PEPCAD I. The Paclitaxel-Eluting PTCA-Balloon Catheter to Treat Small Vessel
PEPCAD I, The Paclitaxel-Eluting PTCA-Balloon Catheter to Treat Small Vessel Coronary Artery Disease. A Pilot Study
2 other identifiers
interventional
120
1 country
9
Brief Summary
The objective of this study is to assess the safety and efficacy of the Paclitaxel-eluting PTCA-balloon catheter (3µg/mm2 balloon surface area) in the treatment of significant (≥ 70% and \< 100 %) stenoses in native coronary arteries with reference diameters from 2.25 mm to 2.8 mm and ≤ 22 mm in length for procedural success and preservation of vessel patency.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jan 2006
Longer than P75 for phase_2
9 active sites
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
January 1, 2006
CompletedFirst Submitted
Initial submission to the registry
November 24, 2006
CompletedFirst Posted
Study publicly available on registry
November 27, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2012
CompletedMarch 19, 2015
March 1, 2015
4.6 years
November 24, 2006
March 17, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Late lumen loss at 6 months
6 month
Secondary Outcomes (8)
Procedural success
during procedure
30-day MACE rate
30 days
Percent stenosis at 6 months
6 months
Binary restenosis rate at 6 months
6 months
Late loss index at 6 months
6 months
- +3 more secondary outcomes
Study Arms (1)
Drug Eluting Balloon
EXPERIMENTALtreatment of small vessel with drug eluting balloon
Interventions
Eligibility Criteria
You may qualify if:
- Patients with stable angina pectoris (CCS class 1-3) or with unstable angina pectoris (Braunwald class 1-2, A-C) or documented ischemia or with documented silent ischemia
- Patients eligible for coronary revascularization by means of PCI
- Patients suitable for coronary revascularization of any sort (balloon angioplasty, device-assisted balloon-angioplasty or coronary artery bypass grafting)
- Women of childbearing potential may not be pregnant nor have the desire to becoming pregnant during the first year following the study procedure. Hence, patients will be advised to use an adequate birth control method up to and including 6 months follow-up.
- Patients who are mentally and linguistically able to understand the aim of the study and to show sufficient compliance in following the study protocol
- Patients must agree to undergo the 6 months angiographic follow-up
- Patients must agree to undergo the 1 and 3 year clinical follow-up
- Patient is able to verbally acknowledge an understanding of the associated risks, benefits, and treatment alternatives to therapeutic options of this trial, e.g., balloon angioplasty by means of the Paclitaxel-eluting PTCA-balloon catheter. The patients, by providing their informed consent, agree to these risks and benefits as stated in the patient informed consent document
- Patients with medical indication for follow-up angiography
- Reference diameters from 2.25 mm to 2.8 mm and ≤ 22 mm in length
- Diameter stenosis pre procedure must be either \> 70 % or \>50 % if ischemia corresponding to the target lesion is documented either by exercise stress ECG, stress echocardiography, or scintigraphy
- The target lesion must be covered by a single Paclitaxel-eluting balloon
You may not qualify if:
- Patients with acute (\< 24 h) or recent (≤ 48 hours) myocardial infarction
- Patients with unstable angina pectoris (Braunwald class 3)
- Patients with severe congestive heart failure
- Patients with severe heart failure NYHA IV
- Patients demonstrating clinical signs of cardiogenic shock at the time of the procedure (systolic blood pressure of less than 80 mm Hg requiring inotropic support, IABP and/or fluid challenge).
- Women who are pregnant or lactating
- Patients with another coronary stent implanted previously into the target vessel
- Patients with bleeding diathesis in whom anticoagulation or anti-platelet medication is contraindicated
- Patient participates in other clinical trials involving any investigational device or drug
- Untreated hyperthyroidism
- Patient has presence or history of severe renal failure (GFR\<30ml/min) and is therefore not eligible for angiography. Patient's serum creatinine levels must be documented
- Post transplantation of any organ or immune suppressive medication
- Other disease to jeopardize follow-up (e.g., malignoma)
- Addiction to any drug or to alcohol
- Patients with any type of surgery during the week preceding the interventional procedure
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
Kerckhoff-Clinic Bad Nauheim
Bad Nauheim, D-61231, Germany
Unfallkrankenhaus Berlin
Berlin, D-12683, Germany
Medizinische Klinik, Kardiologie, St.-Johannes -Hospital
Dortmund, D-44137, Germany
Städtische Kliniken Esslingen, Klinik für Kardiologie, Angiologie und Pneumologie
Esslingen am Neckar, D-73730, Germany
Martin-Luther-Universität Halle-Wittenberg, Universitätsklinik und Poliklinik für Innere Medizin III
Halle, D-06097, Germany
University of Heidelberg, Clinic for Internal Medicine, Dept. of Cardiology
Heidelberg, D-69120, Germany
University of Saarland, Internal Medicine III
Homburg/Saar, D-66421, Germany
Universitätklinikum Jena, Klinik für Innere Medizin
Jena, D-07740, Germany
Center for Cardiovascular Diseases, Cardiologic Clinic
Rotenburg A.d. Fulda, D-36199, Germany
Related Publications (2)
Unverdorben M, Kleber FX, Heuer H, Figulla HR, Vallbracht C, Leschke M, Cremers B, Hardt S, Buerke M, Ackermann H, Boxberger M, Degenhardt R, Scheller B. Treatment of small coronary arteries with a paclitaxel-coated balloon catheter in the PEPCAD I study: are lesions clinically stable from 12 to 36 months? EuroIntervention. 2013 Sep;9(5):620-8. doi: 10.4244/EIJV9I5A99.
PMID: 24058078DERIVEDUnverdorben M, Kleber FX, Heuer H, Figulla HR, Vallbracht C, Leschke M, Cremers B, Hardt S, Buerke M, Ackermann H, Boxberger M, Degenhardt R, Scheller B. Treatment of small coronary arteries with a paclitaxel-coated balloon catheter. Clin Res Cardiol. 2010 Mar;99(3):165-74. doi: 10.1007/s00392-009-0101-6. Epub 2010 Jan 6.
PMID: 20052480DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
M. Unverdorben, MD,PhD
Center for Cardiovascular Diseases, Heinz-Meise-Strasse 100, D-36199 Rotenburg a.d. Fulda, Germany
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Data Manager
Study Record Dates
First Submitted
November 24, 2006
First Posted
November 27, 2006
Study Start
January 1, 2006
Primary Completion
August 1, 2010
Study Completion
September 1, 2012
Last Updated
March 19, 2015
Record last verified: 2015-03