Coronary Artery Disease
Conditions
Brief summary
1.) Indigenously developed and designed BioMimeTM is a * predictably safe & efficacious 3rd generation drug eluting stent (DES) * with a propensity to minimize vascular injury by use of an intelligent mix of ultra-low strut thickness Co-Cr stent, * highly documented drug Sirolimus & * a biocompatible, biodegradable polymer
Detailed description
* Principal Investigator: Dr. Sameer Dani, Interventional Cardiologist, Life Care Hospital, Ahmedbad. Mobile +91 98250 38855. * Study Title: The First-In-Man Safety and Performance Evaluation of the BiomimeTM Sirolimus-Eluting Stent System for the Treatment of Patients with Single, De novo, Non-complex Coronary Lesions - The BiomimeTM Pilot FiM Trial * Sponsor: Meril Life Sciences Pvt. Ltd. * Study device: BiomimeTM Sirolimus-Eluting Stent (BiomimeTM SES, Meril Life Sciences) * Study objective: To evaluate the safety and efficacy of BiomimeTM SES. * Study design: Phase IV, prospective study to be conducted in a single centre (Life Care Hospital, Ahmedbad) * Study population: A total of 30 patients with stable or unstable coronary disease, or silent ischemia with documented evidence of ischemia, with angiography, and, in a pre-specified subset, intravascular ultrasound (IVUS) at 8-month follow-up. * Participating Centre: Life Care Hospital, Ahmedabad * QCA & IVUS core lab: To be decided. * Follow-up: All patients will undergo clinical follow-up at 1, 6, 12 and 24 months. All patients will undergo angiographic follow-up at 8 months. All patients will be submitted to intravascular ultrasound at 8 months. * Primary safety endpoint: Major Adverse Cardiac Events (MACE) at 30 days clinical follow-up. MACE defined as any of the following: cardiac death, myocardial infarction, and ischemia driven target lesion revascularization (TLR). * Primary efficacy endpoint: * In-stent luminal loss assessed by quantitative coronary angiography (QCA) at 8-month follow-up * Percentage of in-stent volume obstruction measured by IVUS at 8- month follow-up. * Secondary endpoints: * Occurrence of Major Adverse Cardiac Events (MACE) defined as cardiac death, non-fatal acute myocardial infarction, and need for repeat target-lesion revascularization (by cardiac bypass graft or repeat percutaneous coronary intervention up to 24 months of follow-up. * Angiographic binary restenosis at 8 months angiographic follow-up. * Other endpoints: * Rates of stent thrombosis (acute, sub-acute, late and very-late) up to 24 months follow-up * In-stent and in-segment minimum lumen diameter (MLD) and % diameter stenosis (DS) by QCA at 8-month angiographic follow-up. * In-stent acute gain by post procedure QCA. * Late acquired incomplete stent apposition by IVUS at 8 month follow-up. * Primary analysis: The primary endpoint will be analyzed for all subjects who had a de novo coronary lesion enrolled in this study (intention to treat)
Interventions
DEVICESirolimus Eluting Coronary Stent System (Biomime)
Coronary Artey PTCA
Sponsors
Lifecare Institute of Medical Sciences and Research Ahmedabad Gujarat India
Meril Life Sciences Pvt. Ltd.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
BioMime™ Sirolimus-Eluting Coronary Stent System
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patient with \> 18 years of age; * Symptoms of stable or unstable angina and/or presence of a positive functional test for ischemia; * Presence of a single de novo target lesion located in a native coronary vessel suitable for percutaneous treatment with the study stents; * Acceptable candidate for coronary artery bypass graft (CABG) surgery; * The subject is willing to sign a written informed consent prior to procedure, and is willing to undergo ALL study protocol follow-ups, including angiographic (and IVUS) follow-ups at 8 months. * Target lesion located in a major epicardial coronary vessel with reference of 2.5-3.5mm in diameter (by visual estimation) * Target lesions ≤ 19mm in length (by visual estimation) that can be treated (covered) by one single study stent (19 or 24mm in length); * ≥ 50% and \< 100% diameter stenosis; * TIMI (Thrombolysis In Myocardial Infarction) flow grade ≥ 2.
Exclusion criteria
* Known hypersensitivity or contraindication to mTOR inhibitor class drugs (sirolimus), heparin, any required medications including thienopyridines, cobalt chromium, and contrast media which cannot be adequately pre medicated; * Patient is a female with childbearing potential; * Pre-treatment of the target lesion with any devices other than balloon angioplasty; * Previous brachytherapy in the target vessel; * Presence of non-target vessel lesions which require staged procedure(s) \< 30 days of the index procedure; * Prior CABG surgery to target vessel; * Previous percutaneous coronary intervention (PCI) or CABG surgery \< 30 days to the index procedure date; * Acute myocardial infarction \< 3 days, with cardiac enzyme elevation including total creatine kinase (CK) \> 2 times the upper normal limit value and/or CK-MB above the upper normal limit value within the past 72 hours; * CK and/or CK-MB levels elevated above the upper normal limit value at the time of the index procedure; * Documented left ventricular ejection fraction \< 30%; * Renal insufficiency determined by a baseline serum creatinine \> 2.0/dl; * Thrombocytopenia with a baseline platelet count \< 100,000 cells/mm3; * Anemia with baseline hemoglobin \< 10g/dL; * Extensive peripheral vascular disease or extreme anticoagulation that precludes safe \> 5 French sheath insertion; * History of bleeding diathesis, coagulopathy, or will refuse blood transfusions; * Patients has suffered a stroke, transient ischemic attack (TIA), or cerebrovascular accident (CVA) within the past 6 months; * Significant gastrointestinal or genitourinary bleed within the past 6 months; * Patient is a recipient of a heart transplant; * Any elective surgical procedure is planned within 12 months of the index procedure; * Known illness or any serious clinical condition with life expectancy \< 2 years; * Participation in the active or follow-up phase of any other clinical trial within 6 months; * Impossibility to comply with anti-platelet therapy during the study clinical follow-up; * Any impossibility to comply with all protocol follow-ups. * Target lesion or vessel with angiographic evidence of moderate or severe calcification; * Presence of severe tortuosity; * Presence of severe angulation (\> 60o); * Presence of intraluminal thrombus; * Target lesion involving a bifurcation (side branch ≥ 2.0mm); * Target lesion located in the left main stem; * Aorto-ostial lesion location; * Target lesion involving a side branch with reference diameter ≥ 2.0mm; * Presence of a significant stenosis (\> 40%) in the target vessel either proximal or distal to the target lesion that will be untreated; * Previous placement of a stent within 10mm of the target lesion; * Total occlusion (TIMI flow grade 0 or 1); * Target lesion located in an arterial or vein graft; * Target lesion due to in-stent restenosis; * Coronary anatomy unsuitable for percutaneous treatment with implantation of the available study stents.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MACE at 30 days clinical F/U | 30 days | Major Adverse Cardiac Events (MACE) at 30 days clinical follow-up. MACE defined as any of the following: cardiac death, myocardial infarction, and ischemia driven target lesion revascularization (TLR). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Angiographic Binary restenosis at 8-months F/U | 8-months post implant | * Occurrence of Major Adverse Cardiac Events (MACE) defined as cardiac death, non-fatal acute myocardial infarction, and need for repeat target-lesion revascularization (by cardiac bypass graft or repeat percutaneous coronary intervention up to 24 months of follow-up. * Angiographic binary restenosis at 8 months angiographic follow-up. |
Countries
India
Outcome results
None listed