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Coronary Artery DiseaseSPARTANCT02784405

Self-apposing Stentys Stents Registry

An observational study of Coronary Artery Disease, run by A.O.U. Città della Salute e della Scienza at 14 sites in 3 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Self-apposing, drug-eluting Stentys coronary stents represent a valuable tool for the treatment of coronary artery stenosis. Their ability to adapt to widely varying vessel calibers and to auto-expand after their release to self-appose to vessel walls is particularly useful in the presence of ectasic coronary arteries… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Coronary Artery Disease
How many people
100 participants
Where
14 sitesin 3 countries
Study dates
Dec 2016to Nov 2018
How long will I take part?
12 Months
Phase
Observational
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

Study population: Consecutive patients undergoing percutaneous treatment of coronary artery disease with implantation of a self-apposing, drug-eluting, Stentys stent

Who may be able to join

  • ≥ 18 years old
  • ability to provide informed consent

Who cannot join

  • none

Trial locations and contacts

14 sites in 3 countries.

Sebastiano Gili, MD contact

+393338354923

sebastiano.gili@gmail.com

Antonio Montefusco, MD contact

anto.montefusco@gmail.com

14 sites in 3 countries

Italy12 sites, 12 recruiting
  • Division of Cardiology, Mazzoni Hospital

    Ascoli Piceno

    Luciano Moretti, MD

    Simona Silenzi, MD

    Recruiting
  • Ferrarotto Hospital, University of Catania

    Catania

    Alessio La Manna, MD

    Recruiting
  • Division of Cardiology, ASL TO4

    Cirié

    Pietro Gaetano, MD

    Recruiting
  • Division of Cardiology, Santa Maria dei Battuti Hospital

    Conegliano

    Andrea Pavei, MD

    Recruiting
  • Division of Cardiology, Ospedale Civile di Legnano - ASST Ovest Mi

    Legnano

    Arnaldo Poli, MD

    Recruiting
  • Interventional Cardiology, Azienda Ospedaliera Fatebenefratelli

    Milan

    Bernardo Cortese, MD

    Bernardo Cortese, MD

    Recruiting
  • Division of Cardiology, Federico II University

    Naples

    Giovanni Esposito, MD, Prof

    Plinio Cirillo, MD, Prof

    Recruiting
  • Division of Cardiology, Santa Corona Hospital

    Pietra Ligure

    Anna Maria Nicolino, MD

    Recruiting
  • Division of Cardiology, Fondazione Toscana G Monasterio

    Pisa

    Luigi Emilio Pastormerlo, MD

    Cataldo Palmieri, MD

    Recruiting
  • Division of Cardiology, Policlinico Umberto I, La Sapienza University

    Roma

    Gennaro Sardella, MD

    Massimo Mancone, MD

    Recruiting
  • Division of Cardiology, ASST Bergamo Ovest

    Treviglio

    Paolo Sganzerla, MD

    Recruiting
  • AO Città della Salute e della Scienza

    Turin, 10126

    Sebastiano Gili, MD, sebastiano.gili@gmail.com

    Antonio Montefusco, MD, anto.montefusco@gmail.com

    Recruiting

Other trials in Italy

Malaysia1 site, 1 recruiting
  • Cardiology Department, Manipal Klang Hospital

    Kuala Selangor

    Kuan Leong Yew, MD, Prof

    Recruiting

Other trials in Malaysia

Poland1 site, 1 recruiting
  • Division of Cardiology, Medical University of Silesia

    Katowice

    Grzegorz Smolka, MD, Prof

    Recruiting

Other trials in Poland

About this study

Official title: Safety and Effectiveness of the Self-aPposing, bAlloon-delivered, dRug-eluting Stent for the Treatment of the Coronary Artery Disease: A multiCenter Registry

Self-apposing, drug-eluting Stentys coronary stents represent a valuable tool for the treatment of coronary artery stenosis. Their ability to adapt to widely varying vessel calibers and to auto-expand after their release to self-appose to vessel walls is particularly useful in the presence of ectasic coronary arteries or significant vessel tapering. The investigators planned this study to assess the feasibility, the effectiveness and the safety of the implantation of self-apposing, drug-eluting Stentys stents for percutaneous coronary intervention.

Consecutive patients undergoing percutaneous coronary intervention with implantation of a self-apposing Stentys stent were enrolled in this multi center registry. Inclusion criteria were age ≥ 18 years and ability to provide informed consent. No exclusion criteria were defined.

Primary end-point of the study is the occurrence of MACE (death, myocardial infarction, stent thrombosis, unplanned hospitalization for unstable angina, target lesion revascularization). Secondary end-points include individual components of MACE, procedural complications (periprocedural MI, bleedings, access site complication, failure to cross stent struts with guidewire in the treatment of bifurcation, failure to delivery the stent, contrast-induced nephropathy), bleedings at follow up.

Read the detailed description

Rationale: Choice of the appropriate size of stents in the treatment of coronary artery stenosis can often be challenging. Marked tapering of vessels' diameter in their proximal-distal development may lead to sub-optimal results. Distal under-expansion of the drug-eluting stent (DES) or vessel perforation may occur if a larger DES, best suited for the proximal diameter, is chosen. Proximal DES under-sizing with struts malapposition may happen if a smaller DES, fitting the distal diameter, is implanted. Moreover, ectasic vessels present irregular and varying diameter, which may lead as well to segmental malapposition or under-expansion of DES. Self-apposing stents can overcome these limitations thanks to their ability to self-expand also after their release in the vessel and to adapt to a wide range of vessel diameters. Multiple generation of self-apposing, drug-eluting stents have been developed, with progressive amendments pertaining the stent-deployment technique (from deployment by covering-sheath retraction to balloon-delivery) and the drug released (from paclitaxel to sirolimus). The last generation of the self-apposing stents is represented by the sirolimus-eluting, balloon-delivered Xposition S stents. Studies assessing performance of this stent are however limited in sample size and length of follow up, and are mainly controlled trials. Few data are available regarding the clinical outcomes of the self-apposing Stentys stents in a "real-life" setting.

Aim of this study is to assess the feasibility, the effectiveness and the safety of the implantation of self-apposing, drug-eluting Stentys stents for percutaneous coronary intervention.

Study population: Patients undergoing percutaneous coronary intervention with implantation of a self-apposing Stentys stent.

Primary analysis: Longitudinal cohort follow up

Study end-points:

Primary efficacy end-point:

  • Major adverse cardiovascular events (MACE) (a composite end point including death, myocardial infarction (MI, excluding periprocedural MI), stent thrombosis, unplanned hospitalization for unstable angina, target lesion revascularization (TLR))

Secondary efficacy end-points:

  • Individual components of MACE (death, MI, stent thrombosis, unplanned hospitalization, TLR)

Secondary safety end-points:

  • Procedural complications:
  • Periprocedural MI
  • Bleedings
  • Access site complication
  • Failure to cross stent struts with guidewire in the treatment of bifurcation
  • Failure to delivery the stent
  • Contrast-induced nephropathy
  • Bleedings at follow up
Keywords
percutaneous coronary intervention, stent implantation
Medical subject headings
Coronary Artery Disease

What is being measured

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

  1. Major Adverse Cardiovascular Events (MACE)

    A composite end-point of death, myocardial infarction, stent thrombosis, unplanned hospitalization for unstable angina, target lesion revascularization

    Measured: 12 months

Secondary outcomes (7)
  1. Death

    Measured: 12 months

  2. Myocardial Infarction

    Incident rate of myocardial infarction

    Measured: 12 months

  3. Stent thrombosis

    Incident rate of stent thrombosis

    Measured: 12 months

  4. Target lesion revascularization

    Incident rate of target lesion revascularization

    Measured: 12 months

  5. Unplanned hospitalization for unstable angina

    Incident rate of unplanned hospitalization for unstable angina

    Measured: 12 months

  6. Procedural and in-hospital complications

    Incident rate of periprocedural myocardial infarction, bleedings and access site complication, failure to cross stent struts with guidewire in the treatment of bifurcation, failure to delivery the stent, contrast-induced nephropathy

    Measured: 30 days

  7. Bleeding events

    Incident rate of bleedings classified according to the BARC criteria

    Measured: 12 months

Timeline

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

  1. First posted27 May 2016 (estimated)
  2. Study startDec 2016
  3. Primary completionDec 2017 (estimated)
  4. Study completionNov 2018 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
100 participants (estimated)
Target duration
12 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT02784405
Sponsor's protocol ID
sparta2016
Acronym
SPARTA
Status last verified
Dec 2016
First submitted
22 Apr 2016
Last updated
19 Dec 2016
Results posted
No
Data monitoring committee
No
Individual data sharing
No

Publications

  • Lu H, IJsselmuiden AJ, Grundeken MJ, Nassif M, de Vries AG, Weevers A, Scholte M, Spaargaren R, Wykrzykowska JJ, Tijssen JG, de Winter RJ, Koch KT. First-in-man evaluation of the novel balloon delivery system STENTYS Xposition S for the self-apposing coronary artery stent: impact on longitudinal geographic miss during stenting. EuroIntervention. 2016 Mar;11(12):1341-5. doi: 10.4244/EIJY15M05_07.

    PubMed 25983027
  • Pyxaras SA, Schmitz T, Naber CK. The STENTYS Self-Apposing(R) stent. EuroIntervention. 2015;11 Suppl V:V147-8. doi: 10.4244/EIJV11SVA34. No abstract available.

    PubMed 25983152
  • Farooq V, Gomez-Lara J, Brugaletta S, Gogas BD, Garcia-Garcia HM, Onuma Y, van Geuns RJ, Bartorelli A, Whitbourn R, Abizaid A, Serruys PW. Proximal and distal maximal luminal diameters as a guide to appropriate deployment of the ABSORB everolimus-eluting bioresorbable vascular scaffold: a sub-study of the ABSORB Cohort B and the on-going ABSORB EXTEND Single Arm Study. Catheter Cardiovasc Interv. 2012 May 1;79(6):880-8. doi: 10.1002/ccd.23177. Epub 2011 Oct 5.

    PubMed 22514149
  • Uren NG, Schwarzacher SP, Metz JA, Lee DP, Honda Y, Yeung AC, Fitzgerald PJ, Yock PG; POST Registry Investigators. Predictors and outcomes of stent thrombosis: an intravascular ultrasound registry. Eur Heart J. 2002 Jan;23(2):124-32. doi: 10.1053/euhj.2001.2707.

    PubMed 11785994
  • Yew KL, Kang Z. First-in-man unprotected left main stenting with Stentys Xposition S self-apposing sirolimus eluting stent and optical coherence tomography guidance: The emerging panacea for left main intervention. Int J Cardiol. 2015 Dec 15;201:628-30. doi: 10.1016/j.ijcard.2015.08.035. Epub 2015 Aug 4. No abstract available.

    PubMed 26340130
  • Buccheri D, Orrego PS, Cortese B. Drug-eluting stent treatment of left main coronary artery disease: the case for a sirolimus-eluting, autoexpandable alternative. An optical coherence tomography analysis. Int J Cardiol. 2015 Nov 15;199:119-20. doi: 10.1016/j.ijcard.2015.07.006. Epub 2015 Jul 11. No abstract available.

    PubMed 26188831
  • van Geuns RJ, Yetgin T, La Manna A, Tamburino C, Souteyrand G, Motreff P, Koch KT, Vrolix M, IJsselmuiden A, Amoroso G, Berland J, Montalescot G, Teiger E, Christiansen EH, Spaargaren R, Wijns W. STENTYS Self-Apposing sirolimus-eluting stent in ST-segment elevation myocardial infarction: results from the randomised APPOSITION IV trial. EuroIntervention. 2016 Feb;11(11):e1267-74. doi: 10.4244/EIJV11I11A248.

    PubMed 26865444
  • Yew KL. Longitudinal stent foreshortening of Stentys Xposition S self-apposing stents and its impact on overlapping stenting strategy. Int J Cardiol. 2016 Feb 1;204:187-8. doi: 10.1016/j.ijcard.2015.11.176. Epub 2015 Nov 25. No abstract available.

    PubMed 26666346
  • Montefusco A, D'Ascenzo F, Gili S, Smolka G, Chieffo A, Baumbach A, Escaned J, Sganzerla P, Tomassini F, Secco GG, Ugo F, Tamburino C, Nicolino A, Mancone M, Poli A, Yew KL, Cirillo P, Wanha W, Pastormerlo LE, di Summa R, Sardella G, Colombo A, Gaita F, Cortese B. Self-expandable sirolimus-eluting stents compared to second-generation drug-eluting stents for the treatment of the left main: A propensity score analysis from the SPARTA and the FAILS-2 registries. Catheter Cardiovasc Interv. 2019 Feb 1;93(2):208-215. doi: 10.1002/ccd.27809. Epub 2018 Oct 8.

    PubMed 30298593

Questions about this trial

What is this clinical trial studying?

An observational study of Coronary Artery Disease, run by A.O.U. Città della Salute e della Scienza at 14 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?

The sponsor lists 2 inclusion and 1 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 19 Dec 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Italy, Malaysia, 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.

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?

Contact Sebastiano Gili, MD (+393338354923, sebastiano.gili@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Major Adverse Cardiovascular Events (MACE) (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 NCT02784405, which also lists 9 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 19 Dec 2016.

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