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Coronary Artery DiseaseNCT04859985

The SELUTION DeNovo Study

A study testing SELUTION SLR and DES in people with Coronary Artery Disease, run by M.A. Med Alliance S.A. at 62 sites in 12 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

A Prospective Randomized, Multi-centre, International, Open Label, Clinical trial comparing the Selution DEB strategy versus DES strategy. 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?
SELUTION SLR and DES
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,326 participants
Where
62 sitesin 12 countries
Study dates
15 May 2021to 31 Oct 2030
Phase
Interventional
Are there results?
Not yet: the study is under way

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

None listed.

Who cannot join

  • Age < 18 years (or 21 according to countries legal age)
  • Subject is pregnant or breast-feeding
  • Definite or suspected clinically active covid-19 infection
  • Subject is under judicial protection, tutorship or curatorship (for France only)
  • Subject is unable to fully comply with the study protocol
  • Contraindications to dual antiplatelet therapy, sirolimus or its analogues
Show all 19Show fewer
  • Presentation with STEMI
  • Presentation with NSTEMI and ongoing chest pain or hemodynamic instability
  • Presentation with Killip III (pulmonary oedema) or IV (cardiogenic shock)
  • Chronic NYHA class III or IV heart failure prior to index PCI
  • Known LVEF < 30% prior to index PCI
  • Previous PCI of a trial target vessel at any time
  • Previous PCI of a non-trial target vessel within 30 days
  • Trial target lesion located in the left main or any arterial or venous graft
  • Trial target lesion is chronic total occlusion (CTO) or in-stent restenosis (ISR)
  • Subject considered not able to tolerate at least 30 seconds of coronary occlusion for each trial target lesion
  • RVD of trial target lesion > 5mm
  • Planned major surgery within one month following the procedure
  • Currently participating in another investigational drug or device study that has not completed primary endpoint follow-up

Trial locations and contacts

62 sites in 12 countries.

62 sites in 12 countries

Germany14 sites
  • Universitätsklinik Augsburg

    Augsburg

  • Universitätsklinikum Freiburg

    Bad Krozingen

  • BG Klinikum Unfallkrankenhaus Berlin

    Berlin

  • Charite Campus Virchow Klinikum

    Berlin

  • Kardiologisch-Angiologische Praxis • Herzzentrum Bremen

    Bremen

  • RKH Kliniken Bruchsal Fürst Stirum Klinik

    Bruchsal

  • University Koeln

    Cologne

  • Herzzentrum Dresden GmbH Universitätsklinik

    Dresden

  • Elisabeth-Krankenhaus

    Essen

  • Asklepios Kliniken GmbH & Co.

    Hamburg

  • University Medical Center Hamburg Eppendorf

    Hamburg

  • MEDICLIN Herzzentrum Lahr

    Lahr

  • Johannes Wesling Klinikum Minden

    Minden

  • Herzklinikum Ulm

    Ulm

Other trials in Germany

United Kingdom14 sites
  • The Royal Bournemouth and Christchurch Hospitals

    Bournemouth

  • Royal Sussex County Hospital

    Brighton

  • University Hospitals Bristol

    Bristol

  • Royal Infirmary of Edinburgh

    Edinburgh

  • Golden Jubilee National Hospital

    Glasgow

  • Glenfield Hospital

    Leicester

  • Manchester University NHS Foundation Trust

    Manchester

  • Norfolk and Norwich University Hospitals

    Norwich

  • Trent Cardiac Centre, Nottingham City Hospital

    Nottingham

  • Royal Berkshire Hospital

    Reading

  • Northern General, Sheffield

    Sheffield

  • University Hospital Southampton

    Southampton

  • University Hospitals of North Midlands, Royal Stoke University Hospital

    Stoke-on-Trent, Staffordshire, ST4 6QG

  • Worcestershire Royal Hospital

    Worcester

Other trials in United Kingdom

France6 sites
  • CH La Rochelle

    La Rochelle

  • Hôpital Jaques Cartier

    Massy

  • CHU de Nîmes

    Nîmes

  • Hôpital Européen Georges Pompidou

    Paris

  • Centre Hospitalier de Pau

    Pau

  • Clinique Saint Hilaire

    Rouen

Other trials in France

Switzerland6 sites
  • University Hospital Basel

    Basel

  • University Hospital of Bern

    Bern

  • Hôpital Cantonal de Fribourg

    Fribourg

  • University Hospital Geneva (HUG)

    Geneva

  • HOCH Health Ostschweiz Kantonsspital St.Gallen

    Sankt Gallen

  • University Zurich

    Zurich

Other trials in Switzerland

Italy4 sites
  • Ospedale Civile Santi Antonio e Biagio e Cesare Arrigo

    Alessandria

  • Clinica Mediterranea

    Naples

  • Ospedale Santa Croce di Moncalieri

    Torino

  • Ospedale Sant'andrea

    Vercelli

Other trials in Italy

Netherlands4 sites
  • University Medical Center Amsterdam

    Amsterdam

  • University Medical Center Groningen

    Groningen

  • Tergooi MC

    Hilversum

  • UMC Utrecht

    Utrecht

Other trials in Netherlands

Austria3 sites
  • Academic Teaching Hospital Feldkirch

    Feldkirch

  • University Heart Center Graz

    Graz

  • Kepler Universitätsklinikum GmbH

    Linz

Other trials in Austria

Poland3 sites
  • Szpital Kliniczny Przemienienia Pańskiego UM

    Poznan

  • Kliniczny Szpital Wojewódzki Nr. 2 w Rzeszowie

    Rzeszów

  • Szpital Ministerstwa Spraw Wewnetrznych

    Rzeszów

Other trials in Poland

Spain3 sites
  • Hospital Clinico de Barcelona

    Barcelona

  • Hospital Universitario de La Princesa

    Madrid

  • Hospital Alvaro Cunqueiro, University Hospital of Vigo

    Vigo

Other trials in Spain

Czechia2 sites
  • University Hospital Brno

    Brno

  • University Hospital Ostrava

    Ostrava

Other trials in Czechia

Singapore2 sites
  • National Heart Centre Singapore (NHCS)

    Singapore

  • SengKang General Hospital

    Singapore

Other trials in Singapore

Finland1 site
  • SIUN sote Hospital and Healthcare center

    Joensuu

Other trials in Finland

About this study

Official title: Selution DeNovo - A Prospective Randomized, Multi-centre, International, Open Label, Clinical Trial Comparing the Selution DEB Strategy Versus DES Strategy.

A Prospective Randomized, Multi-centre, International, Open Label, Clinical trial comparing the Selution DEB strategy versus DES strategy.

Read the detailed description

Randomized, multi-centre, international, open label, clinical trial. Patients meeting eligibility criteria will be randomized 1:1 to treatment of all lesions of the identified trial target vessel(s) with either the SELUTION SLR DEB or DES.

Patients randomized to the SELUTION SLR DEB arm will receive lesion preparation according to the 3rd DCB consensus (optimal balloon angioplasty with adjunct treatment using high-pressure balloon, shockwave, rotational atherectomy or cutting or scoring balloon at the discretion of the operator when necessary to maximize lumen diameter). Patients with lesions that are then best treated by provisional stenting (flow-limiting dissection, residual stenosis > 30% or FFR < 0.8) before or after use of DEB will receive a DES but remain in the SELUTION DEB group (intention to treat analysis).

Patients randomized to the DES arm will receive treatment using any CE-marked DES, as per standard institutional practice. Patients with failure to deliver DES will be first treated by provisional DEB using the SELUTION DEB, and failing that, with any other device deemed appropriate.

Staged procedures are allowed if they are planned less than 45 days after the index procedure and are done according to the initial treatment allocation for all trial target vessels (DEB if DEB arm, DES if DES arm).

The study will test:

  1. for non-inferiority of a DEB plus provisional DES treatment strategy versus a systematic DES strategy with respect to the primary endpoint of TVF at 12 months.
  2. for non-inferiority of a DEB plus provisional DES treatment strategy versus a systematic DES strategy with respect to the primary endpoint of TVF at 5 years. If non-inferiority is then established, superiority of the DEB strategy with TVF as an endpoint will be tested.

All Patients will be followed for clinical outcomes at 30 days, 6 months, 1 2, 3, 4 and 5 years.

Being tested
SELUTION SLR, DES
Keywords
Drug Eluting Balloon, Coronary, De Novo coronary lesions
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.

  • SELUTION SLRDevice

    Patients randomized to the SELUTION SLR™ DEB arm will receive lesion preparation according to the 3rd DCB consensus (optimal balloon angioplasty with adjunct treatment using high-pressure balloon, shockwave, rotational atherectomy or cutting or scoring balloon at the discretion of the operator when necessary to maximize lumen diameter). Patients with lesions that are then best treated by provisional stenting (flow-limiting dissection, residual stenosis > 30% or FFR < 0.8) before or after use of DEB will receive a DES but remain in the SELUTION SLR™ DEB group (intention to treat analysis).

  • DESDevice

    For patients randomized to the DES strategy, all target lesions should be treated with DES, but use of a SELUTION SLR™ DEB or any other device is acceptable if a DES cannot be delivered to the target lesion. For bifurcation lesions, if the side-branch requires treatment it should be treated with another DES or with POBA, at the discretion of the operator, but not with a DEB.

Study groups in NCT04859985
Study groupRoleWhat they receive
SELUTION SLR DEBExperimentalDevice: SELUTION SLR DEB. For patients randomized to the DEB strategy, all target lesions should be treated with DEB after appropriate lesion preparation, but provisional DES implantation is acceptable if the angiographic result is considered insufficient either after lesion preparation of after DEB treatment (poor flow, dissection type C or higher, residual stenosis > 30%). For bifurcation lesions, when both main and side- branch are considered to require treatment, a DEB should be used for both.
Receives: Device: SELUTION SLR
DESOtherDevice: Drug Eluting Stent. For patients randomized to the DES strategy, all target lesions should be treated with DES, but use of a SELUTION SLR™ DEB or any other device is acceptable if a DES cannot be delivered to the target lesion. For bifurcation lesions, if the side-branch requires treatment it should be treated with another DES or with POBA, at the discretion of the operator, but not with a DEB.
Receives: Device: DES

What is being measured

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

  1. TVF

    • TVF (cardiac death, target-vessel related myocardial infarction (MI) or clinically driven target vessel revascularization (cd-TVR) at 1 year

    Measured: 1 year after treatment

  2. TVF

    • TVF (cardiac death, target-vessel related myocardial infarction (MI) or clinically driven target vessel revascularization (cd-TVR)) at 5 years

    Measured: 5 years after treatment

Secondary outcomes (17)
  1. Death or any MI

    Cardiac death, non-cardiac death, or any Myocardial Infarction

    Measured: 30 days after treatment

  2. CD-TVR

    Clinically driven - Target Vessel Revascularization

    Measured: 30 days after treatment

  3. TVF

    Target Vessel Failure

    Measured: 2, 3, 4, 5 years after treatment

  4. Any revascularization

    1. Target lesion revascularization (TLR) - any and clinically driven
    2. Target vessel revascularization (TVR) - any and clinically driven
    3. A new lesion revascularization in a target vessel
    4. Non-Target vessel revascularization

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  5. Myocardial Infarction (MI)

    1. Peri-procedural MI
    2. Target-vessel MI
    3. Non-target-vessel MI
    4. MI type (1 to 5) according to the 4th universal definition

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  6. Composite of cardiac death or target vessel MI

    Composite of cardiac death or target vessel Myocardial Infarction

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  7. All-cause mortality

    • Cardiac mortality
    • Non-cardiac mortality

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  8. Patient-oriented ARC-2 composite endpoint

    1. All-cause mortality
    2. Any stroke
    3. Any MI (includes non-target vessel territory)
    4. Any revascularization

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  9. Site-reported stroke

    Site-reported stroke

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  10. Site-reported BARC 3-5 Bleeding

    Site-reported BARC (Bleeding Academic Research Consortium ) 3-5 Bleeding

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  11. Cost-effectiveness of DEB vs. DES after 12 months in selected countries

    Total costs of materials used during treatment

    Measured: 1, 2, 3, 4 and 5 years after treatment

  12. Cost-effectiveness of DEB vs. DES after 12 months in selected countries

    Time of procedure. Total minutes from patient introducer introduction until removal

    Measured: 1, 2, 3, 4 and 5 years after treatment

  13. Cost-effectiveness of DEB vs. DES after 12 months in selected countries

    Total hospitalization days per procedure.

    Measured: 1, 2, 3, 4 and 5 years after treatment

  14. Net clinical benefit, a combination of freedom from TVF and/or BARC 3-5 bleeding

    Net clinical benefit, a combination of freedom from (Target Vessel Failure) TVF and/or BARC 3-5 bleeding

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  15. Device success

    Device success defined as achievement of a final residual diameter stenosis of < 30% (site-reported), using the assigned device only

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  16. Lesion success

    Lesion success defined as achievement of < 30% residual stenosis (site-reported), using any PCI method

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

  17. Procedure success

    Procedure success defined as achievement of a final diameter stenosis of < 30% (site-reported) using any PCI method, without the occurrence of death, MI, or repeat target vessel revascularization during hospital stay

    Measured: 30 days, 6 months, 1, 2, 3, 4 and 5 years after treatment

Timeline

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

  1. First posted26 Apr 2021
  2. Study start15 May 2021
  3. Primary completion15 Sep 2025
  4. Study completion31 Oct 2030 (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
Model description
Randomised controlled trial
Masking
None (open label)
Enrolment
3,326 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04859985
Sponsor's protocol ID
S2021-02
Status last verified
Jan 2026
First submitted
23 Mar 2021
Last updated
22 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Spaulding C, Krackhardt F, Bogaerts K, Abdelaal E, Alfonso F, Briguori C, Bruch L, Cruden N, Den Hartog AW, Garot P, Godin M, Hildick-Smith D, Johnson T, Ladwiniec A, Linke A, Maart CA, Mashayekhi K, Meier P, Meunier L, Morgan K, O'Kane P, Puymirat E, Rissanen TT, Sabate M, Schmitz T, Toth GG, Trevelyan J, Wanczura P, Wiemer M, Wykrzykowska JJ, Urban P, Eccleshall S; SELUTION DeNovo Investigators. Sirolimus-Eluting Balloon With Provisional Stenting Versus Systematic Drug-Eluting Stent Implantation to Treat De Novo Coronary Lesions: A Randomized, Open-Label, Noninferiority Trial. Circulation. 2026 Jul 21;154(3):185-197. doi: 10.1161/CIRCULATIONAHA.126.079033. Epub 2026 Jun 15.

    PubMed 42290366
  • Spaulding C, Krackhardt F, Bogaerts K, Urban P, Meis S, Morice MC, Eccleshall S. Comparing a strategy of sirolimus-eluting balloon treatment to drug-eluting stent implantation in de novo coronary lesions in all-comers: Design and rationale of the SELUTION DeNovo Trial. Am Heart J. 2023 Apr;258:77-84. doi: 10.1016/j.ahj.2023.01.007. Epub 2023 Jan 13.

    PubMed 36642225

Questions about this trial

What is this clinical trial studying?

A study testing SELUTION SLR and DES in people with Coronary Artery Disease, run by M.A. Med Alliance S.A. at 62 sites in 12 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 0 inclusion and 19 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: under way, not looking for participants, as of the sponsor's last update on 22 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 62 sites in Germany, United Kingdom, France, Switzerland, Italy and 7 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?

This study is still under way. Results are not available in the source record yet.

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?

TVF (time frame: 1 year after treatment). 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 NCT04859985, which also lists 2 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 22 Jan 2026.

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