First-in-man Trial Examining the Safety and Efficacy of BuMA Supreme and Resolute Integrity in Patients With de Novo Coronary Artery Stenosis
Prospective, Multi-center, Randomized First-in-man Trial Examining the Safety and Efficacy of BuMA Supreme eG (Electro Grafting) Based Biodegradable Polymer Sirolimus-eluting Stent and Resolute Integrity Zotarolimus-eluting Durable Polymer Stent in Patients With de Novo Coronary Artery Stenosis.
1 other identifier
interventional
168
4 countries
12
Brief Summary
Prospective, multi-center, randomized 1:1, single blind trial using BuMA Supreme versus Resolute Integrity conducted in approximately 14 interventional cardiology centers in The Netherlands, Belgium, Spain and Portugal. Clinical follow-up will occur at 1, 9 and 12 months post-stent implantation. All patients will undergo repeat angiography at 9 months follow-up. QCA assessment will be performed at baseline (pre- and post-procedure) and at 9 months follow-up.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2 coronary-artery-disease
Started Apr 2015
Longer than P75 for phase_2 coronary-artery-disease
12 active sites
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
September 4, 2014
CompletedFirst Posted
Study publicly available on registry
September 11, 2014
CompletedStudy Start
First participant enrolled
April 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2019
CompletedJuly 28, 2020
August 1, 2016
1.6 years
September 4, 2014
July 24, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Late Lumen Loss
The primary endpoint is in-stent Late Lumen Loss (LLL) at 9 months after stent implantation as assessed by off-line QCA.
Up to 9 month
Secondary Outcomes (9)
Angiographic endpoint
9 and 12 month
Angiographic endpoint
9 and 12 month
Angiographic endpoint
9 and 12 month
Angiographic endpoint
9 and 12 month
Clinical endpoint
9 and 12 month
- +4 more secondary outcomes
Study Arms (2)
BuMA Supreme Biodegradable drug coating coronary stent system
EXPERIMENTALImplant BuMA Supreme stent only
Resolute Integrity durable polymer stent system
ACTIVE COMPARATORImplant Resolute stent
Interventions
Eligibility Criteria
You may qualify if:
- The subject is at least 18 years of age.
- Clinical evidence of ischemic heart disease and/or a positive territorial functional study.
- Documented stable angina pectoris (Canadian Cardiovascular Society (CCS) Classification 1, 2, 3 or 4) or unstable angina pectoris with documented ischemia (Braunwald Class IB-C, IIB-C, or IIIB-C), or documented silent ischemia
- The patient has a planned intervention of a single de-novo lesion in one or two separate major epicardial territories (LAD, LCX or RCA).
- Diameter Stenosis≥50 and\<100%.
- The visually estimated target lesion must be able to be covered by a single BuMA Supreme stent or a single Resolute Integrity stent (for available sizes refer to tables 1 and 2, page 20 and 21).
- The target lesion reference diameter must be visually estimated to be ≥2.5 mm and ≤4.5 mm in diameter.
- Written informed consent.
- The patient agrees to the follow-up visits including a 9 month angiographic follow-up.
- Patient must have completed the follow-up phase of any previous study.
You may not qualify if:
- Female of child bearing potential (age \<50 years and last menstruation within the last 12 months). Subjects with age \<50 who underwent tubal ligation, ovariectomy or hysterectomy can be included.
- Evidence of ongoing acute myocardial infarction (AMI) in ECG and/or elevated cardiac biomarkers (according to local standard hospital practice) have not returned within normal limits at the time of procedure
- Patient suffered from stroke/TIA during the last 6 months.
- LVEF \<30%
- Platelet count \<100,000 cells/mm3 or \>400,000 cells/mm3, a WBC of \<3,000 cells/mm3, or documented or suspected liver disease (including laboratory evidence of hepatitis)
- Known renal insufficiency (e.g. serum creatinine \>2.5mg/dL, or creatinine clearance ≤30 mL/min), or subject on dialysis, or acute kidney failure (as per physician judgment).
- Patient undergoing planned surgery within 6 months with the necessity to stop DAPT.
- Patient requiring oral anticoagulation (Coumadin, Novel Oral Anticoagulant (NOAC))
- History of bleeding diathesis or coagulopathy
- The patient is a recipient of a heart transplant
- Known hypersensitivity or contraindication to aspirin, heparin, antiplatelet medication specified for use in the study, sirolimus, zotarolimus, or cobalt-chromium.
- Other medical illness (e.g. cancer, stroke with neurological deficiency) or known history of substance abuse (alcohol, cocaine, heroin etc.) as per physician judgment that may cause non-compliance with the protocol or confound the data interpretation or is associated with a limited life expectancy
- The patient is simultaneously participating in another investigational device or drug study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Imelda Hospital
Bonheiden, Belgium
CHU Chaleroi
Chaleroi, Belgium
Oost-limburg Hospital
Genk, Belgium
AMC
Amsterdam, Netherlands
OLVG
Amsterdam, Netherlands
UMCG
Groningen, Netherlands
Maasstad Hospital
Rotterdam, Netherlands
Hospita; Garcia de Orta
Almada, Portugal
Santa Maria University Hospital
Lisbon, Portugal
Gaia/Espinho Hospital Centers
Porto, Portugal
University Hospital Madrid
Madrid, Spain
Hospital Álvaro Cunqueiro
Vigo, Spain
Related Publications (1)
Wang R, Kawashima H, Hara H, Gao C, Ono M, Takahashi K, Tu S, Soliman O, Garg S, van Geuns RJ, Tao L, Wijns W, Onuma Y, Serruys PW. Comparison of Clinically Adjudicated Versus Flow-Based Adjudication of Revascularization Events in Randomized Controlled Trials. Circ Cardiovasc Qual Outcomes. 2021 Nov;14(11):e008055. doi: 10.1161/CIRCOUTCOMES.121.008055. Epub 2021 Oct 20.
PMID: 34666500DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Clemens von.Birgelen, MD,Phd
Medisch Spectrum Twente (MST), Enschede, the Netherlands
- PRINCIPAL INVESTIGATOR
Manel Sabate, MD,Phd
Clinic university hospital Barcelona, Spain
- STUDY CHAIR
Patrick W.Serruys, MD,Phd
Interventional Cardiology, Thorax center, Erasmus MC, Rotterdam
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 4, 2014
First Posted
September 11, 2014
Study Start
April 1, 2015
Primary Completion
November 1, 2016
Study Completion
March 1, 2019
Last Updated
July 28, 2020
Record last verified: 2016-08