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Myocardial IschemiaBISORB OCTNCT02928198

Bifurcation ABSORB OCT Trial

A study testing ABSORB BVS in people with Myocardial Ischemia and Ischemia, run by J.J. Wykrzykowska at 1 site in Netherlands.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

The Bifurcation ABSORB OCT Trial is a prospective, randomized (1:1) evaluation of the efficacy and performance of single ABSORB everolimus eluting bioresorbable vascular scaffold provisional strategy in the treatment of (a) coronary bifurcation lesion(s) in consecutive subjects with and without fenestration towards… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Myocardial Ischemia, Ischemia, Coronary Disease
What is being tested?
ABSORB BVS
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
1 siteNetherlands
Study dates
Jun 2016to Mar 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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject has a bifurcation lesion involving a side-branch larger than 2 mm and having main branch involvement (Medina 0,0,1 lesions are excluded).
  • Subject must agree to undergo all clinical investigation plan-required follow-up visits and to undergo follow-up angiography and optical coherence tomography.
  • Subject is able to verbally confirm understanding and he/she or his/her legally authorized representative provides written informed consent prior to any Clinical Investigation related procedure,as approved by the appropriate Ethics Committee.

Who cannot join

  • Subject is younger than 18 years of age
  • Subject is presenting with a STEMI
  • Subject has a true bifurcation lesion where a priori two scaffold/stent strategy is planned.
  • Subject has known hypersensitivity or contraindication to contrast, aspirin, both heparin and bivalirudin, antiplatelet medication specified for use in the study (clopidogrel, prasugrel and ticagrelor, inclusive), everolimus, poly (L-lactide), poly (DL-lactide), cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
  • Known renal insufficiency (eg. estimated Glomerular Filtration Rate (eGFR) <60mL/min/1.73m2 or serum creatinine level of >2.5mg/dL or subject on dialysis)
  • Subject with a limited life expectancy less than one year.
  • Subject is belonging to a vulnerable population (per investigator's judgment, e.g., subordinate hospital staff) or subject unable to read or write.

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Academic Medical Center

    Amsterdam, 1105AZ

Other trials in Netherlands

About this study

The Bifurcation ABSORB OCT Trial is a prospective, randomized (1:1) evaluation of the efficacy and performance of single ABSORB everolimus eluting bioresorbable vascular scaffold provisional strategy in the treatment of (a) coronary bifurcation lesion(s) in consecutive subjects with and without fenestration towards the side branch.

Patients included in this study will be divided into three different cohorts:

Read more
  • Cohort A (patient 1-20): Angiographic FU with OCT at 12 months.
  • Cohort B (patient 21-40): Angiographic FU with OCT at 24 months.
  • Cohort C (patient 41-60): Angiographic FU with OCT at 36 months.

All patients will also have telephone FU at 30 days, 12, 24 and 36 months.

Inclusion of patients in the BISORB OCT trial stopped in November 2016 after safety concerns of the ABSORB BVS were reported. BISORB OCT included 3 patients, which were all included in the Academic Medical Center

Being tested
ABSORB BVS
Keywords
Tomography, Optical Coherence, Percutaneous Coronary Intervention, Cardiac Catheterization, Coronary Biovascular Scaffold
Medical subject headings
Myocardial Ischemia, Ischemia, Coronary Disease, Heart Diseases, Cardiovascular Diseases, Infarction, Myocardial Infarction, Arteriosclerosis

What participants receive

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

  • ABSORB BVSDevice

Study groups in NCT02928198
Study groupRoleWhat they receive
FenestrationActive comparatorFenestration of the Absorb Biovascular Scaffold towards the side-branch
Receives: Device: ABSORB BVS
No FenestrationActive comparatorNo fenestration of the Absorb Biovascular Scaffold towards the side-branch
Receives: Device: ABSORB BVS

What is being measured

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

  1. Number and appearance of jailed side branch struts, as assessed with three-dimensional OCT - Cohort A

    3D reconstruction assessment is done visually and the number of strut free compartments are categorized as follows: Non-jailed side branch or jailed side branch. Non-jailed side branch is defined as either no strut over the sidebranch is present or 1 of the BVS struts is present over the side branch but does not compartmentalize the side branch. Jailed side branch is defined as the BVS struts separate the side branch ostium into n compartments. The distribution of the struts creates different patterns of compartments: V, T, H, double V, double T, and double H.

    Measured: 12 months

Secondary outcomes (36)
  1. Number and appearance of jailed side branch struts, as assessed with three-dimensional OCT - All cohorts

    3D reconstruction assessment is done visually and the number of strut free compartments are categorized as follows: Non-jailed side branch or jailed side branch. Non-jailed side branch is defined as either no strut over the sidebranch is present or 1 of the BVS struts is present over the side branch but does not compartmentalize the side branch. Jailed side branch is defined as the BVS struts separate the side branch ostium into n compartments. The distribution of the struts creates different patterns of compartments: V, T, H, double V, double T, and double H.

    Measured: Baseline

  2. Number and appearance of jailed side branch struts, as assessed with three-dimensional OCT - Cohort B

    3D reconstruction assessment is done visually and the number of strut free compartments are categorized as follows: Non-jailed side branch or jailed side branch. Non-jailed side branch is defined as either no strut over the sidebranch is present or 1 of the BVS struts is present over the side branch but does not compartmentalize the side branch. Jailed side branch is defined as the BVS struts separate the side branch ostium into n compartments. The distribution of the struts creates different patterns of compartments: V, T, H, double V, double T, and double H.

    Measured: 24 months

  3. Number and appearance of jailed side branch struts, as assessed with three-dimensional OCT - Cohort C

    3D reconstruction assessment is done visually and the number of strut free compartments are categorized as follows: Non-jailed side branch or jailed side branch. Non-jailed side branch is defined as either no strut over the sidebranch is present or 1 of the BVS struts is present over the side branch but does not compartmentalize the side branch. Jailed side branch is defined as the BVS struts separate the side branch ostium into n compartments. The distribution of the struts creates different patterns of compartments: V, T, H, double V, double T, and double H.

    Measured: 36 months

  4. Incomplete strut apposition in the bifurcation region - All cohorts

    Present when, in case of an ABSORB BVS, the abluminal surface of the polymeric strut (black box) is separated from the vessel wall by flush, between 0.5mm proximal and 0.5mm distal of the side branch.

    Measured: Baseline

  5. Incomplete strut apposition in the bifurcation region - Cohort A

    Present when, in case of an ABSORB BVS, the abluminal surface of the polymeric strut (black box) is separated from the vessel wall by flush, between 0.5mm proximal and 0.5mm distal of the side branch.

    Measured: 12 months

  6. Incomplete strut apposition in the bifurcation region - Cohort B

    Present when, in case of an ABSORB BVS, the abluminal surface of the polymeric strut (black box) is separated from the vessel wall by flush, between 0.5mm proximal and 0.5mm distal of the side branch.

    Measured: 24 months

  7. Incomplete strut apposition in the bifurcation region - Cohort C

    Present when, in case of an ABSORB BVS, the abluminal surface of the polymeric strut (black box) is separated from the vessel wall by flush, between 0.5mm proximal and 0.5mm distal of the side branch.

    Measured: 36 months

  8. Number of embedded and protruded ABSORB BVS struts per region - All cohorts

    Embedded struts are defined as present when more than one-half thickness of the strut was impacted into the vessel wall.

    Measured: Baseline

  9. Number of embedded and protruded ABSORB BVS struts per region - Cohort A

    Embedded struts are defined as present when more than one-half thickness of the strut was impacted into the vessel wall.

    Measured: 12 months

  10. Number of embedded and protruded ABSORB BVS struts per region - Cohort B

    Embedded struts are defined as present when more than one-half thickness of the strut was impacted into the vessel wall.

    Measured: 24 months

  11. Number of embedded and protruded ABSORB BVS struts per region - Cohort C

    Embedded struts are defined as present when more than one-half thickness of the strut was impacted into the vessel wall.

    Measured: 36 months

  12. Incomplete strut coverage in the bifurcation region - Cohort A

    Absence of strut coverage at the side-branch ostium is defined when one of the strut corners preserved a right angle shape without signs of neointimal tissue, between 0.5mm proximal and 0.5mm distal of the side branch.

    Measured: 12 months

  13. Incomplete strut coverage in the bifurcation region - Cohort B

    Absence of strut coverage at the side-branch ostium is defined when one of the strut corners preserved a right angle shape without signs of neointimal tissue, between 0.5mm proximal and 0.5mm distal of the side branch.

    Measured: 24 months

  14. Incomplete strut coverage in the bifurcation region - Cohort C

    Absence of strut coverage at the side-branch ostium is defined when one of the strut corners preserved a right angle shape without signs of neointimal tissue, between 0.5mm proximal and 0.5mm distal of the side branch.

    Measured: 36 months

  15. The number of non-apposed side branch (NASB) struts - All cohorts

    Non-apposed side branch struts are defined as struts overlying the ostium of a sidebranch, post-scaffold deployment and at follow up.

    Measured: Baseline

  16. The number of non-apposed side branch (NASB) struts - Cohort A

    Non-apposed side branch struts are defined as struts overlying the ostium of a sidebranch, post-scaffold deployment and at follow up.

    Measured: 12 months

  17. The number of non-apposed side branch (NASB) struts - Cohort B

    Non-apposed side branch struts are defined as struts overlying the ostium of a sidebranch, post-scaffold deployment and at follow up.

    Measured: 24 months

  18. The number of non-apposed side branch (NASB) struts - Cohort C

    Non-apposed side branch struts are defined as struts overlying the ostium of a sidebranch, post-scaffold deployment and at follow up.

    Measured: 36 months

  19. Tissue in-between non-apposed side branch (NASB) struts - Cohort A

    Tissue in-between NASB struts is defined as any tissue between two NASB ABSORB struts more than two times the polymer thickness.

    Measured: 12 months

  20. Tissue in-between non-apposed side branch (NASB) struts - Cohort B

    Tissue in-between NASB struts is defined as any tissue between two NASB ABSORB struts more than two times the polymer thickness.

    Measured: 24 months

  21. Tissue in-between non-apposed side branch (NASB) struts - Cohort C

    Tissue in-between NASB struts is defined as any tissue between two NASB ABSORB struts more than two times the polymer thickness.

    Measured: 36 months

  22. Mean/Minimal Lumen diameter/area - All cohorts

    Lumen diameter and lumen area are measured at the (neo-)intima layer of the vessel wall, both pre- and post-scaffold deployment and at follow up. At baseline this is usually outside the scaffold diameter/area and at follow up into the scaffold diameter/area

    Measured: Baseline

  23. Mean/Minimal Lumen diameter/area - Cohort A

    Lumen diameter and lumen area are measured at the (neo-)intima layer of the vessel wall, both pre- and post-scaffold deployment and at follow up. At baseline this is usually outside the scaffold diameter/area and at follow up into the scaffold diameter/area

    Measured: 12 months

  24. Mean/Minimal Lumen diameter/area - Cohort B

    Lumen diameter and lumen area are measured at the (neo-)intima layer of the vessel wall, both pre- and post-scaffold deployment and at follow up. At baseline this is usually outside the scaffold diameter/area and at follow up into the scaffold diameter/area

    Measured: 24 months

  25. Mean/Minimal Lumen diameter/area - Cohort C

    Lumen diameter and lumen area are measured at the (neo-)intima layer of the vessel wall, both pre- and post-scaffold deployment and at follow up. At baseline this is usually outside the scaffold diameter/area and at follow up into the scaffold diameter/area

    Measured: 36 months

  26. Mean/Minimal Scaffold diameter/area - All cohorts

    Scaffold diameter and scaffold area are measured at the abluminal border of the polymeric struts (black boxes), both post-scaffold deployment and at follow up.

    Measured: Baseline

  27. Mean/Minimal Scaffold diameter/area - Cohort A

    Scaffold diameter and scaffold area are measured at the abluminal border of the polymeric struts (black boxes), both post-scaffold deployment and at follow up.

    Measured: 12 months

  28. Mean/Minimal Scaffold diameter/area - Cohort B

    Scaffold diameter and scaffold area are measured at the abluminal border of the polymeric struts (black boxes), both post-scaffold deployment and at follow up.

    Measured: 24 months

  29. Mean/Minimal Scaffold diameter/area - Cohort C

    Scaffold diameter and scaffold area are measured at the abluminal border of the polymeric struts (black boxes), both post-scaffold deployment and at follow up.

    Measured: 36 months

  30. Neointima thickness - Cohort A

    Neointima thickness of the ABSORB BVS is measured from the endoluminal border of the black box to the lumen contour.

    Measured: 12 months

  31. Neointima thickness - Cohort B

    Neointima thickness of the ABSORB BVS is measured from the endoluminal border of the black box to the lumen contour.

    Measured: 24 months

  32. Neointima thickness - Cohort C

    Neointima thickness of the ABSORB BVS is measured from the endoluminal border of the black box to the lumen contour.

    Measured: 36 months

  33. Scaffold pattern irregularities - All cohorts

    Scaffold pattern irregularities are defined when struts are found in locations incongruent with the scaffold pattern, this is measured post-scaffold deployment and at follow up. They are classified into 2 categories: 1) 2 struts overhanging each other in the same angular sector of the lumen perimeter, with or without malapposition; and/or 2) isolated struts located more or less at the center of the vessel without obvious connection to the expected adjacent strut pattern.

    Measured: Baseline

  34. Scaffold pattern irregularities - Cohort A

    Scaffold pattern irregularities are defined when struts are found in locations incongruent with the scaffold pattern, this is measured post-scaffold deployment and at follow up. They are classified into 2 categories: 1) 2 struts overhanging each other in the same angular sector of the lumen perimeter, with or without malapposition; and/or 2) isolated struts located more or less at the center of the vessel without obvious connection to the expected adjacent strut pattern.

    Measured: 12 months

  35. Scaffold pattern irregularities - Cohort B

    Scaffold pattern irregularities are defined when struts are found in locations incongruent with the scaffold pattern, this is measured post-scaffold deployment and at follow up. They are classified into 2 categories: 1) 2 struts overhanging each other in the same angular sector of the lumen perimeter, with or without malapposition; and/or 2) isolated struts located more or less at the center of the vessel without obvious connection to the expected adjacent strut pattern.

    Measured: 24 months

  36. Scaffold pattern irregularities - Cohort C

    Scaffold pattern irregularities are defined when struts are found in locations incongruent with the scaffold pattern, this is measured post-scaffold deployment and at follow up. They are classified into 2 categories: 1) 2 struts overhanging each other in the same angular sector of the lumen perimeter, with or without malapposition; and/or 2) isolated struts located more or less at the center of the vessel without obvious connection to the expected adjacent strut pattern.

    Measured: 36 months

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 2016 (estimated)
  2. Study startJun 2016
  3. Primary completionMar 2020 (estimated)
  4. Study completionMar 2020 (estimated)

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
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02928198
Sponsor's protocol ID
NL50172.018.14
Acronym
BISORB OCT
Status last verified
Jan 2018
First submitted
9 Sep 2016
Last updated
17 Jan 2018
Results posted
No

Questions about this trial

What is this clinical trial studying?

A study testing ABSORB BVS in people with Myocardial Ischemia and Ischemia, run by J.J. Wykrzykowska at 1 site in Netherlands.

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 3 inclusion and 7 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 17 Jan 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Netherlands. 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?

Number and appearance of jailed side branch struts, as assessed with three-dimensional OCT - Cohort A (time frame: 12 months). 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 17 Jan 2018.

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