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Coronary Artery StenosisPhase 4NCT01182428

XIENCE V: SPIRIT WOMEN Sub-study

A Phase 4 study testing XIENCE V®/ XIENCE PRIME™ and CYPHER SELECT in people with Coronary Artery Stenosis and Coronary Arteriosclerosis, run by Abbott Medical Devices at 25 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this Clinical Evaluation is the continued assessment of the XIENCE Everolimus Eluting Coronary Stent System (XIENCE V® and XIENCE PRIME™ EECSS) with the primary focus on clinical outcomes in the treatment of female patients with de novo coronary artery lesions, and the characterization of the female… Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
XIENCE V®/ XIENCE PRIME™ and CYPHER SELECT
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
455 participants
Where
25 sitesin 15 countries
Study dates
Sep 2008to Jul 2011
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

General Inclusion Criteria:

  • Patient must be female.
  • Patient must be at least 18 years of age.
  • Patient is able to verbally confirm understanding of risks, benefits and treatment alternatives and she or her legally authorized representative provides written informed consent prior to any study related procedure, as approved by the appropriate Medical Ethics Committee of the respective clinical site.
  • Patient must have evidence of myocardial ischemia (e.g., stable or unstable angina, silent ischemia, positive functional study or a reversible change in the electrocardiogram (ECG) consistent with ischemia).
  • Patient must be an acceptable candidate for coronary artery bypass graft (CABG) surgery.
  • Patient must agree to undergo all protocol-required follow-up examinations.
  • Patients of childbearing potential must have had a negative pregnancy test within 7 days before treatment, and must not be nursing at the time of treatment.

Angiographic Inclusion Criteria:

  • Patients' artery morphology and disease is suitable to be optimally treated with a maximum of 4 planned study stents.
  • Target lesions must be de novo lesions (no prior stent implant, no prior brachytherapy).
  • Target vessel reference diameter must be between 2.5 mm and 4.0 mm by visual estimate. The diameter range will be expanded to 2.25 mm when the 2.25 mm stent is available.
  • Target lesion greater than or equal to 28 mm in length by visual estimate.

General Exclusion Criteria:

  • Patient has other medical illness (e.g., cancer or congestive heart failure) or known history of substance abuse (alcohol, cocaine, heroin etc.) that may cause non-compliance with the clinical investigation plan, confound the data interpretation or is associated with a limited life expectancy (i.e., less than one year).
  • Patient has a known hypersensitivity or contraindication to aspirin, either heparin or bivalirudin, both clopidogrel and ticlopidine, everolimus, cobalt, chromium, nickel, tungsten, acrylic and fluoro polymers or contrast sensitivity that cannot be adequately pre-medicated.
  • Participation in another device or drug study or has completed the follow-up phase of another study within the last 30 days.
  • Patient who is judged to have a lesion that prevents complete inflation of an angioplasty balloon.
  • Patient has had a previous stent implant, either Bare Metal Stent (BMS) or Drug Eluting Stent (DES) within the target vessel(s)

Trial locations and contacts

25 sites in 15 countries.

25 sites in 15 countries

Italy5 sites
  • Centro Cardiologico Monzino

    Milan, 20138

  • Clinico S.Ambrogio, GRUPPO OSPEDALIERO SAN DONATO

    Milan, 20149

  • Azienda Policlinico di Modena U.O. Cardiologia, Ospedale di Modena

    Modena, 41100

  • Ospedale Cisanello

    Pisa, 56127

  • Istituto Clinico Humanitas

    Rozzano, 20089

Other trials in Italy

Germany3 sites
  • Kardiologische Klinik Herz- und Diabeteszentrum

    Bad Oeynhausen, 32545

  • Segebergerkliniken

    Bad Segeberg, 23795

  • Technische Universität Dresden, Medizinische Klinik II - Kardiologie

    Dresden, 01307

Other trials in Germany

Argentina2 sites
  • Hosital Italiano de Buenos Aires - Cardiologia

    Buenos Aires, Buenos Aires, 1181

  • Instituto Cardiovascular de Buenos Aires-ICBA

    Buenos Aires, 1428

Other trials in Argentina

Netherlands2 sites
  • AMC

    Amsterdam, 1105

  • St. Antonius Ziekenhuis

    Nieuwegein, 3430

Other trials in Netherlands

Spain2 sites
  • Hospital General de Alicante

    Alicante, 3010

  • Hospital Universitari Germans Trias i Pujol

    Barcelona, 08916

Other trials in Spain

Switzerland2 sites
  • Inselspital Bern, Kardiologie

    Bern, 3010

  • Cardiocentro Ticino

    Lugano, 6900

Other trials in Switzerland

Austria1 site
  • Allgemeines Krankenhaus der Stadt Wien - Univ.Klinik f. Innere Medizin II

    Vienna, 1090

Other trials in Austria

Belgium1 site
  • Heilig Hart Ziekenhuis Roeselare

    Roeselare, 8800

Other trials in Belgium

Brazil1 site
  • Instituto de Cardiologia Dante Pazzanese Unidadae II Recepcao de Angioplastia

    São Paulo, 04012-180

Other trials in Brazil

Denmark1 site
  • Rigshospitalet

    Copenhagen

Other trials in Denmark

France1 site
  • Institut Hospitalier Jacques Cartier Service d'Angiographie, Inst Cardiovasculaire Paris-Sud

    Massy, 91300

Other trials in France

Hungary1 site
  • Semmelweis University, Department of Cardiovascular Surgery

    Budapest

Other trials in Hungary

Latvia1 site
  • Latvian Center of Cardiology, P. Stradina University Hospital

    Riga, 1002

Other trials in Latvia

Norway1 site
  • Haukeland university hospital

    Bergen, 5021

Other trials in Norway

Poland1 site
  • Institute of Cardiology

    Warsaw, 04-628

Other trials in Poland

About this study

Official title: A Clinical Evaluation of the XIENCE Everolimus Eluting Coronary Stent System in the Treatment of Women With de Novo Coronary Artery Lesions

The purpose of this Clinical Evaluation is the continued assessment of the XIENCE Everolimus Eluting Coronary Stent System (XIENCE V® and XIENCE PRIME™ EECSS) with the primary focus on clinical outcomes in the treatment of female patients with de novo coronary artery lesions, and the characterization of the female population undergoing stent implantation with a XIENCE stent.

Read the detailed description

SPIRIT Women Randomized Sub-study is a prospective, single-blind, double arm, randomized multi-center sub-study comparing the XIENCE V® EECSS and XIENCE PRIME™ EESS to the CYPHER SELECT™ PLUS Sirolimus-eluting Coronary Stent in the treatment of female patients with coronary artery lesions.

The long term safety and efficacy of the XIENCE V EECSS have been demonstrated in the SPIRIT FIRST trial up to 5 years, the SPIRIT II trial up to 4 years, and in the SPIRIT III Randomized Control Trial (RCT) up to 3 years. In addition, these pre-approval studies have shown low rates of Target Vessel Failure and Major Adverse Cardiac Events (MACE) that were observed to plateau or gradually decline after about 1 year and were consistently lower than the comparator arm of each study. This benefit in MACE is sustained for up to 5 years and is also independent of the first year results.

The post approval SPIRIT V study demonstrated that the use of the XIENCE EECSS in complex lesions in a real-world population resulted in 1 year MACE, Stent Thrombosis and Target Lesion Revascularization rates that are comparable to those of the previously mentioned pre-approval studies which included patients with more restricted inclusion / exclusion criteria.

Therefore, based on existing data from these trials, Abbott Vascular has decided to discontinue further follow up in the SPIRIT Women study after 2 years.

Being tested
XIENCE V®/ XIENCE PRIME™, CYPHER SELECT
Keywords
Stents, Angioplasty, Total coronary occlusions, Coronary restenosis, Stent thrombosis, Everolimus
Medical subject headings
Coronary Stenosis, Coronary Artery Disease, Coronary Restenosis, Vascular Diseases, Myocardial Ischemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • XIENCE V®/ XIENCE PRIME™Device

    Coronary artery placement of a XIENCE V®/ XIENCE PRIME™ Everolimus Eluting Stent System

  • CYPHER SELECTDevice

    XIENCE V® / XIENCE PRIME™ to CYPHER SELECT in female patients with de novo coronary artery lesions

Study groups in NCT01182428
Study groupRoleWhat they receive
XIENCE V® / XIENCE PRIME™ExperimentalNot described
Receives: Device: XIENCE V®/ XIENCE PRIME™
CYPHER SELECTActive comparatorNot described
Receives: Device: CYPHER SELECT

What is being measured

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

  1. Adjudicated Composite Rate of All Death, All MI and Target Vessel Revascularization (TVR).

    This measure adds together all subjects who were determined by an expert panel to have died, had MI or had TVR as a result of their procedure.

    Measured: at 1 year

  2. In-stent Late Loss (LL) (Main Secondary Endpoint)

    In-stent Minimal Lumen Diameter (MLD)post-procedure - in-stent MLD at follow-up.

    Measured: at 270 days

Secondary outcomes (28)
  1. Clinical Device Success

    Successful delivery and deployment of the study stent at the intended target lesion and successful withdrawal of the stent delivery system.

    Measured: Intra-operative

  2. Clinical Procedure Success

    Successful delivery and deployment of the study stent or stents at the intended target lesion and successful withdrawal of the stent delivery system without adverse cardiac events.

    Measured: Intra-operative

  3. Adjudicated Stent Thrombosis (Definite, Probable)

    Measured: < 1 day (Acute)

  4. Adjudicated Stent Thrombosis (Definite, Probable)

    Measured: 1 to 30 days (Sub-Acute)

  5. Adjudicated Stent Thrombosis (Definite, Probable)

    Measured: 30 days to 1 year (Late)

  6. Adjudicated Stent Thrombosis (Definite, Probable, Possible)

    Measured: 30 days to 1 year (Late)

  7. Adjudicated Composite Rate of Cardiac Death, MI Attributed to the Target Vessel and Clinically Indicated Target Lesion Revascularization (CI-TLR).

    Measured: at 30 days

  8. Adjudicated Composite Rate of Cardiac Death, MI Attributed to the Target Vessel and CI-TLR.

    Measured: at 240 days

  9. Adjudicated Composite Rate of Cardiac Death, MI Attributed to the Target Vessel and CI-TLR.

    Measured: at 1 year

  10. Adjudicated Composite Rate of All Death, All MI and Target Vessel Revascularization (TVR).

    Measured: at 30 days

  11. Adjudicated Composite Rate of All Death, All MI and Target Vessel Revascularization (TVR).

    Measured: at 240 days

  12. Adjudicated Composite Rate of All Death, All MI and All Revascularization (TLR/TVR/Non TVR).

    Measured: at 30 days

  13. Adjudicated Composite Rate of All Death, All MI and All Revascularization (TLR/TVR/Non TVR).

    Measured: at 240 days

  14. Adjudicated Composite Rate of All Death, All MI and All Revascularization (TLR/TVR/Non TVR).

    Measured: at 1 year

  15. Adjudicated Cardiac Death, Non-Cardiovascular Death, Vascular Death, Q-wave MI and Non Q-wave MI (Peri-Procedural, Unrelated to PCI).

    Measured: at 30 days

  16. Adjudicated Cardiac Death, Non-Cardiovascular Death, Vascular Death, Q-wave MI and Non Q-wave MI (Peri-Procedural, Unrelated to PCI).

    Measured: at 240 days

  17. Adjudicated Cardiac Death, Non-Cardiovascular Death, Vascular Death, Q-wave MI and Non Q-wave MI (Peri-Procedural, Unrelated to PCI).

    Measured: at 1 year

  18. In-segment Late Loss (LL)

    LL = Minimal Lumen Diameter (MLD) post-procedure minus MLD at follow-up

    Measured: at 270 days

  19. In-stent Angiographic Binary Restenosis Rates

    Only a certain number of patients were required to have angiographic follow-up. Percent of subjects with a follow-up in-stent percent diameter stenosis of ≥ 50% per quantitative coronary angiography (QCA).

    Measured: at 270 days

  20. In-segment Angiographic Binary Restenosis Rates

    Only a certain number of patients were required to have angiographic follow-up. Percent of subjects with a follow-up in-stent percent diameter stenosis of ≥ 50% per quantitative coronary angiography (QCA).

    Measured: at 270 days

  21. In-stent Percent Diameter Stenosis

    Measured: at 270 days

  22. In-segment Percent Diameter Stenosis

    Measured: at 270 days

  23. Adjudicated Revascularization (TLR/TVR/All Revascularizations)

    Composite of Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), all revascularizations

    Measured: at 30 days

  24. Adjudicated Revascularization (TLR/TVR/All Revascularizations)

    Composite of Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), all revascularizations

    Measured: at 240 days

  25. Adjudicated Revascularization (TLR/TVR/All Revascularizations)

    Composite of Target Lesion Revascularization (TLR), Target Vessel Revascularization (TVR), all revascularizations

    Measured: at 1 year

  26. Aneurysm

    All subjects with aneurysm of the target lesion up to the 270 day follow-up visit

    Measured: at 270 days

  27. Thrombus

    All subjects with thrombus of the target lesion up to the 270 day follow-up visit

    Measured: at 270 days

  28. Persisting Dissection

    All subjects with persisting dissection of the target lesion up to the 270 day follow-up visit

    Measured: at 270 days

Timeline

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

  1. First posted16 Aug 2010 (estimated)
  2. Study startSep 2008
  3. Primary completionFeb 2011
  4. Study completionJul 2011

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
455 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01182428
Sponsor's protocol ID
07-377 sub-study
Status last verified
Jul 2012
First submitted
13 Jul 2010
Last updated
7 Aug 2012
Data monitoring committee
Yes

Publications

  • Morice MC. XIENCE V SPIRIT WOMEN clinical trial: characterization of the female population undergoing stent implantation. Womens Health (Lond). 2008 Sep;4(5):439-43. doi: 10.2217/17455057.4.5.439.

    PubMed 19072483
  • Franzone A, Zaugg S, Piccolo R, Modena MG, Mikhail GW, Ferre JM, Strasser R, Grinfeld L, Heg D, Juni P, Windecker S, Morice MC. A randomized multicenter trial comparing the XIENCE everolimus eluting stent with the CYPHER sirolimus eluting stent in the treatment of female patients with de novo coronary artery lesions: The SPIRIT WOMEN study. PLoS One. 2017 Aug 10;12(8):e0182632. doi: 10.1371/journal.pone.0182632. eCollection 2017.

    PubMed 28796809

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing XIENCE V®/ XIENCE PRIME™ and CYPHER SELECT in people with Coronary Artery Stenosis and Coronary Arteriosclerosis, run by Abbott Medical Devices at 25 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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: finished, as of the sponsor's last update on 7 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in Italy, Germany, Argentina, Netherlands, Spain and 10 more countries. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Jul 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Adjudicated Composite Rate of All Death, All MI and Target Vessel Revascularization (TVR). (time frame: at 1 year). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01182428, which also lists 2 linked publications.

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 7 Aug 2012; AzTrials last refreshed its copy on 6 Nov 2026.

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