NCT01106534

Brief Summary

XIENCE V USA is a prospective, multi-center, multi-cohort postapproval study. The objectives of this study are

  • To evaluate XIENCE V EECSS continued safety and effectiveness during commercial use in real world settings, and
  • To support the Food and Drug Administration (FDA) dual antiplatelet therapy (DAPT) initiative. This initiative is designed to evaluate the composite of all death, myocardial infarction (MI) and stroke (MACCE) and the survival of patients that are free from Academic Research Consortium (ARC) definite or probable stent thrombosis (ST) and that have been treated with drug eluting stents (DES) and extended dual antiplatelet therapy.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
870

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Aug 2009

Longer than P75 for phase_4

Geographic Reach
1 country

144 active sites

Status
completed

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

August 1, 2009

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

April 16, 2010

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 20, 2010

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2015

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2015

Completed
12 months until next milestone

Results Posted

Study results publicly available

June 28, 2016

Completed
Last Updated

November 14, 2023

Status Verified

October 1, 2023

Enrollment Period

5.5 years

First QC Date

April 16, 2010

Results QC Date

July 31, 2015

Last Update Submit

October 27, 2023

Conditions

Keywords

drug eluting stentsStentsAngioplastyStent thrombosisantiplatelet treatment

Outcome Measures

Primary Outcomes (3)

  • Incidence of Composite of All Death, MI and Stroke (Defined as MACE)

    12-33 months post-stent

  • Incidence of ARC Definite or Probable ST

    12-33 months post-stent

  • Major Bleeding (GUSTO Classification, Severe and Moderate Bleeding Combined)

    12-33 months post-stent

Secondary Outcomes (6)

  • MACE for ITT Population

    12 through 30 months

  • ST for ITT Population

    12 through 30 months

  • Major Bleeding for ITT Population

    12 through 30 months

  • MACE for Treatment Population

    12 through 30 months and 12 through 33 months

  • ST for Treatment Population

    12 through 30 months and 12 through 33 months

  • +1 more secondary outcomes

Study Arms (2)

12 month DAPT arm

PLACEBO COMPARATOR

placebo + aspirin

Drug: placebo + aspirinDevice: XIENCE V Everolimus Eluting Coronary Stent System (XIENCE V EECSS)

30 month DAPT arm

ACTIVE COMPARATOR

clopidogrel + aspirin OR prasugrel + aspirin

Drug: clopidogrel + aspirin OR prasugrel + aspirinDevice: XIENCE V Everolimus Eluting Coronary Stent System (XIENCE V EECSS)

Interventions

This population consists of subjects enrolled in the study who are free from death, MI, stroke, repeat coronary revascularization, major bleeding, and ST 12 months after stent implantation and who are compliant with 12 months of dual antiplatelet therapy following stent implantation and who are subsequently randomized to receive 18 months of placebo treatment in addition to aspirin.

12 month DAPT arm

This population consists of subjects enrolled in the study who are free from death, MI, stroke, repeat coronary revascularization, major bleeding, and ST 12 months after stent implantation and who are compliant with 12 months of dual antiplatelet therapy following stent implantation and who are subsequently randomized to receive an additional 18 months of thienopyridine (clopidogrel or prasugrel) treatment in addition to aspirin.

Also known as: Dual Antiplatelet Therapy
30 month DAPT arm

XIENCE V Everolimus Eluting Coronary Stent System assigned to both the arms.

12 month DAPT arm30 month DAPT arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients who are enrolled into the XIENCE V USA Study Phase I
  • The patient agrees to participate in this study by signing the Institutional Review Board (IRB) approved informed consent form. Alternatively, the patient's legally authorized representative agrees to the patient's participation in this study and signs the informed consent form.

You may not qualify if:

  • Patients must meet the following criteria to be eligible for randomization in the study:
  • Patient is "DAPT Compliant": During the open label portion of this study (time 0-12 months), a patient is considered compliant with the thienopyridine therapy for the purposes of eligibility if they take between 80% and 120% of the prescribed drug in a given period without an interruption of therapy longer than 14 days. This information will be ascertained via data collected at the patient interviews at 6 and 12 months post-procedure. Compliance at both time points is required to be considered "clear".
  • Patient completes 1 year visit within ± 30 days window.
  • Patients will be excluded from randomization if any of the following criteria are met:
  • Pregnant women.
  • Switched thienopyridine type or dose within 6 months prior to randomization. Note: Thienopyridine switching during the open label portion of this study is discouraged.
  • PCI or cardiac surgery between 6 weeks post index procedure and randomization.
  • Planned surgery necessitating discontinuation of antiplatelet therapy within the 21 months following randomization.
  • Current medical condition with a life expectancy of less than 3 years.
  • Patients on warfarin or similar anticoagulant therapy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (144)

Birmingham Heart Clinic, PC

Birmingham, Alabama, 35235, United States

Location

Thomas Hospital

Fairhope, Alabama, 36532, United States

Location

Scottsdale Healthcare

Scottsdale, Arizona, 85260, United States

Location

Arkansas Heart Hospital

Little Rock, Arkansas, 72211, United States

Location

California Cardiovascular Consultants

Fremont, California, 94538, United States

Location

FACT/ Los Angeles Cardiology

Los Angeles, California, 90017, United States

Location

University of Southern California

Los Angeles, California, 90033, United States

Location

Eisenhower Medical Center, Desert Cardiology Center

Rancho Mirage, California, 92270, United States

Location

Regional Cardiology Associates

Sacramento, California, 95819, United States

Location

Salinas Valley Memorial Healthcare System

Salinas, California, 93901, United States

Location

Sansum Clinic

Santa Barbara, California, 93105, United States

Location

Torrance Memorial Medical Center

Torrance, California, 90505, United States

Location

The Medical Center of Aurora

Aurora, Colorado, 80012, United States

Location

St. Anthony's Central Hospital

Denver, Colorado, 80204, United States

Location

St. Vincent's Medical Center

Norwalk, Connecticut, 06851, United States

Location

Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

Location

Brandon Regional Hospital

Brandon, Florida, 33511, United States

Location

Morton Plant Hospital

Clearwater, Florida, 33756, United States

Location

Memorial Regional Hospital

Hollywood, Florida, 33021, United States

Location

Sacred Heart Hospital

Pensacola, Florida, 32504-8721, United States

Location

Sarasota Memorial Hospital

Sarasota, Florida, 34239, United States

Location

Cardiology Partners Clinical Research Institute (Formerly Palm Beach Gardens Medical Center)

Wellington, Florida, 33458, United States

Location

Piedmont Hospital

Atlanta, Georgia, 30309, United States

Location

Saint Joseph's Hospital of Atlanta

Atlanta, Georgia, 30342, United States

Location

University Hospital Augusta Cardiology Clinic

Augusta, Georgia, 30901, United States

Location

NE Georgia Medical Center

Gainesville, Georgia, 30501, United States

Location

WellStar Kennestone Hospital

Marietta, Georgia, 30060, United States

Location

Midwest Heart Foundation

Lombard, Illinois, 60148, United States

Location

Heart Care Midwest (OSF/St Francis)

Peoria, Illinois, 61603, United States

Location

St. John's Hospital / Prairie Education & Research Cooperative

Springfield, Illinois, 62769, United States

Location

Elkhart Midwest Cardiovascular Research & Education Foundation

Elkhart, Indiana, 46514, United States

Location

The Care Group at Methodist

Indianapolis, Indiana, 46202, United States

Location

St. Francis Hospital and Health Centers

Indianapolis, Indiana, 46237, United States

Location

Indiana Heart Hospital

Indianapolis, Indiana, 46250, United States

Location

Cotton O'Neil Clinical Research Center

Topeka, Kansas, 66604, United States

Location

Galichia Heart Hospital

Wichita, Kansas, 67220, United States

Location

Central Baptist Hospital

Lexington, Kentucky, 40503, United States

Location

Northeast Cardiology Associates

Bangor, Maine, 04401, United States

Location

Maine Cardiology Associates

South Portland, Maine, 04106, United States

Location

Union Memorial Hospital

Baltimore, Maryland, 21218, United States

Location

Johns Hopkins Hospital

Baltimore, Maryland, 21287, United States

Location

Peninsula Regional Medical Center

Salisbury, Maryland, 21804, United States

Location

Washington Adventist Hospital

Takoma Park, Maryland, 20912, United States

Location

St. Joseph Medical Center

Towson, Maryland, 21204, United States

Location

Boston Medical Center East

Boston, Massachusetts, 02118, United States

Location

Lahey Clinic

Burlington, Massachusetts, 01805, United States

Location

Baystate Medical Center

Springfield, Massachusetts, 01199, United States

Location

UMass Memorial Medical Center

Worcester, Massachusetts, 01655, United States

Location

Oakwood Hospital and Medical Center

Dearborn, Michigan, 48124, United States

Location

St John Hospital & Medical Center

Detroit, Michigan, 48236, United States

Location

Sparrow Hospital

Lansing, Michigan, 48912, United States

Location

Northern Michigan Hospital

Petoskey, Michigan, 49770, United States

Location

St. Joseph Mercy Oakland Hospital

Pontiac, Michigan, 48341, United States

Location

William Beaumont Hospital

Royal Oak, Michigan, 48073, United States

Location

Michigan Cardio Vascular Institute at St. Mary's of MI

Saginaw, Michigan, 48601, United States

Location

Covenant Medical Center, INC.

Saginaw, Michigan, 48602, United States

Location

Lakeland Hospital St. Joseph

Saint Joseph, Michigan, 49085, United States

Location

St. Joseph Mercy Hospital

Ypsilanti, Michigan, 48197, United States

Location

North Memorial Medical Center

Minneapolis, Minnesota, 55422, United States

Location

Mercy Hospital

Minneapolis, Minnesota, 55433, United States

Location

St. Paul Heart Clinic

Saint Paul, Minnesota, 55102, United States

Location

Southern Heart Center

Hattiesburg, Mississippi, 39401, United States

Location

Jackson Heart Clinic

Jackson, Mississippi, 39216, United States

Location

St. Luke's Hospital

Kansas City, Missouri, 64111, United States

Location

North Kansas City Hospital

North Kansas City, Missouri, 64116, United States

Location

St. John's Research Institute, Inc., St. John's Hospital

Springfield, Missouri, 65807, United States

Location

Barnes Jewish Hospital

St Louis, Missouri, 63110, United States

Location

Billings Clinic Research Center

Billings, Montana, 59107-7000, United States

Location

Dartmouth Hitchock Medical Center

Lebanon, New Hampshire, 03756, United States

Location

Englewood Hospital & Medical Center

Englewood, New Jersey, 07631, United States

Location

Hackensack Medical Center

Hackensack, New Jersey, 07601, United States

Location

CADV

Haddon Heights, New Jersey, 08035, United States

Location

St. Joseph's Regional Medical Center

Paterson, New Jersey, 07503, United States

Location

The Valley Hospital

Ridgewood, New Jersey, 07450, United States

Location

St. Peters Hospital

Albany, New York, 12208, United States

Location

Buffalo Heart group

Buffalo, New York, 14203, United States

Location

Mount Sinai Medical Center

New York, New York, 10029, United States

Location

Rochester Cardiopulmonary Group

Rochester, New York, 14621, United States

Location

Stony Brook Hospital and Medical Center

Stony Brook, New York, 11794, United States

Location

St. Joseph's Hospital Health Center

Syracuse, New York, 13203, United States

Location

Jack D. Weiler Hospital of Montefiore Medical Center

The Bronx, New York, 10461, United States

Location

University of North Carolina

Chapel Hill, North Carolina, 27599, United States

Location

Carolinas Medical Center

Charlotte, North Carolina, 28203, United States

Location

Mid Carolina Cardiology

Charlotte, North Carolina, 28204, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

Gaston Memorial Hospital

Gastonia, North Carolina, 28054, United States

Location

High Point Regional Health System

High Point, North Carolina, 27262, United States

Location

WakeMed Hospital

Raleigh, North Carolina, 27610, United States

Location

Forsyth Medical Center

Winston-Salem, North Carolina, 27103, United States

Location

Wake Forest University Baptist Medical Center

Winston-Salem, North Carolina, 27157, United States

Location

Altru Health System

Grand Forks, North Dakota, 58201, United States

Location

The Christ Hospital

Cincinnati, Ohio, 45219, United States

Location

University of Cincinnati Medical Center

Cincinnati, Ohio, 45267, United States

Location

North Ohio Research LTD, Elyria Regional Medical Center

Elyria, Ohio, 44035, United States

Location

Fairview Hospital

Fairview Park, Ohio, 44126, United States

Location

The Toledo Hospital-Jobst Vascular Center

Toledo, Ohio, 43606, United States

Location

St. Vincent Mercy Medical Center

Toledo, Ohio, 43608, United States

Location

Cardiology Associates of Southeastern Ohio, Inc

Zanesville, Ohio, 43701, United States

Location

Midwest Regional Medical Center

Midwest City, Oklahoma, 73110, United States

Location

The University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104, United States

Location

Integris Baptist Medical, Inc.

Oklahoma City, Oklahoma, 73112, United States

Location

Hillcrest Medical Center

Tulsa, Oklahoma, 74104, United States

Location

Sacred Heart Medical Center

Eugene, Oregon, 97401, United States

Location

Abington Memorial Hospital

Abington, Pennsylvania, 19001, United States

Location

Tri-State Medical Group

Beaver, Pennsylvania, 15009, United States

Location

Bryn Mawr Hospital

Bryn Mawr, Pennsylvania, 19010, United States

Location

Franklin County Heart Center at Summit Cardiology

Chambersburg, Pennsylvania, 17201, United States

Location

Geisinger Medical Center

Danville, Pennsylvania, 17822, United States

Location

Doylestown Hospital

Doylestown, Pennsylvania, 18901, United States

Location

Harrisburg Hospital / Pinnacle Health

Harrisburg, Pennsylvania, 17110, United States

Location

Lancaster Heart & Stroke Foundation

Lancaster, Pennsylvania, 17603, United States

Location

Hahnemann Hospital

Philadelphia, Pennsylvania, 19102, United States

Location

Penn Presbyterian Medical Center

Philadelphia, Pennsylvania, 19104, United States

Location

The Western Pennsylvania Hospital

Pittsburgh, Pennsylvania, 15224, United States

Location

Holy Spirit Hospital

Wormleysburg, Pennsylvania, 17043, United States

Location

Main Line Health Heart Center/The Lankenau Hospital

Wynnewood, Pennsylvania, 19096, United States

Location

York Hospital

York, Pennsylvania, 17405, United States

Location

The Miriam Hospital

Providence, Rhode Island, 02906, United States

Location

AnMed Health

Anderson, South Carolina, 29621, United States

Location

Providence Hospital-SC

Columbia, South Carolina, 29204, United States

Location

Sanford USD Medical Center

Sioux Falls, South Dakota, 57104, United States

Location

Memorial Health System

Chattanooga, Tennessee, 37404, United States

Location

West Clinic d/b/a Memphis Heart Clinic

Memphis, Tennessee, 38120, United States

Location

Centennial Heart Cardiovascular Consultants, LLC.

Nashville, Tennessee, 37203, United States

Location

St. Thomas Hospital

Nashville, Tennessee, 37205, United States

Location

Vanderbilt Vniversity Medical Center

Nashville, Tennessee, 37205, United States

Location

Amarillo Heart Clinical Research Institute

Amarillo, Texas, 79106, United States

Location

Capital Cadiovascular Specialists

Austin, Texas, 78745, United States

Location

Baylor Heart and Vascular Hospital

Dallas, Texas, 75226, United States

Location

The Methodist Hospital

Houston, Texas, 77030, United States

Location

Lubbock Heart Hospital

Lubbock, Texas, 79416, United States

Location

Permian Research Foundation

Odessa, Texas, 79761, United States

Location

South Texas Methodist Hospital

San Antonio, Texas, 78229, United States

Location

Intermountain Medical Center

Salt Lake City, Utah, 84103, United States

Location

University of Virginia Health System

Charlottesville, Virginia, 22908, United States

Location

Virginia Cardiovascular Consultants

Fredericksburg, Virginia, 22401, United States

Location

Sentara Norfolk General Hospital

Norfolk, Virginia, 23507, United States

Location

Carilion Roanoke Memorial

Roanoke, Virginia, 24014, United States

Location

Overlake Hospital Medical Center

Bellevue, Washington, 98004, United States

Location

Providence Everett Medical Center

Everett, Washington, 98206, United States

Location

St. Joseph's Tacoma

Tacoma, Washington, 98405, United States

Location

St Mary's Medical Hospital

Huntington, West Virginia, 25701, United States

Location

Aurora St. Luke's Medical Center

Milwaukee, Wisconsin, 53215, United States

Location

Wisconsin Heart Hospital

Wauwatosa, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Vascular DiseasesMyocardial IschemiaCoronary StenosisCoronary DiseaseCoronary Artery DiseaseCoronary Restenosis

Interventions

AspirinClopidogrelPrasugrel Hydrochloride

Condition Hierarchy (Ancestors)

Cardiovascular DiseasesHeart DiseasesArteriosclerosisArterial Occlusive Diseases

Intervention Hierarchy (Ancestors)

SalicylatesHydroxybenzoatesPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsTiclopidineThienopyridinesThiophenesSulfur CompoundsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPiperazines

Limitations and Caveats

The participants enrolled in this study will be followed by Abbott Vacular but their data will not be independently analyzed; they will only be analyzed as part of the DAPT study (NCT00977938) which is sufficiently powered for the outcomes.

Results Point of Contact

Title
David R Rutledge
Organization
Abbott Vascular

Study Officials

  • James Hermiller, MD

    Heart Center of Indianapolis

    PRINCIPAL INVESTIGATOR
  • Mitch Krucoff, MD

    Duke University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 16, 2010

First Posted

April 20, 2010

Study Start

August 1, 2009

Primary Completion

February 1, 2015

Study Completion

July 1, 2015

Last Updated

November 14, 2023

Results First Posted

June 28, 2016

Record last verified: 2023-10

Locations