional
52
1 country
1
Brief Summary
The objective of this study is to assess the performance and safety of a sirolimus-eluting, heparin-coated, cobalt chromium balloon-expandable stent (Small Vessel Stent) in patients with de novo native coronary artery lesions in small vessels as compared to historical data from small vessel patients in the RAVEL trial receiving the Sirolimus-eluting Bx VELOCITY™ stent.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 coronary-artery-disease
Started Oct 2003
Shorter than P25 for phase_2 coronary-artery-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2003
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2004
CompletedFirst Submitted
Initial submission to the registry
October 4, 2005
CompletedFirst Posted
Study publicly available on registry
October 6, 2005
CompletedJune 27, 2007
June 1, 2007
October 4, 2005
June 26, 2007
Conditions
Outcome Measures
Primary Outcomes (1)
The primary endpoint is in-stent late loss as measured by quantitative coronary angiography (QCA) at 6 months post-procedure.
6 months post-procedure
Secondary Outcomes (7)
In-lesion late loss as measured by QCA at 6 months post-procedure.
6 months post-procedure
In-stent and in-lesion minimum lumen diameter (MLD) and percent diameter stenosis (%DS) by QCA post-procedure and at 6 months.
Post-procedure and at 6 months
Device success defined as achievement of a final residual diameter stenosis of <50% (by QCA), using the assigned device only. If QCA is not available, the visual estimate of diameter stenosis is used.
Target Lesion Revascularization (TLR) at six and 12 months.
6 and 12 months
Target Vessel Revascularization (TVR) at six and 12 months.
6 and 12 months
- +2 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- The patient must be minimum 18 years of age;
- Diagnosis of angina pectoris as defined by Canadian Cardiovascular Society Classification (CCS I, II, III, IV) OR unstable angina pectoris (Braunwald Classification B\&C, I-II-III) OR patients with documented silent ischemia;
- Treatment of one lesion in a native coronary artery. The treated lesion will be the one with the highest % diameter stenosis by visual estimate. Additional study stents may be used for procedural complications such as dissections. Multivessel treatment is permissible in non-target vessels; however, additional lesions may only be treated with commercial stents. If other non-target vessels are treated with commercial stents during the index procedure, they must be successfully treated prior to the study lesion;
- \. The target lesion is \>/=2.0 mm and \</=2.5mm in diameter (visual estimate);
- \. The target lesion can be covered with a single 18mm stent;
- \. Target lesion stenosis is \>50% and \<100% (TIMI I) (visual estimate);
You may not qualify if:
- Patient has experienced a Q-wave or non-Q-wave myocardial infarction with documented total CK\>2 times normal within the preceding 24 hours and the CK and CK-MB enzymes remain above normal at the time of treatment;
- Target lesion is due to in-stent restenosis;
- Ejection fraction 30%;
- Totally occluded vessel (TIMI 0 level);
- Impaired renal function (creatinine \> 3.0 mg/dL);
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cordis US Corp.lead
Study Sites (1)
Instituto Dante Pazzanese de Cardiologia
São Paulo, Brazil
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
J. E. Sousa, MD
Instituto Dante Pazzanese de Cardiologia
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
October 4, 2005
First Posted
October 6, 2005
Study Start
October 1, 2003
Study Completion
December 1, 2004
Last Updated
June 27, 2007
Record last verified: 2007-06