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Coronary Artery DiseaseDCB-HBRNCT05221931

Drug-Coated Balloon in Patients With High Bleeding Risk

A study testing Percutaneous coronary intervention in people with Coronary Artery Disease, run by Samsung Medical Center at 17 sites in South Korea.

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

DCB-HBR trial is prospective, multi-center, open-label, randomized controlled, noninferiority trial. The aim of the study is to compare clinical outcomes of drug-coated balloon (DCB) with drug-eluting stent (DES) for treatment of de-novo coronary lesion in patients with high bleeding risk (HBR). Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Coronary Artery Disease
What is being tested?
Percutaneous coronary intervention
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,359 participants
Where
17 sitesSouth Korea
Study dates
29 Jul 2022to Dec 2028
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 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject must be at least 19 years of age
  • Subject who is able to understand risks, benefits and treatment alternatives and sign informed consent voluntarily.
  • Patients with at least one lesion with greater than 50% diameter stenosis or fractional flow reserve ≤0.80 requiring revascularization in de-novo coronary artery of reference vessel size ≥2.25 mm
  • Patients with high bleeding risk: one or more of the criteria listed (1) Adjunctive oral anticoagulation treatment planned to continue after PCI (2) Age ≥ 75 years old (3) Baseline Hemoglobin <11 g/dl (or anemia requiring transfusion during the 4 weeks prior to randomization) (4) Any prior intra-cerebral bleeding (5) Stroke at any time or transient ischemic attack in the previous 6 months. (6) Hospital admission for bleeding during the prior 12 months (7) Non skin cancer diagnosed or treated < 3 years (8) Planned daily NSAID (other than aspirin) or steroids for >30 days after PCI (9) Planned surgery that would require interruption of DAPT (within next 12 months) (10) Renal failure defined as calculated creatinine clearance <40 ml/min or on dialysis (11) Hematological disorders (platelet count <100,000/mm3 or any coagulation disorder) (12) Severe chronic liver disease defined as patients who have developed any of the following: variceal hemorrhage, ascites, hepatic encephalopathy or jaundice (13) Expected non-compliance to prolonged DAPT for other medical reasons

Who cannot join

  • Patients unable to provide consent
  • Patients with known intolerance to aspirin, P2Y12 inhibitors, or components of drug-eluting stents
  • Patients with angiographic findings of (1) Left main coronary artery disease (2) In-stent restenosis is the cause of target lesion (3) Target lesion in bypass graft (4) True bifurcation lesion that requires upfront 2-stenting
  • Patients who have non-cardiac co-morbid conditions with life expectancy <2 year
  • Patients who may result in protocol non-compliance (site investigator's medical judgment)
  • Patients with cardiogenic shock or cardiac arrest
Show all 9Show fewer
  • Patients with severe left ventricular systolic dysfunction (ejection fraction <30%)
  • Patients with severe valvular heart disease requiring open heart surgery
  • Pregnant or lactating women

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

South Korea17 sites
  • Korea University Ansan Hospital

    Ansan

  • Chungbuk National University

    Cheongju-si

  • Keimyung University Dongsan Hospital

    Daegu

  • Gangneung Asan Hospital, University of Ulsan College of Medicine

    Gangneung

  • Chonnam National University Hospital

    Gwangju

  • Chung-Ang University Gwangmyeong Hospital

    Gwangmyeong

  • Inha University Hospital

    Incheon

  • Gyeongsang National University Hospital

    Jinju

  • Seoul National University Bundang Hospital

    Seongnam-si

  • Ewha Womans University College of Medicine

    Seoul

  • Kangbuk Samsung Hospital

    Seoul

  • Korea University Kuro Hospital

    Seoul

  • Samsung Medical Center

    Seoul

  • Seoul National University Boramae Medical Center

    Seoul

  • Seoul St. Mary's Hospital, The Catholic University of Korea

    Seoul

  • The Catholic University of Korea, Uijeongbu St. Mary's Hospital

    Uijeongbu-si

  • Wonju Severance Christian Hospital

    Wŏnju

Other trials in South Korea

About this study

Official title: Drug-Coated Balloon Versus Drug-Eluting Stent for Treatment of De-Novo Coronary Lesions in Patients With High Bleeding Risk (DCB-HBR Trial)

DCB-HBR trial is prospective, multi-center, open-label, randomized controlled, noninferiority trial.

The aim of the study is to compare clinical outcomes of drug-coated balloon (DCB) with drug-eluting stent (DES) for treatment of de-novo coronary lesion in patients with high bleeding risk (HBR).

Read the detailed description

Second-generation DES is the standard of care for patients with coronary artery disease who are deemed eligible for percutaneous coronary intervention (PCI). Despite many advantages, DES inevitably accompany disadvantages such as the occurrence of late stent thrombosis and the need for maintaining dual antiplatelet (DAPT) for certain period due to permanent vascular implant, which lead to both increased ischemic and bleeding events.

As an alternative to DES, drug-coated balloon (DCB), a novel treatment strategy, which has benefit of having shorter DAPT maintenance duration due to the absence of metallic scaffolds and polymers, has been introduced. Based on meta-analysis based on many randomized clinical trials (RCT), its use has been established in in-stent restenosis of bare-metal stents (BMS) and DES. Furthermore, recently published RCT demonstrated efficacy and safety of DCB in de-novo coronary lesions in small vessels with reference vessel size<3.0mm. However, studies exploring the feasibility of DCB in de-novo coronary artery stenosis beyond small vessels are limited. Furthermore, there is scarce data comparing DCB with DES in patients with de-novo coronary artery stenosis and high bleeding risk (HBR), a situation in which long-term maintenance of DAPT is a clinical dilemma. In previous BASKET-SMALL 2 trial, DCB showed noninferiority to DES in patients with de-novo coronary artery stenosis and small vessel disease. However, this trial was conducted in non-HBR patients, and the number of participated patients was insufficient. In another RCT, DEBUT trial exclusively enrolled patients with HBR and de-novo coronary artery stenosis. Although the DEBUT trial showed superiority of DCB angioplasty over implantation of BMS to treat de-novo coronary artery stenosis in patients with HBR, the results could not be applicable in contemporary practice because BMS has been no longer in clinical use. Recently, multiple RCTs have proved short-term DAPT (1-3 months) has comparable efficacy to longer term DAPT in HBR patients using latest second-generation DES.

On this background, the current trial aims to compare clinical outcomes between DCB and DES to treat de-novo coronary artery stenosis in patients with HBR receiving guideline-directed short-term DAPT.

Being tested
Percutaneous coronary intervention
Keywords
Percutaneous Coronary Intervention, De-Novo Coronary Lesion, Drug-Coated Balloon, High Bleeding Risk, Prognosis
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.

  • Percutaneous coronary interventionProcedure or surgery

    1:1 randomization to DES (Ultimaster Tansei) or DCB (Agent [Boston Scientific, USA], Prevail [Medtronic, USA], or SeQuent Please, SeQuent Please NEO [B-Braun, Germany])

Study groups in NCT05221931
Study groupRoleWhat they receive
DES groupActive comparatorPatients will be randomized to either the DCB group or the DES group with 1:1 ratio during the index procedure after diagnostic angiography. In DES group, latest second-generation DES will be used (Ultimaster Tansei) during the index procedure
Receives: Procedure: Percutaneous coronary intervention
DCB groupExperimentalPatients will be randomized to either the DCB group or the DES group with 1:1 ratio during the index procedure after diagnostic angiography. In DCB group, Agent (Boston Scientific, USA), Prevail (Medtronic, USA), or SeQuent Please, SeQuent Please NEO (B-Braun, Germany) will be used during the index procedure.
Receives: Procedure: Percutaneous coronary intervention

What is being measured

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

  1. Target vessel failure (TVF)

    a composite of cardiovascular death, target-vessel myocardial infarction (MI), and clinically indicated target-vessel revascularization (TVR)

    Measured: 2 years from last patient enrollment

Secondary outcomes (39)
  1. BARC type 2, 3 or 5 bleeding (Major secondary endpoint)

    BARC type 2, 3 or 5 bleeding

    Measured: 2 years from last patient enrollment

  2. Cardiovascular death

    Cardiovascular death

    Measured: 2 years from last patient enrollment

  3. All-cause death

    All-cause death

    Measured: 2 years from last patient enrollment

  4. Target-vessel MI

    Target-vessel MI

    Measured: 2 years from last patient enrollment

  5. Non-target vessel related MI

    Non-target vessel related MI

    Measured: 2 years from last patient enrollment

  6. Non-fatal MI

    Non-fatal MI

    Measured: 2 years from last patient enrollment

  7. Clinically indicated target-lesion revascularization (TLR)

    Clinically indicated target-lesion revascularization (TLR)

    Measured: 2 years from last patient enrollment

  8. Clinically indicated TVR

    Clinically indicated TVR

    Measured: 2 years from last patient enrollment

  9. Non-target vessel revascularization

    Non-target vessel revascularization

    Measured: 2 years from last patient enrollment

  10. Any revascularization

    Any revascularization

    Measured: 2 years from last patient enrollment

  11. Vessel or stent thrombosis

    definite by Academic Research Consortium (ARC) definition

    Measured: 2 years from last patient enrollment

  12. Cardiovascular death or target-vessel MI

    Cardiovascular death or target-vessel MI

    Measured: 2 years from last patient enrollment

  13. Target vessel failure without procedure-related MI

    a composite of cardiovascular death, target-vessel myocardial infarction (MI) without procedure-related MI, and clinically indicated target-vessel revascularization (TVR)

    Measured: 2 years from last patient enrollment

  14. Target lesion failure (TLF)

    a composite of cardiovascular death, target-vessel MI, and clinically indicated TLR

    Measured: 2 years from last patient enrollment

  15. Cardiovascular death, target-vessel MI, or vessel or stent thrombosis

    Cardiovascular death, target-vessel MI, or vessel or stent thrombosis

    Measured: 2 years from last patient enrollment

  16. All-cause death, non-fatal MI, or any revascularization

    All-cause death, non-fatal MI, or any revascularization

    Measured: 2 years from last patient enrollment

  17. Bleeding according to BARC definition

    Bleeding according to BARC definition

    Measured: 2 years from last patient enrollment

  18. Bleeding according to TIMI definition

    Bleeding according to TIMI definition

    Measured: 2 years from last patient enrollment

  19. Cerebrovascular accident (CVA)

    Ischemic stroke, Hemorrhagic stroke, Transient ischemic attack (TIA)

    Measured: 2 years from last patient enrollment

  20. Target vessel failure (TVF) at Extended Follow-up

    a composite of cardiovascular death, target-vessel myocardial infarction (MI), and clinically indicated target-vessel revascularization (TVR) at Extended Follow-up

    Measured: 4 years from last patient enrollment

  21. BARC type 2, 3 or 5 bleeding (Major secondary endpoint) at Extended Follow-up

    BARC type 2, 3 or 5 bleeding at Extended Follow-up

    Measured: 4 years from last patient enrollment

  22. Cardiovascular death at Extended Follow-up

    Cardiovascular death at Extended Follow-up

    Measured: 4 years from last patient enrollment

  23. All-cause death at Extended Follow-up

    All-cause death at Extended Follow-up

    Measured: 4 years from last patient enrollment

  24. Target-vessel MI at Extended Follow-up

    Target-vessel MI at Extended Follow-up

    Measured: 4 years from last patient enrollment

  25. Non-target vessel related MI at Extended Follow-up

    Non-target vessel related MI at Extended Follow-up

    Measured: 4 years from last patient enrollment

  26. Non-fatal MI at Extended Follow-up

    Non-fatal MI at Extended Follow-up

    Measured: 4 years from last patient enrollment

  27. Clinically indicated target-lesion revascularization (TLR) at Extended Follow-up

    Clinically indicated target-lesion revascularization (TLR) at Extended Follow-up

    Measured: 4 years from last patient enrollment

  28. Clinically indicated TVR at Extended Follow-up

    Clinically indicated TVR at Extended Follow-up

    Measured: 4 years from last patient enrollment

  29. Non-target vessel revascularization at Extended Follow-up

    Non-target vessel revascularization at Extended Follow-up

    Measured: 4 years from last patient enrollment

  30. Any revascularization at Extended Follow-up

    Any revascularization at Extended Follow-up

    Measured: 4 years from last patient enrollment

  31. Vessel or stent thrombosis at Extended Follow-up

    definite ㅍessel or stent thrombosis at Extended Follow-up by Academic Research Consortium (ARC) definition

    Measured: 4 years from last patient enrollment

  32. Target vessel failure without procedure-related MI at Extended Follow-up

    a composite of cardiovascular death, target-vessel myocardial infarction (MI) without procedure-related MI, and clinically indicated target-vessel revascularization (TVR)

    Measured: 4 years from last patient enrollment

  33. Cardiovascular death or target-vessel MI at Extended Follow-up

    Cardiovascular death or target-vessel MI at Extended Follow-up

    Measured: 4 years from last patient enrollment

  34. Target lesion failure (TLF) at Extended Follow-up

    Target lesion failure (TLF) at Extended Follow-up

    Measured: 4 years from last patient enrollment

  35. Cardiovascular death, target-vessel MI, or vessel or stent thrombosis at Extended Follow-up

    Cardiovascular death, target-vessel MI, or vessel or stent thrombosis at Extended Follow-up

    Measured: 4 years from last patient enrollment

  36. All-cause death, non-fatal MI, or any revascularization at Extended Follow-up

    All-cause death, non-fatal MI, or any revascularization at Extended Follow-up

    Measured: 4 years from last patient enrollment

  37. Bleeding according to BARC definition at Extended Follow-up

    Bleeding according to BARC definition at Extended Follow-up

    Measured: 4 years from last patient enrollment

  38. Bleeding according to TIMI definition at Extended Follow-up

    Bleeding according to TIMI definition at Extended Follow-up

    Measured: 4 years from last patient enrollment

  39. Cerebrovascular accident (CVA) at Extended Follow-up

    Ischemic stroke, Hemorrhagic stroke, Transient ischemic attack (TIA)

    Measured: 4 years from last patient enrollment

Timeline

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

  1. First posted3 Feb 2022
  2. Study start29 Jul 2022
  3. Primary completionNov 2027 (estimated)
  4. Study completionDec 2028 (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
Prospective, multi-center, open-label, randomized controlled, noninferiority trial
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,359 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05221931
Sponsor's protocol ID
DCBHBR2021-12-111-001
Acronym
DCB-HBR
Status last verified
Feb 2026
First submitted
23 Jan 2022
Last updated
12 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: After publication of first manuscript and trial results, the de-identified data will be shared by permission of principle investigator, when asked

Questions about this trial

What is this clinical trial studying?

A study testing Percutaneous coronary intervention in people with Coronary Artery Disease, run by Samsung Medical Center at 17 sites in South Korea.

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 4 inclusion and 9 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 12 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in South Korea. 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?

Target vessel failure (TVF) (time frame: 2 years from last patient enrollment). 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 12 Feb 2026.

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