The PICCOLETO XI A-PREP Study
PICCOLETO-XI
Impact of Lesion PREParation With Modifying Balloons During Drug-coated Balloon (DCB) Angioplasty for In-stent Restenosis (ISR) - PICCOLETO XI A-PREP Study
1 other identifier
observational
500
0 countries
N/A
Brief Summary
To compare the angiographic and clinical outcomes of aggressive versus standard balloon preparation during drug-coated balloon (DCB) angioplasty for in-stent restenosis (ISR). The study will evaluate whether more aggressive lesion preparation with cutting/scoring/OPN balloons improves outcomes compared to standard preparation with semi-compliant or non-compliant balloons.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2026
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
First Submitted
Initial submission to the registry
January 29, 2026
CompletedFirst Posted
Study publicly available on registry
February 5, 2026
CompletedStudy Start
First participant enrolled
June 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
Study Completion
Last participant's last visit for all outcomes
June 1, 2028
February 5, 2026
January 1, 2026
1.5 years
January 29, 2026
January 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Major Adverse Cardiovascular Events (MACE)
Composite of cardiac death, non-fatal myocardial infarction (MI), or target lesion revascularization (TLR).
12 months
Secondary Outcomes (9)
Cardiac Death
12 months and longest available follow-up
Non-fatal Myocardial Infarction
12 months and longest available follow-up
Target Lesion Revascularization (TLR)
12 months and longest available follow-up
Target Vessel Myocardial Infarction (TV-MI)
12 months and longest available follow-up
BARC Major Bleeding
12 months and longest available follow-up
- +4 more secondary outcomes
Study Arms (2)
Aggressive Lesion Preparation
Patients who underwent lesion preparation using cutting/Wolverine balloons, scoring balloons (any brand), and/or OPN balloons prior to DCB angioplasty for ISR.
Standard Lesion Preparation
Patients who underwent lesion preparation using semi-compliant balloons and/or non-compliant balloons prior to DCB angioplasty for ISR.
Eligibility Criteria
Adult patients who underwent drug-coated balloon (DCB) angioplasty for in-stent restenosis (ISR) at participating centers.
You may qualify if:
- Adult patients ≥18 years of age
- Patients who underwent DCB angioplasty for in-stent restenosis
You may not qualify if:
- \- Lack of clinical outcome assessment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (5)
Wańha W, Iwańczyk S, Tajstra M, Cortese B. How to treat coronary in-stent restenosis? Recent advances and their practical implications: State-of-the-Art Review. Kardiol Pol. 2025;83(5):556-569. doi: 10.33963/v.phj.105954.
BACKGROUNDDangas GD, Claessen BE, Caixeta A, Sanidas EA, Mintz GS, Mehran R. In-stent restenosis in the drug-eluting stent era. J Am Coll Cardiol. 2010;56:1897-907. doi: 10.1016/j.jacc.2010.07.028.
BACKGROUNDLatib A, Mussardo M, Ielasi A, Tarsia G, Godino C, Al-Lamee R, Chieffo A, Airoldi F, Carlino M, Montorfano M, Colombo A. Long-term outcomes after the percutaneous treatment of drug-eluting stent restenosis. JACC Cardiovasc Interv. 2011;4:155-64. doi: 10.1016/j.jcin.2010.09.027.
BACKGROUNDMauri L, Bonan R, Weiner BH, et al. Cutting balloon angioplasty for the prevention of restenosis: results of the Cutting Balloon Global Randomized Trial. Am J Cardiol. 2002;90(10):1079-1083. doi: 10.1016/S0002-9149(02)02773-X.
BACKGROUNDBonaventura K, Schwefer M, Yusof AKM, Waliszewski M, Krackhardt F, Steen P, Ocaranza R, Zuhdi AS, Bang LH, Graf K, Böck U, Chin K. Systematic Scoring Balloon Lesion Preparation for Drug-Coated Balloon Angioplasty in Clinical Routine: Results of the PASSWORD Observational Study. Adv Ther. 2020 May;37(5):2210-2223. doi: 10.1007/s12325-020-01320-2.
BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Bharat Khialani, MD
Tan Tock Seng Hospital, National Healthcare Group, Singapore
- PRINCIPAL INVESTIGATOR
Filippo Luca Gurgoglione, MD, PhD
Department of Cardiology, Parma University Hospital, Parma, Italy
- STUDY CHAIR
Bernardo Cortese, MD
Fondazione Ricerca e Innovazione Cardiovascolare ETS
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 29, 2026
First Posted
February 5, 2026
Study Start (Estimated)
June 1, 2026
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
June 1, 2028
Last Updated
February 5, 2026
Record last verified: 2026-01