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Ischemic Heart DiseaseNCT02943616

ABSORB Post-Approval Clinical Study

A study testing Absorb BVS in people with Ischemic Heart Disease, run by Abbott Medical Devices at 5 sites in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The ABSORB Post-Approval Clinical Study is a prospective, open-label, multi-center, single-arm, non-randomized trial to evaluate the safety of the use of ABSORB in a real-world setting following commercial physician training'and to observe the effectiveness of commercial physician training on appropriate vessel sizing. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Ischemic Heart 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
0 participants
Where
5 sitesUnited States
Study dates
Aug 2017to Jan 2021
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

  • The subject agrees and signs the Institutional Review Board (IRB) approved informed consent form
  • The subject receives an Absorb

Who cannot join

  • Subject is a member of a vulnerable population.
  • Vulnerable population: Defined as subject whose willingness to volunteer in a clinical investigation could be unduly influenced by the expectation, whether justified or not, of benefits associated with participation or of retaliatory response from senior members of a hierarchy in case of refusal to participate. Examples of populations which may contain vulnerable subjects include: Individuals with lack of or loss of autonomy due to immaturity or through mental disability, persons in nursing homes, children, impoverished persons, subjects in emergency situations, ethnic minority groups, homeless persons, nomads, refugees, and those incapable of giving informed consent. Other vulnerable subjects include, for example, members of a group with a hierarchical structure such as university students, subordinate hospital and laboratory personnel, employees of the sponsor, members of the armed forces, and persons kept in detention

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Englewood Hospital and Medical Center

    Englewood, New Jersey, 07631

  • Franciscan St. Francis Health

    Indianapolis, Indiana, 46237

  • Turkey Creek Medical Center

    Knoxville, Tennessee, 37934

  • Baptist Health Louisville

    Louisville, Kentucky, 40207

  • Tallahassee Memorial Hospital

    Tallahassee, Florida, 32308

Other trials in United States

About this study

The ABSORB Post-Approval Clinical Study is a prospective, open-label, multi-center, single-arm, non-randomized trial to evaluate the safety of the use of ABSORB in a real-world setting following commercial physician training'and to observe the effectiveness of commercial physician training on appropriate vessel sizing.

Read the detailed description

After approval of commercial use of Absorb GT1 Bioresorbable Vascular Scaffold (BVS) System in over 75 countries as of December 31, 2015, Abbott Vascular has developed a post-approval commitment plan that includes the initiation of the ABSORB Post-Approval Clinical Study, a single-arm trial that will include approximately 2000 subjects at approximately 265 sites in the US and Canada.

The objectives of ABSORB PostApproval Study are the following:

  • Evaluate the safety of the use of Absorb in a real world setting following commercial physician training.
  • Observe the effectiveness of commercial physician training on appropriate vessel sizing in the use of Absorb in a real world setting.

The study design allows evaluating low frequency events, effectiveness of commercial physician training and education for very small vessels (< 2.25 mm as assessed by quantitative coronary angiography [QCA]), and confirmation of generalizability of the treatment with Absorb to real-world practice. The estimated follow-up of safety and effectiveness will be 3 years.

Angiographic Subgroup:

Approximately the first 500 consecutive subjects implanted by operators inexperienced in the usage of Absorb GT1 BVS to receive baseline assessment of reference vessel diameter (RVD) by the angiographic core laboratory. An inexperienced operator is defined as having performed two or fewer Absorb implants prior to commercial approval. The purpose of the angiographic subgroup is to evaluate the effectiveness of training in the selection of appropriately sized coronary arteries for GT1 BVS implantation. Study staff will be notified after the procedure if the subject is in the angiographic subgroup, and instructed to send pre-procedure angiogram and supporting materials to core laboratory for assessment.

Being tested
Absorb BVS
Keywords
Absorb GT1 BVS, BVS, Bioabsorbable, Myocardial ischemia, Stent thrombosis, Stents
Medical subject headings
Myocardial Ischemia

What participants receive

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

  • Absorb BVSDevice

    Commercially approved Absorb GT1 BVS, herein referred to as "Absorb".

    • Scaffold diameters: 2.5, 3.0, and 3.5 mm
    • Scaffold lengths: 8, 12, 18, 23 and 28 mm

    Absorb is a temporary scaffold that will fully resorb over time and is indicated for improving coronary luminal diameter in patients with ischemic heart disease due to de novo native coronary artery lesions (length ≤ 24 mm) with a reference vessel diameter of ≥ 2.5 mm and ≤ 3.75 mm.

Study groups in NCT02943616
Study groupRoleWhat they receive
Absorb BVSExperimentalSubjects receiving Absorb GT1 Bioresorbable Vascular Scaffold (BVS).
Receives: Device: Absorb BVS

What is being measured

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

  1. Composite of cardiac death, myocardial infarction (CD/MI)

    Myocardial infarction will be assessed per the Universal MI definition.

    Measured: 1 year

Secondary outcomes (75)
  1. Definite/probable scaffold thrombosis (ST)

    ST is assessed per the Academic Research Consortium (ARC) definite/probable definition.

    Measured: 1 year

  2. The annual rate of definite/probable scaffold thrombosis

    ST is assessed per the Academic Research Consortium (ARC) definite/probable definition.

    Measured: At 1 year post-index procedure

  3. The annual rate of definite/probable scaffold thrombosis

    ST is assessed per the Academic Research Consortium (ARC) definite/probable definition.

    Measured: Between 1 year and 2 years (366 to 730 days) post index procedure

  4. The annual rate of definite/probable scaffold thrombosis

    ST is assessed per the Academic Research Consortium (ARC) definite/probable definition.

    Measured: Between 2 years and 3 years (731 to 1095 days) post index procedure

  5. Percentage of very small vessels (per-lesion basis)

    This is the commercial Training Assessment Endpoint (Angiographic Subgroup only). Pre-procedure reference vessel diameter (RVD) < 2.25 mm as assessed by core laboratory using quantitative coronary angiography (QCA).

    Measured: Pre-procedure (on day 0)

  6. Death (Cardiac, Non-Cardiac)

    Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.

    Non-cardiovascular death: Any death not covered by the above definitions such as death caused by infection, malignancy, sepsis, pulmonary causes, accident, suicide or trauma.

    Measured: ≤ 7 days post index procedure (In-hospital )

  7. Death (Cardiac, Non-Cardiac)

    Measured: 30 days

  8. Death (Cardiac, Non-Cardiac)

    Measured: 180 days

  9. Death (Cardiac, Non-Cardiac)

    Measured: 1 year

  10. Death (Cardiac, Non-Cardiac)

    Measured: 2 years

  11. Death (Cardiac, Non-Cardiac)

    Measured: 3 years

  12. All Myocardial Infarction (All MI)

    Measured: ≤ 7 days post index procedure (In-hospital )

  13. All Myocardial Infarction (All MI)

    Measured: 30 days

  14. All Myocardial Infarction (All MI)

    Measured: 180 days

  15. All Myocardial Infarction (All MI)

    Measured: 1 year

  16. All Myocardial Infarction (All MI)

    Measured: 2 years

  17. All Myocardial Infarction (All MI)

    Measured: 3 years

  18. Target Lesion Revascularization (TLR)

    TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion.

    Measured: ≤ 7 days post index procedure (In-hospital )

  19. Target Lesion Revascularization (TLR)

    Measured: 30 days

  20. Target Lesion Revascularization (TLR)

    Measured: 180 days

  21. Target Lesion Revascularization (TLR)

    Measured: 1 year

  22. Target Lesion Revascularization (TLR)

    Measured: 2 years

  23. Target Lesion Revascularization (TLR)

    Measured: 3 years

  24. Ischemia Driven TLR (ID-TLR)

    TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion.

    Measured: ≤ 7 days post index procedure (In-hospital )

  25. Ischemia Driven TLR (ID-TLR)

    Measured: 30 days

  26. Ischemia Driven TLR (ID-TLR)

    Measured: 180 days

  27. Ischemia Driven TLR (ID-TLR)

    Measured: 1 year

  28. Ischemia Driven TLR (ID-TLR)

    Measured: 2 years

  29. Ischemia Driven TLR (ID-TLR)

    Measured: 3 years

  30. Target Vessel Revascularization (TVR)

    TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel. The target vessel is defined as the entire major coronary vessel proximal and distal to the target lesion which includes upstream and downstream branches and the target lesion itself.

    Measured: ≤ 7 days post index procedure (In-hospital )

  31. Target Vessel Revascularization (TVR)

    Measured: 30 days

  32. Target Vessel Revascularization (TVR)

    Measured: 180 days

  33. Target Vessel Revascularization (TVR)

    Measured: 1 year

  34. Target Vessel Revascularization (TVR)

    Measured: 2 years

  35. Target Vessel Revascularization (TVR)

    Measured: 3 years

  36. All coronary revascularization

    Measured: ≤ 7 days post index procedure (In-hospital )

  37. All coronary revascularization

    Measured: 30 days

  38. All coronary revascularization

    Measured: 180 days

  39. All coronary revascularization

    Measured: 1 year

  40. All coronary revascularization

    Measured: 2 years

  41. All coronary revascularization

    Measured: 3 years

  42. Scaffold thrombosis (per ARC definition)

    Scaffold/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 guiding catheter has been removed and the subject left the catheterization lab.

    Timings:

    Acute scaffold/stent thrombosis : 0 - 24 hours post stent implantation Subacute scaffold/stent thrombosis: >24 hours - 30 days post stent implantation Late scaffold/stent thrombosis: 30 days - 1 year post stent implantation Very late scaffold/stent thrombosis: >1 year post stent implantation

    Measured: Acute (0 - 24 hours post stent implantation) (Definite and Probable)

  43. Scaffold thrombosis (per ARC definition)

    Measured: Subacute (>24 hours - 30 days post stent implantation)(Definite and Probable)

  44. Scaffold thrombosis (per ARC definition)

    Measured: Late (30 days - 1 year post stent implantation) (Definite and Probable)

  45. Scaffold thrombosis (per ARC definition)

    Measured: Very late (>1 year post stent implantation) (Definite and Probable)

  46. Death/All Myocardial Infarction (MI)

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Specifically, any unexpected death even in patients with coexisting potentially fatal non-cardiac disease (e.g. cancer, infection) should be classified as cardiac.

    Measured: ≤ 7 days post index procedure (In-hospital )

  47. Death/All Myocardial Infarction (MI)

    Measured: 30 days

  48. Death/All Myocardial Infarction (MI)

    Measured: 180 days

  49. Death/All Myocardial Infarction (MI)

    Measured: 1 year

  50. Death/All Myocardial Infarction (MI)

    Measured: 2 years

  51. Death/All Myocardial Infarction (MI)

    Measured: 3 years

  52. Cardiac Death/All Myocardial Infarction (MI)

    Cardiac death (CD): Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment.

    Measured: ≤ 7 days post index procedure (In-hospital )

  53. Cardiac Death/All Myocardial Infarction (MI)

    Measured: 30 days

  54. Cardiac Death/All Myocardial Infarction (MI)

    Measured: 180 days

  55. Cardiac Death/All Myocardial Infarction (MI)

    Measured: 1 year

  56. Cardiac Death/All Myocardial Infarction (MI)

    Measured: 2 years

  57. Cardiac Death/All Myocardial Infarction (MI)

    Measured: 3 years

  58. Cardiac Death/All Myocardial Infarction (MI)/Target vessel revascularization (TVR) [Target vessel failure;TVF]

    Measured: ≤ 7 days post index procedure (In-hospital )

  59. Cardiac Death/All Myocardial Infarction (MI)/Target vessel revascularization (TVR) [TVF]

    Measured: 30 days

  60. Cardiac Death/All Myocardial Infarction (MI)/Target vessel revascularization (TVR) [TVF]

    Measured: 180 days

  61. Cardiac Death/All Myocardial Infarction (MI)/Target vessel revascularization (TVR) [TVF]

    Measured: 1 year

  62. Cardiac Death/All Myocardial Infarction (MI)/Target vessel revascularization (TVR) [TVF]

    Measured: 2 years

  63. Cardiac Death/All Myocardial Infarction (MI)/Target vessel revascularization (TVR) [TVF]

    Measured: 3 years

  64. Cardiac Death/TV MI/ID-TLR (Target lesion failure;TLF)

    Measured: ≤ 7 days post index procedure (In-hospital )

  65. Cardiac Death/TV MI/ID-TLR (TLF)

    Measured: 30 days

  66. Cardiac Death/TV MI/ID-TLR (TLF)

    Measured: 180 days

  67. Cardiac Death/TV MI/ID-TLR (TLF)

    Measured: 1 year

  68. Cardiac Death/TV MI/ID-TLR (TLF)

    Measured: 2 years

  69. Cardiac Death/TV MI/ID-TLR (TLF)

    Measured: 3 years

  70. Death/All Myocardial Infarction (MI)/All revascularization

    Measured: ≤ 7 days post index procedure (In-hospital )

  71. Death/All Myocardial Infarction (MI)/All revascularization

    Measured: 30 days

  72. Death/All Myocardial Infarction (MI)/All revascularization

    Measured: 180 days

  73. Death/All Myocardial Infarction (MI)/All revascularization

    Measured: 1 year

  74. Death/All Myocardial Infarction (MI)/All revascularization

    Measured: 2 years

  75. Death/All Myocardial Infarction (MI)/All revascularization

    Measured: 3 years

Timeline

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

  1. First posted25 Oct 2016 (estimated)
  2. Study startAug 2017 (estimated)
  3. Primary completionDec 2018 (estimated)
  4. Study completionJan 2021 (estimated)

Why it stopped: Abbott has decided to stop selling the Absorb stent which was the product under evaluation in this study.

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
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02943616
Sponsor's protocol ID
15-307
Status last verified
Jan 2018
First submitted
19 Oct 2016
Last updated
11 Jan 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Absorb BVS in people with Ischemic Heart Disease, run by Abbott Medical Devices at 5 sites in United States.

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 2 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: withdrawn, as of the sponsor's last update on 11 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 5 sites in United States. 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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Composite of cardiac death, myocardial infarction (CD/MI) (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 11 Jan 2018.

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