Myocardial IschemiaPhase 3SPIRIT PRIMENCT00916370
SPIRIT PRIME Clinical Trial
A Phase 3 study testing Core size Xience Prime and Xience Prime Long Lesion (LL) in people with Myocardial Ischemia and Coronary Artery Stenosis, run by Abbott Medical Devices at 62 sites in 2 countries.
Trial summary
To evaluate the safety and effectiveness of the XIENCE PRIME and XIENCE PRIME Long Lesion (LL) Everolimus Eluting Coronary Stent System (EECSS) in improving coronary luminal diameter in subjects with symptomatic heart disease due to a maximum of two de novo native coronary artery lesions, each in a different… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Myocardial Ischemia, Coronary Artery Stenosis, Coronary Disease
- What is being tested?
- Core size Xience Prime and Xience Prime Long Lesion (LL)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 525 participants
- Where
- 62 sitesin 2 countries
- Study dates
- Jun 2009to Feb 2014
- Phase
- Phase 3
- 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
Who may be able to join
- Subject must be at least 18 years of age.
- Subject or a legally authorized representative must provide written informed consent prior to any study related procedure, per site requirements.
- 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).
- Subject must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
- Subject must agree to undergo all protocol-required follow-up procedures.
- Subject must agree not to participate in any other clinical study for a period of one year following the index procedure.
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- Angiographic Inclusion Criteria
- One or two de novo target lesions each in a different epicardial vessel.
- If there are two target lesions, both lesions must satisfy the angiographic eligibility criteria for that registry.
- o Multiple focal de novo lesions in a target vessel that can be covered by a single stent are allowed.
- The target lesion(s) 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.
- Target lesion(s) must be located in a native coronary artery with reference vessel diameter (RVD) by visual estimation of:
- ≥ 2.25 mm and ≤ 4.25 mm for treatment by the core size XIENCE PRIME EECS
- ≥ 2.5 mm and ≤ 4.25 mm for treatment by the XIENCE PRIME LL EECS
- Target lesion(s) must be located in a native coronary artery with length by visual estimation of:
- ≤ 22 mm for treatment by the core size XIENCE PRIME EECS
- > 22 mm and ≤ 32 mm for treatment by the XIENCE PRIME LL EECS
Who cannot join
- Subject has had a known diagnosis of acute myocardial infarction (AMI) preceding the index procedure (CK-MB ≥ 2 times upper limit of normal) and CK and CK-MB have not returned to within normal limits at the time of procedure.
- The subject is currently experiencing clinical symptoms consistent with new onset AMI, such as nitrate-unresponsive prolonged chest pain with ischemic ECG changes.
- Subject has current unstable cardiac arrhythmias associated with hemodynamic instability.
- 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).
- Subject has received coronary brachytherapy in any epicardial vessel (target or non target).
- Subject has received any organ transplant or is on a waiting list for any organ transplant.
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- Subject is receiving or scheduled to receive chemotherapy for malignancy within 30 days prior to or within one year after the index procedure.
- Subject is receiving or scheduled to receive planned radiotherapy to the chest/mediastinum.
- Subject is receiving immunosuppressant therapy or has known immunosuppressive or autoimmune disease (e.g. human immunodeficiency virus, systemic lupus erythematosus etc.).
- Subject is receiving chronic anticoagulation therapy (e.g., heparin, coumadin).
- Subject will require Low Molecular Weight Heparin (LMWH) post-procedure.
- Subject has a known hypersensitivity or contraindication to aspirin, heparin/bivalirudin, clopidogrel/ticlopidine, everolimus, cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
- Elective surgery is planned within 12 months after the procedure that will require discontinuing either aspirin or clopidogrel.
- Subject has a platelet count < 100,000 cells/mm3 or > 700,000 cells/mm3, a white blood cell (WBC) of < 3,000 cells/mm3, or documented or suspected liver disease (including laboratory evidence of hepatitis).
- Subject has known renal insufficiency (examples being but not limited to estimated glomerular filtration rate (eGFR) < 60 ml/kg/m2, serum creatinine level ≥ 2.5 mg/dL, or on dialysis).
- Subject has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions.
- Subject has had a cerebrovascular accident/stroke or transient ischemic neurological attack (TIA) within the past six months.
- Subject has had a significant gastro-intestinal or significant urinary bleed within the past six months.
- Subject has extensive peripheral vascular disease that precludes safe 6 French sheath insertion.
- 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).
- Subject is currently participating in another clinical study that has not yet completed its primary endpoint.
- 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 All angiographic exclusion criteria are based on visual estimation.
- Target lesion located within an arterial or saphenous vein graft or distal to a diseased (vessel irregularity per angiogram and > 20% stenosed lesion) arterial or saphenous vein graft.
- Target lesion involving a bifurcation with a side branch ≥ 2 mm in diameter and/or ostial lesion > 40% stenosed or side branch requiring protection guide wire, or side branch requiring dilatation.
- Target lesion with total occlusion (TIMI flow 0), prior to crossing with the wire.
- Another lesion requiring revascularization is located in the same epicardial vessel of the target lesion.
- Restenotic target lesion.
- Aorto-ostial target lesion (within 3 mm of the aorta junction).
- Target lesion is in a left main location.
- Target lesion located within 2 mm of the origin of the LAD or LCX.
- Extreme angulation (≥ 90 °) or excessive tortuosity (≥ two 45° angles) proximal to or within the lesion.
- Heavy calcification proximal to or within the target lesion.
- Target vessel contains thrombus as indicated in the angiographic images.
- Target lesion has a high probability that a procedure other than pre-dilatation and stenting will be required at the time of index procedure for treatment of the target vessel (e.g. atherectomy, cutting balloon).
- Target vessel is previously treated with any type of PCI (e.g. balloon angioplasty, stent, cutting balloon, atherectomy) < 9 months prior to index procedure.
- Non-target vessel is previously treated with any type of PCI < 90 days prior to the index procedure.
- Additional clinically significant lesion(s) (e.g. %DS ≥ 50%) in a target vessel or side branch for which PCI may be required < 90 days after the index procedure.
Trial locations and contacts
62 sites in 2 countries.
62 sites in 2 countries
United States56 sites
Northwest Texas Healthcare System
Amarillo, Texas, 79106
AnMed Health
Anderson, South Carolina, 29621
Heart Hospital of Austin
Austin, Texas, 78756
Union Memorial Hospital
Baltimore, Maryland, 21218
Johns Hopkins Hospital
Baltimore, Maryland, 21287
Bay Regional Medical Center
Bay City, Michigan, 48706
Overlake Hospital Medical Center
Bellevue, Washington, 98004
St. Joseph Hospital
Bellingham, Washington, 98225
Fletcher Allen Health Care
Burlington, Vermont, 05401
Cooper Health System
Camden, New Jersey, 08103
Presbyterian Hospital - Charlotte
Charlotte, North Carolina, 28233
The Christ Hospital
Cincinnati, Ohio, 45219
Morton Plant Hospital
Clearwater, Florida, 33765
University Hospitals of Cleveland
Cleveland, Ohio, 44106
Riverside Methodist Hospital
Columbus, Ohio, 43214
Geisinger Medical Center
Danville, Pennsylvania, 17822
EMH Regional Medical Center
Elyria, Ohio, 44035
Thomas Hospital
Fairhope, Alabama, 36532
Pinnacle Health @ Harrisburg Hospital
Harrisburg, Pennsylvania, 17043
St. Luke's Episcopal Hospital
Houston, Texas, 77030
Cape Cod Hospital
Hyannis, Massachusetts, 02601
St. Vincent Heart Center of Indiana
Indianapolis, Indiana, 46260
St. Vincents Medical Center
Jacksonville, Florida, 32204
Borgess Medical Center
Kalamazoo, Michigan, 49048
University of Kansas Hospital
Kansas City, Kansas, 66160
St. Luke's Hospital
Kansas City, Missouri, 64111
Wellmont Holston Valley Medical Center
Kingsport, Tennessee, 37660
Aurora St. Luke's Medical Center
Milwaukee, Wisconsin, 53215
Abbott Northwestern Hospital
Minneapolis, Minnesota, 55407
St. Patrick Hospital
Missoula, Montana, 59802
Gotham Cardiology
New York, New York, 10011
Mount Sinai Medical Center
New York, New York, 10029
Sentara Norfolk General Hospital
Norfolk, Virginia, 23507
Orlando Regional Medical Center
Orlando, Florida, 32806
The Methodist Hospital
Pearland, Texas, 77581
Sacred Heart Hospital of Pensicola
Pensacola, Florida, 32504-8721
Northern Michigan Hospital
Petoskey, Michigan, 49770
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Providence St. Vincent Medical Center
Portland, Oregon, 97225
The Valley Hospital
Ridgewood, New Jersey, 07450
Beaumont Hospital
Royal Oak, Michigan, 48073
Mercy General Hospital
Sacramento, California, 95819
Peninsula Regional Medical Center
Salisbury, Maryland, 21801
Scottsdale Healthcare
Scottsdale, Arizona, 85260
Willis Knighton Health System, Pierremont
Shreveport, Louisiana, 71105
Sanford USD Medical Center
Sioux Falls, South Dakota, 57104
Heart Clinics Northwest/ Sacred Heart Medical Center
Spokane, Washington, 99204
St. John's Hospital
Springfield, Illinois, 62701
Barnes Jewish Hospital
St Louis, Missouri, 63110
Washington Adventist Hospital
Takoma Park, Maryland, 20912
St. Vincent Mercy Medical Center
Toledo, Ohio, 43608
Hillcrest Medical Center
Tulsa, Oklahoma, 74104
Washington Hospital Center
Washington D.C., District of Columbia, 20010
Iowa Heart Center P.C.
West Des Moines, Iowa, 50314
Forsyth Medical Center
Winston-Salem, North Carolina, 27103
Wake Forest University Baptist Medical Center
Winston-Salem, North Carolina, 27157
Australia6 sites
Wesley Hospital
Auchenflower, Queensland
The Prince Charles Hospital
Chermside, Queensland, 4061
Monash Heart
Clayton, Victoria, 3168
St. Vincent's Hospital
Melbourne, Victoria, 3065
Royal Perth Hospital
Perth, Western Australia
Epworth Hospital
Richmond, Victoria, 3121
About this study
Official title: SPIRIT PRIME Clinical Trial.
To evaluate the safety and effectiveness of the XIENCE PRIME and XIENCE PRIME Long Lesion (LL) Everolimus Eluting Coronary Stent System (EECSS) in improving coronary luminal diameter in subjects with symptomatic heart disease due to a maximum of two de novo native coronary artery lesions, each in a different epicardial vessel.
- Conditions
- Myocardial Ischemia, Coronary Artery Stenosis, Coronary Disease, Coronary Artery Disease, Coronary Restenosis
- Being tested
- Core size Xience Prime, Xience Prime Long Lesion (LL)
- Keywords
- drug eluting stents, stents, Angioplasty, myocardial ischemia, coronary artery stenosis, Coronary Disease, Coronary Artery Disease, Coronary Restenosis, Long lesion
- Medical subject headings
- Myocardial Ischemia, Coronary Stenosis, Coronary Disease, Coronary Artery Disease, Coronary Restenosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Core size Xience PrimeDevice
Core size includes a range of stent sizes.
Xience Prime Long Lesion (LL)Device
Long lesion stent sizes include a range of sizes.
| Study group | Role | What they receive |
|---|---|---|
| Core size registry (CSR) | Experimental | Core size indicates the range of diameters of the stents used. Receives: Device: Core size Xience Prime |
| Long lesion registry (LLR) | Experimental | Use of long lesion stents. Receives: Device: Xience Prime Long Lesion (LL) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Target Lesion Failure (TLF)
The composite rate of:
Cardiac Death Target Vessel Myocardial Infarction (TV-MI) and Clinically Indicated Target Lesion Revascularization (CI-TLR) per protocol.
Measured: 1 year
Target Lesion Failure (TLF)
The composite rate of:
Cardiac Death Target Vessel Myocardial Infarction (TV-MI) and Clinically Indicated Target Lesion Revascularization (CI-TLR) per protocol.
Measured: 2 years
Target Lesion Failure (TLF)
The composite rate of:
Cardiac Death Target Vessel Myocardial Infarction (TV-MI) and Clinically Indicated Target Lesion Revascularization (CI-TLR) per protocol.
Measured: 3 years
Secondary outcomes (82)
Procedure Time
Procedure time is defined as time between insertion and withdrawal of guide catheter.
Measured: From insertion to withdrawal of guide catheter
Device Success (Lesion Basis)
Device success is defined as achievement of a final in-stent residual diameter stenosis of < 50% (by QCA).
Measured: From the start of index procedure to end of index procedure
Procedural Success (Subject Basis)
Procedure success is defined as achievement of a final in-stent diameter stenosis of < 50% (by QCA). Per Protocol.
Measured: From the start of index procedure to end of index procedure
All Death (Cardiac, Vascular, Non-cardiovascular)
Measured: In-hospital is less than or equal to 7 days post index procedure
All Death (Cardiac, Vascular, Non-cardiovascular)
Measured: 30 days
All Death (Cardiac, Vascular, Non-cardiovascular)
Measured: 180 days
All Death (Cardiac, Vascular, Non-cardiovascular)
Measured: 1 year
All Death (Cardiac, Vascular, Non-cardiovascular)
Measured: 2 years
All Death (Cardiac, Vascular, Non-cardiovascular)
Measured: 3 years
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Per Protocol
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure.
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Per Protocol
Measured: 30 days
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Per Protocol
Measured: 180 days
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Per Protocol
Measured: 1 year
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Per Protocol
Measured: 2 years
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Per Protocol
Measured: 3 years
Non-target Vessel MI (Q-wave, Non Q-wave)
Per Protocol
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Non-target Vessel MI (Q-wave, Non Q-wave)
Per Protocol
Measured: 30 days
Non-target Vessel MI (Q-wave, Non Q-wave)
Per Protocol
Measured: 180 days
Non-target Vessel MI (Q-wave, Non Q-wave)
Per Protocol
Measured: 1 year
Non-target Vessel MI (Q-wave, Non Q-wave)
Per Protocol
Measured: 2 years
Non-target Vessel MI (Q-wave, Non Q-wave)
Per Protocol
Measured: 3 years
Clinically Indicated-Target Lesion Revascularization
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Clinically Indicated-Target Lesion Revascularization
Measured: 30 days
Clinically Indicated-Target Lesion Revascularization
Measured: 180 days
Clinically Indicated-Target Lesion Revascularization
Measured: 1 year
Clinically Indicated-Target Lesion Revascularization
Measured: 2 years
Clinically Indicated-Target Lesion Revascularization
Measured: 3 years
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Measured: 30 days
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Measured: 180 days
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Measured: 1 year
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Measured: 2 years
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Measured: 3 years
All TLR (CI and Non-CI)
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
All TLR (CI and Non-CI)
Measured: 30 days
All TLR (CI and Non-CI)
Measured: 180 days
All TLR (CI and Non-CI)
Measured: 1 year
All TLR (CI and Non-CI)
Measured: 2 years
All TLR (CI and Non-CI)
Measured: 3 years
All TVR (CI and Non-CI)
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
All TVR (CI and Non-CI)
Measured: 30 days
All TVR (CI and Non-CI)
Measured: 180 days
All TVR (CI and Non-CI)
Measured: 1 year
All TVR (CI and Non-CI)
Measured: 2 years
All TVR (CI and Non-CI)
Measured: 3 years
All Coronary Revascularization (TVR and Non-TVR)
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
All Coronary Revascularization (TVR and Non-TVR)
Measured: 30 days
All Coronary Revascularization (TVR and Non-TVR)
Measured: 180 days
All Coronary Revascularization (TVR and Non-TVR)
Measured: 1 year
All Coronary Revascularization (TVR and Non-TVR)
Measured: 2 years
All Coronary Revascularization (TVR and Non-TVR)
Measured: 3 years
Cardiac Death/All MI
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Cardiac Death/ All MI
Per Protocol
Measured: 30 days
Cardiac Death/All MI
Per Protocol
Measured: 180 days
Cardiac Death/All MI
Per Protocol
Measured: 1 year
Cardiac Death/All MI
Per Protocol
Measured: 2 years
Cardiac Death/All MI
Per Protocol
Measured: 3 years
Cardiac Death/ All MI/CI-TLR
Measured: in-hospital
Cardiac Death/ All MI/CI-TLR
Per Protocol
Measured: 30 days
Cardiac Death/ All MI/CI-TLR
Per Protocol
Measured: 180 days
Cardiac Death/ All MI/CI-TLR
Per Protocol
Measured: 1 year
Cardiac Death/ All MI/CI-TLR
Per Protocol
Measured: 2 years
Cardiac Death/ All MI/CI-TLR
Per Protocol
Measured: 3 years
All Death/All MI/All Coronary Revascularization
Per Protocol
Measured: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
All Death/All MI/All Coronary Revascularization
Per Protocol
Measured: 30 days
All Death/All MI/All Coronary Revascularization
Per Protocol
Measured: 180 days
All Death/All MI/All Coronary Revascularization
Per Protocol
Measured: 1 year
All Death/All MI/All Coronary Revascularization
Per Protocol
Measured: 2 years
All Death/All MI/All Coronary Revascularization
Per Protocol
Measured: 3 years
Stent Thrombosis
Per protocol and per Academic Research Consortium (ARC, definite/probable)
Measured: Acute (≤1 day)
Stent Thrombosis
Per protocol and per ARC
Measured: Subacute (>1 - 30 days)
Stent Thrombosis
Per protocol and per ARC
Measured: Acute/Subacute (0 - 30 days)
Stent Thrombosis
Per protocol and per ARC
Measured: Late (31 - 393 days)
Stent Thrombosis
Per protocol
Measured: Late (31 - 758 days)
Stent Thrombosis
Per ARC, definite and probable
Measured: Very Late (394 - 758 days)
Stent Thrombosis
Per protocol
Measured: Late (31 - 1123 days)
Stent Thrombosis
Per ARC, definite and probable
Measured: Very Late (394 - 1123 days)
Stent Thrombosis
Per protocol and per ARC
Measured: Overall (0-393 days)
Stent Thrombosis
Per protocol
Measured: Overall (0-758 days)
Stent Thrombosis
Per ARC, definite and probable
Measured: Overall (0-758 days)
Stent Thrombosis
Per protocol
Measured: Overall (0 - 1123 days)
Stent Thrombosis
Per ARC, definite and probable
Measured: Overall (0 - 1123 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jun 2009 (estimated)
- Study startJun 2009
- Primary completionMar 2011
- Study completionFeb 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Myocardial IschemiaStudies of the same condition, open and under way.
- More trials run by Abbott Medical DevicesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 525 participants (actual)
Sponsor and investigators
- Lead sponsor
- Abbott Medical Devices
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Marco Costa, MD, PhD, Principal investigator, University Hospitals Cleveland Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00916370
- Sponsor's protocol ID
- 06-373
- Acronym
- SPIRIT PRIME
- Status last verified
- May 2015
- First submitted
- 5 Jun 2009
- Last updated
- 8 Jun 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 8 Jun 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- SPIRIT PRIME Clinical Trial.
- ClinicalTrials.gov ID
- NCT00916370
- Acronym / sponsor ID
- SPIRIT PRIME / 06-373
- Conditions
- Myocardial Ischemia, Coronary Artery Stenosis, Coronary Disease, Coronary Artery Disease, Coronary Restenosis
- Keywords
- drug eluting stents, stents, Angioplasty, myocardial ischemia, coronary artery stenosis, Coronary Disease, Coronary Artery Disease, Coronary Restenosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 525 participants (actual)
- Lead sponsor
- Abbott Medical DevicesIndustry (pharma, biotech, devices)
- Study start
- Jun 2009
- Primary completion
- Mar 2011 (actual)
- Study completion
- Feb 2014 (actual)
- First posted
- 9 Jun 2009 (estimated)
- Results
- Posted 1 Jun 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and effectiveness of the XIENCE PRIME and XIENCE PRIME Long Lesion (LL) Everolimus Eluting Coronary Stent System (EECSS) in improving coronary luminal diameter in subjects with symptomatic heart disease due to a maximum of two de novo native coronary artery lesions, each in a different epicardial vessel.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Core size registry (CSR) | Experimental | Device: Core size Xience PrimeCore size indicates the range of diameters of the stents used. |
| Long lesion registry (LLR) | Experimental | Device: Xience Prime Long Lesion (LL)Use of long lesion stents. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Subject must be at least 18 years of age.
- Subject or a legally authorized representative must provide written informed consent prior to any study related procedure, per site requirements.
- 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).
- Subject must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
- Subject must agree to undergo all protocol-required follow-up procedures.
Key exclusion criteria (38 listed)
- Subject has had a known diagnosis of acute myocardial infarction (AMI) preceding the index procedure (CK-MB ≥ 2 times upper limit of normal) and CK and CK-MB have not returned to within normal limits at the time of procedure.
- The subject is currently experiencing clinical symptoms consistent with new onset AMI, such as nitrate-unresponsive prolonged chest pain with ischemic ECG changes.
- Subject has current unstable cardiac arrhythmias associated with hemodynamic instability.
- 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).
- Subject has received coronary brachytherapy in any epicardial vessel (target or non target).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Core size Xience PrimeCore size includes a range of stent sizes. | Device | Core size registry (CSR) |
| Xience Prime Long Lesion (LL)Long lesion stent sizes include a range of sizes. | Device | Long lesion registry (LLR) |
Primary outcome
Target Lesion Failure (TLF)
Time frame: 1 year
The composite rate of: Cardiac Death Target Vessel Myocardial Infarction (TV-MI) and Clinically Indicated Target Lesion Revascularization (CI-TLR) per protocol.
Target Lesion Failure (TLF)
Time frame: 2 years
The composite rate of: Cardiac Death Target Vessel Myocardial Infarction (TV-MI) and Clinically Indicated Target Lesion Revascularization (CI-TLR) per protocol.
Target Lesion Failure (TLF)
Time frame: 3 years
The composite rate of: Cardiac Death Target Vessel Myocardial Infarction (TV-MI) and Clinically Indicated Target Lesion Revascularization (CI-TLR) per protocol.
82 secondary outcomes
Procedure Time
Time frame: From insertion to withdrawal of guide catheter
Device Success (Lesion Basis)
Time frame: From the start of index procedure to end of index procedure
Procedural Success (Subject Basis)
Time frame: From the start of index procedure to end of index procedure
All Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: In-hospital is less than or equal to 7 days post index procedure
All Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 30 days
All Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 180 days
All Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 1 year
All Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 2 years
All Death (Cardiac, Vascular, Non-cardiovascular)
Time frame: 3 years
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Time frame: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure.
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Time frame: 30 days
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Time frame: 180 days
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Time frame: 1 year
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Time frame: 2 years
Target Vessel-Myocardial Infarction (TV-MI) - Q-wave and Non Q-wave (Defined as MI Not Clearly Attributable to a Non-target Vessel)
Time frame: 3 years
Non-target Vessel MI (Q-wave, Non Q-wave)
Time frame: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Non-target Vessel MI (Q-wave, Non Q-wave)
Time frame: 30 days
Non-target Vessel MI (Q-wave, Non Q-wave)
Time frame: 180 days
Non-target Vessel MI (Q-wave, Non Q-wave)
Time frame: 1 year
Non-target Vessel MI (Q-wave, Non Q-wave)
Time frame: 2 years
Non-target Vessel MI (Q-wave, Non Q-wave)
Time frame: 3 years
Clinically Indicated-Target Lesion Revascularization
Time frame: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Clinically Indicated-Target Lesion Revascularization
Time frame: 30 days
Clinically Indicated-Target Lesion Revascularization
Time frame: 180 days
Clinically Indicated-Target Lesion Revascularization
Time frame: 1 year
Clinically Indicated-Target Lesion Revascularization
Time frame: 2 years
Clinically Indicated-Target Lesion Revascularization
Time frame: 3 years
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Time frame: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Time frame: 30 days
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Time frame: 180 days
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Time frame: 1 year
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Time frame: 2 years
Clinically Indicated Target Vessel Revascularization (TVR = TLR and Non-TLR in TV)
Time frame: 3 years
All TLR (CI and Non-CI)
Time frame: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
All TLR (CI and Non-CI)
Time frame: 30 days
All TLR (CI and Non-CI)
Time frame: 180 days
All TLR (CI and Non-CI)
Time frame: 1 year
All TLR (CI and Non-CI)
Time frame: 2 years
All TLR (CI and Non-CI)
Time frame: 3 years
All TVR (CI and Non-CI)
Time frame: In-hospital is defined as hospitalization less than or equal to 7 days post index procedure
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jun 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marco Costa, MD, PhD principal investigator
University Hospitals Cleveland Medical Center
62 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Core size Xience Prime and Xience Prime Long Lesion (LL) in people with Myocardial Ischemia and Coronary Artery Stenosis, run by Abbott Medical Devices at 62 sites in 2 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 17 inclusion and 38 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 8 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 62 sites in United States, Australia. 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.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Jun 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?
Target Lesion Failure (TLF) (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 Jun 2015.