Coronary Heart Disease
Conditions
Brief summary
The purpose of this study is to evalute the clinical safety and effectiveness of released specification (38mm) of FirehawkTM Sirolimus target-eluting coronary stent system.
Interventions
Sponsors
Study design
Intervention model description
all patients implanted Firehawk stent of new specification (38mm long)
Eligibility
Inclusion criteria
1. 18-80 years of age, males or non-pregnant women; 2. Evidence of silent ischemia, stability or in patients with old myocardial infarction or unstable angina; 3. Primary target lesion, in situ coronary artery disease; 4. Target lesion length ≤ 60mm, target lesion diameter 2.75mm or 4.0mm (Visual method); 5. The target lesion diameter stenosis ≥ 70% (Visual method); 6. Each target lesion implantation the same stent (Firehawk stand); 7. With indications for coronary artery bypass surgery; 8. To understand the purpose of testing, voluntary and informed consent, patients undergoing invasive imaging follow-up.
Exclusion criteria
1. Within 72h of any acute myocardial infarction; 2. Unprotected left main coronary artery disease, triple vessel lesions which need treated all; 3. Severe calcified lesions that cannot be successfully expanded and distorting lesions not suitable for stent delivery; 4. Artery and/or vein bypass graft lesions; 5. Intracoronary implantation of any branding stents within 1 year; 6. Severe congestive heart failure (NYHA class III and above), or left ventricular ejection fraction \<35% (ultrasound or left ventricular angiography); 7. Preoperative renal function serum creatinine \>2.0mg/DL; 8. Bleeding, active gastrointestinal ulcers, brain hemorrhage or subarachnoid hemorrhage and half year history of ischemic stroke, antiplatelet agents and would not allow an anticoagulant therapy contraindications patients undergoing antithrombotic therapy; 9. Aspirin, clopidogrel, heparin, contrast agent, poly lactic acid polymer and rapamycin allergies; 10. The patient's life expectancy is less than 12 months; 11. Top participated in other drug or medical device and does not meet the primary study endpoint in clinical trials time frame; 12. Researchers determine patient compliance is poor, unable to complete the study in accordance with the requirements; 13. Heart transplantation patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In-stent Late Lumen Loss | 9 month after stent implantation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participants With Target Lesion Failure | 30 days after stent implantation | a composite endpoint of cardiac death, myocardial infarction related to target vessel (TVMI) and clinically-indicated revascularization related to target lesion (CI-TLR) |
| Major Adverse Cardiac Events | 30 days after stent implantation | composite endpoint of all cause death, any myocardial infarction and any revascularization |
Countries
China
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Treatment Group Implantation of the released specification (38mm) of FirehawkTM rapamycin target-eluting coronary stent systems
Rapamycin target-eluting coronary stent systems (38mm) | 38 |
| Total | 38 |
Baseline characteristics
| Characteristic | Treatment Group | — |
|---|---|---|
| Age, Continuous | 61 years STANDARD_DEVIATION 9.44 | — |
| Cigarette usage Never | 17 Participants | — |
| Cigarette usage Quit smoking | 1 Participants | — |
| Cigarette usage Relapse | 5 Participants | — |
| Cigarette usage Smoker | 15 Participants | — |
| Coronary Artery Disease (CAD) history With CAD | 7 Participants | — |
| Coronary Artery Disease (CAD) history Without CAD | 31 Participants | — |
| Diabetes Mellitus (DM) history With DM | 13 Participants | — |
| Diabetes Mellitus (DM) history Without DM | 25 Participants | — |
| hypertension (HTN) history With HTN | 27 Participants | — |
| hypertension (HTN) history Without HTN | 11 Participants | — |
| Myocardial Infarction (MI) history With MI | 13 Participants | — |
| Myocardial Infarction (MI) history Without MI | 25 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment China | 38 participants | — |
| Sex: Female, Male Female | 8 Participants | — |
| Sex: Female, Male Male | 30 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 38 |
| other Total, other adverse events | 25 / 38 |
| serious Total, serious adverse events | 15 / 38 |
Outcome results
In-stent Late Lumen Loss
Time frame: 9 month after stent implantation
Population: A sum of 31 patients with 33 target lesions were analyzed by Quantitative Coronary Angiography (QCA). 7 participants did not participate in 9 month angiographic follow up.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Treatment Group | In-stent Late Lumen Loss | 0.19 mm | Standard Deviation 0.43 |
Major Adverse Cardiac Events
composite endpoint of all cause death, any myocardial infarction and any revascularization
Time frame: 4 years after stent implantation
Population: One participant was lost during 4 years follow up.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Major Adverse Cardiac Events | 7 Participants |
Major Adverse Cardiac Events
composite endpoint of all cause death, any myocardial infarction and any revascularization
Time frame: 30 days after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Major Adverse Cardiac Events | 1 Participants |
Major Adverse Cardiac Events
composite endpoint of all cause death, any myocardial infarction and any revascularization
Time frame: 6 months after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Major Adverse Cardiac Events | 1 Participants |
Major Adverse Cardiac Events
composite endpoint of all cause death, any myocardial infarction and any revascularization
Time frame: 12 months after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Major Adverse Cardiac Events | 4 Participants |
Major Adverse Cardiac Events
composite endpoint of all cause death, any myocardial infarction and any revascularization
Time frame: 2 years after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Major Adverse Cardiac Events | 5 Participants |
Major Adverse Cardiac Events
composite endpoint of all cause death, any myocardial infarction and any revascularization
Time frame: 3 years after stent implantation
Population: One participant was lost during 3 years follow up.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Major Adverse Cardiac Events | 6 Participants |
Participants With Target Lesion Failure
a composite endpoint of cardiac death, myocardial infarction related to target vessel (TVMI) and clinically-indicated revascularization related to target lesion (CI-TLR)
Time frame: 30 days after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Participants With Target Lesion Failure | 1 Participants |
Participants With Target Lesion Failure
a composite endpoint of cardiac death, myocardial infarction related to target vessel (TVMI) and clinically-indicated revascularization related to target lesion (CI-TLR)
Time frame: 6months after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Participants With Target Lesion Failure | 1 Participants |
Participants With Target Lesion Failure
a composite endpoint of cardiac death, myocardial infarction related to target vessel (TVMI) and clinically-indicated revascularization related to target lesion (CI-TLR)
Time frame: 12 months after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Participants With Target Lesion Failure | 2 Participants |
Participants With Target Lesion Failure
a composite endpoint of cardiac death, myocardial infarction related to target vessel (TVMI) and clinically-indicated revascularization related to target lesion (CI-TLR)
Time frame: 2 years after stent implantation
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Participants With Target Lesion Failure | 2 Participants |
Participants With Target Lesion Failure
a composite endpoint of cardiac death, myocardial infarction related to target vessel (TVMI) and clinically-indicated revascularization related to target lesion (CI-TLR)
Time frame: 3 years after stent implantation
Population: One participant was lost during 3 years follow up.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Participants With Target Lesion Failure | 2 Participants |
Participants With Target Lesion Failure
a composite endpoint of cardiac death, myocardial infarction related to target vessel (TVMI) and clinically-indicated revascularization related to target lesion (CI-TLR)
Time frame: 4 years after stent implantation
Population: One participant was lost during 4 years follow up.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Treatment Group | Participants With Target Lesion Failure | 2 Participants |