Trial of a Novel Paclitaxel-coated Balloon With Citrate Excipient for Restenosis in -Limus Analogue DES
ISAR-DESIRE 3A
1 other identifier
interventional
125
1 country
1
Brief Summary
Hypothesis: Angioplasty with a novel paclitaxel-coated balloon (PCB; Agent, Boston Scientific) with citrate-based excipient will be non-inferior to conventional paclitaxel-coated balloon with iopromide excipient (PCB) for the treatment of coronary restenosis after implantation of limus-analogue drug-eluting stents (DES)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2015
Typical duration for not_applicable
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, 2015
CompletedFirst Submitted
Initial submission to the registry
February 13, 2015
CompletedFirst Posted
Study publicly available on registry
February 20, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 25, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
October 25, 2017
CompletedJanuary 8, 2019
January 1, 2019
2.8 years
February 13, 2015
January 7, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
In-segment percent diameter stenosis (%DS)
at 6-8 months
Secondary Outcomes (3)
In-segment minimal lumen diameter and binary restenosis
at 6-8 months
Composite of death or myocardial infarction
at 12 months
Target lesion revascularization and thrombosis
at 12 months
Study Arms (1)
PCB
EXPERIMENTALPaclitacel-coated balloon (Agent, Boston Scientific)
Interventions
Eligibility Criteria
You may qualify if:
- Patients with ischemic symptoms or evidence of myocardial ischemia in the presence of ≥ 50% restenosis after prior implantation of LES in native coronary vessels.
- Written, informed consent by the patient for participation in the study.
- In women with childbearing potential a negative pregnancy test is mandatory.
You may not qualify if:
- Age \< 18 years
- Cardiogenic shock
- Acute ST-elevation myocardial infarction within 48 hours from symptom onset.
- Target lesion located in the left main trunk or bypass graft.
- Target lesion located in small vessel (vessel size \< 2.0 mm)
- Malignancies or other comorbid conditions (for example severe liver, renal and pancreatic disease) with life expectancy less than 12 months or that may result in protocol non-compliance.
- Severe renal insufficiency (glomerular filtration rate ≤ 30 ml/min)
- Contraindications to antiplatelet therapy, paclitaxel
- Pregnancy (present, suspected or planned) or positive pregnancy test.
- Previous enrollment in this trial.
- Patient's inability to fully comply with the study protocol.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Deutsches Herzzentrum Muenchen
Munich, Bavaria, 80636, Germany
Related Publications (2)
Koch T, Lenz T, Rheude T, Cassese S, Xhepa E, Joner M, Mehilli J, Schunkert H, Kastrati A, Kufner S. Comparative long-term efficacy and safety of two paclitaxel-coated balloons with different coating strategies for the treatment of drug-eluting coronary stent restenosis. Catheter Cardiovasc Interv. 2024 Nov;104(5):909-917. doi: 10.1002/ccd.31228. Epub 2024 Sep 18.
PMID: 39290129DERIVEDKufner S, Rai H, Wiebe J, Altevogt F, Pyxaras S, Joner M, Xhepa E, Cassese S, Colleran R, Schunkert H, Zrenner B, Kastrati A, Byrne RA; Intracoronary Stenting and Angiographic Results: Optimizing Treatment of Drug Eluting Stent In-Stent Restenosis 3A (ISAR-DESIRE 3A) Investigators. A prospective trial of a novel low-dose paclitaxel-coated balloon therapy in patients with restenosis in drug-eluting coronary stents Intracoronary Stenting and Angiographic Results: Optimizing Treatment of Drug Eluting Stent In-stent REstenosis 3A (ISAR-DESIRE 3A). Catheter Cardiovasc Interv. 2022 Feb;99(3):754-762. doi: 10.1002/ccd.30014. Epub 2021 Nov 18.
PMID: 34791755DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Byrne, MB BCh PhD
Deutsches Herzzentrum Muenchen
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2015
First Posted
February 20, 2015
Study Start
January 1, 2015
Primary Completion
October 25, 2017
Study Completion
October 25, 2017
Last Updated
January 8, 2019
Record last verified: 2019-01