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AzTrials

Coronary Artery DiseaseSPIRIT SVNCT00783796

SPIRIT Small Vessel Registry

A study testing 2.25 mm XIENCE V® Everolimus Eluting Coronary Stent System in people with Coronary Artery Disease and Atherosclerosis, run by Abbott Medical Devices at 34 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

To evaluate the safety and effectiveness of the 2.25 mm XIENCE V® Everolimus Eluting Coronary Stent System (XIENCE V® EECSS) in improving coronary luminal diameter in subjects with ischemic heart disease due to a maximum of two de novo native coronary artery lesions in small vessels, each in a different epicardial… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
2.25 mm XIENCE V® Everolimus Eluting Coronary Stent System
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
34 sitesUnited States
Study dates
Oct 2008to Dec 2013
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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

General Inclusion Criteria

  1. Subject must be at least 18 years of age.
  2. Subject or a legally authorized representative must provide written informed consent prior to any study related procedure.
  3. Subject must have evidence of myocardial ischemia (e.g., stable or unstable angina, silent ischemia, positive functional study or a reversible change in the electrocardiogram (ECG) consistent with ischemia).
  4. Subject must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
  5. Subject must agree not to participate in any other clinical study for a period of one year following the index procedure.

Angiographic Inclusion Criteria

  1. One target or two (two target or one target and one non-target) de novo lesion(s), each in a different epicardial vessel.
  2. If there are two target lesions or one target and one non-target lesion, both lesions must satisfy the angiographic eligibility criteria.
  3. The target lesion(s) or non-target lesion must be located in a major artery or branch with a visually estimated diameter stenosis of ≥50% and < 100% with a TIMI flow of ≥1.
  4. The target lesion(s) or non-target lesion must be located in a native coronary artery with a reference vessel diameter by visual estimation of: Target Lesion: ≥ 2.25 mm to < 2.5 mm for treatment by the 2.25 mm XIENCE V® EECS. Non-target Lesion: ≥2.5 mm to ≤4.25 mm for treatment by the commercial XIENCE V® EECS.
  5. The target lesion(s) or non-target lesion must be located in a native coronary artery with a lesion length by visual estimation of ≤28 mm.

General Exclusion Criteria

  1. Subject has had a known diagnosis of acute myocardial infarction (AMI) preceding the index procedure (CK-MB (creatine kinase myocardial-band isoenzyme) ≥2 times the upper limit of normal) and CK and CK-MB levels have not returned to within normal limits at the time of procedure.
  2. The subject is currently experiencing clinical symptoms consistent with new onset AMI, such as nitrate-unresponsive prolonged chest pain with ischemic ECG changes.
  3. Subject has current unstable cardiac arrhythmias associated with hemodynamic instability.
  4. Subject has a known left ventricular ejection fraction (LVEF) < 30% (LVEF may be obtained at the time of the index procedure if the value is unknown and if necessary).
  5. Subject has received coronary brachytherapy in any epicardial vessel.
  6. Subject has received any organ transplant or is on a waiting list for any organ transplant.
  7. Subject is receiving or scheduled to receive chemotherapy for malignancy within 30 days prior to or within one year after the index procedure.
  8. Subject is receiving or scheduled to receive planned radiation therapy to the chest or mediastinum.
  9. Subject is receiving immunosuppressant therapy or has known immunosuppressive or autoimmune disease (e.g. human immunodeficiency virus, systemic lupus erythematosus etc.).
  10. Subject is receiving chronic anticoagulation therapy (e.g., heparin, coumadin).
  11. Subjects who will require Low Molecular Weight Heparin (LMWH) post-procedure.
  12. Subject has a known hypersensitivity or contraindication to aspirin, heparin/bivalirudin, clopidogrel/ticlopidine, everolimus, cobalt, chromium, nickel, tungsten, acrylic and fluoropolymers or contrast sensitivity that cannot be adequately pre-medicated.
  13. Elective surgery is planned within 12 months after the procedure that will require discontinuing either aspirin or clopidogrel.
  14. Subject has a platelet count < 100,000 cells/mm3 or > 700,000 cells/mm3, a WBC (white blood cell) of < 3,000 cells/mm3, or documented or suspected liver disease (including laboratory evidence of hepatitis).
  15. Subject has known renal insufficiency (eg, serum creatinine level ≥ 2.5 mg/dL, or on dialysis).
  16. Subject has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions.
  17. Subject has had a cerebrovascular accident/stroke or transient ischemic neurological attack (TIA) within the past six months.
  18. Subject has had a significant gastro-intestinal or significant urinary bleed within the past six months.
  19. Subject has extensive peripheral vascular disease that precludes safe 6 French sheath insertion.
  20. Subject has other medical illness (e.g., cancer or congestive heart failure) or known history of substance abuse (alcohol, cocaine, heroin etc.) that may cause non-compliance with the protocol, confound the data interpretation or is associated with a limited life expectancy (i.e., less than one year).
  21. Subject is currently participating in another clinical study that has not yet completed its primary endpoint.
  22. Pregnant or nursing subjects and those who plan pregnancy in the period up to 1 year following index procedure. Female subjects of child-bearing potential must have a negative pregnancy test done within 7 days prior to the index procedure per site standard test.

Angiographic Exclusion Criteria

  1. Target lesion(s) or non-target lesion located within an arterial or saphenous vein graft or distal to a diseased (vessel irregularity per angiogram and > 20% stenosed lesion by visual estimation) arterial or saphenous vein graft.
  2. Target lesion(s) or non-target lesion involving a bifurcation with a side branch ≥2 mm in diameter and/or ostial lesion > 40% stenosed by visual estimation or side branch requiring protection guide wire, or side branch requiring dilatation.
  3. Total occlusion (TIMI flow 0), prior to crossing with the wire.
  4. Another lesion requiring revascularization is located in the same epicardial vessel of either the target or non-target lesion.
  5. Restenotic lesion.
  6. Aorto-ostial lesion (within 3 mm of the aorta junction).
  7. Left main location.
  8. Lesion located within 2 mm of the origin of the LAD (left anterior descending) or LCX (left coronary artery)
  9. Extreme angulation (≥90°) or excessive tortuosity (≥ two 45° angles) proximal to or within the target or non-target lesion.
  10. Heavy calcification proximal to or within the target or non-target lesion(s).
  11. Target or non-target vessel contains thrombus as indicated in the angiographic images.
  12. Target lesion(s) or non-target lesion have a high probability that a procedure other than pre-dilatation and stenting will be required at the time of index procedure for treating the target and non-target vessel(s) (e.g. atherectomy, cutting balloon).
  13. Target or non-target vessel(s) have previously been treated with percutaneous intervention (e.g. balloon angioplasty, stent, cutting balloon, atherectomy) < 9 months prior to index procedure.
  14. A vessel not intended to be treated with a 2.25 mm XIENCE V® EECS or commercial sizes of XIENCE V® EECS that was previously treated with any type of PCI (percutaneous coronary intervention) < 90 days prior to the index procedure.
  15. Additional clinically significant lesion(s) (e.g., %DS (diameter stenosis) ≥ 50%) is present in any vessel or side branch for which PCI may be required < 90 days after the index procedure.

Trial locations and contacts

34 sites in 1 country.

34 sites in 1 country

United States34 sites
  • Northwest Texas Healthcare System

    Amarillo, Texas, 79106

  • Union Memorial Hospital

    Baltimore, Maryland, 21218

  • Johns Hopkins Hospital

    Baltimore, Maryland, 21287

  • Overlake Hospital Medical Center

    Bellevue, Washington, 98004

  • St. Joseph Hospital

    Bellingham, Washington, 98225

  • Cooper Health System

    Camden, New Jersey, 08103

  • Carolinas Medical Center

    Charlotte, North Carolina, 28203

  • Presbyterian Hospital

    Charlotte, North Carolina, 28204

  • The Christ Hospital

    Cincinnati, Ohio, 45219

  • Morton Plant Hospital

    Clearwater, Florida, 33756

  • University Hospitals Case Medical Center

    Cleveland, Ohio, 44106

  • Riverside Methodist Hospital

    Columbus, Ohio, 43214

  • Geisinger Medical Center

    Danville, Pennsylvania, 17822

  • EMH Regional Medical Center

    Elyria, Ohio, 44035

  • Baptist West Hospital

    Knoxville, Tennessee, 37934

  • Arkansas Heart Hospital

    Little Rock, Arkansas, 72211

  • St. Patrick Hospital

    Missoula, Montana, 59802

  • Gotham Cardiovascular Reasearch, PC. (St. Vincent's Medical Center-closing, pts moved)

    New York, New York, 10011

  • Sacred Heart Hospital

    Pensacola, Florida, 32504-8721

  • Northern Michigan Hospital

    Petoskey, Michigan, 49770

  • WakeMed Hospital

    Raleigh, North Carolina, 27610

  • St. Anthony Hospital

    Rockford, Illinois, 61107

  • St. Cloud Hospital

    Saint Cloud, Minnesota, 56303

  • Scottsdale Healthcare

    Scottsdale, Arizona, 85260

  • Sanford USD Medical Center

    Sioux Falls, South Dakota, 57104

  • St. John's Hospital / Prairie Education & Research Cooperative

    Springfield, Illinois, 62769

  • Baystate Medical Center

    Springfield, Massachusetts, 01199

  • St. Vincent Mercy Medical Center

    Toledo, Ohio, 43608

  • St. Joseph Medical Center

    Towson, Maryland, 21204

  • Hillcrest Medical Center

    Tulsa, Oklahoma, 74104

  • Mother Frances Hospital

    Tyler, Texas, 75701

  • Washington Hospital Center

    Washington D.C., District of Columbia, 20010

  • Forsyth Medical Center

    Winston-Salem, North Carolina, 27103

  • St. Joseph Mercy Hospital

    Ypsilanti, Michigan, 48197

Other trials in United States

About this study

Official title: Spirit Small Vessel Registry (SPIRIT SV)

To evaluate the safety and effectiveness of the 2.25 mm XIENCE V® Everolimus Eluting Coronary Stent System (XIENCE V® EECSS) in improving coronary luminal diameter in subjects with ischemic heart disease due to a maximum of two de novo native coronary artery lesions in small vessels, each in a different epicardial vessel.

Being tested
2.25 mm XIENCE V® Everolimus Eluting Coronary Stent System
Keywords
Coronary artery disease, Atherosclerosis, Myocardial ischemia
Medical subject headings
Coronary Artery Disease, Atherosclerosis, Myocardial Ischemia

What participants receive

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

  • 2.25 mm XIENCE V® Everolimus Eluting Coronary Stent SystemDevice

    Treatment of a maximum of two de novo native coronary artery lesions in small vessels.

Study groups in NCT00783796
Study groupRoleWhat they receive
2.25mm XIENCE V®ExperimentalPatients receiving the 2.25 mm XIENCE V® stent
Receives: Device: 2.25 mm XIENCE V® Everolimus Eluting Coronary Stent System

What is being measured

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

  1. Composite Rate of Cardiac Death, Target Vessel Myocardial Infarction (MI) (Per Protocol Definition) & Clinically Indicated Target Lesion Revascularization (CI-TLR).

    This endpoint is a composite of cardiac death, target vessel myocardial infarction per protocol definition, and clinically-indicated target lesion revascularization.

    Measured: 1 year

  2. Composite Rate of Cardiac Death, Target Vessel Myocardial Infarction (MI) (Per Protocol Definition) & Clinically Indicated Target Lesion Revascularization (CI-TLR).

    This endpoint is a composite of cardiac death, target vessel myocardial infarction per protocol definition, and clinically-indicated target lesion revascularization.

    Measured: 2 years

  3. Composite Rate of Cardiac Death, Target Vessel Myocardial Infarction (MI) (Per Protocol Definition) & Clinically Indicated Target Lesion Revascularization (CI-TLR).

    This endpoint is a composite of cardiac death, target vessel myocardial infarction per protocol definition, and clinically-indicated target lesion revascularization.

    Measured: 3 years

Secondary outcomes (96)
  1. Device Success (Per Lesion Basis, for Target Lesions Treated by 2.25 mm XIENCE V EECS With or Without Planned Overlap)

    Successful delivery and deployment of the first study stent intended to be implanted at the intended target lesion (or intended first and second investigational stents for overlapping stents), successful withdrawal of the stent delivery system, and attainment of final residual stenosis of <50%.

    Measured: From start of index procedure to end of index procedure

  2. Procedural Success (Per Subject Basis, for ALL Target and Non-target Lesions)

    Achievement of a final in-stent diameter stenosis of <50% using the study device, without the occurence of cardiac death, target vessel myocardial infarction per protocol definition, or repeat revascularization of the target lesion during the hospital stay up to 7 days.

    Measured: From the start of index procedure to end of index procedure

  3. In-Stent Late Loss

    In-stent minimum lumen diameter (MLD) post-procedure minus in-stent MLD at angiographic follow-up.

    Measured: 240 days

  4. In-segment Late Loss (LL)

    In-segment minimum lumen diameter (MLD) post-procedure minus in-segment MLD at angiographic follow-up.

    Measured: 240 Days

  5. Proximal Late Loss

    Proximal minimum lumen diameter (MLD) post-procedure minus proximal MLD at angiographic follow-up (proximal defined as 5 mm of healthy tissue proximal to stent placement).

    Measured: 240 days

  6. Distal Late Loss

    Distal minimum lumen diameter (MLD) post-procedure minus distal MLD at angiographic follow-up (distal defined as 5 mm of healthy tissue distal to stent placement).

    Measured: 240 days

  7. In-stent % Diameter Stenosis

    Value calculated as 100*(1-MLD/RVD) where MLD is in-stent minimum lumen diameter and RVD is in-stent reference vessel diameter.

    Measured: 240 days

  8. In-segment % Diameter Stenosis

    Value calculated as 100*(1-MLD/RVD) where MLD is in-segment minimum lumen diameter and RVD is in-segment reference vessel diameter.

    Measured: 240 days

  9. Proximal % Diameter Stenosis

    Value calculated as 100*(1-MLD/RVD) where MLD is minimum lumen diameter and RVD is reference vessel diameter in 5 mm of healthy tissue proximal to stent placement.

    Measured: 240 days

  10. Distal % Diameter Stenosis

    Value calculated as 100*(1-MLD/RVD) where MLD is minimum lumen diameter and RVD is reference vessel diameter in 5 mm of healthy tissue distal to stent placement.

    Measured: 240 days

  11. In-stent Angiographic Binary Restenosis (ABR) Rate

    Percentage of patients with target lesions with ≥ 50% in-stent % diameter stenosis at angiographic follow-up.

    Measured: 240 days

  12. In-segment Angiographic Binary Restenosis (ABR) Rate

    Percentage of patients with target lesions with ≥ 50% in-segment % diameter stenosis at angiographic follow-up.

    Measured: 240 days

  13. Proximal Angiographic Binary Restenosis (ABR) Rate

    Percentage of patients with target lesions with ≥ 50% diameter stenosis in 5 mm of healthy tissue proximal to stent placement at angiographic follow-up.

    Measured: 240 days

  14. Distal Angiographic Binary Restenosis (ABR) Rate

    Percentage of patients with target lesions with ≥ 50% diameter stenosis in 5 mm of healthy tissue distal to stent placement at angiographic follow-up.

    Measured: 240 days

  15. All Death (Cardiac, Vascular, Non-cardiovascular)

    All death, including death from cardiac, vascular, and non-cardiovascular causes.

    Measured: 30 days

  16. All Death (Cardiac, Vascular, Non-cardiovascular)

    All death, including death from cardiac, vascular, and non-cardiovascular causes.

    Measured: 240 days

  17. All Death (Cardiac, Vascular, Non-cardiovascular)

    All death, including death from cardiac, vascular, and non-cardiovascular causes.

    Measured: 1 year

  18. All Death (Cardiac, Vascular, Non-cardiovascular)

    All death, including death from cardiac, vascular, and non-cardiovascular causes.

    Measured: 2 years

  19. All Death (Cardiac, Vascular, Non-cardiovascular)

    All death, including death from cardiac, vascular, and non-cardiovascular causes (per protocol).

    Measured: 3 years

  20. Target Vessel MI - Q-wave and Non Q-wave (Per Protocol)

    Target vessel myocardial infarction (MI) (MI not clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 30 days

  21. Target Vessel MI - Q-wave and Non Q-wave (Per Protocol)

    Target vessel myocardial infarction (MI) (MI not clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 240 days

  22. Target Vessel MI - Q-wave and Non Q-wave (Per Protocol)

    Target vessel myocardial infarction (MI) (MI not clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 1 year

  23. Target Vessel MI - Q-wave and Non Q-wave (Per Protocol)

    Target vessel myocardial infarction (MI) (MI not clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 2 years

  24. Target Vessel MI - Q-wave and Non Q-wave (Per Protocol)

    Target vessel myocardial infarction (MI) (MI not clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 3 years

  25. Stent Thrombosis (ARC Defined)

    ARC defined: Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: 0 to 1 day (Acute)

  26. Stent Thrombosis (ARC Defined)

    ARC defined: Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: greater than 1 day to 30 days (Subacute)

  27. Stent Thrombosis (ARC Defined)

    Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: 31 days - 393 days (Late)

  28. Stent Thrombosis (ARC Defined)

    Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: >1 year (Very late)

  29. Stent Thrombosis (ARC Defined)

    Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: 394 - 758 days (Very Late)

  30. Stent Thrombosis (ARC Defined)

    Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: 394 - 1123 days (Very Late)

  31. Stent Thrombosis (ARC Defined)

    Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: Overall (0 - 393 days)

  32. Stent Thrombosis (ARC Defined)

    Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: Overall (0 - 758 days)

  33. Stent Thrombosis (ARC Defined)

    Stent Thrombosis as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344-2351). Result includes Definite/Probable/Possible.

    Measured: Overall (0 - 1123 days)

  34. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: 0 to 1 day (Acute)

  35. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: > 1 day to 30 days (Subacute)

  36. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: 31 days to 393 days (Late)

  37. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: 31 - 758 days (Late)

  38. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: 31 - 1123 days (Late)

  39. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: Overall (0 - 393 days)

  40. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: Overall (0 - 758 days)

  41. Stent Thrombosis (Protocol Defined)

    Stent Thrombosis per protocol categorized as acute (≤1 day), subacute (>1 day and ≤30 days), and late (>30 days), and defined as clinical presentation of acute coronary syndrome with angiographic evidence of stent thrombosis, or in absence of angiography, any unexplained death at any time or acute myocardial infarction* (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days of the index procedure. (*Non-specific ST/T changes and cardiac enzymes do not suffice.). Result includes Definite/Probable/Possible.

    Measured: Overall (0 - 1123 days)

  42. All Death/ All MI/All Coronary Revascularization

    This endpoint is a composite of all death, all myocardial infarction per protocol definition, and all revascularization.

    Measured: 30 days

  43. All Death/ All MI/All Coronary Revascularization

    This endpoint is a composite of all death, all myocardial infarction per protocol definition, and all revascularization.

    Measured: 240 days

  44. All Death/ All MI/All Coronary Revascularization

    This endpoint is a composite of all death, all myocardial infarction per protocol definition, and all revascularization.

    Measured: 1 year

  45. All Death/ All MI/All Coronary Revascularization

    This endpoint is a composite of all death, all myocardial infarction per protocol definition, and all revascularization.

    Measured: 2 years

  46. All Death/ All MI/All Coronary Revascularization

    This endpoint is a composite of all death, all myocardial infarction per protocol definition, and all revascularization.

    Measured: 3 years

  47. Cardiac Death/ All MI /CI-TLR

    This endpoint is a composite of cardiac death, all myocardial infarction (MI)per protocol definition, and clinically-indicated target lesion revascularization (CI-TLR).

    Measured: 30 days

  48. Cardiac Death/ All MI /CI-TLR

    This endpoint is a composite of cardiac death, all myocardial infarction (MI)per protocol definition, and clinically-indicated target lesion revascularization (CI-TLR).

    Measured: 240 days

  49. Cardiac Death/ All MI /CI-TLR

    This endpoint is a composite of cardiac death, all myocardial infarction (MI)per protocol definition, and clinically-indicated target lesion revascularization (CI-TLR).

    Measured: 1 year

  50. Cardiac Death/ All MI /CI-TLR

    This endpoint is a composite of cardiac death, all myocardial infarction (MI)per protocol definition, and clinically-indicated target lesion revascularization (CI-TLR).

    Measured: 2 years

  51. Cardiac Death/ All MI /CI-TLR

    This endpoint is a composite of cardiac death, all myocardial infarction (MI)per protocol definition, and clinically-indicated target lesion revascularization (CI-TLR).

    Measured: 3 years

  52. Cardiac Death/MI

    This endpoint is a composite of cardiac death and all myocardial infarction per protocol definition.

    Measured: 30 days

  53. Cardiac Death/MI

    This endpoint is a composite of cardiac death and all myocardial infarction per protocol definition.

    Measured: 240 days

  54. Cardiac Death/MI

    This endpoint is a composite of cardiac death and all myocardial infarction per protocol definition.

    Measured: 1 year

  55. Cardiac Death/MI

    This endpoint is a composite of cardiac death and all myocardial infarction per protocol definition.

    Measured: 2 years

  56. Cardiac Death/MI

    This endpoint is a composite of cardiac death and all myocardial infarction per protocol definition.

    Measured: 3 years

  57. All Coronary Revascularization (TVR and Non-TVR)

    Includes any revascularization intervention after the index procedure by any means (percutaneous or bypass surgery), including intervention to the target vessel, and intervention to a vessel other than the target vessel.

    Measured: 30 days

  58. All Coronary Revascularization (TVR and Non-TVR)

    Includes any revascularization intervention after the index procedure by any means (percutaneous or bypass surgery), including intervention to the target vessel, and intervention to a vessel other than the target vessel.

    Measured: 240 days

  59. All Coronary Revascularization (TVR and Non-TVR)

    Includes any revascularization intervention after the index procedure by any means (percutaneous or bypass surgery), including intervention to the target vessel, and intervention to a vessel other than the target vessel.

    Measured: 1 year

  60. All Coronary Revascularization (TVR and Non-TVR)

    Includes any revascularization intervention after the index procedure by any means (percutaneous or bypass surgery), including intervention to the target vessel, and intervention to a vessel other than the target vessel.

    Measured: 2 years

  61. All Coronary Revascularization (TVR and Non-TVR)

    Includes any revascularization intervention after the index procedure by any means (percutaneous or bypass surgery), including intervention to the target vessel, and intervention to a vessel other than the target vessel (per protocol).

    Measured: 3 years

  62. All TVR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) in the target vessel from the index procedure.

    Measured: 30 days

  63. All TVR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) in the target vessel from the index procedure.

    Measured: 240 days

  64. All TVR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) in the target vessel from the index procedure.

    Measured: 1 year

  65. All TVR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) in the target vessel from the index procedure.

    Measured: 2 years

  66. All TVR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) in the target vessel from the index procedure (per protocol).

    Measured: 3 years

  67. All TLR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) of the target lesion from the index procedure. This includes interventions classified as clinically indicated, and also includes interventions classified as not clinically indicated.

    Measured: 30 days

  68. All TLR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) of the target lesion from the index procedure. This includes interventions classified as clinically indicated, and also includes interventions classified as not clinically indicated.

    Measured: 240 days

  69. All TLR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) of the target lesion from the index procedure. This includes interventions classified as clinically indicated, and also includes interventions classified as not clinically indicated.

    Measured: 1 year

  70. All TLR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) of the target lesion from the index procedure. This includes interventions classified as clinically indicated, and also includes interventions classified as not clinically indicated.

    Measured: 2 years

  71. All TLR (CI and Non-CI)

    Includes any repeat revascularization intervention after the index procedure by any means (percutaneous or bypass surgery) of the target lesion from the index procedure. This includes interventions classified as clinically indicated, and also includes interventions classified as not clinically indicated (per protocol).

    Measured: 3 years

  72. Clinically Indicated Target Vessel Revascularization (TVR)

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery), of the target vessel. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 30 days

  73. Clinically Indicated Target Vessel Revascularization

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery), of the target vessel. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 240 days

  74. Clinically Indicated Target Vessel Revascularization

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery), of the target vessel. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 1 year

  75. Clinically Indicated Target Vessel Revascularization

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery), of the target vessel. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 2 years

  76. Clinically Indicated Target Vessel Revascularization

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery), of the target vessel. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms (per protocol).

    Measured: 3 years

  77. Clinically Indicated Target Lesion Revascularization (CI-TLR)

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery) of the target lesion. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 30 days

  78. Clinically Indicated Target Lesion Revascularization (CI-TLR)

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery) of the target lesion. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 240 days

  79. Clinically Indicated Target Lesion Revascularization (CI-TLR)

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery) of the target lesion. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 1 year

  80. Clinically Indicated Target Lesion Revascularization (CI-TLR)

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery) of the target lesion. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms.

    Measured: 2 years

  81. Clinically Indicated Target Lesion Revascularization (CI-TLR)

    Includes clinically indicated repeat revascularization after the index procedure by any means (percutaneous or bypass surgery) of the target lesion. Classification as clinically indicated is done prospectively and verified by angiographic core lab measurement, and requires ≥50% diameter stenosis with ischemic signs or symptoms (positive history of angina pectoris or objective signs of ischemia at rest (ECG changes) or during exercise test or abnormal invasive cardiac functional diagnostic test), or ≥70% diameter stenosis in the absence of the above-mentioned ischemic signs or symptoms (per protocol).

    Measured: 3 years

  82. Non Target Vessel MI (Q-wave, Non Q-wave)(Per Protocol)

    Non target vessel myocardial infarction (MI) (MI clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 30 days

  83. Non Target Vessel MI (Q-wave, Non Q-wave)(Per Protocol)

    Non target vessel myocardial infarction (MI) (MI clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 240 days

  84. Non Target Vessel MI (Q-wave, Non Q-wave)(Per Protocol)

    Non target vessel myocardial infarction (MI) (MI clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 1 year

  85. Non Target Vessel MI (Q-wave, Non Q-wave)(Per Protocol)

    Non target vessel myocardial infarction (MI) (MI clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 2 years

  86. Non Target Vessel MI (Q-wave, Non Q-wave)(Per Protocol)

    Non target vessel myocardial infarction (MI) (MI clearly attributable to a non-target vessel), including Q-wave MI (new pathologic Q waves) and Non Q-wave MI (elevation of CK to ≥ two times the upper limit normal with elevated CK-MB in the absence of new pathological Q waves).

    Measured: 3 years

  87. Target Vessel MI - Q-wave and Non Q-wave (Per ARC)

    ARC defined target vessel MI (MI not clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 30 days

  88. Target Vessel MI - Q-wave and Non Q-wave (Per ARC)

    ARC defined target vessel MI (MI not clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 240 days

  89. Target Vessel MI - Q-wave and Non Q-wave (Per ARC)

    ARC defined target vessel MI (MI not clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 1 year

  90. Target Vessel MI - Q-wave and Non Q-wave (Per ARC)

    ARC defined target vessel MI (MI not clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 2 years

  91. Target Vessel MI - Q-wave and Non Q-wave (Per ARC)

    ARC defined target vessel MI (MI not clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 3 years

  92. Non Target Vessel MI- Q-wave, Non Q-wave (Per ARC)

    ARC defined non-target vessel MI (MI clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 30 days

  93. Non Target Vessel MI- Q-wave, Non Q-wave (Per ARC)

    ARC defined non-target vessel MI (MI clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 240 days

  94. Non Target Vessel MI- Q-wave, Non Q-wave (Per ARC)

    ARC defined non-target vessel MI (MI clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 1 year

  95. Non Target Vessel MI- Q-wave, Non Q-wave (Per ARC)

    ARC defined non-target vessel MI (MI clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 2 years

  96. Non Target Vessel MI- Q-wave, Non Q-wave (Per ARC)

    ARC defined non-target vessel MI (MI clearly attributable to a non-target vessel): Myocardial Infarction as per Academic Research Consortium standardized definitions (Circulation 2007;115:2344- 2351).

    Measured: 3 years

Timeline

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

  1. First posted3 Nov 2008 (estimated)
  2. Study startOct 2008
  3. Primary completionOct 2010
  4. Study completionDec 2013

Why it stopped: Study stopped at 3 years. Funding for trial withdrawn by sponsor.

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
150 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00783796
Sponsor's protocol ID
08-383
Acronym
SPIRIT SV
Status last verified
Apr 2019
First submitted
30 Oct 2008
Last updated
8 May 2019
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A study testing 2.25 mm XIENCE V® Everolimus Eluting Coronary Stent System in people with Coronary Artery Disease and Atherosclerosis, run by Abbott Medical Devices at 34 sites in United States.

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

Who may be eligible to take part?

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: stopped early, as of the sponsor's last update on 8 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 34 sites in United States. 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?

Yes. Results are posted in the registry (first posted 5 Jan 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Composite Rate of Cardiac Death, Target Vessel Myocardial Infarction (MI) (Per Protocol Definition) & Clinically Indicated Target Lesion Revascularization (CI-TLR). (time frame: 1 year). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 May 2019.

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