Coronary Artery DiseaseNCT04953117
A Safety and Efficacy Study of Lepu® Drug Coated Balloon in Treatment of Coronary Small-vessel Disease
A study testing DCB of Lepu Medical(dimeter≥2.00 mm), Restore DEB and DCB of Lepu Medical(dimeter<2.00 mm) in people with Coronary Artery Disease, run by Lepu Medical Technology (Beijing) Co., Ltd. at 14 sites in China.
Trial summary
This study was designed to verify the safety and efficacy of Lepu® Drug Coated Balloon in Treatment of Coronary Small-vessel Disease Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Coronary Artery Disease
- What is being tested?
- DCB of Lepu Medical(dimeter≥2.00 mm), Restore DEB and DCB of Lepu Medical(dimeter<2.00 mm)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 286 participants
- Where
- 14 sitesChina
- Study dates
- 10 Mar 2021to Apr 2023
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age must be 18-80 years, males or females.
- Subject with stable angina, or unstable angina, or recent myocardial infarction (myocardial infarction occurred more than 7 days before enrolled into the group), or asymptomatic myocardial ischemia with evidence
- Coronary angiopathy in situ with stenosis of more than 70% with visually estimated (or more than 50% combined with symptoms of ischemia, TIMI ≥ 1) in a vessel with visually estimated reference vessel diameter (RVD) ≥ 2.0 mm and ≤ 2.75 mm in small vessel group,and ≤ 26 mm in length or RVD ≥ 1.75 mm and < 2.0 mm in very small vessel group, and ≤ 16 mm in length.
- Target small vessel lesions are located on one or two different coronary arteries (RCA / LAD/ LCX). The number of target small vessel lesions on each coronary artery is no more than one, and each target small vessel lesion can only be treated with one test instrument
- The number of non-target lesions requiring early interventional treatment is no more than two, and the distance between them and target lesions must be > 10 mm; Successful treatment of non target lesions is required before subjects are randomized and the test equipment(DCB) cannot be used for the treatment.
- Subject can receive any type of coronary revascularization (including balloon angioplasty, stent implantation or coronary artery bypass grafting)
- Subject can understand the study objectives and voluntarily participate in and sign the informed consent; subject must agree to clinical follow-up and angiographic follow-up at 9 months.
Who cannot join
- AMI within 1 week.
- In stent restenosis, complete occlusion or severe calcification (unable to pre expand successfully with balloon)
- Left main artery disease or bifurcation disease with diameter >2.00mm requiring interventional treatment
- Evidence of massive thrombi in the target vessels
- Severe heart failure (NYHA IV)
- Severe renal failure (subject with GFR < 30ml / min or undergoing hemodialysis)
Show all 14Show fewer
- Subject with vein graft restenosis after bypass surgery or severe heart valve disease
- Pregnant or nursing subjects
- Life expectancy less than 12 months
- Subject with bleeding tendency, history of active peptic ulcer, suffered stroke within the past 6 months, contraindications of antiplatelet preparation and anticoagulant treatment
- Subject is currently participating in another investigational drug or device study that has not yet completed its primary endpoint.
- Subject has undergone heart transplantation
- Known allergy to aspirin, clopidogrel, heparin, contrast media, and paclitaxel.
- The investigator judged that the subject's compliance is poor and can not complete the study as required.
Trial locations and contacts
14 sites in 1 country.
14 sites in 1 country
China14 sites, 14 recruiting
- Recruiting
Beijing Anzhen Hospital, Capital Medical University
Beijing, Beijing Municipality, 100029
Yong Zeng
- Recruiting
Peking University Third Hospital
Beijing, Beijing Municipality, 100037
Yida Tang
Guisong Wang
- Recruiting
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
Hui Chen
- Recruiting
Beijing Chao-Yang Hospital, Cpaital Medical University
Beijing, Beijing Municipality
Lefeng Wang
- Recruiting
Peking University Shougang Hospital
Beijing, Beijing Municipality
Qiang Tang
- Recruiting
The Second Hospital of Jilin University
Changchun, Jilin, 130041
Bin Liu
- Recruiting
Daqing Oilfield General Hospital
Daqing, Heilongjiang, 163411
Hui Li
- Recruiting
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Lianglong Chen
- Recruiting
Sir Run Run Shaw Hospital,School of Medicine
Hangzhou, Zhejiang, 310016
Guosheng Fu
- Recruiting
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310058
Jun Jiang
- Recruiting
Inner Mongolia People's Hospital
Hohhot, Neimenggu, 010017
Xi Liu
- Recruiting
The First Hospital of Hebei Medical University
Shijiazhuang, Hebei, 50031
Gang Liu
- Recruiting
No.980 Hospital of Joint Logistics Support Force
Shijiazhuang, Hebei, 50082
Leisheng Ru
- Recruiting
Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052
Qing Yang
About this study
Official title: Assess the Safety and Efficacy of Lepu® Drug Coated Balloon Versus RESTORE® Paclitaxel Eluting Balloon for the Treatment of Coronary Small-vessel Disease: a Prospective, Multicenter, Randomized, Controlled Trial
This study was designed to verify the safety and efficacy of Lepu® Drug Coated Balloon in Treatment of Coronary Small-vessel Disease
Read the detailed description
This study include a small vessel cohort and a very small vessel cohort. In the small vessel cohort, patients with visually estimated reference vessel diameters(RVDs)≥2.0 and ≤2.75mm were randomly assigned to the Coronary Drug Coated Balloon Catheter Used in Small Vessels of Lepu Medical or the Restore DEB in a 1:1 ratio. The study was powered to detect the noninferiority of the DCB of Lepu Medical versus the Restore DEB for a primary endpoint of in-segment late lumen loss(LLL) at 9 months.
In the very small vessel cohort, patients with RVD≥1.75 and<2.0mm were treated with the DCB of Lepu Medical of an appropriate size.
All subjects will been followed up for 2 years to observe the occurrence of adverse events, so as to make an accurate and reliable evaluation of the safety of drug coated balloon catheters for coronary small vessels.
- Conditions
- Coronary Artery Disease
- Being tested
- DCB of Lepu Medical(dimeter≥2.00 mm), Restore DEB, DCB of Lepu Medical(dimeter<2.00 mm)
- Keywords
- Drug Coated Balloon Catheter, Small Coronary Vessel Disease, Randomized Controlled Trial
- 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.
DCB of Lepu Medical(dimeter≥2.00 mm)Device
Also called Coronary Drug Coated Balloon Catheter of Lepu Medical for coronary small vessels
subjects receiving DCB of Lepu Medical(dimeter≥2.00 mm)
Restore DEBDevice
Also called RESTORE Paclitaxel releasing coronary balloon catheter
subjects receiving Restore DEB
DCB of Lepu Medical(dimeter<2.00 mm)Device
Also called Coronary Drug Coated Balloon Catheter of Lepu Medical for coronary very small vessels
subjects receiving DCB of Lepu Medical(dimeter<2.00 mm)
| Study group | Role | What they receive |
|---|---|---|
| small vessel cohort: DCB of Lepu Medical | Experimental | receiving the treatment with DCB of Lepu Medical(dimeter≥2.00 mm) in small vessel cohort Receives: Device: DCB of Lepu Medical(dimeter≥2.00 mm) |
| small vessel cohort:Restore DEB | Active comparator | receiving the treatment with Restore DEB in small vessel cohort Receives: Device: Restore DEB |
| very small vessel cohort: DCB of Lepu Medical | Other | receiving the treatment with DCB of Lepu Medical(dimeter<2.00 mm) in very small vessel cohort Receives: Device: DCB of Lepu Medical(dimeter<2.00 mm) |
What is being measured
The primary outcome is the main question the study is designed to answer.
In-segment late lumen loss(LLL)
In-segment late lumen loss is defined as the change in minimal lumen diameter
Measured: 9 months
Secondary outcomes (6)
The success rate of intervention treatment (%)(Device success,Lesion success ,Procedural success)
The success rate of intervention treatment (%) include device success,lesion success and procedural success
Measured: 2-3 days
In-segment diameter stenosis(DS%)
In-segment diameter stenosis(DS%) defined as (1-minimal luminal diameter[MLD]/reference vessel diameter[RVD])*100%.
Measured: 9 months
Angiographic binary restenosis (ABR)
Angiographic binary restenosis (ABR), defined as target lesion DS ≥ 50% at follow up
Measured: 9 months
Target lesion failure (TLF)
Target lesion failure (TLF), including cardiac death, target vessel-myocardial infarction (MI), or ischemic-driven target lesion revascularization (ID-TLR)
Measured: 30 days,6,9 months,and 1,2 years
Patient-oriented composite endpoint (PoCE)
Patient-oriented composite endpoint (PoCE), including all-cause death, all MI, or any revascularization.
Measured: 30 days,6,9 months,and 1,2 years
Definite or probable target lesion thrombosis
Definite or probable target lesion thrombosis, including Acute stent thrombosis, Early stent thrombosis, Late stent thrombosis, Very late stent thrombosis
Measured: 30 days,6,9 months,and 1,2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jul 2021
- Study start10 Mar 2021
- Primary completionJun 2022 (estimated)
- Study completionApr 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Coronary Artery DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Outcomes assessor
- Enrolment
- 286 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Yida Tang, Study chair, Peking University Third Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04953117
- Sponsor's protocol ID
- LP-SDCB-2020
- Status last verified
- Jun 2021
- First submitted
- 28 Jun 2021
- Last updated
- 7 Jul 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 7 Jul 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Assess the Safety and Efficacy of Lepu® Drug Coated Balloon Versus RESTORE® Paclitaxel Eluting Balloon for the Treatment of Coronary Small-vessel Disease: a Prospective, Multicenter, Randomized, Controlled Trial
- ClinicalTrials.gov ID
- NCT04953117
- Acronym / sponsor ID
- LP-SDCB-2020
- Conditions
- Coronary Artery Disease
- Keywords
- Drug Coated Balloon Catheter, Small Coronary Vessel Disease, Randomized Controlled Trial
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 286 participants (estimated)
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 10 Mar 2021 (actual)
- Primary completion
- Jun 2022 (estimated)
- Study completion
- Apr 2023 (estimated)
- First posted
- 7 Jul 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was designed to verify the safety and efficacy of Lepu® Drug Coated Balloon in Treatment of Coronary Small-vessel Disease
Detailed description
This study include a small vessel cohort and a very small vessel cohort. In the small vessel cohort, patients with visually estimated reference vessel diameters(RVDs)≥2.0 and ≤2.75mm were randomly assigned to the Coronary Drug Coated Balloon Catheter Used in Small Vessels of Lepu Medical or the Restore DEB in a 1:1 ratio. The study was powered to detect the noninferiority of the DCB of Lepu Medical versus the Restore DEB for a primary endpoint of in-segment late lumen loss(LLL) at 9 months.
In the very small vessel cohort, patients with RVD≥1.75 and<2.0mm were treated with the DCB of Lepu Medical of an appropriate size.
All subjects will been followed up for 2 years to observe the occurrence of adverse events, so as to make an accurate and reliable evaluation of the safety of drug coated balloon catheters for coronary small vessels.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| small vessel cohort: DCB of Lepu Medical | Experimental | Device: DCB of Lepu Medical(dimeter≥2.00 mm)receiving the treatment with DCB of Lepu Medical(dimeter≥2.00 mm) in small vessel cohort |
| small vessel cohort:Restore DEB | Active comparator | Device: Restore DEBreceiving the treatment with Restore DEB in small vessel cohort |
| very small vessel cohort: DCB of Lepu Medical | Other | Device: DCB of Lepu Medical(dimeter<2.00 mm)receiving the treatment with DCB of Lepu Medical(dimeter<2.00 mm) in very small vessel cohort |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Age must be 18-80 years, males or females.
- Subject with stable angina, or unstable angina, or recent myocardial infarction (myocardial infarction occurred more than 7 days before enrolled into the group), or asymptomatic myocardial ischemia with evidence
- Coronary angiopathy in situ with stenosis of more than 70% with visually estimated (or more than 50% combined with symptoms of ischemia, TIMI ≥ 1) in a vessel with visually estimated reference vessel diameter (RVD) ≥ 2.0 mm and ≤ 2.75 mm in small vessel group,and ≤ 26 mm in length or RVD ≥ 1.75 mm and < 2.0 mm in very small vessel group, and ≤ 16 mm in length.
- Target small vessel lesions are located on one or two different coronary arteries (RCA / LAD/ LCX). The number of target small vessel lesions on each coronary artery is no more than one, and each target small vessel lesion can only be treated with one test instrument
- The number of non-target lesions requiring early interventional treatment is no more than two, and the distance between them and target lesions must be > 10 mm; Successful treatment of non target lesions is required before subjects are randomized and the test equipment(DCB) cannot be used for the treatment.
Key exclusion criteria (14 listed)
- AMI within 1 week.
- In stent restenosis, complete occlusion or severe calcification (unable to pre expand successfully with balloon)
- Left main artery disease or bifurcation disease with diameter >2.00mm requiring interventional treatment
- Evidence of massive thrombi in the target vessels
- Severe heart failure (NYHA IV)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DCB of Lepu Medical(dimeter≥2.00 mm)Also: Coronary Drug Coated Balloon Catheter of Lepu Medical for coronary small vesselssubjects receiving DCB of Lepu Medical(dimeter≥2.00 mm) | Device | small vessel cohort: DCB of Lepu Medical |
| Restore DEBAlso: RESTORE Paclitaxel releasing coronary balloon cathetersubjects receiving Restore DEB | Device | small vessel cohort:Restore DEB |
| DCB of Lepu Medical(dimeter<2.00 mm)Also: Coronary Drug Coated Balloon Catheter of Lepu Medical for coronary very small vesselssubjects receiving DCB of Lepu Medical(dimeter<2.00 mm) | Device | very small vessel cohort: DCB of Lepu Medical |
Primary outcome
In-segment late lumen loss(LLL)
Time frame: 9 months
In-segment late lumen loss is defined as the change in minimal lumen diameter
6 secondary outcomes
The success rate of intervention treatment (%)(Device success,Lesion success ,Procedural success)
Time frame: 2-3 days
In-segment diameter stenosis(DS%)
Time frame: 9 months
Angiographic binary restenosis (ABR)
Time frame: 9 months
Target lesion failure (TLF)
Time frame: 30 days,6,9 months,and 1,2 years
Patient-oriented composite endpoint (PoCE)
Time frame: 30 days,6,9 months,and 1,2 years
Definite or probable target lesion thrombosis
Time frame: 30 days,6,9 months,and 1,2 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Jul 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Yida Tang study chair
Peking University Third Hospital
14 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing DCB of Lepu Medical(dimeter≥2.00 mm), Restore DEB and DCB of Lepu Medical(dimeter<2.00 mm) in people with Coronary Artery Disease, run by Lepu Medical Technology (Beijing) Co., Ltd. at 14 sites in China.
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 7 inclusion and 14 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 7 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 14 sites in China. 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?
Contact Ting Zhang (+86-010-80120666, ting_zhang@lepumedical.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
In-segment late lumen loss(LLL) (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 7 Jul 2021.