Coronary Artery DiseaseNCT05946629
SELUTION 4 De Novo Small Vessel IDE Trial
A study testing PCI with SELUTION SLR DCB and PCI with FDA approved "-limus" DES in people with Coronary Artery Disease, run by M.A. Med Alliance S.A. at 70 sites in 3 countries.
Trial summary
Prospective, randomized controlled, single-blind, multicenter, clinical trial to demonstrate the safety and efficacy of the SELUTION SLR 014 PTCA DEB for treatment of de novo lesions in small coronary vessels, defined as reference vessel diameter (RVD) of 2.00 mm to 2.75 mm, in support of a pre-market approval (PMA)… 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?
- PCI with SELUTION SLR DCB and PCI with FDA approved "-limus" DES
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 960 participants
- Where
- 70 sitesin 3 countries
- Study dates
- 20 Oct 2023to Sep 2031
- 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
- Clinical Inclusion Criteria
- Subjects must meet all of the following clinical criteria to participate in the trial:
- Subject is ≥ 18 years (or the minimum legal age as required by local regulations).
- Female subjects of childbearing potential must have a negative pregnancy test ≤ 7 days before the procedure or are using a contraceptive device or drug.
- Subject presents with chronic coronary syndromes [CCS] (manifest as documented angina or positive functional testing), unstable angina or stabilized non-ST elevation myocardial infarction (NSTEMI) (biomarkers stabilized or down trending) with an indication for PCI and planned intervention.
- Subject can tolerate dual antiplatelet therapy with aspirin, plus either Clopidogrel, Prasugrel, or Ticagrelor. (Note: For subjects requiring oral anticoagulation, aspirin may be omitted based on investigator discretion).
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- Subject has life expectancy > 1 year in the opinion of the investigator.
- Subject is willing and able to provide informed consent and comply with study procedures and required follow-up evaluations.
- PK Sub- Study Inclusion Criteria:
- Subjects must meet all of the main protocol inclusion criteria to participate in the PK sub-study. Subjects must also meet the following additional PK sub-study inclusion criteria:
- 1. Subject is willing and able to provide informed consent for the PK sub-study and comply with the PK sub-study procedures and required follow-up evaluations.
- Imaging Inclusion Criteria
- Subject's target lesion(s) must meet all of the following angiographic criteria for the subject to participate in the trial:
- A single, target lesions that meet criteria can be treated in a single vessel. No non-target lesions can be treated within the target vessel in the index procedure. Non-target lesions within the target vessel can be staged for treatment > 30 days from the index procedure.
- Up to two (2) non-target lesions in up to two (2) non-target vessels may be treated, but successful PCI of the non-target lesions must be completed before randomization and treatment of the target lesion.
- Target lesion is ≤ 36 mm in length.
- Target lesion has diameter stenosis > 50% and ≤ 99% with distal flow at least thrombolysis in myocardial infarction (TIMI) 2.
- Target vessel has RVD of ≥ 2.00 mm and ≤ 2.75 mm [by visual assessment].
- Target lesion is within a native coronary artery or major branch.
- A target lesion within a bifurcation is allowed only if a single vessel (either main vessel or side branch) is to be treated.
- The identified target lesion has high probability for successful treatment with approved pre-treatment techniques and DEB alone based on Investigator assessment.
Who cannot join
- Clinical Exclusion Criteria
- Subjects who meet any of the following clinical criteria will be excluded from the trial:
- Subject with known hypersensitivity or allergy to Sirolimus or its analogues.
- Subject presents with NSTEMI and rising biomarkers, or ongoing chest pain or is hemodynamically instable.
- Subject with history of ST-elevation myocardial infarction (STEMI) within 30 days of the index procedure.
- Subject with planned major surgery within 30 days following the index procedure.
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- Subject with planned treatment of lesion involving aorto-ostial location.
- Subject with PCI of a non-target vessel within ± 30 days of the index procedure.
- Subject with history (within 6 months prior to index procedure) of New York Heart Association (NYHA) class III or IV heart failure.
- Subject with history of active peptic ulcer or gastrointestinal bleeding within 6 months of the index procedure or other inability to comply with the recommended duration of dual antiplatelet therapy (DAPT).
- Subject is pregnant, breast-feeding or a woman of childbearing potential who plans pregnancy up to 1 year following index procedure.
- Subjects with current documented left ventricular ejection fraction (LVEF) < 30%.
- Subject is considered not able to tolerate at least 30 seconds of coronary occlusion for the target lesion treated.
- Subjects is currently participating in another investigational drug or device study that has not completed primary endpoint follow-up.
- Subject with definite clinically active COVID-19 infection defined as a positive COVID test within 24 hours of index procedure.
- Subject has chronic renal insufficiency (dialysis dependent, or glomerular filtration rate [GFR] ≤ 30 ml/min/1.73 m2 within 30 days of index procedure) or had undergone renal transplantation.
- PK Sub-Study Exclusion Criteria:
- Subjects must meet none of the main protocol exclusion criteria to participate in the PK sub-study. Subjects will be excluded if any of the following additional PK sub-study exclusion criteria are met:
- Any limus family (Zotarolimus, Everolimus, Sirolimus etc.) eluting device has been placed/used in any part of the body within 3 months prior to the index procedure including non-target lesion(s) treated during the index procedure.
- Planned intervention with any limus family (Zotarolimus, Everolimus, Sirolimus etc.) eluting device anywhere in the body within 6 months after the index procedure. Note: staged procedures >30 days after index procedure (Exclusion #6 of the main protocol) are permitted only in the main protocol, and are not permitted in this PK sub-study.
- The subject is taking or has taken within the last 3 months any limus family medication(s) for any reason.
- Subject is concurrently enrolled in the main protocol angiographic registry.
- Subjects who are taking strong CYP3A4 Inhibitors within 14 days before the index procedure or plan to take the strong inhibitors during the study period. Strong inhibitors include: cobicistat; ritonavir; indinavir and ritonavir; itraconazole; ketoconazole; lopinavir and ritonavir; paritaprevir and ritonavir and ombitasvir (and/or dasabuvir); posaconazole; saquinavir and ritonavir; tipranavir and ritonavir; elvitegravir and ritonavir; telithromycin; voriconazole; ceritinib; clarithromycin; idealalisib; nefazodone; nelfinavir.
- Subjects who are taking strong CYP3A4 Inducers within 14 days before the index procedure or plan to take the strong inducers during the study period. Strong inducers include apalutamide; carbamazepine; enzalutamide; ivosidenib; lumacaftor and ivacaftor; mitotane; phenytoin; rifampin; St. John's wort.
- Angiographic Exclusion Criteria
- Subject whose target lesion(s) meet any of the following angiographic criteria will be excluded from the trial:
- Target lesion is totally occluded or has evidence of thrombus.
- Target lesion is located in the left main or any arterial or venous graft.
- Target lesion is in a side branch that is "jailed" by a main vessel stent.
- In stent restenosis
Trial locations and contacts
70 sites in 3 countries.
70 sites in 3 countries
United States65 sites
Pali Momi Medical Center
‘Aiea, Hawaii, 96701
Hendrick Health
Abilene, Texas, 79601
Atlanta VA
Atlanta, Georgia, 30033
Piedmont Heart Institute
Atlanta, Georgia, 30309
Emory
Atlanta, Georgia, 30322
University of Maryland
Baltimore, Maryland, 21201
Beth Israel Deaconess
Boston, Massachusetts, 02114
Mass General
Boston, Massachusetts, 02114
Brigham & Women's
Boston, Massachusetts, 02115
Manatee Memorial
Bradenton, Florida, 34208
CAMC
Charleston, West Virginia, 25304
CHI Memorial
Chattanooga, Tennessee, 37404
University of Nebraska
Chattanooga, Tennessee, 37404
CISD Sharp Chula Vista
Chula Vista, California, 91911
The Lindner Research Center at Christ
Cincinnati, Ohio, 45219
Mease Countryside Hospital
Clearwater, Florida, 34695
UH Cleveland
Cleveland, Ohio, 44120
Texas Health
Dallas, Texas, 75231
Baylor Scott and White - Dallas
Dallas, Texas, 75246
Hamilton Medical Center
Dalton, Georgia, 30720
Advocate Good Samaritan Hospital
Downers Grove, Illinois, 60515
Englewood Health
Englewood, New Jersey, 07631
Medical City of Fort Worth
Fort Worth, Texas, 76104
Colorado Heart and Vascular
Golden, Colorado, 80401
Penn State Health Hershey & Berks
Hershey, Pennsylvania, 17033
Cardiovascular Institute of the South
Houma, Louisiana, 70360
University of Iowa Medical Center
Iowa City, Iowa, 52242
University of Florida, Jacksonville
Jacksonville, Florida, 32209
St. Bernards
Jonesboro, Arkansas, 72401
HCA Largo
Largo, Florida, 33770
Baptist Health Lexington
Lexington, Kentucky, 40503
Cedars Sinai
Los Angeles, California, 90048
UPMC Pinnacle
Mechanicsburg, Pennsylvania, 17050
Advocate Aurora St. Luke's
Milwaukee, Wisconsin, 53215
Minneapolis Heart Institute
Minneapolis, Minnesota, 55407
Minneapolis VA Medical Center
Minneapolis, Minnesota, 55417
Intermountain Health - Salt Lake City
Murray, Utah, 84107
HCA Centennial
Nashville, Tennessee, 37203
Yale New Haven Hospital
New Haven, Connecticut, 06520
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Northwell Health Lenox Hill
New York, New York, 10075
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453
Oklahoma Heart
Oklahoma City, Oklahoma, 73120
University of Nebraska
Omaha, Nebraska, 68198
AdventHealth Orlando
Orlando, Florida, 32803
HCA Overland Park
Overland Park, Missouri, 66211
Baylor Scott and White Plano
Plano, Texas, 75093
Lifespan Rhode Island & Miriam
Providence, Rhode Island, 02903
NC Heart and Vascular
Raleigh, North Carolina, 27607
HCA Chippenham
Richmond, Virginia, 23225
Baystate Medical Center
Springfield, Massachusetts, 01199
St. Louis Heart and Vascular
St Louis, Missouri, 63136
HCA Northside
St. Petersburg, Florida, 33709
Stony Brook University Hospital
Stony Brook, New York, 11794
Baylor Scott and White - Temple
Temple, Texas, 76508
Archbold Memorial Hospital
Thomasville, Georgia, 31792
ClinRe
Thornton, Colorado, 80023
HCA Los Robles
Thousand Oaks, California, 91360
Harbor UCLA
Torrance, California, 90502
HCA Trinity
Trinity, Florida, 34655
North Mississippi Medical Center
Tupelo, Mississippi, 38801
Carle Foundation Hospital
Urbana, Illinois, 61801
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
Cardiovascular Research Institute of Kansas
Wichita, Kansas, 67226
WellSpan York Hospital
York, Pennsylvania, 17403
Germany3 sites
Universitäts-Herzzentrum Freiburg
Bad Krozingen, 79189
UKB Berlin
Berlin, 12683
Herzzentrum Dresden
Dresden, 01307
Belgium2 sites
ZOL Genk
Genk, 3600
Hartcentrum Hasselt Jessa Ziekenhuis
Hasselt, 3500
About this study
Official title: A Prospective Randomized Single-Blind Multicenter Study to Assess the Safety and Effectiveness of the SELUTION SLR™ 014 PTCA Drug Eluting Balloon in the Treatment of Subjects With De Novo Coronary Lesions in Small Vessels
Prospective, randomized controlled, single-blind, multicenter, clinical trial to demonstrate the safety and efficacy of the SELUTION SLR 014 PTCA DEB for treatment of de novo lesions in small coronary vessels, defined as reference vessel diameter (RVD) of 2.00 mm to 2.75 mm, in support of a pre-market approval (PMA) application to the United States (US) FDA.
The Study will enroll up to 910 randomized subjects, up to 30 subjects in a parallel angiographic substudy, and up to 20 subjects in a parallel pharmacokinetic (pK) substudy, at up to 80 sites in the US, Canada, Brazil, Japan and Europe. A minimum of 50% of the subjects will be enrolled in the US.
Read the detailed description
Prospective, randomized controlled, single-blind, multicenter, clinical trial
The study will enroll up to 910 randomized subjects, up to 30 subjects in a parallel angiographic substudy, and up to 20 subjects in a parallel pharmacokinetic (pK) substudy, at up to 80 sites in the US, Canada, Brazil, Japan and Europe. A minimum of 50% of the subjects will be enrolled in the US.
Subjects who present with chronic coronary syndrome (CCS), unstable angina or stabilized non-ST elevation myocardial infarction (NSTEMI) with an indication for percutaneous coronary intervention (PCI) with planned intervention for de novo lesions in small coronary vessels (RVD 2.00 mm to 2.75 mm) and meeting all eligibility criteria will be randomized 1:1 to treatment of the identified target lesion with either the SELUTION SLR 014 PTCA DEB or contemporary DES.
Randomized Cohort:
- Intervention (DEB Strategy): Subjects randomized to the SELUTION SLR 014 PTCA DEB arm will receive lesion preparation according to the 3rd drug coated balloon (DCB) consensus (optimal balloon angioplasty with adjunct treatment using high-pressure balloon, intravascular lithotripsy, laser, rotational or orbital atherectomy, cutting or scoring balloon at the discretion of the operator as needed to reduce diameter stenosis to ≤ 30%). Subjects with lesions that are then best treated by provisional stenting (flow-limiting dissection, residual stenosis > 30%) will receive a DES instead of the SELUTION DEB but remain in the SELUTION DEB group (intention to treat analysis). The DEB should not be used after DES implant.
- Control (DES): Subjects randomized to the DES arm will receive treatment using any FDA approved "limus-based" DES, as per standard institutional practice.
Angiographic Substudy:
The angiographic substudy is a parallel registry consisting of up to 30 additional consecutive subjects meeting all eligibility criteria treated with the SELUTION DEB recruited at select study sites. These subjects will undergo angiography at 12 months post-procedure. Clinical follow-up will not extend beyond 12 months in this cohort.
Pharmacokinetic (pK) Substudy:
The pKsubstudy is a parallel registry consisting of up to 20 additional consecutive subjects meeting all eligibility criteria treated with the SELUTION DEB recruited at select study sites. This study will be conducted under an approved substudy protocol and will include blood draws at regular intervals to characterize the pK plasma profile of sirolimus.
Primary Endpoint:
Target lesion failure (TLF), defined as the composite of cardiac death, target-vessel myocardial infarction (MI) or clinically-driven target lesion revascularization (TLR) at 12 months. MI includes spontaneous (Type 1) MI using the 4th Universal Definition of Myocardial Infarction (UDMI) and peri-procedural MI using the Society for Cardiac Angiography and Intervention (SCAI) definition.
- Conditions
- Coronary Artery Disease
- Being tested
- PCI with SELUTION SLR DCB, PCI with FDA approved "-limus" DES
- Keywords
- CAD, DCB, DEB, NSTEMI, Stable Angina, Chronic Coronary Syndrome, CCS, Drug Coated Balloons, Drug Eluting Balloons, Small Vessels, SELUTIONSLR, Sirolimus
- Medical subject headings
- Coronary Artery Disease, Non-ST Elevated Myocardial Infarction, Angina, Stable
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PCI with SELUTION SLR DCBDevice
After target lesion pre-dilatation and preparation , a SELUTION SLR 014 PTCA DEB study device should be selected with nominal diameter equal to the RVD of the target lesion (1:1 ratio) and length that allows approximately 2.00 mm longer than the proximal and distal edges of the target lesion (defined as the proximal and distal extent of predilation). If IVUS is performed to assess RVD, and DEB upsizing is deemed clinically necessary for optimal results, a maximum nominal DEB diameter of 3.0 mm is permitted. The SELUTION SLR 014 PTCA DEB should then be delivered, positioned in and deployed per instructions per use. The balloon should be inflated for 60 seconds provided that the patient can tolerate this duration. The minimum inflation time is 30 seconds.
PCI with FDA approved "-limus" DESDevice
For subjects randomized to the control group (DES), the treating physician will choose an FDA cleared DES and follow lesion preparation and stent deployment according to the Instructions per use (IFU) and institutional practices.
The DES should be sized per IFU with respect to the vessel RVD. The use of IVUS or OCT is encouraged to guide optimal stent placement and assess final results. After DES deployment, additional balloon inflations should be performed as needed to obtain < 30% residual diameter stenosis and resolve proximal or distal edge dissections greater than or equal to NHLBI grade B.
| Study group | Role | What they receive |
|---|---|---|
| SELUTION SLR 014 PTCA DEB | Experimental | SELUTION Sustained Limus Release (SLR) 014 Percutaneous Transluminal Coronary Angioplasty (PTCA) Drug Eluting Balloon (DEB)
The SELUTION SLR 014 PTCA DEB is a minimally invasive, single use and sterile Sirolimus coated PTCA balloon catheter.
The SELUTION SLR 014 PTCA DEB is available with balloon diameters from 2.0 to 3.0 mm and lengths of 15 to 40 mm for the purpose of the De Novo IDE trial Receives: Device: PCI with SELUTION SLR DCB |
| Control Treatment | Active comparator | any FDA approved "limus-based" Drug Eluting Stent, as per standard institutional practice Receives: Device: PCI with FDA approved "-limus" DES |
What is being measured
The primary outcome is the main question the study is designed to answer.
Target lesion failure (TLF)
Target lesion failure (TLF) is defined as the composite of cardiac death, target-vessel myocardial infarction (MI) or clinically-driven target lesion revascularization (TLR) at 12 months.
MI includes spontaneous (Type 1) MI using the 4th Universal Definition of Myocardial Infarction (UDMI) and peri-procedural MI using the Society for Cardiac Angiography and Intervention (SCAI) definition.
Measured: 12 months
PK Sub-study Primary Endpoint 1
PK parameters of C(max)
Measured: 6 months
PK Sub-study Primary Endpoint 2
PK parameters of T(max)
Measured: 6 months
PK Sub-study Primary Endpoint 3
PK parameters of AUC(last)
Measured: 6 months
PK Sub-study Primary Endpoint 4
PK parameters of MRT(last)
Measured: 6 months
Secondary outcomes (17)
Secondary Endpoint 1
Composite of all-cause mortality, target vessel MI or clinically driven target lesion revascularization
Measured: 12 months
Secondary Endpoint 2
Lesion success, defined as attainment of < 30% residual stenosis of target lesion using any percutaneous method
Measured: Up to 7 days
Secondary Endpoint 3
Procedure success, defined as attainment of < 30% residual stenosis of the target lesion using the assigned study device only without the occurrence of in-hospital major adverse cardiac events (MACE), composite of all-cause death, MI or any clinically-driven TLR.
Measured: Up to 7 days
Secondary Endpoint 4
Composite safety endpoint, defined as the patient-oriented composite of any death, any MI (spontaneous or peri-procedural), or any repeat revascularization.
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 5
All-Cause Mortality
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 6
Cardiovascular Mortality
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 7
MI (spontaneous MI using the 4th UDMI, peri-procedural MI using SCAI and Academic Research Consortium [ARC]-2 definitions)
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 8
Clinically-driven TLR
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 9
all TLR
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 10
Clinically-driven Target Vessel Revascularization (TVR)
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 11
all TVR
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 12
Non-target lesion revascularization
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 13
TLF
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 14
Target vessel failure (TVF), defined as a composite of: cardiac death, target vessel MI (spontaneous or peri-procedural) and any clinically-driven TVR
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 15
Stent or target lesion segment thrombosis (definite or probable) according to the ARC criteria for acute, subacute, late, very late and cumulative stent thrombosis
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 16
Bleeding Academic Research Consortium (BARC) class 2-5
Measured: 12 months
Secondary Endpoint 17
Net adverse clinical events, defined as death, MI (spontaneous or peri-procedural), TVR, stent/target lesion segment thrombosis or bleeding (BARC types 2-5, assessed to 12 months)
Measured: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jul 2023
- Study start20 Oct 2023
- Primary completionSep 2027 (estimated)
- Study completionSep 2031 (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
- Model description
- Single-Blind Randomized Control Trial
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 960 participants (estimated)
Sponsor and investigators
- Lead sponsor
- M.A. Med Alliance S.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- NAMSA, Cordis US Corp.
- Responsible party
- Sponsor
- Investigators
- Ron Waksman, MD, Principal investigator, Medstar Health Research Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05946629
- Sponsor's protocol ID
- SEL-003-2021
- Status last verified
- Sep 2026
- First submitted
- 30 Jun 2023
- Last updated
- 24 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 24 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective Randomized Single-Blind Multicenter Study to Assess the Safety and Effectiveness of the SELUTION SLR™ 014 PTCA Drug Eluting Balloon in the Treatment of Subjects With De Novo Coronary Lesions in Small Vessels
- ClinicalTrials.gov ID
- NCT05946629
- Acronym / sponsor ID
- SEL-003-2021
- Conditions
- Coronary Artery Disease
- Keywords
- CAD, DCB, DEB, NSTEMI, Stable Angina, Chronic Coronary Syndrome, CCS, Drug Coated Balloons
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 960 participants (estimated)
- Lead sponsor
- M.A. Med Alliance S.A.Industry (pharma, biotech, devices)
- Collaborators
- NAMSA, Cordis US Corp.
- Study start
- 20 Oct 2023 (actual)
- Primary completion
- Sep 2027 (estimated)
- Study completion
- Sep 2031 (estimated)
- First posted
- 14 Jul 2023 (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.
Prospective, randomized controlled, single-blind, multicenter, clinical trial to demonstrate the safety and efficacy of the SELUTION SLR 014 PTCA DEB for treatment of de novo lesions in small coronary vessels, defined as reference vessel diameter (RVD) of 2.00 mm to 2.75 mm, in support of a pre-market approval (PMA) application to the United States (US) FDA.
The Study will enroll up to 910 randomized subjects, up to 30 subjects in a parallel angiographic substudy, and up to 20 subjects in a parallel pharmacokinetic (pK) substudy, at up to 80 sites in the US, Canada, Brazil, Japan and Europe. A minimum of 50% of the subjects will be enrolled in the US.
Detailed description
Prospective, randomized controlled, single-blind, multicenter, clinical trial
The study will enroll up to 910 randomized subjects, up to 30 subjects in a parallel angiographic substudy, and up to 20 subjects in a parallel pharmacokinetic (pK) substudy, at up to 80 sites in the US, Canada, Brazil, Japan and Europe. A minimum of 50% of the subjects will be enrolled in the US.
Subjects who present with chronic coronary syndrome (CCS), unstable angina or stabilized non-ST elevation myocardial infarction (NSTEMI) with an indication for percutaneous coronary intervention (PCI) with planned intervention for de novo lesions in small coronary vessels (RVD 2.00 mm to 2.75 mm) and meeting all eligibility criteria will be randomized 1:1 to treatment of the identified target lesion with either the SELUTION SLR 014 PTCA DEB or contemporary DES.
Randomized Cohort:
- Intervention (DEB Strategy): Subjects randomized to the SELUTION SLR 014 PTCA DEB arm will receive lesion preparation according to the 3rd drug coated balloon (DCB) consensus (optimal balloon angioplasty with adjunct treatment using high-pressure balloon, intravascular lithotripsy, laser, rotational or orbital atherectomy, cutting or scoring balloon at the discretion of the operator as needed to reduce diameter stenosis to ≤ 30%). Subjects with lesions that are then best treated by provisional stenting (flow-limiting dissection, residual stenosis > 30%) will receive a DES instead of the SELUTION DEB but remain in the SELUTION DEB group (intention to treat analysis). The DEB should not be used after DES implant.
- Control (DES): Subjects randomized to the DES arm will receive treatment using any FDA approved "limus-based" DES, as per standard institutional practice.
Angiographic Substudy:
The angiographic substudy is a parallel registry consisting of up to 30 additional consecutive subjects meeting all eligibility criteria treated with the SELUTION DEB recruited at select study sites. These subjects will undergo angiography at 12 months post-procedure. Clinical follow-up will not extend beyond 12 months in this cohort.
Pharmacokinetic (pK) Substudy:
The pKsubstudy is a parallel registry consisting of up to 20 additional consecutive subjects meeting all eligibility criteria treated with the SELUTION DEB recruited at select study sites. This study will be conducted under an approved substudy protocol and will include blood draws at regular intervals to characterize the pK plasma profile of sirolimus.
Primary Endpoint:
Target lesion failure (TLF), defined as the composite of cardiac death, target-vessel myocardial infarction (MI) or clinically-driven target lesion revascularization (TLR) at 12 months. MI includes spontaneous (Type 1) MI using the 4th Universal Definition of Myocardial Infarction (UDMI) and peri-procedural MI using the Society for Cardiac Angiography and Intervention (SCAI) definition.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
- Model description
- Single-Blind Randomized Control Trial
| Arm | Type | Receives |
|---|---|---|
| SELUTION SLR 014 PTCA DEB | Experimental | Device: PCI with SELUTION SLR DCBSELUTION Sustained Limus Release (SLR) 014 Percutaneous Transluminal Coronary Angioplasty (PTCA) Drug Eluting Balloon (DEB) The SELUTION SLR 014 PTCA DEB is a minimally invasive, single use and sterile Sirolimus coated PTCA balloon catheter. The SELUTION SLR 014 PTCA DEB is available with balloon diameters from 2.0 to 3.0 mm and lengths of 15 to 40 mm for the purpose of the De Novo IDE trial |
| Control Treatment | Active comparator | Device: PCI with FDA approved "-limus" DESany FDA approved "limus-based" Drug Eluting Stent, as per standard institutional practice |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (21 listed)
- Clinical Inclusion Criteria
- Subject is ≥ 18 years (or the minimum legal age as required by local regulations).
- Female subjects of childbearing potential must have a negative pregnancy test ≤ 7 days before the procedure or are using a contraceptive device or drug.
- Subject presents with chronic coronary syndromes [CCS] (manifest as documented angina or positive functional testing), unstable angina or stabilized non-ST elevation myocardial infarction (NSTEMI) (biomarkers stabilized or down trending) with an indication for PCI and planned intervention.
- Subject can tolerate dual antiplatelet therapy with aspirin, plus either Clopidogrel, Prasugrel, or Ticagrelor. (Note: For subjects requiring oral anticoagulation, aspirin may be omitted based on investigator discretion).
Key exclusion criteria (30 listed)
- Clinical Exclusion Criteria
- Subject with known hypersensitivity or allergy to Sirolimus or its analogues.
- Subject presents with NSTEMI and rising biomarkers, or ongoing chest pain or is hemodynamically instable.
- Subject with history of ST-elevation myocardial infarction (STEMI) within 30 days of the index procedure.
- Subject with planned major surgery within 30 days following the index procedure.
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 |
|---|---|---|
| PCI with SELUTION SLR DCBAfter target lesion pre-dilatation and preparation , a SELUTION SLR 014 PTCA DEB study device should be selected with nominal diameter equal to the RVD of the target lesion (1:1 ratio) and length that allows approximately 2.00 mm longer than the proximal and distal edges of the target lesion (defined as the proximal and distal extent of predilation). If IVUS is performed to assess RVD, and DEB upsizing is deemed clinically necessary for optimal results, a maximum nominal DEB diameter of 3.0 mm is permitted. The SELUTION SLR 014 PTCA DEB should then be delivered, positioned in and deployed per instructions per use. The balloon should be inflated for 60 seconds provided that the patient can tolerate this duration. The minimum inflation time is 30 seconds. | Device | SELUTION SLR 014 PTCA DEB |
| PCI with FDA approved "-limus" DESFor subjects randomized to the control group (DES), the treating physician will choose an FDA cleared DES and follow lesion preparation and stent deployment according to the Instructions per use (IFU) and institutional practices. The DES should be sized per IFU with respect to the vessel RVD. The use of IVUS or OCT is encouraged to guide optimal stent placement and assess final results. After DES deployment, additional balloon inflations should be performed as needed to obtain < 30% residual diameter stenosis and resolve proximal or distal edge dissections greater than or equal to NHLBI grade B. | Device | Control Treatment |
Primary outcome
Target lesion failure (TLF)
Time frame: 12 months
Target lesion failure (TLF) is defined as the composite of cardiac death, target-vessel myocardial infarction (MI) or clinically-driven target lesion revascularization (TLR) at 12 months. MI includes spontaneous (Type 1) MI using the 4th Universal Definition of Myocardial Infarction (UDMI) and peri-procedural MI using the Society for Cardiac Angiography and Intervention (SCAI) definition.
PK Sub-study Primary Endpoint 1
Time frame: 6 months
PK parameters of C(max)
PK Sub-study Primary Endpoint 2
Time frame: 6 months
PK parameters of T(max)
PK Sub-study Primary Endpoint 3
Time frame: 6 months
PK parameters of AUC(last)
PK Sub-study Primary Endpoint 4
Time frame: 6 months
PK parameters of MRT(last)
17 secondary outcomes
Secondary Endpoint 1
Time frame: 12 months
Secondary Endpoint 2
Time frame: Up to 7 days
Secondary Endpoint 3
Time frame: Up to 7 days
Secondary Endpoint 4
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 5
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 6
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 7
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 8
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 9
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 10
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 11
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 12
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 13
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 14
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 15
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Secondary Endpoint 16
Time frame: 12 months
Secondary Endpoint 17
Time frame: Up to 7 days and at 1 month, 6 months, 12 months, 2 years, 3 years, 4 years, and 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Sep 2026.
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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.
Ron Waksman, MD principal investigator
Medstar Health Research Institute
70 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing PCI with SELUTION SLR DCB and PCI with FDA approved "-limus" DES in people with Coronary Artery Disease, run by M.A. Med Alliance S.A. at 70 sites in 3 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 21 inclusion and 30 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 24 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 70 sites in United States, Germany, Belgium. 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 lesion failure (TLF) (time frame: 12 months). The study lists 5 primary outcomes in all. 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 24 Sep 2026.