NCT01710748

Brief Summary

This study is a prospective, randomized controlled, single blind, two-arm, multicenter clinical evaluation. Diabetic patients (n=112) with de novo coronary artery disease will be randomized to one of the 2 treatment arms: 1) Reservoir-Based Polymer-Free Amphilimus-Eluting Stent or 2) Polymer-Based Everolimus-Eluting Stent. The purpose of this study is to determine whether Polymer-Free Amphilimus-Eluting Stent implantation is effective in reducing neointimal hyperplasia as compared to Polymer-Based Everolimus-Eluting Stent in diabetic patients, using Optical Coherence Tomography (OCT) as the primary imaging modality.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
112

participants targeted

Target at P25-P50 for phase_3 coronary-artery-disease

Timeline
Completed

Started Oct 2012

Geographic Reach
1 country

4 active sites

Status
unknown

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, 2012

Completed
16 days until next milestone

First Submitted

Initial submission to the registry

October 17, 2012

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 19, 2012

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2014

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2014

Completed
Last Updated

November 6, 2013

Status Verified

November 1, 2013

Enrollment Period

1.7 years

First QC Date

October 17, 2012

Last Update Submit

November 5, 2013

Conditions

Keywords

Percutaneous coronary interventionDrug eluting stentNeointimal hyperplasiaDiabetes Mellitus

Outcome Measures

Primary Outcomes (1)

  • Neointimal hyperplasia volume obstruction

    The primary endpoint is assessed by Optical Coherence Tomography. It is defined as neointimal hyperplasia volume (mm3) divided by the stent volume multiplied by 100.

    9 months

Secondary Outcomes (6)

  • Percentage of uncovered struts

    9 months

  • Percentage of malapposed struts

    9 months

  • Maximum percentage of NIH cross-sectional obstruction

    9 months

  • Cardiac death

    12 months

  • Probable or definite stent thrombosis

    12 months

  • +1 more secondary outcomes

Study Arms (2)

Polymer-Based Everolimus-Eluting Stent

ACTIVE COMPARATOR

Polymer-Based Everolimus-Eluting Stent

Device: Polymer-Based Everolimus-Eluting Stent

Polymer-Free Amphilimus-Eluting Stent

EXPERIMENTAL

Reservoir-Based Polymer-Free Amphilimus-Eluting Stent

Device: Polymer-Free Amphilimus-Eluting Stent

Interventions

Polymer-Based Everolimus-Eluting Stent

Also known as: Xience Coronary Stent System
Polymer-Based Everolimus-Eluting Stent

Reservoir-Based Polymer-Free Amphilimus-Eluting Stent

Also known as: Cre8 Coronary Stent System
Polymer-Free Amphilimus-Eluting Stent

Eligibility Criteria

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

You may qualify if:

  • Subject is eligible for PCI.
  • Subject has symptomatic coronary artery disease (stable/unstable angina or Non-ST elevation myocardial infarction).
  • Subject has known DM.
  • Presence of 1 or 2 de novo native coronary artery lesions (maximum 1 lesion per epicardial coronary artery), with a visual estimation stenosis ≥ 50%.
  • Target lesion length 12-25mm, reference diameter 2.5-3.5mm.

You may not qualify if:

  • ST-segment elevation myocardial infarction \<48h
  • Presence of cardiogenic shock pre-procedure
  • Contra-indications to dual antiplatelet therapy for 12 months
  • Left Ventricular Ejection Fraction ≤30%
  • GFR\<30 ml/min/m2
  • Target vessel has been treated previously
  • Platelet count \<75000/mm3 or \>700000/mm3
  • Immunosuppressive therapy
  • Has received or waiting list for any transplant
  • Life-threatening disease with a life expectancy of \< 12 months
  • Pregnant or breast feeding patient
  • Inability to provide informed consent
  • TIMI flow ≤ 1 prior to guide wire crossing
  • There is an additional lesion within the target vessel planned to be treated within the next 12 months
  • Target vessel is a saphenous vein graft
  • +6 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Hospital Clínic i Provincial

Barcelona, Barcelona, Spain

Location

Hospital Universitari de Bellvitge

Barcelona, Barcelona, Spain

Location

Hospital Clínico San Carlos

Madrid, Madrid, Spain

Location

Hospital Virgen de la Arrixaca

Murcia, Murcia, Spain

Location

Related Publications (2)

  • Romaguera R, Gomez-Hospital JA, Gomez-Lara J, Brugaletta S, Pinar E, Jimenez-Quevedo P, Gracida M, Roura G, Ferreiro JL, Teruel L, Montanya E, Fernandez-Ortiz A, Alfonso F, Valgimigli M, Sabate M, Cequier A. A Randomized Comparison of Reservoir-Based Polymer-Free Amphilimus-Eluting Stents Versus Everolimus-Eluting Stents With Durable Polymer in Patients With Diabetes Mellitus: The RESERVOIR Clinical Trial. JACC Cardiovasc Interv. 2016 Jan 11;9(1):42-50. doi: 10.1016/j.jcin.2015.09.020.

  • Romaguera R, Brugaletta S, Gomez-Lara J, Pinar E, Jimenez-Quevedo P, Gracida M, Roura G, Ferreiro JL, Teruel L, Gomez-Hospital JA, Montanya E, Alfonso F, Valgimigli M, Sabate M, Cequier A. Rationale and study design of the RESERVOIR trial: a randomized trial comparing reservoir-based polymer-free amphilimus-eluting stents versus everolimus-eluting stents with durable polymer in patients with diabetes mellitus. Catheter Cardiovasc Interv. 2015 Mar;85(4):E116-22. doi: 10.1002/ccd.25728. Epub 2014 Nov 27.

MeSH Terms

Conditions

Coronary Artery DiseaseDiabetes Mellitus

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • Rafael Romaguera, MD

    Spanish Society of Cardiology

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr. Rafael Romaguera

Study Record Dates

First Submitted

October 17, 2012

First Posted

October 19, 2012

Study Start

October 1, 2012

Primary Completion

July 1, 2014

Study Completion

October 1, 2014

Last Updated

November 6, 2013

Record last verified: 2013-11

Locations