Stable AnginaPhase 4ALEX OCTNCT01637012
Prospective, Single-arm, Multicenter Study for Evaluation the Safety and Effectiveness of the ALEX Stent in a Real-world Setting of Percutaneous Coronary Interventions in Patients With Coronary Heart Disease
A Phase 4 study testing Implantation in people with Stable Angina and Unstable Angina, run by Balton Sp.zo.o. at 5 sites in Poland.
Trial summary
To evaluate the safety and effectiveness of the ALEX stent in a real-world setting of percutaneous coronary interventions in patients with coronary heart disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Stable Angina, Unstable Angina, Myocardial Infarction
- What is being tested?
- Implantation
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 5 sitesPoland
- Study dates
- Feb 2012to Sep 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
- Clinical Inclusion Criteria:
- > 18 years of age
- Patient must provide written informed consent prior to procedure using a form that is approved by the local Ethics Committee
- clinical diagnosis of Stable Angina, Unstable Angina or Myocardial Infarction without ST elevation (NSTEMI) or Myocardial Infarction with ST elevation provided the expiry of 72 hours of the onset of symptoms and stable clinical and hemodynamical condition the Patient with patent postinfarcion artery (TIMI 3) and indications for PCI and next stage of revascularization in the other vessels
- earlier effective supply of others lesions in others vessels in case of multivessels disease
- female of childbearing potential must have a negative pregnancy test within 7 days prior to enrolment and utilize reliable birth control for 12 months after enrolment
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- Angiographic Inclusion Criteria
- target lesion stentosis must be > 70% (visual estimate)
- Patient eligible for PCI treatment with the ALEX stent system (vessel diameter in range of 2.5 to 4.0 mm and length of lesion that allows to cover a single stent with maximum length of 30 mm in visual evaluation)
Who cannot join
- Clinical Exclusion Criteria
- anticipated inablility of the patient to comply with 12 months of antiplatelet treatment (e. g. elective non-cardiac surgery following stenting, drug intolerance etc.)
- acute or chronic renal failure (serum creatinine > 2 mg%, GFR < 60 ml/min/1.73m2)
- left ventricular ejection fraction (LVEF) < 40%
- cardiogenic shock
- short life expectancy (< 1 year)
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- any significant medical condition which in the investigator's opinion may interference with the Patient's optimal participation in the study
- current participation in another drug or device clinical trail in which there no be reached the primary endpoint or which clinically interferences with trail's enpoints
- Angiographic Exclusion Criteria
- chronic total occlusion
- calcified lesion which cannot be successfully dilated
- location of lesions in the winding vessels where there is no possibility of OCT imaging
- target stenosis located in venous or arterial bridge
- unprotected left main coronary disease with > 50% stenosis
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
Poland5 sites
Polsko-Amerykanskie Kliniki Serca III Oddzial Kardiologii Inwazyjnej, Angiologii i Elektrokardiologii
Dąbrowa Górnicza, Szpitalna 13, 43-300
Carint Scanmed Szpital Sw. Rafala
Krakow, Bochenka 12, 30-693
Szpital Uniwersytecki w Krakowie, Samodzielna Pracownia Zakladu Hemodynamiki i Angiografii
Krakow, Kopernika 17, 31-501
Polsko-Amerykanskie Kliniki Serca I Oddzial Kardiologiczno-Angiologiczny
Ustroń, Sanatoryjna 7, 43-450
Centralny Szpital Kliniczny MSWiA w Warszawie Klinika Kardiologii Inwazyjnej
Warsaw, Woloska 137, 02-507
About this study
Official title: Prospective, Single-arm, Multicenter Study for Evaluation the Safety and Effectiveness of the ALEX Stent in a Real-world Setting of Percutaneous Coronary Interventions in Patients With Coronary Heart Disease. Study With Angiography and OCT Follow-up.
To evaluate the safety and effectiveness of the ALEX stent in a real-world setting of percutaneous coronary interventions in patients with coronary heart disease.
Read the detailed description
Prospective, multicenter, non-randomized study designed to enroll up to 60 subjects to evaluate the safety and effectiveness of the cobalt-chromium sirolimus eluting coronary stent ALEX in a real-world setting of percutaneous coronary interventions in patients with coronary heart disease.
- Conditions
- Stable Angina, Unstable Angina, Myocardial Infarction
- Being tested
- Implantation
- Keywords
- ALEX, coronary stent, cobalt-chromium, sirolimus, OCT
- Medical subject headings
- Angina, Stable, Angina, Unstable, Myocardial Infarction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ImplantationProcedure or surgery
Also called ALEX Stent
index angioplasty with ALEX stent implatation
| Study group | Role | What they receive |
|---|---|---|
| ALEX stent arm | Experimental | implantation of ALEX stent during index procedure Receives: Procedure: Implantation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Assessment of stent strut coverage and parameters of restenosis
Assessment of stent strut coverage and parameters of restenosis in coronary angiography (QCA - Late Lumen Loss) and in OCT (percent of neointimal volume) 12 months follow-up after the baseline procedure in group of first 20 patients
Measured: at 12 months follow-up
Assessment of stent strut coverage and parameters of restenosis
Assessment of stent strut coverage and parameters of restenosis in coronary angiography (QCA - Late Lumen Loss) and in OCT (percent of neointimal volume) 6 months follow-up after the baseline procedure in group of second 20 patients
Measured: at 6 months follow-up
Assessment of stent strut coverage and parameters of restenosis
Assessment of stent strut coverage and parameters of restenosis in coronary angiography (QCA - Late Lumen Loss) and in OCT (percent of neointimal volume) at 3 months follow-up after the baseline procedure in group of third 20 patients
Measured: at 3 months follow-up
Secondary outcomes (5)
Procedural success
Procedural success during baseline PCI assessed in coronary angiography (QCA)
Measured: during index hospitalization
Occurrence of stent thrombosis
Occurrence of stent thrombosis at 30 days follow-up
Measured: at 30 days follow-up
Occurrence of stent thrombosis
Occurrence of stent thrombosis at 12 months follow-up
Measured: at 12 months follow-up
Incidence of Major Adverse Cardiac Events
Incidence of Major Adverse Cardiac Events (MACEs) at 30 days follow-up defined as death, myocardial infarction target lesion re-PTCA or target lesion bypass graft
Measured: at 30 days follow-up
Incidence of Major Adverse Cardiac Events
Incidence of Major Adverse Cardiac Events (MACEs) at 12 months follow-up defined as death, myocardial infarction target lesion re-PTCA or target lesion bypass graft
Measured: at 12 months follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jul 2012 (estimated)
- Study startFeb 2012
- Primary completionSep 2013
- Study completionSep 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Stable AnginaStudies 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Balton Sp.zo.o.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- KCRI
- Responsible party
- Sponsor
- Investigators
- Jacek Legutko, MD, PhD, Principal investigator, Szpital Uniwersytecki w Krakowie, ul. Kopernika 17, Krakow 31-501, PolandDariusz Dudek, Prof., Study chair, Szpital Uniwersytecki w Krakowie, ul. Kopernika 17, Krakow 31-501, Poland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01637012
- Sponsor's protocol ID
- 2.0, 2011-12-01
- Acronym
- ALEX OCT
- Status last verified
- Mar 2014
- First submitted
- 6 Jul 2012
- Last updated
- 13 Mar 2014
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Mar 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective, Single-arm, Multicenter Study for Evaluation the Safety and Effectiveness of the ALEX Stent in a Real-world Setting of Percutaneous Coronary Interventions in Patients With Coronary Heart Disease. Study With Angiography and OCT Follow-up.
- ClinicalTrials.gov ID
- NCT01637012
- Acronym / sponsor ID
- ALEX OCT / 2.0, 2011-12-01
- Conditions
- Stable Angina, Unstable Angina, Myocardial Infarction
- Keywords
- ALEX, coronary stent, cobalt-chromium, sirolimus, OCT
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Balton Sp.zo.o.Industry (pharma, biotech, devices)
- Collaborators
- KCRI
- Study start
- Feb 2012
- Primary completion
- Sep 2013 (actual)
- Study completion
- Sep 2013 (actual)
- First posted
- 10 Jul 2012 (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.
To evaluate the safety and effectiveness of the ALEX stent in a real-world setting of percutaneous coronary interventions in patients with coronary heart disease.
Detailed description
Prospective, multicenter, non-randomized study designed to enroll up to 60 subjects to evaluate the safety and effectiveness of the cobalt-chromium sirolimus eluting coronary stent ALEX in a real-world setting of percutaneous coronary interventions in patients with coronary heart disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ALEX stent arm | Experimental | Procedure: Implantationimplantation of ALEX stent during index procedure |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- > 18 years of age
- Patient must provide written informed consent prior to procedure using a form that is approved by the local Ethics Committee
- clinical diagnosis of Stable Angina, Unstable Angina or Myocardial Infarction without ST elevation (NSTEMI) or Myocardial Infarction with ST elevation provided the expiry of 72 hours of the onset of symptoms and stable clinical and hemodynamical condition the Patient with patent postinfarcion artery (TIMI 3) and indications for PCI and next stage of revascularization in the other vessels
- earlier effective supply of others lesions in others vessels in case of multivessels disease
- female of childbearing potential must have a negative pregnancy test within 7 days prior to enrolment and utilize reliable birth control for 12 months after enrolment
Key exclusion criteria (14 listed)
- Clinical Exclusion Criteria
- anticipated inablility of the patient to comply with 12 months of antiplatelet treatment (e. g. elective non-cardiac surgery following stenting, drug intolerance etc.)
- acute or chronic renal failure (serum creatinine > 2 mg%, GFR < 60 ml/min/1.73m2)
- left ventricular ejection fraction (LVEF) < 40%
- cardiogenic shock
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 |
|---|---|---|
| ImplantationAlso: ALEX Stentindex angioplasty with ALEX stent implatation | Procedure or surgery | ALEX stent arm |
Primary outcome
Assessment of stent strut coverage and parameters of restenosis
Time frame: at 12 months follow-up
Assessment of stent strut coverage and parameters of restenosis in coronary angiography (QCA - Late Lumen Loss) and in OCT (percent of neointimal volume) 12 months follow-up after the baseline procedure in group of first 20 patients
Assessment of stent strut coverage and parameters of restenosis
Time frame: at 6 months follow-up
Assessment of stent strut coverage and parameters of restenosis in coronary angiography (QCA - Late Lumen Loss) and in OCT (percent of neointimal volume) 6 months follow-up after the baseline procedure in group of second 20 patients
Assessment of stent strut coverage and parameters of restenosis
Time frame: at 3 months follow-up
Assessment of stent strut coverage and parameters of restenosis in coronary angiography (QCA - Late Lumen Loss) and in OCT (percent of neointimal volume) at 3 months follow-up after the baseline procedure in group of third 20 patients
5 secondary outcomes
Procedural success
Time frame: during index hospitalization
Occurrence of stent thrombosis
Time frame: at 30 days follow-up
Occurrence of stent thrombosis
Time frame: at 12 months follow-up
Incidence of Major Adverse Cardiac Events
Time frame: at 30 days follow-up
Incidence of Major Adverse Cardiac Events
Time frame: at 12 months 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 13 Mar 2014.
- SponsorLink provided by the sponsor.
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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.
Jacek Legutko, MD, PhD principal investigator
Szpital Uniwersytecki w Krakowie, ul. Kopernika 17, Krakow 31-501, Poland
Dariusz Dudek, Prof. study chair
Szpital Uniwersytecki w Krakowie, ul. Kopernika 17, Krakow 31-501, Poland
5 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 Implantation in people with Stable Angina and Unstable Angina, run by Balton Sp.zo.o. at 5 sites in Poland.
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 9 inclusion and 14 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 13 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in Poland. 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?
Assessment of stent strut coverage and parameters of restenosis (time frame: at 12 months follow-up). 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 13 Mar 2014; AzTrials last refreshed its copy on 27 Oct 2026.