Coronary Artery DiseasePhase 4LONG-DES-VNCT01186120
Everolimus-eluting(PROMUS-ELEMENT) vs. Biolimus A9-Eluting(NOBORI) Stents for Long-Coronary Lesions
A Phase 4 study testing Biolimus A9-eluting stent and Everolimus-eluting stent in people with Coronary Artery Disease, run by Seung-Jung Park at 11 sites in South Korea.
Trial summary
This randomized study is a multi-center, randomized, study to compare the efficacy of biolimus A9-eluting stent (Nobori) vs. everolimus-eluting stent (Promus Element) for long coronary lesions. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Coronary Artery Disease
- What is being tested?
- Biolimus A9-eluting stent and Everolimus-eluting stent
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 500 participants
- Where
- 11 sitesSouth Korea
- Study dates
- Aug 2010to Aug 2013
- Phase
- Phase 4
- 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 patient must be at least 18 years of age.
- Significant native coronary artery stenosis (>50% by visual estimate) with lesion length of more than 25mm, which requiring single or multiple long stent placement (>=28mm)
- Patients with silent ischemia, stable or unstable angina pectoris, ad Non-ST-elevation myocardial infarction
- The patient or guardian agrees to the study protocol and the schedule of clinical and angiographic follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.
Who cannot join
- Any contraindication to any of the following medications: aspirin, heparin, clopidogrel, stainless steel, contrast agents, sirolimus, or everolimus.
- An elective surgical procedure is planned that would necessitate interruption of antiplatelet drugs during the first 6 months post enrollment.
- Acute ST-segment-elevation MI or cardiogenic shock
- Terminal illness with life expectancy <1 year
- Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period.
- In-stent restenosis at target vessel (either bare metal stent or drug-eluting stent segment, non-target vessel ISR is permitted) Patients with EF<30%.
- Serum creatinine level >=3.0mg/dL or dependence on dialysis.
- Patients with left main stem stenosis (>50% by visual estimate).
Trial locations and contacts
11 sites in 1 country.
11 sites in 1 country
South Korea11 sites
Soonchunhyang University Hospital, Buchen
Bucheon-si
Soonchunhyang University Cheonan Hospital
Cheonan
Kangwon National University Hospital
Chooncheon
Daegu Catholic University Medical Center
Daegu
Keimyung University Dongsan Medical Center
Daegu
Kyungpook National University Hospital
Daegu
NHIC Ilsan Hospital
Ilsan
Dong-A University Medical Center
Pusan
Inje University Pusan Paik Hospital
Pusan
Asan Medical Center
Seoul
Catholic University, Kangnam St. Mary's Hospital
Seoul
About this study
Official title: Percutaneous Treatment of LONG Native Coronary Lesions With Drug-Eluting Stent-V:Everolimus-eluting(PROMUS-ELEMENT) vs. Biolimus A9-Eluting(NOBORI) Stents
This randomized study is a multi-center, randomized, study to compare the efficacy of biolimus A9-eluting stent (Nobori) vs. everolimus-eluting stent (Promus Element) for long coronary lesions.
Read the detailed description
Following angiography, patients with significant diameter stenosis >50% and lesion length(> 25mm) requiring single or multiple long-stent placement(total stent length 28mm) by visual estimation and eligible for LONG-DES V trial inclusion and exclusion criteria will be randomized 1:1 to a) NOBORI and b) PROMUS-ELEMENT stent by the stratified randomization method.
- Conditions
- Coronary Artery Disease
- Being tested
- Biolimus A9-eluting stent, Everolimus-eluting stent
- Keywords
- coronary disease, stent
- Medical subject headings
- Coronary Artery Disease, Coronary Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Biolimus A9-eluting stentDevice
Also called NOBORI stent
drug-eluting stent
Everolimus-eluting stentDevice
Also called PROMUS ELEMENT stent
drug-eluting stent
| Study group | Role | What they receive |
|---|---|---|
| Biolimus A9-eluting stent | Experimental | NOBORI stent Receives: Device: Biolimus A9-eluting stent |
| Everolimus-eluting stent | Active comparator | PROMUS ELEMENTE stent Receives: Device: Everolimus-eluting stent |
What is being measured
The primary outcome is the main question the study is designed to answer.
In-segment late luminal loss
Measured: 9 month angiographic follow-up
Secondary outcomes (26)
Death (all-cause and cardiac)
Measured: 1 year
Myocardial infarction
Measured: 1 year
stent thrombosis(ARC criteria)
Measured: 1 year
target-lesion revascularization
Measured: 1 year
target-vessel revascularization
Measured: 1 year
Procedural success
Measured: at 1 day
Death (all-cause and cardiac)
Measured: one month
Death (all-cause and cardiac)
Measured: 9 months
Myocardial infarction
Measured: one month
Myocardial infarction
Measured: 9 months
Composite of death or MI
Measured: one month
Composite of death or MI
Measured: 9 months
Composite of death or MI
Measured: 1 year
Composite of cardiac death or MI
Measured: one month
Composite of cardiac death or MI
Measured: 9 months
Composite of cardiac death or MI
Measured: 1 year
target-lesion revascularization
Measured: one month
target-lesion revascularization
Measured: 9 months
target-vessel revascularization
Measured: one month
target-vessel revascularization
Measured: 9 months
stent thrombosis(ARC criteria)
Measured: one month
stent thrombosis(ARC criteria)
Measured: 9 months
In-stent late loss
Measured: 9 month angiographic follow-up
8. Target-vessel failure (death from any cause, myocardial infarction, and ischemic-driven target-vessel revascularization)
Measured: 12 months
In-stent and in-segment restenosis
Measured: 9 month angiographic follow-up
Angiographic pattern of restenosis
Measured: 9 month angiographic follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Aug 2010 (estimated)
- Study startAug 2010
- Primary completionMay 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Coronary Artery DiseaseStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 500 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seung-Jung Park
- Sponsor type
- University, hospital or other
- Collaborators
- CardioVascular Research Foundation, Korea
- Responsible party
- Sponsor-investigator, Seung-Jung Park, CardioVascular Research Foundation, Korea
- Investigators
- Seung-Jung Park, MD.,PhD., Principal investigator, Heart Institute, Asan Medical Center,University of Ulsan,College of Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01186120
- Sponsor's protocol ID
- 2010-0036
- Acronym
- LONG-DES-V
- Status last verified
- Nov 2013
- First submitted
- 18 Aug 2010
- Last updated
- 6 Nov 2013
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Kang DY, Jang JS, Chang M, Lee CH, Lee PH, Ahn JM, Lee SW, Kim YH, Park SW, Park DW, Park SJ; LONG-DES Investigators. Comparison of Different Types of Drug-Eluting Stents for De Novo Long Coronary Artery Lesions. JACC Asia. 2022 May 24;2(4):446-456. doi: 10.1016/j.jacasi.2022.02.009. eCollection 2022 Aug.
PubMed 36339368Lee JY, Park DW, Kim YH, Ahn JM, Kim WJ, Kang SJ, Lee SW, Lee CW, Park SW, Yun SC, Yang TH, Lee BK, Lee NH, Yang JY, Shin WY, Park HS, Kim KS, Hur SH, Lee SY, Park JS, Choi YS, Lee SU, Her SH, Park SJ. Comparison of biolimus A9-eluting (Nobori) and everolimus-eluting (Promus Element) stents in patients with de novo native long coronary artery lesions: a randomized Long Drug-Eluting Stent V trial. Circ Cardiovasc Interv. 2014 Jun;7(3):322-9. doi: 10.1161/CIRCINTERVENTIONS.113.000841. Epub 2014 May 13.
PubMed 24823426
Study at a glance
From the registry record, last updated by the sponsor on 6 Nov 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Percutaneous Treatment of LONG Native Coronary Lesions With Drug-Eluting Stent-V:Everolimus-eluting(PROMUS-ELEMENT) vs. Biolimus A9-Eluting(NOBORI) Stents
- ClinicalTrials.gov ID
- NCT01186120
- Acronym / sponsor ID
- LONG-DES-V / 2010-0036
- Conditions
- Coronary Artery Disease
- Keywords
- coronary disease, stent
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 500 participants (actual)
- Lead sponsor
- Seung-Jung ParkUniversity, hospital or other
- Collaborators
- CardioVascular Research Foundation, Korea
- Study start
- Aug 2010
- Primary completion
- May 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 23 Aug 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.
This randomized study is a multi-center, randomized, study to compare the efficacy of biolimus A9-eluting stent (Nobori) vs. everolimus-eluting stent (Promus Element) for long coronary lesions.
Detailed description
Following angiography, patients with significant diameter stenosis >50% and lesion length(> 25mm) requiring single or multiple long-stent placement(total stent length 28mm) by visual estimation and eligible for LONG-DES V trial inclusion and exclusion criteria will be randomized 1:1 to a) NOBORI and b) PROMUS-ELEMENT stent by the stratified randomization method.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Biolimus A9-eluting stent | Experimental | Device: Biolimus A9-eluting stentNOBORI stent |
| Everolimus-eluting stent | Active comparator | Device: Everolimus-eluting stentPROMUS ELEMENTE stent |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- The patient must be at least 18 years of age.
- Significant native coronary artery stenosis (>50% by visual estimate) with lesion length of more than 25mm, which requiring single or multiple long stent placement (>=28mm)
- Patients with silent ischemia, stable or unstable angina pectoris, ad Non-ST-elevation myocardial infarction
- The patient or guardian agrees to the study protocol and the schedule of clinical and angiographic follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.
Key exclusion criteria (8 listed)
- Any contraindication to any of the following medications: aspirin, heparin, clopidogrel, stainless steel, contrast agents, sirolimus, or everolimus.
- An elective surgical procedure is planned that would necessitate interruption of antiplatelet drugs during the first 6 months post enrollment.
- Acute ST-segment-elevation MI or cardiogenic shock
- Terminal illness with life expectancy <1 year
- Patients who are actively participating in another drug or device investigational study, which have not completed the primary endpoint follow-up period.
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 |
|---|---|---|
| Biolimus A9-eluting stentAlso: NOBORI stentdrug-eluting stent | Device | Biolimus A9-eluting stent |
| Everolimus-eluting stentAlso: PROMUS ELEMENT stentdrug-eluting stent | Device | Everolimus-eluting stent |
Primary outcome
In-segment late luminal loss
Time frame: 9 month angiographic follow-up
26 secondary outcomes
Death (all-cause and cardiac)
Time frame: 1 year
Myocardial infarction
Time frame: 1 year
stent thrombosis(ARC criteria)
Time frame: 1 year
target-lesion revascularization
Time frame: 1 year
target-vessel revascularization
Time frame: 1 year
Procedural success
Time frame: at 1 day
Death (all-cause and cardiac)
Time frame: one month
Death (all-cause and cardiac)
Time frame: 9 months
Myocardial infarction
Time frame: one month
Myocardial infarction
Time frame: 9 months
Composite of death or MI
Time frame: one month
Composite of death or MI
Time frame: 9 months
Composite of death or MI
Time frame: 1 year
Composite of cardiac death or MI
Time frame: one month
Composite of cardiac death or MI
Time frame: 9 months
Composite of cardiac death or MI
Time frame: 1 year
target-lesion revascularization
Time frame: one month
target-lesion revascularization
Time frame: 9 months
target-vessel revascularization
Time frame: one month
target-vessel revascularization
Time frame: 9 months
stent thrombosis(ARC criteria)
Time frame: one month
stent thrombosis(ARC criteria)
Time frame: 9 months
In-stent late loss
Time frame: 9 month angiographic follow-up
8. Target-vessel failure (death from any cause, myocardial infarction, and ischemic-driven target-vessel revascularization)
Time frame: 12 months
In-stent and in-segment restenosis
Time frame: 9 month angiographic follow-up
Angiographic pattern of restenosis
Time frame: 9 month angiographic follow-up
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 6 Nov 2013.
- Derived from this study: PubMed 36339368Kang DY, Jang JS, Chang M, Lee CH, Lee PH, Ahn JM, Lee SW, Kim YH, Park SW, Park DW, Park SJ; LONG-DES Investigators. Comparison of Different Types of Drug-Eluting Stents for De Novo Long Coronary Artery Lesions. JACC Asia. 2022 May 24;2(4):446-456. doi: 10.1016/j.jacasi.2022.02.009. eCollection 2022 Aug.
- Derived from this study: PubMed 24823426Lee JY, Park DW, Kim YH, Ahn JM, Kim WJ, Kang SJ, Lee SW, Lee CW, Park SW, Yun SC, Yang TH, Lee BK, Lee NH, Yang JY, Shin WY, Park HS, Kim KS, Hur SH, Lee SY, Park JS, Choi YS, Lee SU, Her SH, Park SJ. Comparison of biolimus A9-eluting (Nobori) and everolimus-eluting (Promus Element) stents in patients with de novo native long coronary artery lesions: a randomized Long Drug-Eluting Stent V trial. Circ Cardiovasc Interv. 2014 Jun;7(3):322-9. doi: 10.1161/CIRCINTERVENTIONS.113.000841. Epub 2014 May 13.
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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.
Seung-Jung Park, MD.,PhD. principal investigator
Heart Institute, Asan Medical Center,University of Ulsan,College of Medicine
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Biolimus A9-eluting stent and Everolimus-eluting stent in people with Coronary Artery Disease, run by Seung-Jung Park at 11 sites in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 8 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 6 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in South Korea. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
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-segment late luminal loss (time frame: 9 month angiographic follow-up). 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 NCT01186120, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Nov 2013.