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Coronary Artery DiseaseOnyx ONENCT03344653

A Randomized Controlled Trial With Resolute Onyx in One Month Dual Antiplatelet Therapy (DAPT) for High-Bleeding Risk Patients

A study testing Medtronic Resolute Onyx Zotarolimus-Eluting Coronary Stent System and Biosensors BioFreedom BA9 Drug Coated Coronary Stent in people with Coronary Artery Disease, run by Medtronic Vascular at 89 sites in 23 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the clinical safety and effectiveness of the Resolute Onyx stent in subjects deemed at high risk for bleeding and/or medically unsuitable for more than 1 month DAPT treatment receiving reduced duration (1 month) of DAPT following stent implantation. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Coronary Artery Disease
What is being tested?
Medtronic Resolute Onyx Zotarolimus-Eluting Coronary Stent System and Biosensors BioFreedom BA9 Drug Coated Coronary Stent
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,000 participants
Where
89 sitesin 23 countries
Study dates
2 Nov 2017to 9 Oct 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

  • Age ≥ 75 years old
  • Any prior documented intracerebral bleed
  • Any documented stroke in the last 12 months
  • Hospital admission for bleeding during the prior 12 months
  • Non-skin cancer diagnosed or treated ≤3 years
  • Planned surgery within the next 12 months
Show all 9Show fewer
  • Renal failure defined as: Creatinine clearance <40 ml/min
  • Thrombocytopenia (PLT <100,000/mm3)
  • Severe chronic liver disease defined as: subjects who have developed any of the following: variceal hemorrhage, ascites, hepatic encephalopathy or jaundice

Who cannot join

  • Pregnant and breastfeeding women
  • Subjects requiring a planned PCI procedure after 1 month of index procedure
  • Active bleeding at the time of inclusion
  • Cardiogenic shock
  • A known hypersensitivity or contraindication to aspirin, heparin and bivalirudin, P2Y12 inhibitors, mTOR inhibiting drugs such as zotarolimus, Biolimus A9 (or its derivatives), cobalt, nickel, platinum, iridium, chromium, molybdenum, polymer coatings (eg, BioLinx™), stainless steel (or other metal ions found in 316L stainless steel), zinc, or a sensitivity to contrast media, which cannot be adequately pre-medicated.
  • PCI during the previous 6 months for a lesion other than the target lesion of the index procedure
  • Participation in another clinical study within 12 months after index procedure
  • Subjects with life expectancy of less than 2 years

Trial locations and contacts

89 sites in 23 countries.

89 sites in 23 countries

Australia11 sites
  • Adelaide Cardiology

    Adelaide, South Australia, 5000

  • Flinders Medical Centre

    Bedford Park, South Australia, 5042

  • Royal Brisbane and Women's Hospital

    Brisbane, Queensland, 4029

  • Bundaberg Cardiology - Friendly Society Private Hospital

    Bundaberg, Queensland, 4670

  • Cairns Hospital

    Cairns, Queensland, 4870

  • The Prince Charles Hospital

    Chermside, Queensland, 4032

  • Saint Vincent's Hospital (Melbourne)

    Fitzroy, Victoria, 3065

  • The Alfred Hospital

    Melbourne, Victoria, 3004

  • Fiona Stanley Hospital

    Murdoch, Western Australia, 6150

  • Royal North Shore Hospital

    Saint Leonards, New South Wales, 2065

  • Princess Alexandra Hospital

    Woolloongabba, Queensland, 4102

Other trials in Australia

South Korea9 sites
  • Keimyung University Dongsan Medical Center

    Daegu, 41931

  • Chonnam National University Hospital

    Gwangju, 501-757

  • Seoul National University Bundang Hospital

    Seongnam-si, 463-707

  • Severance Hospital

    Seoul, 03722

  • Seoul National University Hospital

    Seoul, 110-744

  • Samsung Medical Center

    Seoul, 135-710

  • Seoul Saint Mary's Hospital

    Seoul, 137-701

  • Asan Medical Center

    Seoul, 138-736

  • Wonju Severance Christian Hospital

    Wŏnju, 220-701

Other trials in South Korea

Spain8 sites
  • Hospital General Universitario de Alicante

    Alicante, 03010

  • Hospital del Mar

    Barcelona, 08003

  • Hospital Universitari Bellvitge

    Barcelona, 08907

  • Hospital Clínico Universitario Virgen de la Arrixaca

    El Palmar, Murcia, 30120

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Clinico Universitario de Salamanca

    Salamanca, 37007

  • Hospital Universitario de Canarias

    San Cristóbal de La Laguna, Tenerife, 38320

  • Hospital Universitario Marques de Valdecilla

    Santander, 39008

Other trials in Spain

United Kingdom8 sites
  • Cardiff and Vale University Health Board - University Hospital of Wales (UHW)

    Cardiff, CF14 4XW

  • Royal Infirmary of Edinburgh

    Edinburgh, EH16 4SA

  • Royal Devon and Exeter NHS Foundation Trust

    Exeter, EX2 5DW

  • Golden Jubilee National Hospital - NHS Trust

    Glasgow, G81 4HX

  • Royal Free Hospital

    London, NW3 2QG

  • The James Cook University Hospital - South Tees Hospitals NHS

    Middlesbrough, TS4 3BW

  • The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital

    Newcastle upon Tyne, NE7 7DN

  • Queen Alexandra Hospital

    Portsmouth, PO6 3LY

Other trials in United Kingdom

Netherlands7 sites
  • Universitair Medisch Centrum Groningen

    Groningen, 9713 GZ

  • Zuyderland Medisch Centrum Heerlen

    Heerlen, 6419 PC

  • Maastricht Universitair Medisch Centrum (MUMC)

    Maastricht, 6229 HX

  • St. Antonius Ziekenhuis

    Nieuwegein, 3435 CM

  • HagaZiekenhuis - Locatie Leyweg

    The Hague, 2545 CH

  • VieCuri Medisch Centrum voor Noord-Limburg - Locatie Venlo

    Venlo, 5912 BL

  • Isala Zwolle

    Zwolle, 8025 AB

Other trials in Netherlands

Italy5 sites
  • Presidio Ospedaliero Ferrarotto Alessi

    Catania, 95124

  • San Raffaele Scientific Institute

    Milan, 20132

  • Centro Cardiologico Monzino

    Milan, 20138

  • Umberto I - Policlinico di Roma

    Roma, 00161

  • Azienda Ospedaliera Bolognini Seriate - Ospedale Bolognini

    Seriate, Bergamo, 24068

Other trials in Italy

Malaysia5 sites
  • Hospital Serdang

    Kajang, Selangor, 43000

  • Queen Elizabeth II Hospital

    Kota Kinabalu, Sabah, 88300

  • Sarawak Heart Centre

    Kota Kinabalu, 94300

  • Institut Jantung Negara - National Heart Institute

    Kuala Lumpur, 50400

  • Sarawak Heart Centre

    Kuching, Sarawak, 93586

Other trials in Malaysia

Sweden5 sites
  • Gävle sjukhus

    Gävle, 801 88

  • Universitetssjukhuset Örebro

    Örebro, 701 85

  • Södersjukhuset

    Stockholm, 118 83

  • Karolinska University Hospital in Solna

    Stockholm, 171 76

  • Västmanlands Sjukhus

    Västerås, 721 89

Other trials in Sweden

New Zealand4 sites
  • Auckland City Hospital

    Auckland, 1023

  • Waikato Hospital

    Hamilton, 3240

  • Waikato Hospital

    Hamilton

  • Wellington Hospital

    Newtown, 6021

Other trials in New Zealand

Austria3 sites
  • LKH - Universitätsklinikum Graz

    Graz, 8036

  • A.ö. Landeskrankenhaus - Universitätskliniken Innsbruck

    Innsbruck, 6020

  • Allgemeines Krankenhaus - Universitätskliniken Wien

    Vienna, 1090

Other trials in Austria

Belgium3 sites
  • C.H.U. de Charleroi

    Charleroi, 6042

  • UZ Leuven - Campus Gasthuisberg

    Leuven, 3000

  • CHU de Liège - Hôpital du Sart Tilman

    Liège, 4000

Other trials in Belgium

Poland3 sites
  • Górnośląskie Centrum Medyczne im prof Leszka Gieca Śląskiego Uniwersytetu Medycznego w Katowicach

    Katowice, 40-635

  • Miedziowe Centrum Zdrowia

    Lubin, 59-301

  • Szpital Kliniczny Przemienienia Panskiego

    Poznan, 61-848

Other trials in Poland

France2 sites
  • Clinique Axium

    Aix-en-Provence, 13097

  • Hôpital Privé Jacques Cartier

    Massy, 91300

Other trials in France

Hong Kong2 sites
  • Queen Elizabeth Hospital (Hong Kong)

    Hong Kong

  • Queen Mary Hospital

    Hong Kong

Other trials in Hong Kong

Latvia2 sites
  • Paula Stradina Kliniska universitates slimnica

    Riga, 1002

  • Riga East University Hospital

    Riga, LV-1079

Other trials in Latvia

Lithuania2 sites
  • Hospital of Lithuanian University of Health Sciences Kauno Klinikos

    Kaunas, 50009

  • Vilnius University Hospital Santariskiu Klinikos

    Vilnius, 08661

Other trials in Lithuania

Norway2 sites
  • Oslo Universitetssykehus-Ullevål Universitetssykehus

    Oslo, 0450

  • Stavanger Universitetssjukehus - Helse Stavanger HF

    Stavanger, 4011

Other trials in Norway

Singapore2 sites
  • National University Hospital

    Singapore, 119074

  • Tan Tock Seng Hospital

    Singapore, 308433

Other trials in Singapore

Switzerland2 sites
  • Inselspital - Universitätsspital Bern

    Bern, 3010

  • Cardiocentro Ticino

    Lugano, 6900

Other trials in Switzerland

Bulgaria1 site
  • Acibadem City Clinic

    Sofia, 1700

Other trials in Bulgaria

Ireland1 site
  • Galway University Hospitals - University Hospital Galway (UHG)

    Galway

Other trials in Ireland

Slovakia1 site
  • Stredoslovensky Ustav Srdcovych a Cievnych Chorob a.s

    Banská Bystrica, 97401

Other trials in Slovakia

Thailand1 site
  • Siriraj Hospital

    Bangkok, 10700

Other trials in Thailand

About this study

Official title: Onyx ONE Study; A Randomized Controlled Trial With Resolute Onyx in One Month Dual Antiplatelet Therapy (DAPT) for High-Bleeding Risk Patients

The purpose of this study is to evaluate the clinical safety and effectiveness of the Resolute Onyx stent in subjects deemed at high risk for bleeding and/or medically unsuitable for more than 1 month DAPT treatment receiving reduced duration (1 month) of DAPT following stent implantation.

Being tested
Medtronic Resolute Onyx Zotarolimus-Eluting Coronary Stent System, Biosensors BioFreedom BA9 Drug Coated Coronary Stent
Medical subject headings
Coronary Artery Disease

What participants receive

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

  • Medtronic Resolute Onyx Zotarolimus-Eluting Coronary Stent SystemDevice

    Medtronic Resolute Onyx Zotarolimus-Eluting Coronary Stent System Treatment Followed by 1 month DAPT

  • Biosensors BioFreedom BA9 Drug Coated Coronary StentDevice

    Biosensors BioFreedom BA9 Drug Coated Coronary Stent Followed by 1 month DAPT

Study groups in NCT03344653
Study groupRoleWhat they receive
Resolute Onyx stentActive comparatorSubjects who fulfill the inclusion criteria and none of the exclusion criteria will be randomly allocated in a 1:1 fashion to treatment with a Resolute Onyx stent or the BioFreedom stent followed by 1-month DAPT. Subjects implanted with the Resolute Onyx stent will be assessed for non-inferiority compared to those implanted with the BioFreedom stent using a composite safety endpoint of cardiac death, myocardial infarction, and definite/probable stent thrombosis, at 1 year post-procedure.
Receives: Device: Medtronic Resolute Onyx Zotarolimus-Eluting Coronary Stent System
BioFreedom stentActive comparatorSubjects who fulfill the inclusion criteria and none of the exclusion criteria will be randomly allocated in a 1:1 fashion to treatment with a Resolute Onyx stent or the BioFreedom stent followed by 1-month DAPT. Subjects implanted with the Resolute Onyx stent will be assessed for non-inferiority compared to those implanted with the BioFreedom stent using a composite safety endpoint of cardiac death, myocardial infarction, and definite/probable stent thrombosis, at 1 year post-procedure.
Receives: Device: Biosensors BioFreedom BA9 Drug Coated Coronary Stent

What is being measured

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

  1. Composite endpoint: Cardiac Death, Myocardial Infarction, or Stent Thrombosis

    Powered for non-inferiority against BioFreedom (control), is a composite of cardiac death, myocardial infarction and definite/probable stent thrombosis. The combined clinical outcome of cardiac death, MI or stent thrombosis

    Measured: 1 year post-procedure

Secondary outcomes (12)
  1. Target Lesion Failure

    Defined as cardiac death, target vessel myocardial infarction (Q wave and non Q wave), or clinically driven target lesion revascularization(TLR) by percutaneous or surgical methods

    Measured: 2 year post-procedure

  2. Procedure Success

    Attainment of <30% residual stenosis by QCA (or <20% by visual assessment) AND TIMI flow 3 after the procedure, using any percutaneous method without the occurrence of MACE during the hospital stay.

    Measured: 2 year post-procedure

  3. Cardiac Death

    All deaths including cardiac death

    Measured: 2 year post- procedure

  4. Major Cardiac Event

    Major adverse cardiac event (MACE) defined as composite of death, myocardial infarction, or repeat target lesion revascularization (clinically driven) by percutaneous or surgical methods

    Measured: 2 year post- procedure

  5. Myocardial Infarction

    All myocardial infarction including Target Vessel Myocardial Infarction (TVMI)

    Measured: 2 year post-procedure

  6. Target Vessel Failure

    Target vessel failure (TVF) defined as composite of cardiac death, target vessel myocardial infarction, or clinically-driven target vessel revascularization (TVR) by percutaneous or surgical methods.

    Measured: 2 year post-procedure

  7. Revascularization

    All revascularizations (TLR, TVR and non-TVR)

    Measured: 2 year post-procedure

  8. Stent Thrombosis

    Stent thrombosis (per Academic Research Consortium (ARC) definition)

    Measured: 2 year post-procedure

  9. Bleeding

    Bleeding per BARC criteria

    Measured: 2 year post-procedure

  10. Stroke

    Stroke

    Measured: 2 year post-procedure

  11. Lesion Success

    The attainment of <30% residual stenosis by QCA (or < 20% by visual assessment) AND TIMI flow 3 after the procedure, using any percutaneous method

    Measured: 2 year post-procedure

  12. Device success

    Attainment of <30% residual stenosis by QCA (or <20% by visual assessment) AND TIMI flow 3 after the procedure, using the assigned device only.

    Measured: 2 year post-procedure

Timeline

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

  1. First posted17 Nov 2017
  2. Study start2 Nov 2017
  3. Primary completion27 Sep 2018
  4. Study completion9 Oct 2020

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
Model description
Prospective, multi-center, blinded, randomized, controlled study enrolling eligible subjects at global centers. The enrollment period is anticipated to be approximately 14 months.
Masking
Single blind
Who is masked
Participant
Enrolment
2,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03344653
Sponsor's protocol ID
MDT17054RES007
Acronym
Onyx ONE
Status last verified
Dec 2020
First submitted
20 Oct 2017
Last updated
2 Dec 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Campos CM, Mehran R, Capodanno D, Owen R, Windecker S, Varenne O, Stone GW, Valgimigli M, Hajjar LA, Kalil Filho R, Oldroyd K, Morice MC, Urban P, Abizaid A. Risk Burden of Cancer in Patients Treated With Abbreviated Dual Antiplatelet Therapy After PCI: Analysis of Multicenter Controlled High-Bleeding Risk Trials. Circ Cardiovasc Interv. 2024 Apr;17(4):e013000. doi: 10.1161/CIRCINTERVENTIONS.122.013000. Epub 2024 Apr 16.

    PubMed 38626080
  • Toth GG, Kandzari DE, Kirtane AJ, Windecker S, Latib A, Kedhi E, Mehran R, Price MJ, Choi JW, Caputo R, Troquay R, Diderholm E, Singh S, Brar SS, Loussararian A, Chetcuti S, Tulli M, Stone GW, Lung TH, Mylotte D. Two-year results from Onyx ONE clear in patients with high bleeding risk on one-month DAPT with and without intracoronary imaging. Cardiovasc Revasc Med. 2024 Jan;58:60-67. doi: 10.1016/j.carrev.2023.07.016. Epub 2023 Jul 24.

    PubMed 37550123
  • Windecker S, Latib A, Kedhi E, Kirtane AJ, Kandzari DE, Mehran R, Price MJ, Abizaid A, Simon DI, Worthley SG, Zaman A, Hudec M, Poliacikova P, Kahar Bin Abdul Ghapar A, Selvaraj K, Petrov I, Mylotte D, Pinar E, Moreno R, Fabbiocchi F, Pasupati S, Kim HS, Aminian A, Tie C, Wlodarczak A, Hur SH, Marx SO, Ali ZA, Parke M, Lung TH, Stone GW; Onyx ONE Investigators. Polymer-Based Versus Polymer-Free Stents in High Bleeding Risk Patients: Final 2-Year Results From Onyx ONE. JACC Cardiovasc Interv. 2022 Jun 13;15(11):1153-1163. doi: 10.1016/j.jcin.2022.04.010.

    PubMed 35680195
  • Windecker S, Latib A, Kedhi E, Kirtane AJ, Kandzari DE, Mehran R, Price MJ, Abizaid A, Simon DI, Worthley SG, Zaman A, Hudec M, Poliacikova P, Abdul Ghapar AKB, Selvaraj K, Petrov I, Mylotte D, Pinar E, Moreno R, Fabbiocchi F, Pasupati S, Kim HS, Aminian A, Tie C, Wlodarczak A, Hur SH, Marx SO, Jankovic I, Brar S, Bousquette L, Liu M, Stone GW; ONYX ONE Investigators. Polymer-based or Polymer-free Stents in Patients at High Bleeding Risk. N Engl J Med. 2020 Mar 26;382(13):1208-1218. doi: 10.1056/NEJMoa1910021. Epub 2020 Feb 12.

    PubMed 32050061
  • Kedhi E, Latib A, Abizaid A, Kandzari D, Kirtane AJ, Mehran R, Price MJ, Simon D, Worthley S, Zaman A, Brar S, Liu M, Stone GW, Windecker S. Rationale and design of the Onyx ONE global randomized trial: A randomized controlled trial of high-bleeding risk patients after stent placement with 1 month of dual antiplatelet therapy. Am Heart J. 2019 Aug;214:134-141. doi: 10.1016/j.ahj.2019.04.017. Epub 2019 May 6.

    PubMed 31203158

Questions about this trial

What is this clinical trial studying?

A study testing Medtronic Resolute Onyx Zotarolimus-Eluting Coronary Stent System and Biosensors BioFreedom BA9 Drug Coated Coronary Stent in people with Coronary Artery Disease, run by Medtronic Vascular at 89 sites in 23 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 9 inclusion and 8 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 2 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 89 sites in Australia, South Korea, Spain, United Kingdom, Netherlands and 18 more countries. 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?

Composite endpoint: Cardiac Death, Myocardial Infarction, or Stent Thrombosis (time frame: 1 year post-procedure). 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 NCT03344653, which also lists 5 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 2 Dec 2020.

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Onyx ONE Clinical Trial NCT03344653 | AzTrials