Coronary Artery DiseasePhase 3NCT01665053
The EVOLVE II Clinical Trial To Assess the SYNERGY Stent System for the Treatment of Atherosclerotic Lesion(s)
A Phase 3 study testing PROMUS Element Plus and SYNERGY in people with Coronary Artery Disease, run by Boston Scientific Corporation at 126 sites in 16 countries.
Trial summary
The purpose of this study is to assess the safety and effectiveness of the SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System for the treatment of subjects with atherosclerotic lesion(s) ≤ 34 mm in length (by visual estimate) in native coronary arteries ≥2.25 mm to ≤4.0 mm in diameter (by visual… 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?
- PROMUS Element Plus and SYNERGY
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,684 participants
- Where
- 126 sitesin 16 countries
- Study dates
- Nov 2012to 22 Dec 2018
- 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 legal guardian) understands the trial requirements and the treatment procedures and provides written informed consent before any trial-specific tests or procedures are performed
- For subjects less than 20 years of age enrolled at a Japanese site, the subject and the subject's legal representative must provide written informed consent before any study-specific tests or procedures are performed
- Subject is eligible for percutaneous coronary intervention (PCI)
- Subject has symptomatic coronary artery disease with objective evidence of ischemia or silent ischemia
- Subject is an acceptable candidate for coronary artery bypass grafting (CABG)
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- Subject is willing to comply with all protocol-required follow-up evaluation
- Angiographic Inclusion Criteria (visual estimate):
- Target lesion(s) must be located in a native coronary artery with a visually estimated reference vessel diameter (RVD) ≥2.25 mm and ≤4.0 mm
- Target lesion(s) length must be ≤34 mm (by visual estimate)
- Target lesion(s) must have visually estimated stenosis ≥50% and <100% with thrombolysis in Myocardial Infarction (TIMI) flow >1 and one of the following: stenosis ≥70%, abnormal fractional flow reserve (FFR), abnormal stress or imaging stress test, or elevated biomarkers prior to the procedure
- Coronary anatomy is likely to allow delivery of a study device to the target lesions(s)
- The first lesion treated must be successfully predilated/pretreated
Who cannot join
- Subject has clinical symptoms and/or electrocardiogram (ECG) changes consistent with acute ST elevation MI (STEMI)
- Subject has cardiogenic shock, hemodynamic instability requiring inotropic or mechanical circulatory support, intractable ventricular arrhythmias, or ongoing intractable angina
- Subject has received an organ transplant or is on a waiting list for an organ transplant
- Subject is receiving or scheduled to receive chemotherapy within 30 days before or after the index procedure
- Planned PCI (including staged procedures) or CABG after the index procedure
- Subject previously treated at any time with intravascular brachytherapy
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- Subject has a known allergy to contrast (that cannot be adequately premedicated) and/or the trial stent system or protocol-required concomitant medications (e.g., platinum, platinum-chromium alloy, stainless steel, everolimus or structurally related compounds, polymer or individual components, all P2Y12 inhibitors, or aspirin)
- Subject has one of the following (as assessed prior to the index procedure):
- Other serious medical illness (e.g., cancer, congestive heart failure) with estimated life expectancy of less than 24 months
- Current problems with substance abuse (e.g., alcohol, cocaine, heroin, etc.)
- Planned procedure that may cause non-compliance with the protocol or confound data interpretation
- Subject is receiving chronic (≥72 hours) anticoagulation therapy (i.e., heparin, coumadin) for indications other than acute coronary syndrome
- Subject has a platelet count <100,000 cells/mm3 or >700,000 cells/mm3
- Subject has a white blood cell (WBC) count < 3,000 cells/mm3
- Subject has documented or suspected liver disease, including laboratory evidence of hepatitis
- Subject is on dialysis or has baseline serum creatinine level >2.0 mg/dL (177µmol/L)
- Subject has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions
- Subject has had a history of cerebrovascular accident (CVA) or transient ischemic attack (TIA) within the past 6 months
- Subject has an active peptic ulcer or active gastrointestinal (GI) bleeding
- Subject has severe symptomatic heart failure (i.e., NYHA class IV)
- Subject is participating in another investigational drug or device clinical trial that has not reached its primary endpoint
- Subject intends to participate in another investigational drug or device clinical trial within 12 months after the index procedure
- Subject with known intention to procreate within 12 months after the index procedure (women of child-bearing potential who are sexually active must agree to use a reliable method of contraception from the time of screening through 12 months after the index procedure)
- Subject is a woman who is pregnant or nursing (a pregnancy test must be performed within 7 days prior to the index procedure in women of child-bearing potential)
- Angiographic Exclusion Criteria (visual estimate):
- Planned treatment of more than 3 lesions
- Planned treatment of lesions in more than 2 major epicardial vessels
- Planned treatment of a single lesion with more than 1 stent
- Subject has 2 target lesions in the same vessel that are separated by less than 15 mm (by visual estimate)
- Target lesion(s) is located in the left main
- Target lesion(s) is located within 3 mm of the origin of the left anterior descending (LAD) coronary artery or left circumflex (LCx) coronary artery by visual estimate
- Target lesion(s) is located within a saphenous vein graft or an arterial graft
- Target lesion(s) will be accessed via a saphenous vein graft or arterial graft
- Target lesion(s) with a TIMI flow 0 (total occlusion) or TIMI flow 1 prior to guide wire crossing
- Target lesion(s) treated during the index procedure that involves a complex bifurcation (e.g., bifurcation lesion requiring treatment with more than 1 stent)
- Target lesion(s) is restenotic from a previous stent implantation or study stent would overlap with a previous stent
- Subject has unprotected left main coronary artery disease (>50% diameter stenosis)
- Subject has been treated with any type of PCI (i.e., balloon angioplasty, stent, cutting balloon atherectomy) within 24 hours prior to the index procedure
- Thrombus, or possible thrombus, present in the target vessel (by visual estimate)
Trial locations and contacts
126 sites in 16 countries.
126 sites in 16 countries
United States69 sites
New Mexico Heart Institute, PA
Albuquerque, New Mexico, 87042
Kings Daughters Medical Center
Ashland, Kentucky, 41101
Bakersfield Memorial Hospital
Bakersfield, California, 93301
MedStar Union Memorial Hospital
Baltimore, Maryland, 21218
Baptist Medical Center - Princeton
Birmingham, Alabama, 35211
Tufts Medical Center, Inc.
Boston, Massachusetts, 02110
Brigham & Women's Hospital
Boston, Massachusetts, 02120
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Deborah Heart and Lung Center
Browns Mills, New Jersey, 08015
Lahey Clinic Medical Center - Burlington
Burlington, Massachusetts, 01805
Lindner Center for Research and Education at Christ Hosp
Cincinnati, Ohio, 45219
Morton Plant Mease Healthcare
Clearwater, Florida, 33756
University Hospitals Case Medical Center
Cleveland, Ohio, 44103
Kootenai Medical Center
Coeur d'Alene, Idaho, 83814
Sisters of Charity Providence Hospitals
Columbia, South Carolina, 29204
Ohio State University Medical Center
Columbus, Ohio, 43210
Baylor Heart & Vascular Hospital
Dallas, Texas, 75226
Medical City Dallas Hospital
Dallas, Texas, 75230
Geisinger Clinic
Danville, Pennsylvania, 17822
Genesis Medical Center
Davenport, Iowa, 52803
Mercy Hospital Medical Center
Des Moines, Iowa, 50314
Henry Ford Health System
Detroit, Michigan, 48202
St Mary's Duluth Clinic
Duluth, Minnesota, 55805
Northern Indiana Research Alliance
Fort Wayne, Indiana, 46804
Genesys Regional Medical Center
Grand Blanc, Michigan, 48439
North Colorado Medical Center
Greeley, Colorado, 80631
Moses H. Cone Memorial Hospital-LeBauer Cardiovascular Research Foundation
Greensboro, North Carolina, 27401
Our Lady of Lourdes Medical Center
Haddon Heights, New Jersey, 08035
Kaiser Foundation Hospital
Honolulu, Hawaii, 96819
St. Vincent's Medical Group, Inc.
Indianapolis, Indiana, 46290
Jackson Madison County Hospital
Jackson, Tennessee, 38301
Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111
Arkansas Heart Hospital
Little Rock, Arkansas, 72211
South Denver Cardiology Associates, PC
Littleton, Colorado, 80120
Medical Center of Central Georgia
Macon, Georgia, 31201
Wellstar Health Systems
Marietta, Georgia, 30060
University of Miami McKnight Brain Institute
Miami, Florida, 33138
Abbott Northwestern Hospital
Minneapolis, Minnesota, 55407
Morristown Medical Center
Morristown, New Jersey, 07960
Centennial Medical Center
Nashville, Tennessee, 37203
Mount Sinai - PRIME
New York, New York, 10029
Columbia University Medical Center
New York, New York, 10032
New York Presbyterian Hospital
New York, New York, 10065
MediQuest
Ocala, Florida, 34471
Oklahoma Heart Hospital
Oklahoma City, Oklahoma, 73120
Florida Hospital Medical Center
Orlando, Florida, 32803
Northern Michigan Hospital
Petoskey, Michigan, 49770
Pennsylvania Hospital
Philadelphia, Pennsylvania, 19107
Temple University Hospital
Philadelphia, Pennsylvania, 19140
Banner Good Samaritan Medical Center
Phoenix, Arizona, 85006
Maine Medical Center
Portland, Maine, 04102
Providence Portland Medical Center
Portland, Oregon, 97213
Rex Hospital
Raleigh, North Carolina, 27607
Wake Heart Research, LLC
Raleigh, North Carolina, 27610
Henrico Doctors Hospital
Richmond, Virginia, 23229
St. David's Round Rock Medical Center
Round Rock, Texas, 78681
University of California Davis Health System
Sacramento, California, 95617
Sutter Memorial Hospital
Sacramento, California, 95819
Methodist Texsan Hospital
San Antonio, Texas, 78201
Alvarado Hospital Medical Center
San Diego, California, 92121
Swedish Medical Center
Seattle, Washington, 98122
Prairie Cardiovascular Consultants, Ltd.
Springfield, Illinois, 62701
Washington University School of Medicine
St Louis, Missouri, 63110
Tallahassee Research Institute, Inc.
Tallahassee, Florida, 32308
Mercy St. Vincent Medical Center
Toledo, Ohio, 43608
North Mississippi Medical Center
Tupelo, Mississippi, 38801
Washington Hospital Center
Washington D.C., District of Columbia, 20010
Aspirus Heart & Vascular Institute
Wausau, Wisconsin, 54401
Wake Forest University
Winston-Salem, North Carolina, 27157
Japan12 sites
Shonan Kamakura General Hospital
Kamakura-shi, Kanagawa, 247-8533
Kokura Memorial Hospital
Kitakyushu-shi, Fukuoka, 802-8555
Kurume University Hospital
Kurume-shi, Fukuoka, 830-0011
Kyoto University Hospital
Kyoto, Kyoto, 606-8507
Toho University Ohashi Medical Center
Meguro-ku, Tokyo-To, 153-8515
The Cardiovascular Institute
Minatoku, Tokyo-To, 106-0031
Showa University Hospital
Shinagawa-ku, Tokyo-To, 142-8666
Department of Cardiology, Tokyo Women's Medical University
Shinjuku-ku, Tokyo-To, 162-8666
National Cerebral and Cardiovascular Center
Suita-shi, Osaka, 565-8565
Teikyo University Hospital
tabashi City, Tokyo-To, 173-8606
Nihon University Itabashi Hospital
tabashi City, Tokyo-To, 173-8610
Saiseikai Yokohamashi Tobu Hospital
Yokohama, Kanagawa, 230-8765
France8 sites
CHU de Brest - Hôpital de la Cavale Blanche
Brest, Finistere, 29609
Hôpital Cardio-Vasculaire et Pneumologique Louis Pradel
Bron, Rhone, 69500
Centre Hospitalier de Lagny - Marne La Vallée
Lagny-sur-Marne, 77600
Polyclinique Les Fleurs
Ollioules, Var, 83192
Hôpital Cochin
Paris, 75014
Clinique Saint-Hilaire - Centre Frédéric Joliot
Rouen, Seine Maritime, 76000
CHU de Toulouse - Hôpital Rangueil
Toulouse, Haute Garonne, 31059
Clinique Pasteur - Toulouse
Toulouse, Haute Garonne, 31076
Canada5 sites
Foothills Medical Centre
Calgary, Alberta, T2N 2T9
Hamilton Health Sciences
Hamilton, Ontario, L8L 2X2
Institut de Cardiologie de Montreal
Montreal, Quebec, H1T 1C8
Institut Universitaire de Cardiologie et de Pneumologie de Quebec
Sainte-Foy, Quebec, G1V 4G5
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M4
Australia4 sites
The Prince Charles Hospital
Chermside, Queensland, 4032
Monash Medical Centre-Clayton Campus
Clayton, Victoria, 3168
St Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065
Fremantle Hospital
Fremantle, Western Australia, 6160
Belgium4 sites
Imelda Ziekenhuis
Bonheiden, 2820
Z.O.L - Campus St. Jan
Genk, 3600
UZ Leuven
Leuven, 3000
HHrm
Roeselare, 8800
New Zealand4 sites
Ascot Angiography Ltd
Auckland, 1050
Middlemore Hospital
Auckland, 1640
North Shore Hospital
Auckland, 622
Christchurch Hospital NZ
Christchurch, 8011
Italy3 sites
Umberto I Pol. di Roma-Università di Roma La Sapienza
Roma, 161
Istituto Clinico Humanitas
Rozzano, Milano, 20089
Azienda Ospedaliera Città della Salute e della Scienza di Torino
Torino, 10126
Netherlands3 sites
Medisch Centrum Alkmaar
Alkmaar, 1815 JD
Medisch Spectrum Twente, Haaksbergerstraat
Enschede, 7513 ER
St. Antonius Ziekenhuis, Nieuwegein
Nieuwegein, 3435CM
Poland3 sites
SPZOZ Szpital Uniwersytecki w Krakowie
Krakow, 31-501
SK Przemienienia Panskiego UM im.K.Marcinkowskiego
Poznan, 61-848
Instytut Kardiologii im.Prymasa Tysiaclecia Kardynala Stefana Wyszynskiego
Warsaw, 04-628
Spain3 sites
Hospital Clinic de Barcelona
Barcelona, 8036
Hospital Universitario Clínico San Carlos
Madrid, 28040
Hospital Universitario La Paz
Madrid, 28046
Austria2 sites
LKH - Universitätsklinikum der PMU Salzburg
Salzburg
AKH - Medizinische Universität Wien
Vienna
Finland2 sites
University Hospital, Heart Centre
Tampere, 33521
Turku University Hospital
Turku, FI-20520
Singapore2 sites
National University Hospital
Singapore, 119228
National Heart Centre
Singapore, 168752
About this study
Official title: EVOLVE II: A Prospective Multicenter Trial to Assess the Safety and Effectiveness of the SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System (SYNERGY Stent System) for the Treatment of Atherosclerotic Lesion(s)
The purpose of this study is to assess the safety and effectiveness of the SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System for the treatment of subjects with atherosclerotic lesion(s) ≤ 34 mm in length (by visual estimate) in native coronary arteries ≥2.25 mm to ≤4.0 mm in diameter (by visual estimate).
Read the detailed description
A concurrent, non-randomized, single-arm, pharmacokinetic (PK) substudy and a consecutive, non-randomized, single-arm, Diabetes substudy will also enroll under the EVOLVE II protocol.
- Conditions
- Coronary Artery Disease
- Being tested
- PROMUS Element Plus, SYNERGY
- Keywords
- Drug-Eluting Stents
- Medical subject headings
- Coronary Artery Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PROMUS Element PlusDevice
A drug eluting coronary stent system
SYNERGYDevice
A drug eluting coronary stent system
| Study group | Role | What they receive |
|---|---|---|
| Promus Element Plus | Active comparator | PROMUS Element Plus is a device/drug combination product composed of two components, a device (coronary stent system including a platinum chromium stent platform) and a drug product (a formulation of everolimus contained in a polymer coating). Receives: Device: PROMUS Element Plus |
| SYNERGY | Experimental | SYNERGY is a device/drug combination product composed of two components, a device (coronary stent system including a platinum chromium stent platform) and a drug product (a formulation of everolimus contained in a bioabsorbable polymer coating). Receives: Device: SYNERGY |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Target Lesion Failure (TLF) at 12 Months
TLF is defined as any ischemia-driven revascularization of the target lesion, myocardial infarction (Q-wave and non-Q-wave) related to the target vessel, or cardiac death.
Measured: 12 months
Secondary outcomes (16)
Percentage of Participants With Target Lesion Revascularization (TLR) at 12 Months.
The TLR overall rate includes: TLR Percutaneous Coronary Intervention (PCI) \& TLR Coronary Artery Bypass Graft (CABG).
Measured: 12 months
Percentage of Participants With Target Vessel Revascularization (TVR) at 12 Months.
TVR overall includes: TVR PCI \& TVR CABG.
Measured: 12 months
Percentage of Participants With Target Vessel Failure (TVF) at 12 Month.
Target Vessel Failure is defined as any ischemic-driven revascularization of the target vessel, MI related to the target vessel, or any cardiac death.
Measured: 12 months
Percentage of Participants With Myocardial Infarction at 12 Month.
The MI rate includes: MI's related to the Target Vessel, MI's with unknown relationship to the Target Vessel and MI's not related to the Target Vessel.
Measured: 12 months
Percentage of Participants With Cardiac Death at 12 Month.
Measured: 12 months
Percentage of Participants With Non-Cardiac Death at 12 Month.
Measured: 12 months
Percentage of Patients That Died at 12 Months.
The Death rate includes Cardiac- \& Non-Cardiac Death.
Measured: 12 months
Percentage of Patients With Cardiac Death or Myocardial Infarction (MI) at 12 Month.
Measured: 12 months
Percentage of Participants Who Died or Had an Myocardial Infarction (MI) at 12 Month.
Measured: 12 months
Percentage of Participants Who Died, Had an Myocardial Infarction (MI) or a Target Vessel Revascularization (TVR) at12 Month.
Measured: 12 months
Percentage of Participants With a ARC (Academic Research Consortium) Stent Thrombosis Rate at 12 Month.
Measured: 12 months
Percentage of Patients With a Stroke at 12 Month.
The stroke rate includes: Ischemic- , Hemorraghic- \& Undetermined Stroke.
Measured: 12 months
Periprocedural Technical Success Rate.
Technical Success Rate is defined as successful delivery and deployment of the study stent to the target vessel, without balloon rupture or stent embolization, and post-procedure diameter stenosis less then 30% in 2 near-orthogonal projections with TIMI 3 flow in the target lesion. Technical success is lesion based.
Measured: Day 1 (periprocedure)
Periprocedural Clinical Procedural Success Rate
Procedural Success Rate is defined as post-procedure diameter less then 30% in 2 near-orthogonal projections with TIMI 3 flow in all target lesions without occurrence of in-hospital cardiac death, MI, TVR. Procedural success rate is subject based.
Measured: Day 1 (periprocedure)
Percentage of Participants With a Target Lesion Failure (TLF) at 12 Month.
Measured: 12 month
Percentage of Patients With Revascularization (=All Revascularizations) at 12 Month.
All CEC adjudicated revascularization at 12 month (Intent to treat population).
Measured: 12 Month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Aug 2012 (estimated)
- Study startNov 2012
- Primary completionSep 2014
- Study completion22 Dec 2018
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.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Coronary Artery DiseaseStudies of the same condition, open and under way.
- More trials run by Boston Scientific CorporationThe 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 1,684 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boston Scientific Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Peter M Maurer, MPH, Study director, Boston Scientific Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01665053
- Sponsor's protocol ID
- S2067
- Other IDs
- G120123
- Status last verified
- Jan 2019
- First submitted
- 7 Aug 2012
- Last updated
- 30 Jan 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Kereiakes DJ, Windecker S, Jobe RL, Mehta SR, Sarembock IJ, Feldman RL, Stein B, Dubois C, Grady T, Saito S, Kimura T, Underwood P, Allocco DJ, Meredith IT. Clinical Outcomes Following Implantation of Thin-Strut, Bioabsorbable Polymer-Coated, Everolimus-Eluting SYNERGY Stents. Circ Cardiovasc Interv. 2019 Sep;12(9):e008152. doi: 10.1161/CIRCINTERVENTIONS.119.008152. Epub 2019 Aug 27.
PubMed 31451014Kereiakes DJ, Meredith IT, Windecker S, Lee Jobe R, Mehta SR, Sarembock IJ, Feldman RL, Stein B, Dubois C, Grady T, Saito S, Kimura T, Christen T, Allocco DJ, Dawkins KD. Efficacy and safety of a novel bioabsorbable polymer-coated, everolimus-eluting coronary stent: the EVOLVE II Randomized Trial. Circ Cardiovasc Interv. 2015 Apr;8(4):e002372. doi: 10.1161/CIRCINTERVENTIONS.114.002372.
PubMed 25855680
Study at a glance
From the registry record, last updated by the sponsor on 30 Jan 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- EVOLVE II: A Prospective Multicenter Trial to Assess the Safety and Effectiveness of the SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System (SYNERGY Stent System) for the Treatment of Atherosclerotic Lesion(s)
- ClinicalTrials.gov ID
- NCT01665053
- Acronym / sponsor ID
- S2067
- Conditions
- Coronary Artery Disease
- Keywords
- Drug-Eluting Stents
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,684 participants (actual)
- Lead sponsor
- Boston Scientific CorporationIndustry (pharma, biotech, devices)
- Study start
- Nov 2012
- Primary completion
- Sep 2014 (actual)
- Study completion
- 22 Dec 2018 (actual)
- First posted
- 15 Aug 2012 (estimated)
- Results
- Posted 7 Jan 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the safety and effectiveness of the SYNERGY Everolimus-Eluting Platinum Chromium Coronary Stent System for the treatment of subjects with atherosclerotic lesion(s) ≤ 34 mm in length (by visual estimate) in native coronary arteries ≥2.25 mm to ≤4.0 mm in diameter (by visual estimate).
Detailed description
A concurrent, non-randomized, single-arm, pharmacokinetic (PK) substudy and a consecutive, non-randomized, single-arm, Diabetes substudy will also enroll under the EVOLVE II protocol.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Promus Element Plus | Active comparator | Device: PROMUS Element PlusPROMUS Element Plus is a device/drug combination product composed of two components, a device (coronary stent system including a platinum chromium stent platform) and a drug product (a formulation of everolimus contained in a polymer coating). |
| SYNERGY | Experimental | Device: SYNERGYSYNERGY is a device/drug combination product composed of two components, a device (coronary stent system including a platinum chromium stent platform) and a drug product (a formulation of everolimus contained in a bioabsorbable polymer coating). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Subject must be at least 18 years of age
- Subject (or legal guardian) understands the trial requirements and the treatment procedures and provides written informed consent before any trial-specific tests or procedures are performed
- For subjects less than 20 years of age enrolled at a Japanese site, the subject and the subject's legal representative must provide written informed consent before any study-specific tests or procedures are performed
- Subject is eligible for percutaneous coronary intervention (PCI)
- Subject has symptomatic coronary artery disease with objective evidence of ischemia or silent ischemia
Key exclusion criteria (39 listed)
- Subject has clinical symptoms and/or electrocardiogram (ECG) changes consistent with acute ST elevation MI (STEMI)
- Subject has cardiogenic shock, hemodynamic instability requiring inotropic or mechanical circulatory support, intractable ventricular arrhythmias, or ongoing intractable angina
- Subject has received an organ transplant or is on a waiting list for an organ transplant
- Subject is receiving or scheduled to receive chemotherapy within 30 days before or after the index procedure
- Planned PCI (including staged procedures) or CABG after the index procedure
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 |
|---|---|---|
| PROMUS Element PlusA drug eluting coronary stent system | Device | Promus Element Plus |
| SYNERGYA drug eluting coronary stent system | Device | SYNERGY |
Primary outcome
Percentage of Participants With Target Lesion Failure (TLF) at 12 Months
Time frame: 12 months
TLF is defined as any ischemia-driven revascularization of the target lesion, myocardial infarction (Q-wave and non-Q-wave) related to the target vessel, or cardiac death.
16 secondary outcomes
Percentage of Participants With Target Lesion Revascularization (TLR) at 12 Months.
Time frame: 12 months
Percentage of Participants With Target Vessel Revascularization (TVR) at 12 Months.
Time frame: 12 months
Percentage of Participants With Target Vessel Failure (TVF) at 12 Month.
Time frame: 12 months
Percentage of Participants With Myocardial Infarction at 12 Month.
Time frame: 12 months
Percentage of Participants With Cardiac Death at 12 Month.
Time frame: 12 months
Percentage of Participants With Non-Cardiac Death at 12 Month.
Time frame: 12 months
Percentage of Patients That Died at 12 Months.
Time frame: 12 months
Percentage of Patients With Cardiac Death or Myocardial Infarction (MI) at 12 Month.
Time frame: 12 months
Percentage of Participants Who Died or Had an Myocardial Infarction (MI) at 12 Month.
Time frame: 12 months
Percentage of Participants Who Died, Had an Myocardial Infarction (MI) or a Target Vessel Revascularization (TVR) at12 Month.
Time frame: 12 months
Percentage of Participants With a ARC (Academic Research Consortium) Stent Thrombosis Rate at 12 Month.
Time frame: 12 months
Percentage of Patients With a Stroke at 12 Month.
Time frame: 12 months
Periprocedural Technical Success Rate.
Time frame: Day 1 (periprocedure)
Periprocedural Clinical Procedural Success Rate
Time frame: Day 1 (periprocedure)
Percentage of Participants With a Target Lesion Failure (TLF) at 12 Month.
Time frame: 12 month
Percentage of Patients With Revascularization (=All Revascularizations) at 12 Month.
Time frame: 12 Month
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Jan 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31451014Kereiakes DJ, Windecker S, Jobe RL, Mehta SR, Sarembock IJ, Feldman RL, Stein B, Dubois C, Grady T, Saito S, Kimura T, Underwood P, Allocco DJ, Meredith IT. Clinical Outcomes Following Implantation of Thin-Strut, Bioabsorbable Polymer-Coated, Everolimus-Eluting SYNERGY Stents. Circ Cardiovasc Interv. 2019 Sep;12(9):e008152. doi: 10.1161/CIRCINTERVENTIONS.119.008152. Epub 2019 Aug 27.
- Derived from this study: PubMed 25855680Kereiakes DJ, Meredith IT, Windecker S, Lee Jobe R, Mehta SR, Sarembock IJ, Feldman RL, Stein B, Dubois C, Grady T, Saito S, Kimura T, Christen T, Allocco DJ, Dawkins KD. Efficacy and safety of a novel bioabsorbable polymer-coated, everolimus-eluting coronary stent: the EVOLVE II Randomized Trial. Circ Cardiovasc Interv. 2015 Apr;8(4):e002372. doi: 10.1161/CIRCINTERVENTIONS.114.002372.
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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.
Peter M Maurer, MPH study director
Boston Scientific Corporation
126 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing PROMUS Element Plus and SYNERGY in people with Coronary Artery Disease, run by Boston Scientific Corporation at 126 sites in 16 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 13 inclusion and 39 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 30 Jan 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 126 sites in United States, Japan, France, Canada, Australia and 11 more countries. 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 7 Jan 2016). 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?
Percentage of Participants With Target Lesion Failure (TLF) at 12 Months (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 NCT01665053, 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 30 Jan 2019.