AzTrials
AzTrials

Coronary Artery DiseaseOCTDESINCT00776204

The Optical Coherence Tomography Drug Eluting Stent Investigation

A study testing JACTAX Drug eluting stent, JACTAX LD drug eluting stent and Taxus Libertè in people with Coronary Artery Disease, run by Boston Scientific Corporation at 1 site in Italy.

Completed

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

Official record
Search all trials

Trial summary

The objective of this study is to evaluate the completeness of struts coverage and vessel wall response to the new generation JACTAX drug-eluting stent vs Taxus stent in de novo coronary artery lesions at 6 months post index procedure. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Coronary Artery Disease
What is being tested?
JACTAX Drug eluting stent, JACTAX LD drug eluting stent and Taxus Libertè
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteItaly
Study dates
May 2008to Feb 2011
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

  • General Inclusion Criteria
  • Patient is ≥ 18 years of age
  • Patient is eligible for percutaneous coronary intervention (PCI)
  • Patient demonstrates a left ventricular ejection fraction (LVEF) of ≥ 25%
  • Patient or legal guardian understands and agrees to comply with all specified study requirements and provides written Informed Consent to this effect.
  • Angiographic Inclusion Criteria
  • Target lesion is de novo native coronary artery lesion (i.e., a coronary lesion not previously treated) ≤ 25 mm that can be treated with a single JACTAX, JACTAX LD or TAXUS stent
  • A second lesion in a second vessel may be treated with one (1) TAXUS™ Libertè™ DES or a bare metal stent.

Who cannot join

  • General Exclusion Criteria
  • The patient has a life expectancy of less than 24 months due to another medical condition
  • Patient has a history of hypersensitivity to paclitaxel or structurally related compounds
  • Patient exhibits cardiogenic shock (systolic pressure < 80mm Hg and PCWP > 20mm Hg or cardiac index <1.8 liters/minute/m2 or intra-aortic balloon pump or intravenous inotropes are needed to maintain a systolic pressure>80 mm Hg) for any time within 24 hours prior to index procedure
  • Patient demonstrates evidence of acute or chronic renal dysfunction (serum creatinine > 2.0 mg/dl or177 µmol/l)
  • Planned cardiac surgery procedure ≤ 6 months post-index procedure
Show all 31Show fewer
  • Patient demonstrates evidence of a acute myocardial infarction (eg. STEMI or enzyme elevation CK > 2X local laboratory's ULN unless CK-MB is < 2X ULN) 7) Cerebrovascular accident (CVA) including stroke or TIA within previous 3 months
  • Patient demonstrates evidence of leukopenia (leukocyte count < 3.5 X 109/liter)
  • Patient demonstrates evidence of thrombocytopenia (platelet count < 100,000/mm3) or thrombocytosis (>750,000/mm3)
  • Patient is contraindicated to ASA (successful prior desensitization to ASA is not an exclusion), clopidogrel, or ticlopidine
  • Patient is currently on warfarin, or possibility of treatment with warfarin during the following 6 months post index procedure
  • Patient has been treated with paclitaxel or other chemotherapeutic agents within 12-months prior to planned index procedure
  • Anticipated treatment with paclitaxel or oral rapamycin during any period in the 6-months after the index procedure
  • Patient has received a drug eluting stent within 12-months prior to planned index procedure
  • Previous or planned treatment with intravascular brachytherapy in target vessel
  • Known allergy to stainless steel
  • Female or male with known intention to procreate within 3 months after the index procedure (due to the exposure to paclitaxel and unknown affect it may have on the fetus)
  • Female of childbearing potential with a positive pregnancy test within 7 days before the index procedure, or lactating, or intends to become pregnant during the 9 months post index procedure
  • Patient that in the opinion of the investigator is not clinically appropriate for OCT evaluation.
  • Angiographic Exclusion Criteria
  • Evidence of thrombus of the study vessel, based on angiography or IVUS
  • Study lesion is totally occluded (TIMI flow ≤ 1) either at baseline or before pre-dilatation
  • Study lesion, or the study vessel proximal to the study lesion is moderately or severely calcified, by visual estimate
  • Study lesion is ostial in location (within 3.0 mm of vessel origin)
  • Study lesion involving arterial segments with highly tortuous anatomy or where lesion is located within or distal to a >60 degree bend in the vessel
  • Study lesion involves a bifurcation with a diseased (>50% stenotic) branch vessel > 2.0 mm in diameter
  • Left main coronary artery disease (stenosis >50%) whether protected or unprotected
  • Target lesion length > 25 mm, based on visual estimate by operator
  • Target vessel diameter > 3.5 mm, based on visual estimate by operator
  • Target vessel diameter < 2.75 mm based on visual estimate by operator
  • Pre-treatment of the target lesion (excluding predilation) with another interventional device.

Trial locations and contacts

1 site in 1 country.

Italy1 site
  • Ospedali Riuniti di Bergamo

    Bergamo, 24128

Other trials in Italy

About this study

Official title: The Optical Coherence Tomography Drug Eluting Stent Investigation(OCTDESI)

The objective of this study is to evaluate the completeness of struts coverage and vessel wall response to the new generation JACTAX drug-eluting stent vs Taxus stent in de novo coronary artery lesions at 6 months post index procedure. To investigate the completeness of the coverage as well as the number of uncovered stent struts per section, high resolution (~ 10-15 µm axial) intracoronary Optical Coherence Tomography (OCT) will be used.

Read the detailed description

The risk of late stent thrombosis represents a major concern for patients treated with first generation drug-eluting stents (DES). Delayed healing and poor endothelialization are common findings in vessels treated with DES and are probably related to the amount of drug and polymer applied to a DES. There is evidence to suggest that polymer applications may influence the processes of inflammation and vessel healing. The JACTAX family of DES have been designed to provide a maximum amount of drug delivered directly to coronary vessel tissue while excluding polymer and drug from contact within the vessel lumen. The JACTAX stents are comprised of a currently marketed bare metal stent (Libertè™) coated exclusively on the ablumenal stent surface with a carrier containing a bioerodable polymer, Polylactide and paclitaxel. The objective of this prospective study is to measure the completeness of strut coverage and vessel wall response (strut malapposition, neointima disomogeneities in texture) to the JACTAX stents vs Taxus Libertè in de novo coronary artery lesions at 6 months post index procedure. Optical Coherence Tomography (OCT) that detects smaller degrees of stent strut coverage more accurately than IVUS will be used at 6 months follow-up. Intravascular ultrasound (IVUS) will be performed as per normal practice at any index procedures and at 6 months follow-up.

Being tested
JACTAX Drug eluting stent, JACTAX LD drug eluting stent, Taxus Libertè
Keywords
Coronary Artery Disease, Drug eluting stent, Percutaneous Coronary Interventions, Optical Coherence Tomography
Medical subject headings
Coronary Artery Disease

What participants receive

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

  • JACTAX Drug eluting stentDevice

    Also called JACTAX Drug eluting stent (Labcoat Ltd, Galway, Ireland)

    Jactax stent placed in coronary artery

  • JACTAX LD drug eluting stentDevice

    Also called JACTAX LD Drug eluting stent (Labcoat Ltd, Galway, Ireland)

    JACTAX LD stent placed in coronary artery

  • Taxus LibertèDevice

    Also called Taxus Libertè (Boston Scientific, Natick, MA)

    Taxus Libertè stent placed in coronary artery

Study groups in NCT00776204
Study groupRoleWhat they receive
1Active comparatorDrug Eluting Stent
Receives: Device: JACTAX Drug eluting stent
2Active comparatorDrug Eluting Stent
Receives: Device: JACTAX LD drug eluting stent
3Active comparatorDrug Eluting Stent
Receives: Device: Taxus Libertè

What is being measured

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

  1. Proportion of stent struts uncovered and/or malapposed at OCT

    Measured: 6 months

Secondary outcomes (6)
  1. Major Adverse Cardiac Events (MACE)

    Measured: 12 and 24 months

  2. Stent Thrombosis

    Measured: 12 and 24 months

  3. Target Lesion Revascularization

    Measured: 12 and 24 months

  4. Procedural success

    Measured: through discharge

  5. QCA parameters: mean lumen diameter, acute gain, late loss and binary restenosis (≥ 50% diameter stenosis) rate

    Measured: 6 months

  6. IVUS parameters: neointimal area volume, stent and area volumes, stent apposition, and percent net volume obstruction

    Measured: 6 months

Timeline

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

  1. First posted21 Oct 2008 (estimated)
  2. Study startMay 2008
  3. Primary completionJul 2009
  4. Study completionFeb 2011

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
None (open label)
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00776204
Sponsor's protocol ID
LBCT-H03-07
Acronym
OCTDESI
Status last verified
Feb 2017
First submitted
20 Oct 2008
Last updated
1 Mar 2017
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Luscher TF, Steffel J, Eberli FR, Joner M, Nakazawa G, Tanner FC, Virmani R. Drug-eluting stent and coronary thrombosis: biological mechanisms and clinical implications. Circulation. 2007 Feb 27;115(8):1051-8. doi: 10.1161/CIRCULATIONAHA.106.675934.

    PubMed 17325255
  • Finn AV, Joner M, Nakazawa G, Kolodgie F, Newell J, John MC, Gold HK, Virmani R. Pathological correlates of late drug-eluting stent thrombosis: strut coverage as a marker of endothelialization. Circulation. 2007 May 8;115(18):2435-41. doi: 10.1161/CIRCULATIONAHA.107.693739. Epub 2007 Apr 16.

    PubMed 17438147
  • Kang WC, Han SH, Choi KR, Ahn TH, Shin EK. Acute myocardial infarction caused by late stent thrombosis after deployment of a paclitaxel-eluting stent. J Invasive Cardiol. 2005 Jul;17(7):378-80. No abstract available.

    PubMed 16003026
  • Virmani R, Liistro F, Stankovic G, Di Mario C, Montorfano M, Farb A, Kolodgie FD, Colombo A. Mechanism of late in-stent restenosis after implantation of a paclitaxel derivate-eluting polymer stent system in humans. Circulation. 2002 Nov 19;106(21):2649-51. doi: 10.1161/01.cir.0000041632.02514.14.

    PubMed 12438288
  • Carter AJ, Aggarwal M, Kopia GA, Tio F, Tsao PS, Kolata R, Yeung AC, Llanos G, Dooley J, Falotico R. Long-term effects of polymer-based, slow-release, sirolimus-eluting stents in a porcine coronary model. Cardiovasc Res. 2004 Sep 1;63(4):617-24. doi: 10.1016/j.cardiores.2004.04.029.

    PubMed 15306217
  • Virmani R, Guagliumi G, Farb A, Musumeci G, Grieco N, Motta T, Mihalcsik L, Tespili M, Valsecchi O, Kolodgie FD. Localized hypersensitivity and late coronary thrombosis secondary to a sirolimus-eluting stent: should we be cautious? Circulation. 2004 Feb 17;109(6):701-5. doi: 10.1161/01.CIR.0000116202.41966.D4. Epub 2004 Jan 26.

    PubMed 14744976
  • Matsumoto D, Shite J, Shinke T, Otake H, Tanino Y, Ogasawara D, Sawada T, Paredes OL, Hirata K, Yokoyama M. Neointimal coverage of sirolimus-eluting stents at 6-month follow-up: evaluated by optical coherence tomography. Eur Heart J. 2007 Apr;28(8):961-7. doi: 10.1093/eurheartj/ehl413. Epub 2006 Nov 29.

    PubMed 17135281
  • Guagliumi G, Sirbu V. Optical coherence tomography: high resolution intravascular imaging to evaluate vascular healing after coronary stenting. Catheter Cardiovasc Interv. 2008 Aug 1;72(2):237-47. doi: 10.1002/ccd.21606.

    PubMed 18655155
  • Guagliumi G, Sirbu V, Musumeci G, Bezerra HG, Aprile A, Kyono H, Fiocca L, Matiashvili A, Lortkipanidze N, Vassileva A, Popma JJ, Allocco DJ, Dawkins KD, Valsecchi O, Costa MA. Strut coverage and vessel wall response to a new-generation paclitaxel-eluting stent with an ultrathin biodegradable abluminal polymer: Optical Coherence Tomography Drug-Eluting Stent Investigation (OCTDESI). Circ Cardiovasc Interv. 2010 Aug;3(4):367-75. doi: 10.1161/CIRCINTERVENTIONS.110.950154. Epub 2010 Jul 20.

    PubMed 20647562

Questions about this trial

What is this clinical trial studying?

A study testing JACTAX Drug eluting stent, JACTAX LD drug eluting stent and Taxus Libertè in people with Coronary Artery Disease, run by Boston Scientific Corporation at 1 site in Italy.

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 8 inclusion and 31 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 1 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. 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?

Proportion of stent struts uncovered and/or malapposed at OCT (time frame: 6 months). 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 NCT00776204, which also lists 9 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 1 Mar 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in