Coronary Artery Disease (Left Main)TRUNCNCT02800837
Clinical Study to Evaluate the STENTYS Xposition S for Treatment of Unprotected Left Main Coronary Artery Disease
An observational study of Coronary Artery Disease (Left Main), run by Stentys at 4 sites in 3 countries.
Trial summary
Prospective, non-randomized, multi-center study assessing the long term safety and efficacy of the self expandable sirolimus eluting Xposition S stent in the treatment of unprotected left main coronary artery disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Coronary Artery Disease (Left Main)
- How many people
- 200 participants
- Where
- 4 sitesin 3 countries
- Study dates
- May 2016to Jun 2019
- 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: Patients with coronary artery stenosis (unprotected left main coronary artery), indicated for Percutaneous Coronary Intervention (PCI) and Xposition S stent treatment.
Main Inclusion Criteria:
- Subject ≥ 18 years old;
- Presence of coronary artery stenosis in the unprotected Left Main (LM) Coronary Artery which is indicated for PCI and Xposition S stent treatment
- Left Main Coronary Artery reference vessel diameter ranging from 2.5 mm to 6.0 mm;
- The subject is able to provide voluntary informed consent, willing to comply with all study requirements and sign the written informed consent.
Main Exclusion Criteria:
- Recent STEMI (<1 month) ;
- SYNTAX score ≥ 33 ;
- Highly calcified lesions or excessive tortuosity at target lesion site;
- Subject unable to comply with dual antiplatelet therapy as recommended per guidelines;
- Planned cardiac surgery or valve intervention within the next 12 months.
- Participation to other investigational drug or device studies that have not reached their primary endpoint.
Trial locations and contacts
4 sites in 3 countries.
4 sites in 3 countries
Italy2 sites, 2 recruiting
- Not yet recruiting
Ferraroto Hospital - Catania University
Catania
Corrado Tamburino
- Not yet recruiting
Clinica Mediterranea
Naples
Carlo Briguori
Switzerland1 site, 1 recruiting
- Recruiting
St Gallen Kantonsspital
Sankt Gallen
Daniel Weilenmann, +41 71 494 10 51
Daniel Weillenmann
United Kingdom1 site, 1 recruiting
- Not yet recruiting
Bristol Heart Institute
Bristol
Andreas Baumbach
About this study
Official title: Multicenter Prospective Clinical Study of the STENTYS Xposition S for Treatment of Unprotected Left Main Coronary Artery Disease
Prospective, non-randomized, multi-center study assessing the long term safety and efficacy of the self expandable sirolimus eluting Xposition S stent in the treatment of unprotected left main coronary artery disease.
Read the detailed description
In the treatment of unprotected left main coronary artery (ULMCA) disease, previous mono-center studies have shown promising results with the previous generation of the self-expandable STENTYS stent (paclitaxel eluting stent, delivered via withdrawal of a sheath).
The TRUNC study aims at assessing at large scale the Xposition S in the treatment of ULMCA disease. The Xposition S is a sirolimus eluting stent, mounted on a balloon delivery system. The study aims at collecting clinical practice routine data from 200 patients.
- Conditions
- Coronary Artery Disease (Left Main)
- Keywords
- left main, stent, self-expandable, DES, Stentys
- Medical subject headings
- Coronary Artery Disease
What is being measured
The primary outcome is the main question the study is designed to answer.
Clinical Endpoint- Target Lesion Failure (TLF)
TLF defined as cardiac death, MI not attributable to a non target vessel, or clinically driven target lesion revascularization
Measured: 12 months post-procedure
Efficacy Endpoint - Angiographic Success
Achievement of <20% final residual stenosis at target lesion (visual estimation) with TIMI 3 flow in main branch
Measured: 12 months post-procedure
Secondary outcomes (11)
Procedural Success
Angiographic success without occurence of death, target lesion related MI or target lesion revascularization prior to hospital discharge visit
Measured: 48 hours post procedure (hospital discharge)
TLF
TLF defined as cardiac death, Myocardial Infarction(MI) not attributable to a non target vessel, or clinically driven target lesion revascularization
Measured: 30 days post procedure
Cardiac Death Rate
Measured: 30 days, 12 months and 24 months post procedure
MI rate (not attributable to a non target vessel)
Measured: 30 days, 12 months and 24 months post procedure
Clinically Driven Target Lesion Revascularization
Measured: 30 days, 12 months and 24 months post procedure
Stroke Events Rate
Measured: 30 days, 12 and 24 months post procedure
Stent Thrombosis Events Rate
Measured: 30-day, 12-month and 2 year post-procedure
Index Procedure Duration
Measured: End of the index procedure
Fluoroscopy Time, during Index Procedure
Measured: End of the index procedure
Acute Stent Malappositon by IVUS (IVUS Substudy)
Assessed in a subset of patients
Measured: End of the index procedure
Minimal Lumen Area by IVUS (IVUS substudy)
Assessed in a subset of patients
Measured: End of the index procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jun 2016 (estimated)
- Study startMay 2016
- Primary completionJun 2018 (estimated)
- Study completionJun 2019 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Coronary Artery Disease (Left Main)Studies 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
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 200 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Stentys
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02800837
- Sponsor's protocol ID
- ST2016-01
- Acronym
- TRUNC
- Status last verified
- May 2016
- First submitted
- 9 May 2016
- Last updated
- 15 Jun 2016
- Results posted
- No
Publications
Briguori C, Visconti G, Donahue M, Focaccio A, Mitomo S, Kawamoto H, Nakamura S. The STENTYS(R) paclitaxel-eluting stent in the treatment of unprotected distal left main. Catheter Cardiovasc Interv. 2015 Sep;86(3):E131-9. doi: 10.1002/ccd.25874. Epub 2015 Feb 25.
PubMed 25639945
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter Prospective Clinical Study of the STENTYS Xposition S for Treatment of Unprotected Left Main Coronary Artery Disease
- ClinicalTrials.gov ID
- NCT02800837
- Acronym / sponsor ID
- TRUNC / ST2016-01
- Conditions
- Coronary Artery Disease (Left Main)
- Keywords
- left main, stent, self-expandable, DES, Stentys
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 200 participants (estimated)
- Lead sponsor
- StentysIndustry (pharma, biotech, devices)
- Study start
- May 2016
- Primary completion
- Jun 2018 (estimated)
- Study completion
- Jun 2019 (estimated)
- First posted
- 15 Jun 2016 (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.
Prospective, non-randomized, multi-center study assessing the long term safety and efficacy of the self expandable sirolimus eluting Xposition S stent in the treatment of unprotected left main coronary artery disease.
Detailed description
In the treatment of unprotected left main coronary artery (ULMCA) disease, previous mono-center studies have shown promising results with the previous generation of the self-expandable STENTYS stent (paclitaxel eluting stent, delivered via withdrawal of a sheath).
The TRUNC study aims at assessing at large scale the Xposition S in the treatment of ULMCA disease. The Xposition S is a sirolimus eluting stent, mounted on a balloon delivery system. The study aims at collecting clinical practice routine data from 200 patients.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with coronary artery stenosis (unprotected left main coronary artery), indicated for Percutaneous Coronary Intervention (PCI) and Xposition S stent treatment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Clinical Endpoint- Target Lesion Failure (TLF)
Time frame: 12 months post-procedure
TLF defined as cardiac death, MI not attributable to a non target vessel, or clinically driven target lesion revascularization
Efficacy Endpoint - Angiographic Success
Time frame: 12 months post-procedure
Achievement of <20% final residual stenosis at target lesion (visual estimation) with TIMI 3 flow in main branch
11 secondary outcomes
Procedural Success
Time frame: 48 hours post procedure (hospital discharge)
TLF
Time frame: 30 days post procedure
Cardiac Death Rate
Time frame: 30 days, 12 months and 24 months post procedure
MI rate (not attributable to a non target vessel)
Time frame: 30 days, 12 months and 24 months post procedure
Clinically Driven Target Lesion Revascularization
Time frame: 30 days, 12 months and 24 months post procedure
Stroke Events Rate
Time frame: 30 days, 12 and 24 months post procedure
Stent Thrombosis Events Rate
Time frame: 30-day, 12-month and 2 year post-procedure
Index Procedure Duration
Time frame: End of the index procedure
Fluoroscopy Time, during Index Procedure
Time frame: End of the index procedure
Acute Stent Malappositon by IVUS (IVUS Substudy)
Time frame: End of the index procedure
Minimal Lumen Area by IVUS (IVUS substudy)
Time frame: End of the index procedure
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2016.
- Background: PubMed 25639945Briguori C, Visconti G, Donahue M, Focaccio A, Mitomo S, Kawamoto H, Nakamura S. The STENTYS(R) paclitaxel-eluting stent in the treatment of unprotected distal left main. Catheter Cardiovasc Interv. 2015 Sep;86(3):E131-9. doi: 10.1002/ccd.25874. Epub 2015 Feb 25.
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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.
4 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Coronary Artery Disease (Left Main), run by Stentys at 4 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: status not confirmed, as of the sponsor's last update on 15 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Italy, Switzerland, United Kingdom. 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?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Clinical Endpoint- Target Lesion Failure (TLF) (time frame: 12 months post-procedure). The study lists 2 primary outcomes in all. 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 NCT02800837, which also lists 1 linked publication.
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 Jun 2016.