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Coronary Artery DiseaseNCT03189641

Clinical Trial of Cilostazol Eluting Stent System (CES-1) in De Novo Coronary Artery Lesions

A study testing Cilostazol eluting stent system (CES-1) in people with Coronary Artery Disease, run by JIMRO Co., Ltd. at 6 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the this trial is to evaluate the clinical safety and efficacy of Cilostazol eluting stent system (CES-1) for the treatment of single de novo lesions in native coronary arteries. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Coronary Artery Disease
What is being tested?
Cilostazol eluting stent system (CES-1)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
6 sitesJapan
Study dates
31 May 2017to 26 Jul 2024
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 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • <Clinical selection criteria>
  • Patients who have provided written informed consent.
  • Patients who have evidence of myocardial ischemia confirmed by subjective symptoms (chest pain etc.), ST change in the electrocardiogram or objective findings.
  • Patients who are at least 20 years old.
  • <Angiographic selection criteria>
  • Single de novo lesion in native coronary arteries
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  • Target vessel diameter is 2.75 mm to 3.25 mm.
  • TIMI flow is 2 or more.
  • Angiographic percent diameter stenosis (by visual estimation) is 75% or more in AHA classification

Who cannot join

  • <Clinical exclusion criteria>
  • Acute myocardial infarction Patients whose CK-MB or troponin exceeds the facility reference upper limit and have at least one of the following is confirmed are excluded as acute myocardial infarction.
  • Ischemic symptoms and Electrocardiographic findings showing continuous ischemia (eg, ST segment elevation or depression above 1 mm in contiguous leads, or the appearance of a new left bundle branch block).
  • Pathological Q waves on electrocardiogram
  • Myocardial necrotic focus or wall motion abnormality newly confirmed in diagnostic imaging
  • Patients who cannot be given emergency coronary artery bypass grafting (CABG).
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  • Patients who cannot be administered antiplatelet drugs. The following cases are conceivable.
  • Significant intracranial hemorrhage, gastrointestinal bleeding, urinary tract hemorrhage etc. within the last 6 months
  • Surgical operation is planned that requires discontinuation of DAPT after the procedure
  • Anticoagulation therapy is underway and the risk of bleeding is high
  • Bleeding tendency due to hemorrhagic diathesis or blood coagulation disorder.
  • Left ventricular ejection fraction (LVEF) is less than 30% within 30 days before the trial registration.
  • Renal dysfunction (Creatinine value exceeds 2.0 mg/dl or in case artificial dialysis).
  • Allergy to cobalt chrome alloy or contrast agent.
  • Patients who are participating in or will planning to participate in other clinical studies that may have clinical implications for the evaluation of this trial.
  • Patients who are pregnant or breast feeding.
  • Patients who are taking Cilostazol.
  • In cases where the Investigator determines that the patient's participation in the trial is inappropriate.
  • <Angiographic exclusion criteria>
  • Lesion in left main coronary trunk
  • Lesion within 5 mm from the ostium right coronary artery
  • Lesion within 5 mm from the ostium left anterior descending/the ostium left circumflex branch
  • Bifurcation lesion
  • Within 1 year after implementing PCI on the target vessel or its branch
  • There are other lesions that require PCI at the time of the procedure
  • Type C of ACC / AHA classification

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

Japan6 sites
  • Mitsui Memorial Hospital

    Chiyoda City, Tokyo

  • Tokai University Hospital

    Isehara, Kanagawa

  • Kitasato University Hospital

    Sagamihara, Kanagawa

  • Teikyo University Hospital

    tabashi City, Tokyo

  • Saiseikai Yokohamashi Tobu Hospital

    Yokohama, Kanagawa

  • Showa University Fujigaoka Hospital

    Yokohama, Kanagawa

Other trials in Japan

About this study

Official title: An Exploratory Clinical Trial of Cilostazol Eluting Stent System (CES-1) in De Novo Coronary Artery Lesions

The purpose of the this trial is to evaluate the clinical safety and efficacy of Cilostazol eluting stent system (CES-1) for the treatment of single de novo lesions in native coronary arteries.

Being tested
Cilostazol eluting stent system (CES-1)
Keywords
Drug eluting stents, Coronary artery disease, Coronary artery stenosis, Myocardial ischemia, Angioplasty
Medical subject headings
Coronary Artery Disease, Coronary Stenosis, Myocardial Ischemia

What participants receive

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

  • Cilostazol eluting stent system (CES-1)Device

    Implantation of drug eluting stent

Study groups in NCT03189641
Study groupRoleWhat they receive
Cilostazol eluting stent system (CES-1)ExperimentalNot described
Receives: Device: Cilostazol eluting stent system (CES-1)

What is being measured

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

  1. In-segment late lumen loss as measured by quantitative coronary angiography (QCA)

    Measured: 9 months

Secondary outcomes (12)
  1. Device Success rate

    Device success is defined as successfully placement of the investigational stent at the target lesion, and attainment of less than 50% residual stenosis at the end of stenting.

    Measured: Immediate post-procedure

  2. Procedure success rate

    Procedure success is defined as attainment of less than 50% residual stenosis at the end of stenting and no major adverse cardiac events (death (excluding cases obviously caused by other than coronary ischemia), myocardial infarction, target lesion revascularization (TLR)) during hospitalization.

    Measured: At the time of hospital discharge, expected 1or 2 days after of procedure

  3. Target Lesion Failure (TLF)

    Measured: 9 Months

  4. Target Vessel Failure (TVF)

    Measured: 9 Months

  5. Stent thrombosis

    Measured: 9 Months

  6. Patient Oriented Composite End point (POCE)

    POCE: All cause death, all myocardial infarction, or all revascularization with ischemia

    Measured: 9 Months

  7. In-stent and in-segment %diameter stenosis (%DS) as measured by QCA

    Measured: 9 Months

  8. In-stent and in-segment %Angiographic Binary Restenosis (%ABR)

    Measured: 9 Months

  9. Neointima volume as measured by OCT/OFDI

    Measured: 9 Months

  10. %Volume obstruction as measured by OCT/OFDI

    Measured: 9 Months

  11. %Incomplete stent apposition (%ISA) as measured by OCT/OFDI

    Measured: 9 Months

  12. %Covered strut as measured by OCT/OFDI

    Measured: 9 Months

Timeline

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

  1. First posted16 Jun 2017
  2. Study start31 May 2017
  3. Primary completion27 Mar 2020
  4. Study completion26 Jul 2024

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
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03189641
Sponsor's protocol ID
JD-001
Status last verified
Mar 2025
First submitted
13 Jun 2017
Last updated
14 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Cilostazol eluting stent system (CES-1) in people with Coronary Artery Disease, run by JIMRO Co., Ltd. at 6 sites in Japan.

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 9 inclusion and 26 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: finished, as of the sponsor's last update on 14 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Japan. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

In-segment late lumen loss as measured by quantitative coronary angiography (QCA) (time frame: 9 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 14 Mar 2025.

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