Treatment Of Stenotic Lesions In Native Coronary Arteries.Phase 2/3NCT01172119
BioFreedom FIM Clinical Trial.
A Phase 2/3 study testing Biofreedom Drug Eluting Stent and Tuxus Liberte Drug Eluting Stent in people with Treatment Of Stenotic Lesions In Native Coronary Arteries., run by Biosensors Europe SA at 4 sites in Germany.
Trial summary
Prospective, multi center, randomized, single blinded study designed to demonstrate the safety and effectiveness of the Biosensors BioFreedom Drug-Eluting Coronary Stent Delivery System at multiple time points compared to the Taxus Liberte DES in the treatment of single de novo native coronary artery lesions ranging… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Treatment Of Stenotic Lesions In Native Coronary Arteries.
- What is being tested?
- Biofreedom Drug Eluting Stent and Tuxus Liberte Drug Eluting Stent
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 182 participants
- Where
- 4 sitesGermany
- Study dates
- Aug 2008to Jul 2014
- Phase
- Phase 2/3
- 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
- The subject is >18 years of age.
- The subject is an acceptable candidate for PTCA, stenting, and emergent CABG.
- Patients with multiple lesions as long as the last lesion to be treated fits the Inclusion criteria of the target lesion.
- The subject must have clinical evidence of ischemic heart disease or a positive functional study.
- The study stent target vessel must be a native coronary artery with a stenosis of >50% and <100%.
- The study stent target vessel reference diameter must be >2.5 mm and ≤ 3.0 mm.(Measurements may be made by careful visual estimate or on-line quantitative coronary angiography.)
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- The study stent target lesion is a de novo lesion that has not been previously stented.
- The study stent target lesion must be ≤ 14 mm in length thus allowing for adequate lesion coverage with a single stent.
- The subject is male or, if female, is either not of childbearing potential or has had a negative pregnancy test within seven (7) days prior to the procedure.
- The subject or the subject's legal representative has been informed of the nature of the study and has provided written informed consent as approved by the Institutional Ethics Committee (IEC) of the clinical site.
- The subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits.
Who cannot join
- Multiple lesions to be treated in the same target vessel.
- Patients who require more than one BioFreedom stent except that an additional BioFreedom stent may be implanted in the target lesion for geographic miss or bailout
- A documented left ventricular ejection fraction < 30% assessed within 6 months prior to procedure by echocardiography, during a previous angiography or as measured during pre-procedure angiography.
- A known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, ticlopidine and, clopidogrel, stainless steel, Biolimus A9, Paclitaxel or a sensitivity to contrast media, which cannot be adequately pre-medicated.
- A platelet count <100,000 cells/mm³ or >700,000 cells/mm³, or a WBC <3,000 cells/mm³.
- Evidence of an acute myocardial infarction within 72 hours of the intended treatment (defined as: Q wave or non-Q wave infarction having CK enzymes > 2 times the upper laboratory normal with the presence of a CK-MB elevated above the institutions upper limit of normal).
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- A previous coronary interventional procedure was performed either a.) within 24 hours prior to the procedure or b.) within 12 months prior to the procedure for any lesion in the target vessel.
- The subject requires planned interventional treatment of any lesion in either the target vessel within 12 months or in any non-target vessel within 30 days post-procedure.
- The target and non-target lesion require treatment with a device other than PTCA prior to stent placement (such as, but not limited to, directional coronary atherectomy, excimer laser, rotational atherectomy, etc.).
- The target vessel has angiographic evidence of thrombus or is excessively (2 bends > 90º to reach the target lesion) tortuous.
- The target lesion has any of the following characteristics:
- Lesion location is aorto-ostial, left main coronary artery, or within 5 mm of the origin of the LAD, LCX, or RCA.
- Is at a >45º bend in the vessel.
- Is moderately to severely calcified (visible by fluoro).
- Stenting of the target or non-target lesion would "jail" or cover a side branch >2.0 mm in diameter or occur at the ostium of the sidebranch.
- History of a stroke or transient ischemic attack (TIA) within the prior 6 months or permanent neurologic deficit.
- History of upper GI bleeding within the prior 6 months.
- The subject has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions.
- Concurrent medical condition with a life expectancy of less than 18 months.
- Currently participating in an investigational drug or another device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints. [Note: Trials requiring extended follow-up for products that were investigational, but have since become commercially available, are not considered investigational trials.]
- Any contraindications as mentioned in the TaxusTM LiberteTM Instructions for Use (IFU).
Trial locations and contacts
4 sites in 1 country.
Germany4 sites
Medical Care Center, Hamburg University Cardiovascular Center
Hamburg, D-22527
Herzzentrum Leipzig GmbH
Leipzig, D-04289
HELIOS - Klinikum Siegburg
Siegburg, D-53721
Krankenhaus der Barmherzigen Brüder
Trier, D-54292 Trier
About this study
Official title: A Prospective, Single Blinded, Randomized Study to Evaluate the Safety and Effictiveness of a Low and Standard Dose Biolimus A9TM Drug-Eluteing Coronary Stent Delivery System Compared With a TaxusTM LiberteTM Control Arm for Treatment of Stenotic Lesions in Native Coronary Arteries.
Prospective, multi center, randomized, single blinded study designed to demonstrate the safety and effectiveness of the Biosensors BioFreedom Drug-Eluting Coronary Stent Delivery System at multiple time points compared to the Taxus Liberte DES in the treatment of single de novo native coronary artery lesions ranging in diameter from ≥2.5 mm to ≤3.0 mm and ≤ 14 mm in length.
- Being tested
- Biofreedom Drug Eluting Stent, Tuxus Liberte Drug Eluting Stent
- Keywords
- Coronary Disease, Coronary Stenosis, Angioplasty, Coronary restenosis, Drug Eluting Stent
- Medical subject headings
- Coronary Disease, Coronary Stenosis, Coronary Restenosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Biofreedom Drug Eluting StentDevice
Biofreedom DES with a standard dose of Biolimus A9TM
Biofreedom Drug Eluting StentDevice
Biofreedom DES with a low dose of Biolimus A9TM
Tuxus Liberte Drug Eluting StentDevice
Standard paclitaxel dose Taxus Liberte DES
| Study group | Role | What they receive |
|---|---|---|
| BioFreedom Standard Dose | Experimental | Not described Receives: Device: Biofreedom Drug Eluting Stent |
| BioFreedom Low Dose | Experimental | Not described Receives: Device: Biofreedom Drug Eluting Stent |
| Taxus Liberte drug eluting stents | Active comparator | Not described Receives: Device: Tuxus Liberte Drug Eluting Stent |
What is being measured
The primary outcome is the main question the study is designed to answer.
In-Stent Late Lumen Loss at 12 months post-procedure.
Measured: 12 Months
Secondary outcomes (6)
In-Stent Late Lumen Loss (LL) at 4 months post-procedure for patients receiving IVUS/Angio at 4 months
Measured: 4 months
2. Major adverse cardiac events (MACE) at 30 days, defined as death, myocardial infarction or ischemic target vessel revascularization (PCI or CABG).
Measured: 30 days
3. Major Adverse Cardiac Event (MACE) at hospital discharge, 30 days, 4 months, 12 months, and 2, 3, 4 and 5 years post-procedure.
Measured: 5 years
Vascular complications through hospital discharge.
Measured: 5 years
5. Rates of stent thrombosis, per ARC definition of definite and probable and categorized as early, late or very late, at 30 days, 4 and 12 months, 2, 3, 4 and 5 years post-procedure.
Measured: 5 years
6. Biolimus A9 drug systemic drug levels post-procedure, 4 hours post-procedure, at hospital discharge, and at 30 days and 4 months clinical follow-up.
Measured: 4 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jul 2010 (estimated)
- Study startAug 2008
- Primary completionJun 2010
- Study completionJul 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Treatment Of Stenotic Lesions In Native Coronary Arteries.Studies of the same condition, open and under way.
- 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 182 participants (actual)
Sponsor and investigators
- Lead sponsor
- Biosensors Europe SA
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Eberhard Grube, Prof Dr med, Principal investigator, Department of Cardiology Hospital Alemao O. Cruz, Sao Paulo, Brazil
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01172119
- Sponsor's protocol ID
- 08EU01
- Status last verified
- Sep 2014
- First submitted
- 28 Jul 2010
- Last updated
- 9 Sep 2014
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Costa RA, Abizaid A, Mehran R, Schofer J, Schuler GC, Hauptmann KE, Magalhaes MA, Parise H, Grube E; BioFreedom FIM Clinical Trial Investigators. Polymer-Free Biolimus A9-Coated Stents in the Treatment of De Novo Coronary Lesions: 4- and 12-Month Angiographic Follow-Up and Final 5-Year Clinical Outcomes of the Prospective, Multicenter BioFreedom FIM Clinical Trial. JACC Cardiovasc Interv. 2016 Jan 11;9(1):51-64. doi: 10.1016/j.jcin.2015.09.008.
PubMed 26762911
Study at a glance
From the registry record, last updated by the sponsor on 9 Sep 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Single Blinded, Randomized Study to Evaluate the Safety and Effictiveness of a Low and Standard Dose Biolimus A9TM Drug-Eluteing Coronary Stent Delivery System Compared With a TaxusTM LiberteTM Control Arm for Treatment of Stenotic Lesions in Native Coronary Arteries.
- ClinicalTrials.gov ID
- NCT01172119
- Acronym / sponsor ID
- 08EU01
- Keywords
- Coronary Disease, Coronary Stenosis, Angioplasty, Coronary restenosis, Drug Eluting Stent
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 182 participants (actual)
- Lead sponsor
- Biosensors Europe SAIndustry (pharma, biotech, devices)
- Study start
- Aug 2008
- Primary completion
- Jun 2010 (actual)
- Study completion
- Jul 2014 (actual)
- First posted
- 29 Jul 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Prospective, multi center, randomized, single blinded study designed to demonstrate the safety and effectiveness of the Biosensors BioFreedom Drug-Eluting Coronary Stent Delivery System at multiple time points compared to the Taxus Liberte DES in the treatment of single de novo native coronary artery lesions ranging in diameter from ≥2.5 mm to ≤3.0 mm and ≤ 14 mm in length.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| BioFreedom Standard Dose | Experimental | Device: Biofreedom Drug Eluting Stent |
| BioFreedom Low Dose | Experimental | Device: Biofreedom Drug Eluting Stent |
| Taxus Liberte drug eluting stents | Active comparator | Device: Tuxus Liberte Drug Eluting Stent |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- The subject is >18 years of age.
- The subject is an acceptable candidate for PTCA, stenting, and emergent CABG.
- Patients with multiple lesions as long as the last lesion to be treated fits the Inclusion criteria of the target lesion.
- The subject must have clinical evidence of ischemic heart disease or a positive functional study.
- The study stent target vessel must be a native coronary artery with a stenosis of >50% and <100%.
Key exclusion criteria (21 listed)
- Multiple lesions to be treated in the same target vessel.
- Patients who require more than one BioFreedom stent except that an additional BioFreedom stent may be implanted in the target lesion for geographic miss or bailout
- A documented left ventricular ejection fraction < 30% assessed within 6 months prior to procedure by echocardiography, during a previous angiography or as measured during pre-procedure angiography.
- A known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, ticlopidine and, clopidogrel, stainless steel, Biolimus A9, Paclitaxel or a sensitivity to contrast media, which cannot be adequately pre-medicated.
- A platelet count <100,000 cells/mm³ or >700,000 cells/mm³, or a WBC <3,000 cells/mm³.
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 |
|---|---|---|
| Biofreedom Drug Eluting StentBiofreedom DES with a standard dose of Biolimus A9TM | Device | BioFreedom Standard Dose |
| Biofreedom Drug Eluting StentBiofreedom DES with a low dose of Biolimus A9TM | Device | BioFreedom Low Dose |
| Tuxus Liberte Drug Eluting StentStandard paclitaxel dose Taxus Liberte DES | Device | Taxus Liberte drug eluting stents |
Primary outcome
In-Stent Late Lumen Loss at 12 months post-procedure.
Time frame: 12 Months
6 secondary outcomes
In-Stent Late Lumen Loss (LL) at 4 months post-procedure for patients receiving IVUS/Angio at 4 months
Time frame: 4 months
2. Major adverse cardiac events (MACE) at 30 days, defined as death, myocardial infarction or ischemic target vessel revascularization (PCI or CABG).
Time frame: 30 days
3. Major Adverse Cardiac Event (MACE) at hospital discharge, 30 days, 4 months, 12 months, and 2, 3, 4 and 5 years post-procedure.
Time frame: 5 years
Vascular complications through hospital discharge.
Time frame: 5 years
5. Rates of stent thrombosis, per ARC definition of definite and probable and categorized as early, late or very late, at 30 days, 4 and 12 months, 2, 3, 4 and 5 years post-procedure.
Time frame: 5 years
6. Biolimus A9 drug systemic drug levels post-procedure, 4 hours post-procedure, at hospital discharge, and at 30 days and 4 months clinical follow-up.
Time frame: 4 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Sep 2014.
- Derived from this study: PubMed 26762911Costa RA, Abizaid A, Mehran R, Schofer J, Schuler GC, Hauptmann KE, Magalhaes MA, Parise H, Grube E; BioFreedom FIM Clinical Trial Investigators. Polymer-Free Biolimus A9-Coated Stents in the Treatment of De Novo Coronary Lesions: 4- and 12-Month Angiographic Follow-Up and Final 5-Year Clinical Outcomes of the Prospective, Multicenter BioFreedom FIM Clinical Trial. JACC Cardiovasc Interv. 2016 Jan 11;9(1):51-64. doi: 10.1016/j.jcin.2015.09.008.
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.
Eberhard Grube, Prof Dr med principal investigator
Department of Cardiology Hospital Alemao O. Cruz, Sao Paulo, Brazil
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Biofreedom Drug Eluting Stent and Tuxus Liberte Drug Eluting Stent in people with Treatment Of Stenotic Lesions In Native Coronary Arteries., run by Biosensors Europe SA at 4 sites in Germany.
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 11 inclusion and 21 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 9 Sep 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Germany. 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
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?
In-Stent Late Lumen Loss at 12 months post-procedure. (time frame: 12 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 NCT01172119, which also lists 1 linked publication.
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 9 Sep 2014; AzTrials last refreshed its copy on 6 Nov 2026.