To Achieve an Early Reendothelialization at the Expense of Low Restenosis: The EREMUS Study
EREMUS
Early Re-Endothelialization Might Not be the Unique Solution to Prevent Restenosis. The EREMUS Study
1 other identifier
interventional
75
1 country
1
Brief Summary
The investigators sought to discover which one of the following strategies is the safest for patients undergoing percutaneous coronary intervention: paclitaxel-coated balloon+Genous stent; Genous stent; drug eluting stent (paclitaxel).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Dec 2010
Shorter than P25 for phase_4
1 active site
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
First Submitted
Initial submission to the registry
March 25, 2009
CompletedFirst Posted
Study publicly available on registry
March 26, 2009
CompletedStudy Start
First participant enrolled
December 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2012
CompletedJuly 22, 2010
March 1, 2009
8 months
March 25, 2009
July 21, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Late luminal loss between the three groups at 6 months angiographic follow up.
6 months
Percent of stent struts covered by endothelium at optical coherence tomography, during 6 months angiographic follow up.
6 months
Secondary Outcomes (2)
Angiographic restenosis (6 months angiographic follow up).
6 months
Net adverse clinical events at 6 months (death, myocardial infarction, target lesion revascularization, bleedings as from Acuity scale).
6 months
Study Arms (3)
1
EXPERIMENTALPaclitaxel eluting balloon (Elutax) + Genous stent
2
EXPERIMENTALUncoated balloon + Genous stent
3
ACTIVE COMPARATORDrug eluting stent (Taxus stent)
Interventions
Predilatation with paclitaxel-eluting balloon, then stenting of the lesion with Genous stent
Predilatation with uncoated balloon, the stenting with Genous stent.
Predilatation with uncoated balloon, the placement of a Taxus stent.
Eligibility Criteria
You may qualify if:
- Stable or unstable angina pectoris suitable to PCI of at least one coronary vessel
- Age \>18 years
You may not qualify if:
- Recent (\<72 hours) acute myocardial infarction
- Creatinine clearance \<40 ml/min
- Allergy or hypersensitivity to at least two between: aspirin, clopidogrel, heparin, bivalirudin, paclitaxel, contrast media
- Life expectancy \<1 year
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
U.O. Emodinamica, Ospedale della Misericordia
Grosseto, 58100, Italy
Related Publications (6)
Alfonso F, Zueco J, Cequier A, Mantilla R, Bethencourt A, Lopez-Minguez JR, Angel J, Auge JM, Gomez-Recio M, Moris C, Seabra-Gomes R, Perez-Vizcayno MJ, Macaya C; Restenosis Intra-stent: Balloon Angioplasty Versus Elective Stenting (RIBS) Investigators. A randomized comparison of repeat stenting with balloon angioplasty in patients with in-stent restenosis. J Am Coll Cardiol. 2003 Sep 3;42(5):796-805. doi: 10.1016/s0735-1097(03)00852-0.
PMID: 12957423RESULTStettler C, Wandel S, Allemann S, Kastrati A, Morice MC, Schomig A, Pfisterer ME, Stone GW, Leon MB, de Lezo JS, Goy JJ, Park SJ, Sabate M, Suttorp MJ, Kelbaek H, Spaulding C, Menichelli M, Vermeersch P, Dirksen MT, Cervinka P, Petronio AS, Nordmann AJ, Diem P, Meier B, Zwahlen M, Reichenbach S, Trelle S, Windecker S, Juni P. Outcomes associated with drug-eluting and bare-metal stents: a collaborative network meta-analysis. Lancet. 2007 Sep 15;370(9591):937-48. doi: 10.1016/S0140-6736(07)61444-5.
PMID: 17869634RESULTAoki J, Serruys PW, van Beusekom H, Ong AT, McFadden EP, Sianos G, van der Giessen WJ, Regar E, de Feyter PJ, Davis HR, Rowland S, Kutryk MJ. Endothelial progenitor cell capture by stents coated with antibody against CD34: the HEALING-FIM (Healthy Endothelial Accelerated Lining Inhibits Neointimal Growth-First In Man) Registry. J Am Coll Cardiol. 2005 May 17;45(10):1574-9. doi: 10.1016/j.jacc.2005.01.048.
PMID: 15893169RESULTCo M, Tay E, Lee CH, Poh KK, Low A, Lim J, Lim IH, Lim YT, Tan HC. Use of endothelial progenitor cell capture stent (Genous Bio-Engineered R Stent) during primary percutaneous coronary intervention in acute myocardial infarction: intermediate- to long-term clinical follow-up. Am Heart J. 2008 Jan;155(1):128-32. doi: 10.1016/j.ahj.2007.08.031. Epub 2007 Nov 26.
PMID: 18082503RESULTStone GW, White HD, Ohman EM, Bertrand ME, Lincoff AM, McLaurin BT, Cox DA, Pocock SJ, Ware JH, Feit F, Colombo A, Manoukian SV, Lansky AJ, Mehran R, Moses JW; Acute Catheterization and Urgent Intervention Triage strategy (ACUITY) trial investigators. Bivalirudin in patients with acute coronary syndromes undergoing percutaneous coronary intervention: a subgroup analysis from the Acute Catheterization and Urgent Intervention Triage strategy (ACUITY) trial. Lancet. 2007 Mar 17;369(9565):907-19. doi: 10.1016/S0140-6736(07)60450-4.
PMID: 17368152RESULTCortese B, Danzi GB, Piti A, Severi S, Limbruno U. Rationale and design of the randomized, multicenter EREMUS trial, a study that investigates how to achieve low restenosis and early reendothelialization after percutaneous coronary interventions. Catheter Cardiovasc Interv. 2011 Jul 1;78(1):32-7. doi: 10.1002/ccd.22856. Epub 2011 Mar 16.
PMID: 21413116DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Bernardo Cortese, MD, FESC
Ospedale Maggiore Policlinico, Milano, Italy
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 25, 2009
First Posted
March 26, 2009
Study Start
December 1, 2010
Primary Completion
August 1, 2011
Study Completion
January 1, 2012
Last Updated
July 22, 2010
Record last verified: 2009-03