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Comparison of Drug Eluting Balloon and Drug Eluting Stent

Comparison of Drug-Eluting Balloon First and Then Bare Metal Stent With Drug-eluting Stent for Treatment of de Novo Lesions (DEB First): A Randomized Controlled Single Center Clinical Trial

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01539603
Acronym
DEBfirst
Enrollment
180
Registered
2012-02-27
Start date
2011-04-30
Completion date
2015-02-28
Last updated
2015-06-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary Artery Disease, NSTEMI, Stable Angina, Unstable Angina

Keywords

drug eluting balloon, bare metal stent, drug eluting stent, coronary artery disease

Brief summary

The purpose of this study is to evaluate the safety and efficacy of Drug-Eluting Balloon first and then bare metal stent compared with drug-eluting stent for treatment of de novo lesions (DEB first).

Detailed description

A recent trial to test premount bare metal stent on drug-eluting balloon failed to demonstrate non-inferiority and safety compared to drug-eluting stent alone for treatment of coronary artery stenosis. We think that inappropriate drug delivery to diseased vessel due to stent strut might affect the efficacy of drug-eluting balloon. Therefore, we design a clinical study with a different protocol, that is, drug-eluting balloon first and then bare metal stent implantation in comparison to drug-eluting stent.

Interventions

DEVICEDrug eluting balloon + Bare metal stent

PCI using Sequent Please and then Coroflex Blue

DEVICEdrug eluting stent (Zotarolimus-eluting stent)

conventional PCI using Endeavor Integrity

Sponsors

Seoul National University Bundang Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

* De novo lesion * 2.5mm =\< Reference diameter =\< 4mm * Lesion length =\< 28mm * Type A, B1/B2 lesion

Exclusion criteria

* ST-segment elevation MI * Reference diameter \< 2.5mm or \> 4mm * Bifurcation lesion * Type C lesion * history of AMI or stroke within 1 year F. chronic renal disease (Cr \> 2mg/dL)

Design outcomes

Primary

MeasureTime frameDescription
in-segment late loss9 monthangiographic in-segment late loss measure by QCA program

Secondary

MeasureTime frameDescription
stent thrombosis9 monthany stent thrombosis
angiographic and procedure success9 monthAngiographic success denotes that residual diameter stenosis is less than 10% without complication such as coronarhy dissection or thrombosis. Procedural success means that adequate DEB+BMS or DES delivery to the target lesion without geographic miss.
MACE9 monthdeath, MI and TVF

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 24, 2026