Study Stopped
The recruitment rate was much slower than expected.
Zotarolimus-Versus Sirolimus-Versus PacliTaxel-Eluting Stent for Acute Myocardial Infarction Patients
ZEST-AMI
Comparison of the Efficacy and Safety of Zotarolimus-Eluting Stent Versus Sirolimus-Eluting Stent Versus PacliTaxel-Eluting Stent for Acute Myocardial Infarction Patients
1 other identifier
interventional
328
1 country
12
Brief Summary
The trial has the following primary objective: To compare the safety and effectiveness of primary acute MI intervention with ABT 578-eluting balloon expandable stent (Medtronic, Minneapolis, MN) vs. sirolimus-eluting balloon expandable stent (Cordis Johnson \& Johnson, Warren, New Jersey) vs. paclitaxel-eluting stent (Taxus Liberte, Boston Scientific).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Oct 2006
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2006
CompletedFirst Submitted
Initial submission to the registry
January 16, 2007
CompletedFirst Posted
Study publicly available on registry
January 17, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2008
CompletedDecember 7, 2022
December 1, 2022
1.9 years
January 16, 2007
December 5, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The composite of death (all cause-mortality), MI (Q wave and non Q wave) and ischemia-driven target vessel revascularization.
At 12 months after the index procedure
Secondary Outcomes (9)
All-cause Death
1 month, 6 month, 1 year and thereafter annaully up to 5 years
Cardiac death
1 month, 6 month, 1 year and thereafter annaully up to 5 years
Recurrent Myocardial infarction
1 month, 6 month, 1 year and thereafter annaully up to 5 years
Target vessel revascularization (all and ischemia-driven)
1 month, 6 month, 1 year and thereafter annaully up to 5 years
Target lesion revascularization (all and ischemia-driven)
1 month, 6 month, 1 year and thereafter annaully up to 5 years
- +4 more secondary outcomes
Study Arms (3)
Endeavor
EXPERIMENTALZotarolimus-eluting stent
Cypher
ACTIVE COMPARATORSirolimus-eluting stent
Taxus
ACTIVE COMPARATORPaclitaxel-eluting stent
Interventions
Paclitaxel-eluting stent
Eligibility Criteria
You may qualify if:
- The patient must be at least 18 years of age.
- Culprit de novo lesion in a native coronary artery with significant stenosis (\>50% by visual estimate) eligible for stent implantation (no limitation on stent length)
- Prolonged, continuous (≥ 20 min) chest pain despite nitrate and: (1) at least 1mm ST-segment elevation in at least 2 leads or reciprocal ST-segment depression ≥ 2 contiguous precordial leads, or (2) newly developed left bundle branch block
- Symptoms \< 12 hours
- The patient or guardian agrees to the study protocol and the schedule of clinical and angiographic follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.
You may not qualify if:
- The patient has a known hypersensitivity or contraindication to any of the following medications:
- Heparin
- Aspirin
- Both Clopidogrel and TIclopidine
- Sirolimus, paclitaxel, ABT 578
- Stainless steel and/or
- Contrast media (patients with documented sensitivity to contrast which can be effectively pre-medicated with steroids and diphenhydramine \[e.g. rash\] may be enrolled. Patients with true anaphylaxis to prior contrast media, however, should not be enrolled).
- Systemic (intravenous) Sirolimus, paclitaxel or ABT-578 use within 12 months.
- Female of childbearing potential, unless a recent pregnancy test is negative, who possibly plan to become pregnant any time after enrollment into this study.
- History of bleeding diathesis or known coagulopathy (including heparin-induced thrombocytopenia), or will refuse blood transfusions.
- Fibrinolytic therapy for current MI treatment
- Previous coronary intervention on target vessel
- Non-cardiac co-morbid conditions are present with life expectancy \<1 year or that may result in protocol non-compliance (per site investigator's medical judgment).
- Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period.
- Previously documented LVEF \<30%.
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Seung-Jung Parklead
- Cordis US Corp.collaborator
- CardioVascular Research Foundation, Koreacollaborator
Study Sites (12)
Soonchunhyang University Bucheon Hospital
Bucheon-si, South Korea
Daegu Catholic University Medical Center
Daegu, South Korea
Chungnam National University Hospital
Daejeon, South Korea
Asan Medical Center
Gangneung, South Korea
Chonnam National University Hospital
Gwangju, South Korea
NHIC Ilsan Hospital
Ilsan, South Korea
Pusan Natioanal University Hospital
Pusan, South Korea
Asan Medical Center
Seoul, 138-732, South Korea
Korea University Hospital
Seoul, South Korea
St. Mary's Catholic Medical Center
Seoul, South Korea
Ulsan University Hospital
Ulsan, South Korea
Yonsei University Wonju Christian Hospital
Wŏnju, South Korea
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Seung-Jung Park, MD, PhD
Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor, Cardiology, Asan Medical Center Heart Institute, Valvular Heart Disease Center, Ischemic Heart Disease Center
Study Record Dates
First Submitted
January 16, 2007
First Posted
January 17, 2007
Study Start
October 1, 2006
Primary Completion
September 1, 2008
Study Completion
September 1, 2008
Last Updated
December 7, 2022
Record last verified: 2022-12