New Generation Drug Eluting Stent for In-stent Restenosis of Drug Eluting Stent( RESTENT-ISR Trial )
Restenosis
Prospective, Single-blinded, Randomized Comparison of the Clinical and Angiographic Results With Intravascular Analysis of EverolimuS-Eluting Versus ZoTarolimus-Eluting steNTs for In-Stent Restenosis(ISR) Lesions: Volumetric Analysis With Intravascular Ultrasound(IVUS) : Phase IV Multicenter Trial ( RESTENT-ISR Trial )
1 other identifier
interventional
292
1 country
1
Brief Summary
The purpose of this study is to evaluate the feasibility, safety, and effectiveness of EndeavorTM ResoluteTM and Xience VTM stent implantation in patients with restenosis following drug-eluting stent (DES) implantation. The investigators will evaluate clinical, angiographic and intravascular ultrasound (IVUS) assessment of 9-month efficacy of EndeavorTM ResoluteTM or Xience VTM implantation in DES restenosis and assess the vascular changes of re-treatment with DES for DES restenosis using follow-up IVUS analysis. In addition, the investigators will evaluate the effectiveness of retreatment with EndeavorTM ResoluteTM or Xience VTM stent implantation in patients with restenosis after DES
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jan 2010
Typical duration for phase_4
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
January 1, 2010
CompletedFirst Submitted
Initial submission to the registry
May 31, 2011
CompletedFirst Posted
Study publicly available on registry
June 3, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2012
CompletedJune 3, 2011
March 1, 2011
1.7 years
May 31, 2011
June 2, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
In-stent neointimal volume index
9 months on IVUS
Secondary Outcomes (2)
Major adverse cardiovascular events
12 months
Efficacy end-point
9 months
Study Arms (2)
Xience V, drug-eluting stent
ACTIVE COMPARATORrandomized implantation for DES restenotic lesion
Endeavor Resolute, drug-eluting stent
ACTIVE COMPARATORrandomized implantation for DES restenotic lesion
Interventions
for each lesion, randomized either Xience V stent or Endeavor Resolute stent
Eligibility Criteria
You may qualify if:
- In-stent restenosis (over 50% by quantitative angiographic analysis) following all types of DES; only insegment restenotic lesions without ISR are not included
- Evidence of myocardial ischemia due to restenosis (e.g., stable, unstable angina, recent infarction, silent ischemia, positive functional study or a reversible changes in the ECG with or without ischemia) or over 70% by quantitative angiographic analysis
- Repeat revascularization, needed with another stent (single stent implanted lesion, lesion length no more than 28mm )
- IVUS available lesions
- Non-emergent conditions
- Patients confirmed about study enrollment and 9 month followup angiogram and IVUS
You may not qualify if:
- IVUS unavailable lesion
- Restenotic lesions following PCI of de novo lesion like as below;
- left main lesions
- BMS restenotic lesion
- vein graft lesion
- Restenotic lesions following 2.25mm DES implantation
- Prior history of repeat DES implantation for DES restenosis (only conventional or cutting ballooning treatment for DES restenosis is included in this study)
- Simultaneous implantation of different types of DES on restenotic or another de novo lesions (Only same DES implantation is allowed on the restenotic or another de novo lesions)
- Patients with little possibility of performing follow-up angiogram and IVUS
- Contraindication to anti-platelet agents \& Bleeding history within prior 3 months
- Prior history or current presentation of DES thrombosis
- Age over 80 years
- Known hypersensitivity or contraindication to any of the following medications: Heparin, Aspirin, Clopidogrel, Zotarolimus, Everolimus
- Severe hepatic dysfunction (3 times normal reference values)
- Serum creatinine level over 2.0 mg/dL or end-stage renal diseases on dialysis
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Korea University Anam Hospitallead
- Catholic Medical Centercollaborator
- KangWon National University Hospitalcollaborator
- Kyungpook National University Hospitalcollaborator
- Kunyang University Medical centercollaborator
- Kyunghee University Medical Centercollaborator
- Kyemyeong Univerisity Medical Centercollaborator
- Korea University Guro Hospitalcollaborator
- Kwandong Univerisity Medical Centercollaborator
- Kwangjoo Veteran Hospitalcollaborator
- Eulji Universitycollaborator
- Dankook Universitycollaborator
- Daegoo Catholic Medical Collegecollaborator
- Dong-A Universitycollaborator
- Sejong General Hospitalcollaborator
- Busan University Medical Centercollaborator
- Seoul National University Medical Centercollaborator
- Sunkyungwan Univeristy Medical Centercollaborator
- Suncheonyang University Medical Centercollaborator
- Yonsei Universitycollaborator
- Yongnam University Medical Centercollaborator
- Wonkwang University Medical Centercollaborator
- Inje Univerisity Medical Centercollaborator
- Chonnam National Universitycollaborator
- Chung-Ang Universitycollaborator
- Hallym University Medical Centercollaborator
- Chungnam National Universitycollaborator
Study Sites (1)
Yousei Universty Healthcare System
Seoul, South Korea
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
May 31, 2011
First Posted
June 3, 2011
Study Start
January 1, 2010
Primary Completion
September 1, 2011
Study Completion
March 1, 2012
Last Updated
June 3, 2011
Record last verified: 2011-03