Coronary Artery DiseaseNCT02305472
NeoVas Bioresorbable Coronary Scaffold Registry Study
A study testing NeoVas BCS in people with Coronary Artery Disease, run by Lepu Medical Technology (Beijing) Co., Ltd. at 27 sites in China.
Trial summary
The NeoVas Bioresorbable Coronary Scaffold Registry Trial is a prospective, multi-center, single arm registry trial based on the NeoVas FIM study which verified the safety and effectiveness of NeoVas initially. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Coronary Artery Disease
- What is being tested?
- NeoVas BCS
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 825 participants
- Where
- 27 sitesChina
- Study dates
- Nov 2014to Sep 2020
- Phase
- Interventional
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age must be 18-75 years, men or unpregnant women.
- Patient must have evidence of myocardial ischemia, suitable for elective PCI. Subjects with stable angina or silent ischemia and <70% diameter stenosis must have objective sign of ischemia as determined by one of the following, echocardiogram, nuclear scan, ambulatory ECG or stress ECG. In the absence of noninvasive ischemia, fractional flow reserve(FFR) must be done and indicative of ischemia.
- Patients with one or two de novo lesions located in different epicardial vessels.
- Target lesion must be≤20mm in length(visual estimation)and 2.75 to 3.75 mm in diameter(Online QCA).
- Target lesion is with a visually estimated stenosis of ≥70%(or≥50% and evidence of myocardial ischemia) with a TIMI flow of ≥1.
- The target lesion can be covered by one scaffold(except the rescue scaffold).
- Patient must be an acceptable candidate for coronary artery bypass graft.
- Patient or a legally authorized representative must provide written Informed Consent prior to any study related procedure.
Who cannot join
- Patients has had a known diagnosis of acute myocardial infarction(AMI) within 7 days preceding the procedure; CK and CK-MB have not returned within normal limits at the time of procedure.
- Chronic total occlusion lesions (TIMI 0 grade blood flow prior to implantation), left trunk vessel lesion, ostial lesion, multi-branch lesions needing treated, bifurcation lesion (diameter ≥2.0mm, branch opening stenosis exceeds 50% or need balloon expansion) and bridge vessel lesions; there is thrombus visible in the target blood vessels.
- Severe calcified lesions and twisted lesions which cannot be pre-expanded, and lesions unsuitable for delivering and expanding stents.
- In-stent restenosis lesion.
- Patient has undergone previous stenting anywhere within the target vessel(s) within the previous 12 months, or will require stenting within the target vessel(s) within 1 year after the study procedure; target vessels that has been implanted with stents.
- Severe heart failure(over NYHA III grade ), or left ventricular ejection fraction(LVEF)<40%( supersonic inspection or left ventricular radiography ).
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- Known renal insufficiency(eGFR<60 ml/min, serum creatinine>2.5mg/dL, or subject on dialysis).
- Patients with hemorrhage tendency, an active digestive ulcer history, a cerebral hemorrhage or subarachnoid hemorrhage history, or cerebral apoplexy within half a year, and these patients who contraindicate against platelet inhibitors and anticoagulant therefore cannot bear anticoagulation treatment.
- Patient has a known hypersensitivity or contraindication to aspirin, clopidogrel, ticagrelor or prasugrel, heparin, contrast agent, polylactic acid or sirolimus that cannot be adequately pre-medicated.
- Life expectancy < 12 months.
- Patient is participating in another device or drug study that has not reached the primary endpoint of the study.
- Patient's inability to fully cooperate with the study protocol.
- Patient has a heart transplant.
- Patient has current unstable arrhythmias, such as high risk ventricular premature beat and ventricular tachycardia.
- Patient is receiving or scheduled to receive chemotherapy for malignancy within 30 days prior to or after the procedure.
- Patient is receiving immunosuppression therapy and has known immunosuppressive or autoimmune disease.
- Patient is receiving or scheduled to receive chronic anticoagulation therapy (e.g., heparin, warfarin).
- Elective surgery is planned within the first 6 months after the procedure that will require discontinuing either aspirin, clopidogrel, ticagrelor or prasugrel.
- Platelet count<100,000 cells/mm3 or>700,000 cells/mm3, a WBC of<3,000 cells/mm3, or documented or suspected liver disease.
- Patient has extensive peripheral vascular disease that precludes safe 6 French sheath insertion.
Trial locations and contacts
27 sites in 1 country.
27 sites in 1 country
China27 sites
Beijing Anzhen Hospital, Capital Medical University
Beijing, Beijing Municipality, 100029
General Hospital of Armed Police Forces
Beijing, Beijing Municipality, 100039
Aerospace Center Hospital
Beijing, Beijing Municipality, 100049
Xiangya Hospital Central South University
Changsha, Hunan, 410008
Chengdu Military General Hospital
Chengdu, Sichuan, 610083
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Nanfang Hospital Southern Medical University
Guangzhou, Guangdong, 510515
The First Affiliated Hospital, Zhejiang University
Hangzhou, Zhejiang, 310003
Sir Run Run Shaw Hospital,School of Medicine, Zhejiang University
Hangzhou, Zhejiang, 310016
Anhui Provincial Hospital
Hefei, Anhui, 230001
Kunming General Hospital of Chengdu Military Region
Kunming, Yunnan, 650032
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730000
Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School
Nanjing, Jiangsu, 210008
Zhongda Hospital Southeast University
Nanjing, Jiangsu, 210009
Jiangsu Province Hospital
Nanjing, Jiangsu, 210029
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530021
Renji Hospital Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200001
Shanghai Tenth People'S Hospital of Tongji University
Shanghai, Shanghai Municipality, 200072
Changhai Hospital of Shanghai
Shanghai, Shanghai Municipality, 200433
The general hospital of Shenyang military region
Shenyang, Liaoning, 110016
Bethune Peace Hospital of PLA
Shijiazhuang, Hebei, 050081
Affiliated Hospital of The Chinese People's Armed Police Forces Logistic College
Tianjin, Tianjin Municipality, 300162
Tianjin first center hospital
Tianjin, Tianjin Municipality, 300192
Renmin Hospital of Wuhan University
Wuhan, Hubei, 430060
Wuhan General Hospital of Guangzhou Military
Wuhan, Hubei, 430070
Xijing Hospital, the Fourth Military Medical University
Xi’an, Shanxi, 710032
The First Affiliated Hospital of Xi'An Jiaotong University
Xi’an, Shanxi, 710061
About this study
Official title: Clinical Evaluation of a Bioresorbable Sirolimus-eluting Coronary Scaffold in the Treatment of Patients With de Novo Coronary Artery Lesion (NeoVas): a Single Arm Registry Study
The NeoVas Bioresorbable Coronary Scaffold Registry Trial is a prospective, multi-center, single arm registry trial based on the NeoVas FIM study which verified the safety and effectiveness of NeoVas initially. This study is to evaluate the safety and effectiveness of NeoVas sirolimus-eluting bioresorbable coronary scaffold in the treatment of patients with de novo coronary lesion.
Read the detailed description
Approximately 825 subjects will be enrolled and receive NeoVas BCS(Lepu Medical Technology (Beijing) Co.,Ltd). Subjects will have clinical follow-up at 30, 90, 180 and 270 days and at 1,2,3,4 and 5 years. The primary endpoint is target lesion failure(TLF) at 1 year follow-up.
- Conditions
- Coronary Artery Disease
- Being tested
- NeoVas BCS
- Keywords
- NeoVas, Bioresorbable Coronary Scaffold, Sirolimus, Registry Trial
- 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.
NeoVas BCSDevice
Also called NeoVas Bioresorbable Coronary Scaffold
Subjects receiving NeoVas BCS
| Study group | Role | What they receive |
|---|---|---|
| NeoVas BCS | Experimental | The NeoVas sirolimus-eluting bioresorbable coronary scaffold system is a PLLA-based polymer scaffold and contains the antiproliferative drug sirolimus. Receives: Device: NeoVas BCS |
What is being measured
The primary outcome is the main question the study is designed to answer.
Target lesion failure
Target lesion failure is a composite endpoint of cardiac death, target vessel related myocardial infarction (TV-MI) and the ischemia-driven target lesion revascularization.
Measured: 1 year
Secondary outcomes (9)
Device Success
Successful delivery and deployment of the assigned scaffold at the intended target lesion and successful withdrawal of the delivery system with attainment of final in-scaffold residual stenosis of less than 30% by quantitative coronary angiography (QCA) (by visual estimation if QCA unavailable). The success or failure of the first-aid stent is not included.
Measured: intraoperative
Procedural Success
Achievement of final in-scaffold residual stenosis of less than 30% by QCA (by visual estimation if QCA unavailable) with successful delivery and deployment of at least one assigned scaffold at the intended target lesion and successful withdrawal of the delivery system for the target lesion without the occurrence of cardiac death, target vessel MI or repeat TLR. For the circumstance of two target lesions, both lesions must meet the success criteria.
Measured: At time of procedure up to 7 days in hospital
Target lesion failure
Target lesion failure is a composite endpoint of cardiac death, target vessel related myocardial infarction (TV-MI) and the ischemia-driven target lesion revascularization.
Measured: 30days, 3,6,9 months and 2,3,4,5 years
Patient oriented composite endpoint
Patients oriented composite endpoint includes all-cause death, all myocardial infarction and any revascularization.
Measured: 30days, 3,6,9 months and 1,2,3,4,5 years
Ischemia-driven Target Lesion Revascularization (iTLR)
Measured: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
Ischemia-driven Target Vessel Revascularization (iTVR)
Measured: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
All coronary revascularization (PCI and CABG)
Measured: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
Scaffold thrombosis
Scaffold thrombosis will be categorized as acute (≤1day), subacute (>1day ≤30 days) and late (>30 days).Clinical presentation of acute coronary syndrome with angiographic evidence of scaffold thrombosis (angiographic appearance of thrombus within or adjacent to a previously treated target lesion).In the absence of angiography, any unexplained death, or acute MI (ST segment elevation or new Q-wave) in the distribution of the target lesion within 30 days.
Measured: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
Percentage of patients who experienced angina
Angina is defined as any angina or angina equivalent symptoms determined by the physician and/or research coordinator after interview of the patient, and as adjudicated by a clinical events committee (CEC).
Measured: 30days, 3,6,9 months and 1, 2, 3, 4, 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2014 (estimated)
- Study startNov 2014
- Primary completionSep 2017 (estimated)
- Study completionSep 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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 N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 825 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Yaling Han, MD, Study chair, The general hospital of Shenyang military regionGuosheng Fu, Principal investigator, Sir Run Run Shaw HospitalBo Xu, Principal investigator, Beijing Fuwai hospital, National center for cardiovascular diseases ChinaYao-Jun Zhang, Principal investigator, Nanjing First Hospital, Nanjing Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02305472
- Sponsor's protocol ID
- LPM-201403
- Status last verified
- Dec 2015
- First submitted
- 27 Nov 2014
- Last updated
- 9 Mar 2017
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 9 Mar 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Evaluation of a Bioresorbable Sirolimus-eluting Coronary Scaffold in the Treatment of Patients With de Novo Coronary Artery Lesion (NeoVas): a Single Arm Registry Study
- ClinicalTrials.gov ID
- NCT02305472
- Acronym / sponsor ID
- LPM-201403
- Conditions
- Coronary Artery Disease
- Keywords
- NeoVas, Bioresorbable Coronary Scaffold, Sirolimus, Registry Trial
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 825 participants (estimated)
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Nov 2014
- Primary completion
- Sep 2017 (estimated)
- Study completion
- Sep 2020 (estimated)
- First posted
- 2 Dec 2014 (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.
The NeoVas Bioresorbable Coronary Scaffold Registry Trial is a prospective, multi-center, single arm registry trial based on the NeoVas FIM study which verified the safety and effectiveness of NeoVas initially. This study is to evaluate the safety and effectiveness of NeoVas sirolimus-eluting bioresorbable coronary scaffold in the treatment of patients with de novo coronary lesion.
Detailed description
Approximately 825 subjects will be enrolled and receive NeoVas BCS(Lepu Medical Technology (Beijing) Co.,Ltd). Subjects will have clinical follow-up at 30, 90, 180 and 270 days and at 1,2,3,4 and 5 years. The primary endpoint is target lesion failure(TLF) at 1 year follow-up.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| NeoVas BCS | Experimental | Device: NeoVas BCSThe NeoVas sirolimus-eluting bioresorbable coronary scaffold system is a PLLA-based polymer scaffold and contains the antiproliferative drug sirolimus. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age must be 18-75 years, men or unpregnant women.
- Patient must have evidence of myocardial ischemia, suitable for elective PCI. Subjects with stable angina or silent ischemia and <70% diameter stenosis must have objective sign of ischemia as determined by one of the following, echocardiogram, nuclear scan, ambulatory ECG or stress ECG. In the absence of noninvasive ischemia, fractional flow reserve(FFR) must be done and indicative of ischemia.
- Patients with one or two de novo lesions located in different epicardial vessels.
- Target lesion must be≤20mm in length(visual estimation)and 2.75 to 3.75 mm in diameter(Online QCA).
- Target lesion is with a visually estimated stenosis of ≥70%(or≥50% and evidence of myocardial ischemia) with a TIMI flow of ≥1.
Key exclusion criteria (20 listed)
- Patients has had a known diagnosis of acute myocardial infarction(AMI) within 7 days preceding the procedure; CK and CK-MB have not returned within normal limits at the time of procedure.
- Chronic total occlusion lesions (TIMI 0 grade blood flow prior to implantation), left trunk vessel lesion, ostial lesion, multi-branch lesions needing treated, bifurcation lesion (diameter ≥2.0mm, branch opening stenosis exceeds 50% or need balloon expansion) and bridge vessel lesions; there is thrombus visible in the target blood vessels.
- Severe calcified lesions and twisted lesions which cannot be pre-expanded, and lesions unsuitable for delivering and expanding stents.
- In-stent restenosis lesion.
- Patient has undergone previous stenting anywhere within the target vessel(s) within the previous 12 months, or will require stenting within the target vessel(s) within 1 year after the study procedure; target vessels that has been implanted with stents.
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 |
|---|---|---|
| NeoVas BCSAlso: NeoVas Bioresorbable Coronary ScaffoldSubjects receiving NeoVas BCS | Device | NeoVas BCS |
Primary outcome
Target lesion failure
Time frame: 1 year
Target lesion failure is a composite endpoint of cardiac death, target vessel related myocardial infarction (TV-MI) and the ischemia-driven target lesion revascularization.
9 secondary outcomes
Device Success
Time frame: intraoperative
Procedural Success
Time frame: At time of procedure up to 7 days in hospital
Target lesion failure
Time frame: 30days, 3,6,9 months and 2,3,4,5 years
Patient oriented composite endpoint
Time frame: 30days, 3,6,9 months and 1,2,3,4,5 years
Ischemia-driven Target Lesion Revascularization (iTLR)
Time frame: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
Ischemia-driven Target Vessel Revascularization (iTVR)
Time frame: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
All coronary revascularization (PCI and CABG)
Time frame: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
Scaffold thrombosis
Time frame: 30 days, 3,6,9 months and 1, 2, 3, 4, 5 years
Percentage of patients who experienced angina
Time frame: 30days, 3,6,9 months and 1, 2, 3, 4, 5 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Mar 2017.
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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.
Yaling Han, MD study chair
The general hospital of Shenyang military region
Guosheng Fu principal investigator
Sir Run Run Shaw Hospital
Bo Xu principal investigator
Beijing Fuwai hospital, National center for cardiovascular diseases China
27 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing NeoVas BCS in people with Coronary Artery Disease, run by Lepu Medical Technology (Beijing) Co., Ltd. at 27 sites in China.
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 8 inclusion and 20 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: status not confirmed, as of the sponsor's last update on 9 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in China. 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?
Results are not available in the source record.
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?
Target lesion failure (time frame: 1 year). 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 9 Mar 2017.