Apposition Assessed Using Optical Coherence Tomography of Chromium Stents Eluting Everolimus From Cobalt Versus Platinum Alloy Platforms
APPOSE
1 other identifier
interventional
60
1 country
4
Brief Summary
The purpose of the trial is to directly compare the Cobalt Chromium platform everolimus-eluting stent, Xience Prime™, with the Platinum Chromium platform everolimus-eluting stent, Promus Element™, in relation to stent scaffolding shape, position with the heart blood vessel and extent of tissue coverage (at 6 months) using optical coherence tomography. Hypotheses:
- 1.The alloy composition and strut design of a drug-eluting stent has a direct bearing on stent apposition measured using OCT.
- 2.Stent design and alloy composition have a direct influence on radial support and scaffold shrinkage.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 coronary-artery-disease
Started Jul 2012
Typical duration for phase_4 coronary-artery-disease
4 active sites
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
July 1, 2012
CompletedFirst Submitted
Initial submission to the registry
August 11, 2012
CompletedFirst Posted
Study publicly available on registry
January 28, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedAugust 5, 2014
August 1, 2014
2.4 years
August 11, 2012
August 2, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
• Percent incomplete stent apposition using OCT of the CoCr-EES versus the PtCr-EES stent inflated to nominal pressure and following optimal post-dilatation. Stent length (mm) at implantation following nominal pressure and following post-dilatation
Immediately following stent deployment
Secondary Outcomes (3)
Percentage of uncovered stent struts
6 mths post initial PCI procedure
Mean neointimal tissue thickness (microns)
6 months post initial PCI Procedure
Stent length (mm) measured using OCT
6 months post initial PCI procedure
Study Arms (2)
Cobalt Chromium Everolimus-eluting stent (Xience Prime)
ACTIVE COMPARATORCobalt Chromium Everolimus-eluting stent (Xience Prime)
Platinum Chromium Everolimus-eluting stent (Promus Element)
ACTIVE COMPARATORPlatinum Chromium Everolimus-eluting stent (Promus Element)
Interventions
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years
- Symptomatic coronary artery disease including patients with chronic stable angina, silent ischemia, and acute coronary syndromes including non-ST elevation myocardial infarction
- Presence of one or more coronary artery stenosis \> 50% in a native coronary artery with a reference diameter ranging from 2.25 to 4.25 mm which can be covered with one or multiple stents
- No limitation to the number of treated lesions or number of vessels according to the randomization group
- De-novo native coronary disease with complex lesions involving: Bifurcations, chronic occlusions \> 3 months, lesions \> 20mm in length or moderately/heavily calcified lesions of any length
You may not qualify if:
- Known intolerance to aspirin, clopidogrel, heparin, cobalt chromium, platinum chromium, everolimus, contrast material
- Acute ST-segment elevation myocardial infarction
- Type A lesion including vessel angulation \<45 degrees
- Bypass graft
- Inability to provide informed consent
- Pregnancy
- Planned surgery within 12 months of PCI unless dual antiplatelet therapy is maintained throughout the peri-surgical period
- Left ventricular ejection fraction \< 25%
- Serum creatinine \> 180mmol/L
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Northern Hospital, Australialead
- Abbott Medical Devicescollaborator
Study Sites (4)
Concord Repatriation Hospital
Concord, New South Wales, Australia
The Prince Charles Hospital
Brisbane, Queensland, Australia
Northern Hospital
Epping, Victoria, 3076, Australia
St Vincent's Hospital
Melbourne, Victoria, 3065, Australia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Peter Barlis
Northern Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Interventional Cardiologist
Study Record Dates
First Submitted
August 11, 2012
First Posted
January 28, 2013
Study Start
July 1, 2012
Primary Completion
December 1, 2014
Study Completion
June 1, 2015
Last Updated
August 5, 2014
Record last verified: 2014-08