NCT02273648

Brief Summary

For the majority of Coronary Artery Disease (CAD) treatment with Percutaneous Transluminal Coronary Angioplasty (PTCA) provides high initial procedure success. However, the medium to long-term complications range from rather immediate elastic coil or vessel contraction to longer processes like smooth muscle cell proliferation and excessive production of extra cellular matrix, thrombus formation and atherosclerotic changes like restenosis or angiographic re-narrowing. The reported incidence of restenosis after PTCA ranges from 30 to 50%. Such rates of recurrence have serious economic consequences. Bare Metal Stents (BMS), designed to address the limitations of PTCA, reduced the angiographic and clinical restenosis rates in De Novo lesions compared to PTCA alone and decreased the need for CABG. BMS substantially reduced the incidence of abrupt artery closure, but restenosis still occurred in about 20 to 40% of cases, necessitating repeat procedures. The invention of Drug Eluting Stents (DES) significantly improved on the principle of BMS by adding an antiproliferative drug (directly immobilized on the stent surface or released from a polymer matrix), which inhibits neointimal hyperplasia. The introduction of DES greatly reduced the incidence of restenosis and resulted in better safety profile as compared to BMS with systemic drug administration. These advantages and a lower cost compared to surgical interventions has made DES an attractive option to treat coronary artery disease. Therefore this observational registry has been designed for the clinical evaluation of the ORSIRO LESS requiring coronary revascularization with DES. It is designed to investigate and collect clinical evidence for the clinical performance and safety of the Orsiro Drug Eluting Stent System in an all-comers patient population in daily clinical practice.

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
1,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2014

Longer than P75 for all trials

Geographic Reach
1 country

50 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

First Submitted

Initial submission to the registry

October 22, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 24, 2014

Completed
26 days until next milestone

Study Start

First participant enrolled

November 19, 2014

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2017

Completed
4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2021

Completed
Last Updated

December 14, 2017

Status Verified

September 1, 2017

Enrollment Period

2.8 years

First QC Date

October 22, 2014

Last Update Submit

December 12, 2017

Conditions

Keywords

nationalmulticenterobservational registryOrsiro Drug Eluting StentStenting Treatment of coronary artery diseasecoronary revascularizationPCISTEMINSTEMIIschemiaAnginaAcute Myocardial InfarctionSmall VesselsChronic Total Occlusion

Outcome Measures

Primary Outcomes (1)

  • Target Lesion Failure (TLF)

    Composite of cardiac death, target vessel Q-wave or non Q-wave Myocardial Infarction (MI), Coronary Artery Bypass Graft (CABG) and clinically driven Target Lesion Revascularization (TLR)

    12 months

Secondary Outcomes (6)

  • TLF

    6, 24, 36, 48 and 60 months

  • Target Vessel Revascularization (TVR)

    6, 12, 24, 36, 48 and 60 months

  • Target Lesion Revascularization (TLR)

    6, 12, 24, 36, 48 and 60 months

  • Stent Thrombosis

    6, 12, 24, 36, 48 and 60 months

  • Clinical Device Success

    up to 1 day

  • +1 more secondary outcomes

Study Arms (1)

Orsiro

Subjects requiring coronary revascularization with Drug Eluting Stents (DES) as well as Subjects presenting with 1. Diabetes (all types) at least 300 subjects should be included and analyzed in this segment 2. Small vessels (≤2.75 mm) approx. 150 subjects 3. Chronic total occlusion (CTO) approx. 50 subjects 4. Acute Myocardial Infarction (incl. STEMI and NSTEMI) approx. 100 subjects 5. Multivessels approx. 250 subjects 6. In stent restenosis approx. 100 subjects 7. Different type of DAPT interruption : \<3 months, between 3 and 6 months, after 6 months approx. 300 subjects subjects who stopped \<3 months

Device: Drug Eluting Stent (DES)

Interventions

Percutaneous Coronary Intervention

Orsiro

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

All subjects requiring coronary revascularization with Drug Eluting Stents (DES)

You may qualify if:

  • Symptomatic coronary artery disease
  • Subject has signed informed consent for data release
  • Subject is geographically stable and willing to participate at all follow up assessments
  • Subject is ≥ 18 years of age

You may not qualify if:

  • Subject did not sign informed consent for data release
  • Pregnancy
  • Known intolerance to aspirin, clopidogrel, ticlopidine, heparin or any other anticoagulation / antiplatelet therapy required for PCI, stainless steel, Sirolimus or contrast media

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (50)

CH d'Aix en Provence

Aix-en-Provence, France

Location

Clinique de l'Europe

Amiens, France

Location

Centre Hospitalier d'Antibes

Antibes, France

Location

Clinique Rhône Durance

Avignon, France

Location

Hopital Henri Duffaut

Avignon, France

Location

Centre Hospitalier de Bastia

Bastia, France

Location

Clinique la fourcade

Bayonne, France

Location

Clinique St Augustin, Service Cardiologie Interventionnelle

Bordeaux, France

Location

Clinique Convert, Cardiologie Interventionnelle

Bourg-en-Bresse, France

Location

Clinique Keraudren

Brest, France

Location

HP St Martin, Service de Cardiologie

Caen, France

Location

CHU de Clermont Ferrand, Hôpital Gabriel Montpied

Clermont-Ferrand, France

Location

CH Sud Francilien

Corbeil, France

Location

Clinique Louis Pasteur

Essey-lès-Nancy, France

Location

CHU Fort de France

Fort-de-France, 97490, France

Location

Groupe Hospitalier Mutualiste

Grenoble, France

Location

CHU Point-à-Pitre

La Guadeloupe, France

Location

Centre Hospitalier de la Roche-sur-Yon

La Roche-sur-Yon, France

Location

CH La Rochelle

La Rochelle, France

Location

CH de Versailles

Le Chesnay, France

Location

Hôpital Louis Pasteur

Le Coudray, France

Location

Hôpital privé de l'Estuaire

Le Havre, France

Location

CHRU de Lille

Lille, France

Location

Lyon Saint Joseph Saint Luc

Lyon, France

Location

CHU de la Timone

Marseille, France

Location

Hôpital Nord de Marseille, Service de Cardiologie

Marseille, France

Location

Clinique les Fontaines

Melun, France

Location

Centre Hospitalier Annecy

Metz-Tessy, France

Location

Clinique Pont de Chaume

Montauban, France

Location

Montpellier le Millenaire

Montpellier, France

Location

Clinique du Diaconat Fonderie

Mulhouse, France

Location

CHU de Nantes

Nantes, France

Location

Nouvelles Cliniques Nantaises

Nantes, France

Location

CHU Nimes

Nîmes, France

Location

Polyclinique les Fleurs

Ollioules, France

Location

Centre Hospitalier de Pau

Pau, France

Location

Hôpital Privé St Martin

Pessac, France

Location

Hôpital privé Claude Galien

Quincy, France

Location

Clinique Saint Hilaire

Rouen, France

Location

Centre Hospitalier St Brieuc

Saint-Brieuc, France

Location

Centre Cardiologique du Nord (CCN)

Saint-Denis, France

Location

CHU Reunion

Saint-Denis, France

Location

Clinique Ste Clotilde

Sainte-Clotilde, 97492, France

Location

Clinique de l'Orangerie

Strasbourg, France

Location

Nouvel Hôpital Civil

Strasbourg, France

Location

CHU Toulouse Rangueil

Toulouse, France

Location

Clinique St Gatien

Tours, France

Location

Clinique St Joseph

Trélazé, France

Location

CH de Valence

Valence, France

Location

CHIV de Villeneuve St Georges

Villeneuve-Saint-Georges, France

Location

MeSH Terms

Conditions

Coronary Artery DiseaseST Elevation Myocardial InfarctionNon-ST Elevated Myocardial InfarctionIschemiaAngina Pectoris

Interventions

Drug-Eluting Stents

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesMyocardial InfarctionInfarctionPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosisChest PainPainNeurologic ManifestationsSigns and Symptoms

Intervention Hierarchy (Ancestors)

StentsProstheses and ImplantsEquipment and Supplies

Study Officials

  • Nicolas CANOT

    Biotronik France

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 22, 2014

First Posted

October 24, 2014

Study Start

November 19, 2014

Primary Completion

September 1, 2017

Study Completion

September 1, 2021

Last Updated

December 14, 2017

Record last verified: 2017-09

Locations