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AtherosclerosisNCT01703000

NG PROMUS Stent System for the Treatment of Atherosclerotic Coronary Lesions

A study testing Percutaneous coronary intervention (NG PROMUS) in people with Atherosclerosis and Coronary Artery Disease, run by Boston Scientific Corporation at 9 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

NG PROMUS: A Prospective, Multicenter Trial to Assess the NG PROMUS Everolimus-Eluting Platinum Chromium Coronary Stent System (NG PROMUS Stent System) for the Treatment of Atherosclerotic Lesion(s) Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Atherosclerosis, Coronary Artery Disease
What is being tested?
Percutaneous coronary intervention (NG PROMUS)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
9 sitesin 3 countries
Study dates
Nov 2012to Mar 2013
Phase
Interventional
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

Clinical Inclusion Criteria:

  1. Subject must be at least 18 years of age
  2. 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
  3. Subject is eligible for percutaneous coronary intervention (PCI)
  4. Subject has symptomatic coronary artery disease with objective evidence of ischemia or silent ischemia
  5. Subject is an acceptable candidate for coronary artery bypass grafting (CABG)
  6. Subject is willing to comply with all protocol-required follow-up evaluation

Angiographic Inclusion Criteria:

  1. Target lesion(s) must be located in a native coronary artery with a visually estimated reference vessel diameter (RVD) ≥2.50 mm and ≤4.0 mm
  2. Target lesion(s) length must be ≤34 mm (by visual estimate)
  3. 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 test or imaging stress test, or elevated biomarkers) prior to procedure
  4. Coronary anatomy is likely to allow delivery of a study device to the target lesions(s)
  5. The first lesion treated must be successfully pre-dilated/pretreated Note: Successful pre-dilatation/pretreatment refers to dilatation with a balloon catheter of appropriate length and diameter, or pretreatment with directional or rotational coronary atherectomy, laser or cutting/scoring balloon with no greater than 50% residual stenosis and no dissection greater than National Heart, Lung, Blood Institute (NHLBI) type C.

Clinical Exclusion Criteria:

  1. Subject has clinical symptoms and/or electrocardiogram (ECG) changes consistent with acute ST elevation MI (STEMI)
  2. Subject has cardiogenic shock, hemodynamic instability requiring inotropic or mechanical circulatory support, intractable ventricular arrhythmias, or ongoing intractable angina
  3. Subject has received an organ transplant or is on a waiting list for an organ transplant
  4. Subject is receiving or scheduled to receive chemotherapy within 30 days before or after the index procedure
  5. Planned PCI (including staged procedures) or CABG after the index procedure
  6. Subject previously treated at any time with intravascular brachytherapy
  7. 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)
  8. 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
  9. Subject is receiving chronic (≥72 hours) anticoagulation therapy (i.e., heparin, coumadin) for indications other than acute coronary syndrome
  10. Subject has a platelet count <100,000 cells/mm3 or >700,000 cells/mm3
  11. Subject has a white blood cell (WBC) count < 3,000 cells/mm3
  12. Subject has documented or suspected liver disease, including laboratory evidence of hepatitis
  13. Subject is on dialysis or has baseline serum creatinine level >2.0 mg/dL (177µmol/L)
  14. Subject has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions
  15. Subject has had a history of cerebrovascular accident (CVA) or transient ischemic attack (TIA) within the past 6 months
  16. Subject has an active peptic ulcer or active gastrointestinal (GI) bleeding
  17. Subject has signs or symptoms of active heart failure (i.e., NYHA class IV) at the time of the index procedure
  18. Subject is participating in another investigational drug or device clinical trial that has not reached its primary endpoint
  19. Subject intends to participate in another investigational drug or device clinical trial within 12 months after the index procedure
  20. 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)
  21. 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:

  1. Planned treatment of more than 3 lesions.
  2. Planned treatment of lesions in more than 2 major epicardial vessels
  3. Planned treatment of a single lesion with more than 1 stent
  4. Subject has 2 target lesions in the same vessel that are separated by less than 15 mm (by visual estimate)
  5. Target lesion(s) is located in the left main
  6. 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.
  7. Target lesion(s) is located within a saphenous vein graft or an arterial graft
  8. Target lesion(s) will be accessed via a saphenous vein graft or arterial graft
  9. Target lesion(s) with a TIMI flow 0 (total occlusion) or TIMI flow 1 prior to guide wire crossing
  10. Target lesion(s) treated during the index procedure that involves a complex bifurcation (e.g., bifurcation lesion requiring treatment with more than 1 stent)
  11. Target lesion(s) is restenotic from a previous stent implantation or study stent would overlap with a previous stent
  12. Subject has unprotected left main coronary artery disease (>50% diameter stenosis)
  13. 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
  14. Thrombus, or possible thrombus, present in the target vessel (by visual estimate)

Trial locations and contacts

9 sites in 3 countries.

9 sites in 3 countries

New Zealand6 sites
  • Mercy Angiography Unit, Ltd. Mercy Hospital

    Auckland, 1003

  • Auckland City Hospital

    Auckland, 1010

  • North Shore Hospital

    Auckland, 1030

  • Ascot Angiography

    Auckland, 1546

  • Christchurch

    Christchurch, 8140

  • Middlemore Hospital

    Otahuhu, 1640

Other trials in New Zealand

Singapore2 sites
  • National University Hospital Singapore

    Singapore, 119228

  • National Heart Center Singapore

    Singapore, 168752

Other trials in Singapore

Australia1 site
  • Fremantle Hospital

    Fremantle, Western Australia, 6160

Other trials in Australia

About this study

Official title: NG PROMUS: A Prospective, Multicenter Trial to Assess the NG PROMUS Everolimus-Eluting Platinum Chromium Coronary Stent System (NG PROMUS Stent System) for the Treatment of Atherosclerotic Lesion(s)

NG PROMUS: A Prospective, Multicenter Trial to Assess the NG PROMUS Everolimus-Eluting Platinum Chromium Coronary Stent System (NG PROMUS Stent System) for the Treatment of Atherosclerotic Lesion(s)

Read the detailed description

To evaluate clinical and peri-procedural angiographic and intravascular ultrasound (IVUS) outcomes for the NG PROMUS Everolimus-Eluting Platinum Chromium Coronary Stent System (NG PROMUS Stent System) in the treatment of subjects with atherosclerotic lesion(s) ≤ 34 mm in length (by visual estimate) in native coronary arteries ≥ 2.50 mm to ≤ 4.0 mm in diameter (by visual estimate)

Being tested
Percutaneous coronary intervention (NG PROMUS)
Keywords
drug eluting coronary stent
Medical subject headings
Atherosclerosis, Coronary Artery Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Percutaneous coronary intervention (NG PROMUS)Device

    Interventional coronary artery stenting with NG PROMUS study stent.

Study groups in NCT01703000
Study groupRoleWhat they receive
NG PROMUS stentExperimentalSingle-arm treatment group receiving interventional NG PROMUS study stent
Receives: Device: Percutaneous coronary intervention (NG PROMUS)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Technical Success Rate

    Technical success is defined as successful delivery and deployment of the study stent to the target lesion, without balloon rupture or stent embolization, and post-procedure diameter stenosis of <30% assessed in 2 near-orthogonal projections with TIMI 3 flow in the target lesion, as visually assessed by the physician

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

Secondary outcomes (27)
  1. Target Lesion Revascularization (TLR) Rate

    Target lesion revascularization is any ischemia-driven repeat percutaneous intervention, to improve blood flow, of the successfully treated target lesion or bypass surgery of the target vessel with a graft distally to the successfully treated target lesion. A TLR will be considered as ischemia-driven if the target lesion diameter stenosis is >/= 50% by QCA and there is presence of clinical or functional ischemia which cannot be explained by other coronary or graft lesions. Clinical or functional ischemia is any of the following:

    • The subject has a positive functional study corresponding to the area served by the target lesion.
    • The subject has ischemic ECG changes at rest in a distribution consistent with the target vessel.
    • The subject has ischemic symptoms referable to the target lesion. A TLR will be considered as ischemia-driven if the lesion diameter stenosis is >/= 70% by QCA even in the absence of clinical or functional ischemia.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  2. Target Lesion Failure (TLF) Rate

    Target lesion failure is any ischemia-driven revascularization of the target lesion, MI (Q-wave and non-Q-wave) related to the target vessel, or (cardiac) death. For the purposes of this protocol, if it cannot be determined with certainty whether the MI was related to the target vessel, it will be considered a TLF.

    The MI definition used for Target Lesion Failure was the PLATINUM MI definition.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  3. Target Vessel Revascularization (TVR) Rate

    Target vessel revascularization is defined as a TLR or a TVR remote. Target vessel revascularization remote is any ischemia-driven repeat percutaneous intervention, to improve blood flow, or bypass surgery of not previously existing lesions diameter stenosis >/= 50% by QCA in the target vessel, excluding the target lesion. A TVR will be considered ischemia-driven if the target vessel diameter stenosis is >/= 50% by QCA and any of the following are present:

    • The subject has a positive functional study corresponding to the area served by the target vessel.
    • The subject has ischemic ECG changes at rest in a distribution consistent with the target vessel.
    • The subject has ischemic symptoms referable to the target vessel. A TVR will also be considered as ischemia-driven if the lesion diameter stenosis is >/=70% even in the absence of clinical or functional ischemia.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  4. Target Vessel Failure (TVF) Rate

    Target vessel failure is any ischemia-driven revascularization of the target vessel, MI (Q-wave and non-Q-wave) related to the target vessel or death related to the target vessel. For the purposes of this protocol, if it cannot be determined with certainty whether the MI or death was related to the target vessel, it will be considered a TVF.

    The MI definition used was the PLATINUM MI definition.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  5. Myocardial Infarction (MI, Q-wave and Non-Q-wave) Rate

    MI will be defined according to the PLATINUM Definition of MI with evidence pre-specified for i) Spontaneous, ii) PCI-related, iii) CABG related, and iv) autopsy evidence criteria.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  6. Cardiac Death Rate

    Cardiac death is defined as death due to any of the following.

    • Acute MI
    • Cardiac perforation/pericardial tamponade
    • Arrhythmia or conduction abnormality
    • CVA through hospital discharge or CVA suspected of being related to the procedure
    • Death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery
    • Any death in which a cardiac cause cannot be excluded

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  7. Non-cardiac Death Rate

    Non-cardiac death is defined as a death not due to any of the following:

    • Acute MI
    • Cardiac perforation/pericardial tamponade
    • Arrhythmia or conduction abnormality
    • CVA through hospital discharge or CVA suspected of being related to the procedure
    • Death due to complication of the procedure, including bleeding, vascular repair, transfusion reaction, or bypass surgery
    • Any death in which a cardiac cause cannot be excluded

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  8. All Death Rate

    Death is categorized as cardiac or non-cardiac deaths.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  9. Cardiac Death or MI Rate

    Any cardiac death or MI event meeting the criteria defined for a cardiac death or MI.

    MI definition used was the PLATINUM definition for MI.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  10. All Death or MI Rate

    Any all-cause mortality event or MI meeting the criteria defined for any death or MI.

    MI definition used was the PLATINUM definition for MI.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  11. All Death/MI/TVR Rate

    Any event meeting the pre-specified criteria for any death, MI, or TVR.

    MI definition used was the PLATINUM definition for MI.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  12. Stent Thrombosis Rate (by Academic Research Consortium [ARC] Definitions)

    Stent thrombosis should be reported as a cumulative value at the different time points and with the different separate time points. Time 0 is defined as the time point after the guide catheter has been removed and the patient left the catheterization lab.

    Timing:

    • Acute stent thrombosis*: 0 24 hours after stent implantation
    • Subacute stent thrombosis*: >24 hours to 30 days after stent implantation
    • Late stent thrombosis: >30 days to 1 year after stent implantation
    • Very late stent thrombosis: >1 year after stent implantation * Acute/subacute can also be replaced by early stent thrombosis. Early stent thrombosis is 0 30 days.

    Stent thrombosis may be defined as:

    • Confirmed/definite
    • Probable
    • Possible

    Confirmed/Definite (is considered either angiographic confirmed or pathologic confirmed)

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day and at 30 days

  13. Clinical Procedural Success Rate

    Clinical procedural success is post-procedure diameter stenosis <30% in 2 near-orthogonal projections with TIMI 3 flow in all target lesions, as visually assessed by the physician, without the occurrence of in-hospital MI, TVR, or cardiac death.

    MI definition used was the PLATINUM definition for MI.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  14. In-stent Percent Diameter Stenosis (%DS)

    As measured by an independent angiographic core laboratory using quantitative coronary angiography (QCA), the % diameter stenosis of the in-stent region.

    Percent diameter stenosis: Relative changes that occur in the percent diameter stenosis are provided by the following relationship: % diameter stenosis= (1-[Minimum Lumen Diameter/Reference diameter]) x 100.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  15. In-segment Percent Diameter Stenosis (%DS)

    As measured by an independent angiographic core laboratory using quantitative coronary angiography (QCA), the % diameter stenosis of the in-segment region (in-segment includes the stented region and 5 mm edge regions).

    Percent diameter stenosis: Relative changes that occur in the percent diameter stenosis are provided by the following relationship: % diameter stenosis= (1-[Minimum Lumen Diameter/Reference diameter]) x 100.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  16. In-stent Minimum Lumen Diameter (MLD)

    As measured by an independent angiographic core laboratory using quantitative coronary angiography (QCA); the minimum lumen diameter (MLD) measured at the in-stent region.

    The MLD is the mean minimum lumen diameter (mm) from 2 orthogonal views.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  17. In-segment Minimum Lumen Diameter (MLD)

    As measured by an independent angiographic core laboratory using quantitative coronary angiography (QCA); the minimum lumen diameter (MLD) measured at the in-segment region (in-segment includes the stented region and 5 mm edge regions).

    The MLD is the mean minimum lumen diameter (mm) from 2 orthogonal views.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  18. Acute Gain

    Acute gain, as measured by angiographic core lab

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  19. Vessel Area

    As measured by IVUS, the mean vessel area (mm2).

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  20. Stent Area

    As measured by IVUS, the area of the stent.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  21. Lumen Area

    As measured by IVUS, the area of the lumen.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  22. Vessel Volume

    As measured by IVUS, the volume of the vessel.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  23. Stent Volume

    As measured by IVUS, the volume of the stent.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  24. Lumen Volume

    As measured by IVUS, the volume of the lumen.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  25. Incomplete Apposition

    Incomplete apposition rate, as measured by the IVUS core lab.

    Binary assessment of presence of one or more stent struts separated from the vessel wall as detected through intravascular ultrasound (IVUS).

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  26. Percent Net Volume Obstruction

    The percentage of volume obstruction, as measured by the IVUS core lab.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

  27. Longitudinal Stent Deformation

    Longitudinal stent deformation, evidenced by longitudinal compression or elongation, as the result of crossing a newly deployed stent with a second device, (such as a balloon catheter, stent system or IVUS catheter), causing the second device to become caught on the stent when the second device is advanced or retracted.

    Measured: Participants will be followed for the duration of hospital stay, an expected average of 1 day

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Oct 2012 (estimated)
  2. Study startNov 2012
  3. Primary completionMar 2013
  4. Study completionMar 2013

Resources

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 N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01703000
Sponsor's protocol ID
NG PROMUS Clinical Trial S2294
Status last verified
Mar 2014
First submitted
5 Oct 2012
Last updated
15 Apr 2014
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Percutaneous coronary intervention (NG PROMUS) in people with Atherosclerosis and Coronary Artery Disease, run by Boston Scientific Corporation at 9 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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 15 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in New Zealand, Singapore, 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Mar 2014). 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?

Technical Success Rate (time frame: Participants will be followed for the duration of hospital stay, an expected average of 1 day). 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 15 Apr 2014.

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