AzTrials
AzTrials

Coronary DiseaseLEADERSNCT00389220

Limus Eluted From A Durable Versus ERodable Stent Coating

A study testing Coronary stent placement in people with Coronary Disease and Coronary Stenosis, run by Biosensors Europe SA at 10 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to compare the BioMatrix Flex (Biolimus A9-Eluting) stent system with the Cypher SELECT (Sirolimus-Eluting) stent system in a non-inferiority trial. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Coronary Disease, Coronary Stenosis
What is being tested?
Coronary stent placement
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,707 participants
Where
10 sitesin 7 countries
Study dates
Nov 2006to Jun 2012
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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 and ST-elevation myocardial infarction;
  • Presence of one or more coronary artery stenoses >50% in a native coronary artery or a saphenous bypass graft from 2.25 to 3.5 mm in diameter that can be covered with one or multiple stents;
  • No limitation on the number of treated lesions, and vessels, and lesion length

Who cannot join

  • Pregnancy;
  • Known intolerance to aspirin, clopidogrel, heparin, stainless steel, Sirolimus, Biolimus or contrast material;
  • Inability to provide informed consent;
  • Currently participating in another trial before reaching first endpoint;
  • Planned surgery within 6 months of PCI unless dual antiplatelet therapy is maintained throughout the perisurgical period

Trial locations and contacts

10 sites in 7 countries.

10 sites in 7 countries

Germany3 sites
  • Herzzentrum Leipzig, Innere Medizin/Kardiologie, Struimpellstrasse 39

    Leipzig, D-04289

  • Universitatsklinikum Munchen, Medizinische Klinik Kardiologie, Ziemssenstrasse 1

    Munich, 80336

  • Klinikum Bogenhausen der Stad München, Abteilung für Kardiologie und Pnemlogie, Englschalkstrasse 77

    Munich, D-8000

Other trials in Germany

Switzerland2 sites
  • Medizinische Universitätsklinik, Swiss Cardiovacular Center Bern, Inselspital

    Bern, CH-3010

  • University Hospital Zürich, Director of Invasive Cardiology, Rämistrasse 100

    Zurich, 8091

Other trials in Switzerland

Belgium1 site
  • Onze Lieve Vrouw Ziekenhuis, Cardiologisch Centrum, Moorselbaan 164

    Aalst, B-9300

Other trials in Belgium

France1 site
  • L'Institut Cardiovasculaire Paris Sud, Institut Hospitalier Jacques Cartier, Service de Coronarographie, 6, Avenue du Noyer Lambert

    Massy, 91300

Other trials in France

Netherlands1 site
  • University Medical Center Rotterdam Erasmus, Thoraxcentrum

    Rotterdam, 3015 GD

Other trials in Netherlands

Poland1 site
  • American Heart of Poland Sp. z o.o.

    Dąbrowa Górnicza, 43100

Other trials in Poland

United Kingdom1 site
  • Royal Brompton Hospital, Sydney Street

    London, SW3 6NP

Other trials in United Kingdom

About this study

Official title: A Randomized Comparison of a Biolimus-Eluting Stent With a Sirolimus-Eluting Stent for Percutaneous Coronary Intervention

The purpose of this study is to compare the BioMatrix Flex (Biolimus A9-Eluting) stent system with the Cypher SELECT (Sirolimus-Eluting) stent system in a non-inferiority trial.

Read the detailed description

Compare the safety and efficacy of the BioMatrix Flex (Biolimus A9-Eluting) stent system with the Cypher SELECT (Sirolimus-Eluting) stent system in a prospective, multi-center, randomized, controlled, non-inferiority trial in patients undergoing percutaneous coronary intervention in routine clinical practice.

Being tested
Coronary stent placement
Keywords
Coronary Disease, Coronary Stenosis, Angioplasty, Coronary Restenosis, Drug Eluting Stent
Medical subject headings
Coronary Disease, Coronary Stenosis, Coronary Restenosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Coronary stent placementDevice

    Coronary stent placement

Study groups in NCT00389220
Study groupRoleWhat they receive
BioMatrix Flex stentActive comparatorCoronary stent placement with Biolimus A9 coated stent with biodegradable polymer
Receives: Device: Coronary stent placement
Cypher Select stentActive comparatorCoronary stent placement with Sirolimus coated stent with durable polymer
Receives: Device: Coronary stent placement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 9 month

Secondary outcomes (44)
  1. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 30 days

  2. Cardiac death

    Cardiac death

    Measured: 30 days

  3. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 30 days

  4. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 30 days

  5. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 30 days

  6. In-stent and in-segment binary restenosis rate as assessed by QCA.

    In-stent and in-segment binary restenosis rate as assessed by QCA.

    Measured: 9 month

  7. In-stent and in-segment minimal luminal diameter (MLD) as assessed by QCA.

    In-stent and in-segment minimal luminal diameter (MLD) as assessed by QCA

    Measured: 9 month

  8. In-segment percent diameter stenosis (%DS).

    In-segment percent diameter stenosis (%DS) as assessed by QCA

    Measured: 9 month

  9. In-stent and in-segment late luminal loss

    In-stent and in-segment late luminal loss as assessed by QCA

    Measured: 9 month

  10. Device success, lesion success and procedural success.

    Measured: at implant

  11. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 6 month

  12. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 1 year

  13. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 2 years

  14. Cardiac death

    Cardiac death

    Measured: 6 month

  15. Cardiac death

    Cardiac death

    Measured: 9 month

  16. Cardiac death

    Cardiac death

    Measured: 1 year

  17. Cardiac death

    Cardiac death

    Measured: 2 year

  18. Cardiac death

    Cardiac death

    Measured: 3 year

  19. Cardiac death

    Cardiac death

    Measured: 4 year

  20. Cardiac death

    Cardiac death

    Measured: 5 year

  21. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 3 year

  22. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 4 year

  23. Major adverse cardiac events (MACE) in the overall population according to the ARC definitions.

    Major adverse cardiac events (MACE) in the overall population defined as composite of cardiac death,myocardial infarction (Q-wave and Non-Q wave)justified target vessel revascularization and Justified and non-justified target lesion revascularization (TLR)

    Measured: 5 year

  24. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 6 month

  25. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 9 month

  26. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 1 year

  27. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 2 years

  28. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 3 years

  29. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 4 years

  30. All deaths

    All deaths (cardiac and non-cardiac)

    Measured: 5 years

  31. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 6 month

  32. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 9 month

  33. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 1 year

  34. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 2 years

  35. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 3 years

  36. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 4 years

  37. Myocardial infarction

    Myocardial infarction (Q-wave and NQWMI)

    Measured: 5 years

  38. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 6 month

  39. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 9 month

  40. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 1 year

  41. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 2 years

  42. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 3 years

  43. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 4 years

  44. Angiographic and clinical stent thrombosis.

    Angiographic and clinical stent thrombosis

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2006 (estimated)
  2. Study startNov 2006
  3. Primary completionMay 2008
  4. Study completionJun 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
1,707 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00389220
Sponsor's protocol ID
05EU01
Acronym
LEADERS
Status last verified
May 2019
First submitted
13 Oct 2006
Last updated
7 May 2019
Results posted
No
Data monitoring committee
Yes

Publications

  • Windecker S, Serruys PW, Wandel S, Buszman P, Trznadel S, Linke A, Lenk K, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, Davies S, van Geuns RJ, Eerdmans P, van Es GA, Meier B, Juni P. Biolimus-eluting stent with biodegradable polymer versus sirolimus-eluting stent with durable polymer for coronary revascularisation (LEADERS): a randomised non-inferiority trial. Lancet. 2008 Sep 27;372(9644):1163-73. doi: 10.1016/S0140-6736(08)61244-1. Epub 2008 Aug 31.

    PubMed 18765162
  • Garg S, Sarno G, Serruys PW, de Vries T, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, Di Mario C, van Geuns RJ, Eerdmans P, van Es GA, Meier B, Juni P, Windecker S. The twelve-month outcomes of a biolimus eluting stent with a biodegradable polymer compared with a sirolimus eluting stent with a durable polymer. EuroIntervention. 2010 Jun;6(2):233-9.

    PubMed 20562074
  • Sarno G, Garg S, Onuma Y, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, van Geuns RJ, Eerdmans P, Garcia-Garcia HM, van Es GA, Goedhart D, de Vries T, Juni P, Meier B, Windecker S, Serruys P. The impact of body mass index on the one year outcomes of patients treated by percutaneous coronary intervention with Biolimus- and Sirolimus-eluting stents (from the LEADERS Trial). Am J Cardiol. 2010 Feb 15;105(4):475-9. doi: 10.1016/j.amjcard.2009.09.055. Epub 2010 Jan 5.

    PubMed 20152241
  • Wykrzykowska JJ, Serruys PW, Onuma Y, de Vries T, van Es GA, Buszman P, Linke A, Ischinger T, Klauss V, Corti R, Eberli F, Wijns W, Morice MC, di Mario C, van Geuns RJ, Juni P, Windecker S. Impact of vessel size on angiographic and clinical outcomes of revascularization with biolimus-eluting stent with biodegradable polymer and sirolimus-eluting stent with durable polymer the LEADERS trial substudy. JACC Cardiovasc Interv. 2009 Sep;2(9):861-70. doi: 10.1016/j.jcin.2009.05.024.

    PubMed 19778775
  • Wykrzykowska JJ, Raber L, de Vries T, Bressers M, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, Regar E, Juni P, Windecker S, Serruys PW. Biolimus-eluting biodegradable polymer versus sirolimus-eluting permanent polymer stent performance in long lesions: results from the LEADERS multicentre trial substudy. EuroIntervention. 2009 Aug;5(3):310-7. doi: 10.4244/v5i3a49.

    PubMed 19736154
  • Yuan H, Wu Z, Lu T, Wei T, Zeng Y, Liu Y, Huang C. Comparison of biodegradable and durable polymer drug-eluting stents in acute coronary syndrome: a meta-analysis. BMJ Open. 2022 Jun 8;12(6):e058075. doi: 10.1136/bmjopen-2021-058075.

    PubMed 35676012
  • Koskinas KC, Siontis GC, Piccolo R, Franzone A, Haynes A, Rat-Wirtzler J, Silber S, Serruys PW, Pilgrim T, Raber L, Heg D, Juni P, Windecker S. Impact of Diabetic Status on Outcomes After Revascularization With Drug-Eluting Stents in Relation to Coronary Artery Disease Complexity: Patient-Level Pooled Analysis of 6081 Patients. Circ Cardiovasc Interv. 2016 Feb;9(2):e003255. doi: 10.1161/CIRCINTERVENTIONS.115.003255.

    PubMed 26823484
  • Grundeken MJ, Wykrzykowska JJ, Ishibashi Y, Garg S, de Vries T, Garcia-Garcia HM, Onuma Y, de Winter RJ, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Corti R, Wijns W, Morice MC, di Mario C, Meier B, Juni P, Yazdani A, Copt S, Windecker S, Serruys PW. First generation versus second generation drug-eluting stents for the treatment of bifurcations: 5-year follow-up of the LEADERS all-comers randomized trial. Catheter Cardiovasc Interv. 2016 Jun;87(7):E248-60. doi: 10.1002/ccd.26344. Epub 2015 Dec 9.

    PubMed 26649651
  • Zhang YJ, Iqbal J, Windecker S, Linke A, Antoni D, Sohn HY, Corti R, van Es GA, Copt S, Eerdmans P, Saitta R, Morice MC, Di Mario C, Juni P, Wijns W, Buszman P, Serruys PW. Biolimus-eluting stent with biodegradable polymer improves clinical outcomes in patients with acute myocardial infarction. Heart. 2015 Feb;101(4):271-8. doi: 10.1136/heartjnl-2014-306359. Epub 2014 Nov 25.

    PubMed 25423953
  • Vranckx P, Kalesan B, Stefanini GG, Farooq V, Onuma Y, Silber S, de Vries T, Juni P, Serruys PW, Windecker S. Clinical outcome of patients with stable ischaemic heart disease as compared to those with acute coronary syndromes after percutaneous coronary intervention. EuroIntervention. 2015 Jun;11(2):171-9. doi: 10.4244/EIJV11I2A31.

    PubMed 24531331
  • Serruys PW, Farooq V, Kalesan B, de Vries T, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Wijns W, Morice MC, Di Mario C, Corti R, Antoni D, Sohn HY, Eerdmans P, Rademaker-Havinga T, van Es GA, Meier B, Juni P, Windecker S. Improved safety and reduction in stent thrombosis associated with biodegradable polymer-based biolimus-eluting stents versus durable polymer-based sirolimus-eluting stents in patients with coronary artery disease: final 5-year report of the LEADERS (Limus Eluted From A Durable Versus ERodable Stent Coating) randomized, noninferiority trial. JACC Cardiovasc Interv. 2013 Aug;6(8):777-89. doi: 10.1016/j.jcin.2013.04.011.

    PubMed 23968698
  • Gutierrez-Chico JL, Raber L, Regar E, Okamura T, di Mario C, van Es GA, Windecker S, Serruys PW. Tissue coverage and neointimal hyperplasia in overlap versus nonoverlap segments of drug-eluting stents 9 to 13 months after implantation: in vivo assessment with optical coherence tomography. Am Heart J. 2013 Jul;166(1):83-94. doi: 10.1016/j.ahj.2013.04.001. Epub 2013 May 3.

    PubMed 23816026
  • Stefanini GG, Kalesan B, Pilgrim T, Raber L, Onuma Y, Silber S, Serruys PW, Meier B, Juni P, Windecker S. Impact of sex on clinical and angiographic outcomes among patients undergoing revascularization with drug-eluting stents. JACC Cardiovasc Interv. 2012 Mar;5(3):301-10. doi: 10.1016/j.jcin.2011.11.011.

    PubMed 22440496
  • Gutierrez-Chico JL, Juni P, Garcia-Garcia HM, Regar E, Nuesch E, Borgia F, van der Giessen WJ, Davies S, van Geuns RJ, Secco GG, Meis S, Windecker S, Serruys PW, di Mario C. Long-term tissue coverage of a biodegradable polylactide polymer-coated biolimus-eluting stent: comparative sequential assessment with optical coherence tomography until complete resorption of the polymer. Am Heart J. 2011 Nov;162(5):922-31. doi: 10.1016/j.ahj.2011.09.005. Epub 2011 Oct 7.

    PubMed 22093210
  • Stefanini GG, Kalesan B, Serruys PW, Heg D, Buszman P, Linke A, Ischinger T, Klauss V, Eberli F, Wijns W, Morice MC, Di Mario C, Corti R, Antoni D, Sohn HY, Eerdmans P, van Es GA, Meier B, Windecker S, Juni P. Long-term clinical outcomes of biodegradable polymer biolimus-eluting stents versus durable polymer sirolimus-eluting stents in patients with coronary artery disease (LEADERS): 4 year follow-up of a randomised non-inferiority trial. Lancet. 2011 Dec 3;378(9807):1940-8. doi: 10.1016/S0140-6736(11)61672-3. Epub 2011 Nov 8.

    PubMed 22075451

Questions about this trial

What is this clinical trial studying?

A study testing Coronary stent placement in people with Coronary Disease and Coronary Stenosis, run by Biosensors Europe SA at 10 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Germany, Switzerland, Belgium, France, Netherlands and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Major adverse cardiac events (MACE) in the overall population according to the ARC definitions. (time frame: 9 month). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00389220, which also lists 19 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2019.

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