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Coronary Artery Disease (CAD)TRAD-PREPNCT07899021

TRADENT Scoring Balloon Versus Non-scoring Balloon for Lesion Preparation in DCB-Based Coronary Intervention

A study testing TRADENT Scoring Balloon and Conventional Non-Scoring Coronary Balloon in people with Coronary Artery Disease (CAD), run by Ulsan University Hospital.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

This study will compare the effectiveness of the TRADENT™ coronary scoring balloon with a conventional non-scoring balloon for lesion preparation in patients undergoing a drug-coated balloon (DCB)-first percutaneous coronary intervention (PCI) strategy for de novo coronary lesions. Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Coronary Artery Disease (CAD)
What is being tested?
TRADENT Scoring Balloon and Conventional Non-Scoring Coronary Balloon
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
580 participants
Where
No sites listed yet
Study dates
19 Oct 2026to 31 Dec 2027
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

  • Age ≥19 years and able to provide written informed consent.
  • Patients with stable coronary artery disease or non-ST-segment elevation acute coronary syndrome (NSTE-ACS) requiring percutaneous coronary intervention (PCI).
  • Patients for whom the operator has planned and documented a drug-coated balloon (DCB)-first strategy with the intention of achieving drug-coated balloon (DCB)-alone treatment of the index lesion before randomization. Drug-eluting stent (DES) may be used if lesion preparation is inadequate or required for patient safety.
  • Native coronary de novo lesion with visually estimated diameter stenosis (DS) ≥50% and ≤100%.
  • A target lesion for which a study balloon suitable for a balloon-to-artery ratio of 1.0 (1:1) based on the visually estimated reference vessel diameter (RVD) can be selected in either treatment group.
  • Successful guidewire crossing of the target lesion, with no predilatation of the target lesion before randomization.
  • Ability to designate one target lesion per participant.

Who cannot join

  • ST-segment elevation myocardial infarction (STEMI), cardiogenic shock, or ongoing hemodynamic instability within 72 hours before index percutaneous coronary intervention (PCI).
  • Unprotected left main coronary artery disease or saphenous vein graft lesion.
  • Substantial thrombus burden in the target lesion.
  • Balloon dilatation or other plaque-modification treatment of the target lesion before randomization.
  • Uncontrolled contraindication to the study drug, contrast media, or any component of the study device.
  • Pregnancy or breastfeeding.
Show all 9Show fewer
  • Life expectancy <1 year.
  • Inability to complete the 30-day follow-up.
  • Participation in another competing interventional clinical trial.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Eun-Seok Shin, Professor contact

82-52-250-5020

sesim1989@gmail.com

About this study

Official title: A Randomized Trial of TRADENT™ Scoring Balloon Versus Non-scoring Balloon for Lesion Preparation in DCB-Based Coronary Intervention

This study will compare the effectiveness of the TRADENT™ coronary scoring balloon with a conventional non-scoring balloon for lesion preparation in patients undergoing a drug-coated balloon (DCB)-first percutaneous coronary intervention (PCI) strategy for de novo coronary lesions. The study will evaluate angiographic acute gain after lesion preparation and assess whether improved lesion preparation leads to a higher rate of successful drug-coated balloon (DCB)-alone treatment. The study is a prospective, multicenter, randomized, open-label, blinded-endpoint trial.

Read the detailed description

This study will evaluate whether the TRADENT™ coronary scoring balloon provides better lesion preparation than a conventional non-scoring balloon in patients undergoing a drug-coated balloon (DCB)-first percutaneous coronary intervention (PCI) strategy for de novo coronary lesions.

Participants will be randomly assigned in a 1:1 ratio to lesion preparation with either the TRADENT™ scoring balloon or a conventional non-scoring balloon. The primary assessment will focus on angiographic acute gain measured by quantitative coronary angiography (QCA) immediately after lesion preparation and before definitive treatment.

The study will also assess the quality of lesion preparation and whether improved lesion preparation facilitates drug-coated balloon (DCB)-alone treatment and reduces the need for bailout stenting. Angiographic outcomes will be evaluated by an independent QCA core laboratory blinded to treatment assignment, and clinical events will be adjudicated by an independent Clinical Events Committee.

This is a prospective, multicenter, randomized, open-label, blinded-endpoint (PROBE) study. If lesion preparation is inadequate or additional treatment is required for patient safety, further treatment including drug-eluting stent (DES) implantation may be performed according to the investigator's clinical judgment.

Being tested
TRADENT Scoring Balloon, Conventional Non-Scoring Coronary Balloon
Keywords
Coronary Artery Disease, De Novo Coronary Lesion, Drug-Coated Balloon, Scoring Balloon, Lesion Preparation, Acute Gain, TRADENT, Drug-Coated Balloon-First Strategy
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.

  • TRADENT Scoring BalloonDevice

    TRADENT™ coronary scoring balloon will be used for lesion preparation in de novo coronary lesions planned for a drug-coated balloon (DCB)-first strategy. The balloon will be selected at a 1:1 balloon-to-artery ratio based on the visually estimated reference vessel diameter and used for lesion preparation before definitive drug-coated balloon (DCB) or drug-eluting stent (DES) treatment. If the assigned balloon fails to cross the lesion, a smaller plain balloon may be used solely for crossing facilitation. The assigned TRADENT™ scoring balloon remains the designated lesion-preparation intervention.

  • Conventional Non-Scoring Coronary BalloonDevice

    A conventional non-scoring coronary balloon (compliant, semi-compliant, or non-compliant) will be used for lesion preparation in de novo coronary lesions planned for a Drug-Coated Balloon(DCB)-First Strategy. The balloon will be selected at a 1:1 balloon-to-artery ratio based on the visually estimated reference vessel diameter and used for lesion preparation before definitive Drug-Coated Balloon(DCB) or Drug-eluting stent (DES) treatment . If the assigned balloon fails to cross the lesion, a smaller plain balloon may be used solely for crossing facilitation.

Study groups in NCT07899021
Study groupRoleWhat they receive
TRADENT Scoring BalloonExperimentalParticipants will undergo lesion preparation using the TRADENT™ coronary scoring balloon selected at a 1:1 balloon-to-artery ratio based on the visually estimated reference vessel diameter. If the assigned balloon cannot cross the lesion, a smaller plain balloon may be used for crossing facilitation.
Receives: Device: TRADENT Scoring Balloon
Conventional Non-Scoring BalloonActive comparatorParticipants will undergo lesion preparation using a conventional non-scoring coronary balloon selected at a 1:1 balloon-to-artery ratio based on the visually estimated reference vessel diameter. If the assigned balloon cannot cross the lesion, a smaller plain balloon may be used for crossing facilitation.
Receives: Device: Conventional Non-Scoring Coronary Balloon

What is being measured

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

  1. Acute Gain

    Acute gain, defined as post-preparation Minimum Lumen Diameter minus baseline Minimum Lumen Diameter, measured by blinded Quantitative Coronary Angiography (QCA) core laboratory immediately after completion of lesion preparation with the assigned balloon (regardless of protocol-defined facilitation balloon use) and before final Drug-Coated Balloon/Drug-Eluting Stent treatment or rescue therapy. Unit: millimeters (mm).

    Measured: Immediately after lesion preparation, before final Drug-Coated Balloon or Drug-Eluting Stent treatment

Secondary outcomes (16)
  1. Percentage of Participants With Successful Lesion Preparation

    Successful lesion preparation is a composite binary outcome assessed once per participant on the angiogram obtained immediately after lesion preparation with the assigned balloon. A participant is classified as successful if both of the following are met: (a) residual diameter stenosis is 30% or less and (b) Thrombolysis in Myocardial Infarction (TIMI) flow grade is 3. A participant who does not meet both is classified as not successful. The two assessments are not reported separately. The single reported value is the percentage of participants classified as successful.

    Measured: Immediately after lesion preparation, before definitive drug-coated balloon (DCB) or drug-eluting stent (DES) treatment

  2. Drug-Coated Balloon (DCB)-Alone Treatment Rate

    Percentage of randomized participants achieving DCB-alone treatment of the target lesion. For each participant, two assessments at index percutaneous coronary intervention (PCI) are combined into one binary classification: (a) DCB treatment of the target lesion was completed and (b) no stent/scaffold was implanted in the target lesion. A participant is classified as DCB-alone only if both (a) and (b) are met. The two assessments are not reported separately. The single reported value is the percentage of participants classified as DCB-alone.

    Measured: Periprocedural (at completion of index PCI)

  3. Bailout Stenting Rate

    Percentage of participants with stent implantation for Thrombolysis in Myocardial Infarction (TIMI) flow ≤2, flow-limiting dissection, abrupt closure, excessive recoil, or other immediate safety need, before or after drug-coated balloon (DCB) treatment.

    Measured: Periprocedural (during index percutaneous coronary intervention [PCI])

  4. Severe Dissection After Lesion Preparation

    Percentage of participants with National Heart, Lung, and Blood Institute (NHLBI) type C, D, E or F dissection on the angiogram after lesion preparation.

    Measured: Immediately after lesion preparation, before definitive drug-coated balloon (DCB) or drug-eluting stent (DES) treatment

  5. Residual Diameter Stenosis After Lesion Preparation

    Residual diameter stenosis (%) measured by quantitative coronary angiography (QCA).

    Measured: Immediately after lesion preparation, before definitive drug-coated balloon (DCB) or drug-eluting stent (DES) treatment

  6. Residual Diameter Stenosis at Final Angiography

    Residual diameter stenosis (%) measured by quantitative coronary angiography (QCA).

    Measured: Periprocedural (at completion of index percutaneous coronary intervention [PCI])

  7. Minimum Lumen Diameter After Lesion Preparation

    Minimum lumen diameter (MLD) in millimeters (mm) measured by quantitative coronary angiography (QCA).

    Measured: Immediately after lesion preparation, before definitive drug-coated balloon (DCB) or drug-eluting stent (DES) treatment

  8. Minimum Lumen Diameter at Final Angiography

    Minimum lumen diameter (MLD) in millimeters (mm) measured by quantitative coronary angiography (QCA). A larger value indicates a wider lumen.

    Measured: Periprocedural (at completion of index percutaneous coronary intervention [PCI])

  9. Initial Crossing Success

    Percentage of participants in whom the assigned balloon reached the intended position at the first attempt without prior facilitation balloon.

    Measured: Periprocedural (during lesion preparation at index percutaneous coronary intervention [PCI])

  10. Facilitation Balloon Use

    Percentage of participants in whom a protocol-defined facilitation balloon was used.

    Measured: Periprocedural (during lesion preparation at index percutaneous coronary intervention [PCI])

  11. Assigned-Balloon Strategy Success

    Percentage of participants in whom the assigned balloon was inflated at the intended position and withdrawn without problems, regardless of permitted facilitation balloon use.

    Measured: Periprocedural (during lesion preparation at index percutaneous coronary intervention [PCI])

  12. Additional Lesion Modification

    Percentage of participants requiring non-assigned plain, scoring or cutting balloon, intravascular lithotripsy (IVL) or atherectomy. Protocol-defined facilitation balloon is not counted.

    Measured: Periprocedural (during index percutaneous coronary intervention [PCI])

  13. Final Treatment Device

    Number of participants by final treatment device of the target lesion: drug-coated balloon (DCB) only, drug-eluting stent (DES) only, DCB+DES, other/incomplete.

    Measured: Periprocedural (at completion of index percutaneous coronary intervention [PCI])

  14. Target Lesion Failure at 30 Days

    Percentage of participants with at least one of cardiac death, target-vessel myocardial infarction, or clinically driven target lesion revascularization. Each participant is counted once.

    Measured: 30 days after index percutaneous coronary intervention (PCI)

  15. Target Lesion Thrombosis at 30 Days

    Percentage of participants with target lesion thrombosis.

    Measured: 30 days after index percutaneous coronary intervention (PCI)

  16. Bleeding Academic Research Consortium (BARC) Type 3 or 5 Bleeding at 30 Days

    Percentage of participants with Bleeding Academic Research Consortium Type 3 or 5 Bleeding

    Measured: 30 days after index percutaneous coronary intervention (PCI)

Timeline

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

  1. First posted27 Oct 2026
  2. Study start19 Oct 2026 (estimated)
  3. Primary completion30 Nov 2027 (estimated)
  4. Study completion31 Dec 2027 (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
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
580 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07899021
Sponsor's protocol ID
UUH IRB 2026-09-011
Acronym
TRAD-PREP
Status last verified
Oct 2026
First submitted
11 Oct 2026
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing TRADENT Scoring Balloon and Conventional Non-Scoring Coronary Balloon in people with Coronary Artery Disease (CAD), run by Ulsan University Hospital.

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 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: opening soon, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

Contact Eun-Seok Shin, Professor (82-52-250-5020, sesim1989@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Acute Gain (time frame: Immediately after lesion preparation, before final Drug-Coated Balloon or Drug-Eluting Stent treatment). 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 27 Oct 2026.

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