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Coronary Artery DiseasePhase 4NCT04137510

Bioflow-DAPT Study

A Phase 4 study testing Percutaneous coronary intervention in people with Coronary Artery Disease, run by Biotronik AG at 53 sites in 18 countries.

Completed

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

Official record
Search all trials

Trial summary

BIOFLOW-DAPT is a prospective, multi-center, international, two-arm randomized controlled clinical study. A total of 1'948 subjects will be randomized 1:1 to receive either Orsiro Mission or Resolute Onyx. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Coronary Artery Disease
What is being tested?
Percutaneous coronary intervention
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,948 participants
Where
53 sitesin 18 countries
Study dates
24 Feb 2020to 20 Sep 2022
Phase
Phase 4
Are there results?
None posted in the registry

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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is acceptable candidate for treatment with a DES
  • Subject is considered at high bleeding risk (HBR), defined as meeting one or more of the following criteria at the time of enrollment:
  • ≥ 75 years of age
  • Moderate (estimated GFR 30-59 ml/min) or severe (estimated GFR < 30 ml/min) chronic kidney disease or failure (dialysis dependent)
  • Advanced liver disease, defined as having cirrhosis with or without portal hypertension and with or without gastroesophageal varices.
  • Cancer (excluding non-melanoma skin cancer) diagnosed or treated within the previous 12 months or actively treated
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  • Anemia with hemoglobin < 11.0 g/dL or requiring transfusion within 4 weeks prior to randomization
  • Baseline thrombocytopenia defined as a platelet count <100,000/mm3
  • History of stroke (ischemic or hemorrhagic), previous intracerebral hemorrhage (ICH) (spontaneous at any time or traumatic within the past 12 months) or presence of a brain arteriovenous malformation
  • History of hospitalization for bleeding within the previous 12 months
  • Chronic clinically significant bleeding diathesis
  • Clinical indication for chronic or lifelong oral anticoagulation (OAC) (with a vitamin K antagonist or non-vitamin K OAC)
  • Clinical indication for chronic or lifelong steroid or oral nonsteroidal anti-inflammatory drug(s) (NSAIDs), other than aspirin
  • Nondeferrable major surgery on DAPT
  • Recent major surgery or major trauma within 30 days before PCI
  • Precise DAPT score ≥ 25
  • Subject is ≥ 18 years or the minimum age required for legal adult consent in the country of enrollment
  • Subject is capable (no legally authorized representative allowed) to provide written informed consent as approved by the Institutional Review Board (IRB)/Ethics Committee (EC) of the respective clinical site prior to any study related procedure
  • Subject is willing to comply with all protocol and follow-up requirements, including agreement to discontinue DAPT at 1 month
  • Subject is eligible for dual antiplatelet therapy treatment with aspirin plus a P2Y12 inhibitor agent for 1-month post index procedure

Who cannot join

  • Subject who previously experienced a stent or scaffold thrombosis in any coronary vessel
  • Subject has a known allergy to all types of P2Y12 inhibitor (Clopidogrel, Ticagrelor, Prasugrel, Ticlopidine and Cangrelor; thus preventing the use of the appropriate P2Y12 inhibitor), aspirin, both heparin and bivalirudin, L-605 cobalt-chromium (Co-Cr) alloy or one of its major elements (cobalt, chromium, tungsten, nickel), molybdenum, platinum and irridium, silicon carbide, PLLA,polymers, mTOR inhibiting drugs such as zotarolimus or sirolimus, or contrast media
  • Revascularization of any target vessel within 9 months prior to the index procedure or previous PCI of any non-target vessel within 72 hours prior to or during the index procedure
  • 4. Subject with documented left ventricular ejection fraction (LVEF) <30% as evaluated by the most recent imaging exam (i.e. echocardiogram, ventriculogram, MUGA, etc.), but within 90 days pre/procedure or during the index procedure
  • Subject judged by physician as inappropriate for discontinuation from DAPT at 1 month following index procedure, due to another condition requiring chronic DAPT
  • Subject with planned surgery or procedure necessitating discontinuation of P2Y12 inhibitor and/or aspirin within the first month post-index procedure Note - planned staged procedure at the time of index procedure is not allowed
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  • Active bleeding at the time of inclusion
  • Subject with a current medical condition with a life expectancy of less than 12 months
  • Subject is currently participating or intends to participate in another investigational drug or device trial within 12 months following the index procedure or any other clinical trial that may interfere with the treatment or protocol of this study
  • Subject is pregnant and/or breastfeeding or intends to become pregnant during the duration of the study
  • In the investigator's opinion, subject will not be able to comply with the follow-up requirements
  • Subjects who need an impartial witness to give an informed consent

Trial locations and contacts

53 sites in 18 countries.

53 sites in 18 countries

France10 sites
  • CHU Brest

    Brest, 29601

  • Centre Hospitalier Universitaire de Lille

    Lille, 59000

  • Hopital Privé Jacques Cartier

    Massy, 91300

  • CHU Nimes

    Nîmes, 30029

  • Assistance Publique Hopitaux de Paris (APHP)

    Paris, 75004

  • Assistance Publique Hopitaux de Paris

    Paris, 75004

  • Clinique Saint Hilaire

    Rouen, 76000

  • Clinique Pasteur

    Toulouse, 31076

  • CHU de Toulouse

    Toulouse, 31400

  • CHRU de Tours

    Tours, 37044

Other trials in France

Germany5 sites
  • Segeberger Kliniken

    Bad Segeberg, 23795

  • Charite Virchow-Klinikum

    Berlin, 13353

  • Contilla Herz- und Gefäßzentrum, Elisabeth-Krankenhaus

    Essen, 45138

  • Klinikum Friedrichshafen GmbH

    Friedrichshafen, 88048

  • Städtische Kliniken Neuss, Lukaskrankenhaus GmbH

    Neuss, 41464

Other trials in Germany

Switzerland5 sites
  • Hôpitaux Universitaires de Genève

    Geneva, 1211

  • Centre Hospitalier Universitaires Vaudoise

    Lausanne, 1011

  • CardioCentro Ticino

    Lugano, 6900

  • Hôpital de Morges

    Morges, 1110

  • Stadtspital Triemli

    Zurich, 8063

Other trials in Switzerland

Belgium4 sites
  • AZ St Jan Brugge

    Bruges, 8000

  • Ziekenhuis Oost Limburg Genk

    Genk, 3600

  • AZ Delta

    Roeselare, 8800

  • UCL St Luc

    Woluwe-Saint-Lambert, 1200

Other trials in Belgium

Italy4 sites
  • Azienda Ospedaliero - Universitaria Policlinico - Vittorio

    Catania, 95125

  • Centro Cardiologico Monzino

    Milan, 20138

  • IRCCS Fondazione Policlinico "San Matteo"

    Pavia, 27100

  • Azienda Ospedaliero-Universitaria

    Torrette, 60126

Other trials in Italy

Australia3 sites
  • The Northern Hospital

    Epping, 3076

  • John Hunter Hospital

    New Lambton, 2305

  • Royal Perth Hospital

    Perth, 6000

Other trials in Australia

Hungary3 sites
  • Semmelweis University

    Budapest, 1124

  • Somogy County Kaposi Mór Teaching Hospital

    Kaposvár, 7400

  • University of Pécs

    Pécs, 7624

Other trials in Hungary

Spain3 sites
  • Hospital Universitario Marqués de Valdecilla

    Santander, 39008

  • Hospital Clinico Universitario de la Valencia

    Valencia, 46010

  • Hospital Universitario Araba

    Vitoria-Gasteiz, 01009

Other trials in Spain

Austria2 sites
  • Medizinische Universität Graz

    Graz, 8036

  • Uniklinikum Salzburg

    Salzburg, 5020

Other trials in Austria

Denmark2 sites
  • Herlev og Gentofte Hospital

    Hellerup, 2900

  • Roskilde University Hospital

    Roskilde, 4000

Other trials in Denmark

Hong Kong2 sites
  • Queen Mary Hospital

    Hong Kong

  • The Chinese University of Hong Kong

    Shatin

Other trials in Hong Kong

Latvia2 sites
  • Sia AK Medical Solutions

    Engure, LV-3113

  • Pauls Stradins Clinical University Hospital

    Riga, 1002

Other trials in Latvia

Poland2 sites
  • Krakowski Szpital Specjalistyczny im. Jana Pawla

    Krakow, 31-202

  • Miedziowe Centrum Zdrowia

    Lubin, 59-301

Other trials in Poland

Thailand2 sites
  • Phramongkutklao Hospital

    Bangkok, 10400

  • Central Chest Institute of Thailand

    Bangkok, 11000

Other trials in Thailand

Malaysia1 site
  • Institut Jantung Negara

    Kuala Lumpur, 50400

Other trials in Malaysia

Netherlands1 site
  • Haga Ziekenhuis

    The Hague, 2545 AA

Other trials in Netherlands

New Zealand1 site
  • Auckland City Hospital

    Auckland, 1142

Other trials in New Zealand

Singapore1 site
  • Tan Tock Seng Hospital

    Singapore, 308433

Other trials in Singapore

About this study

Official title: A Prospective, Randomized, Multi-center Study to Assess the Safety of the Orsiro Mission Stent Compared to the Resolute Onyx Stent in Subjects at High Risk for Bleeding in Combination With 1-month Dual Antiplatelet Therapy (DAPT)

BIOFLOW-DAPT is a prospective, multi-center, international, two-arm randomized controlled clinical study.

A total of 1'948 subjects will be randomized 1:1 to receive either Orsiro Mission or Resolute Onyx. After index procedure, all patients will receive DAPT (ASA + P2Y12 inhibitor) for 30 days, followed by monotherapy with either P2Y12 inhibitor or ASA only until the end of the study.

Clinical follow-up visits will be scheduled at 1, 6 and 12 months post-procedure.

Being tested
Percutaneous coronary intervention
Keywords
DAPT, Dual antiplatelet therapy, high bleeding risk, HBR, Coronary artery disease, Percutaneous coronary intervention, PCI
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.

  • Percutaneous coronary interventionDevice

    It's a non-surgical procedure that uses a catheter to place a stent into a coronary blood vessel in order to open up the vessel.

Study groups in NCT04137510
Study groupRoleWhat they receive
OrsiroExperimentalNot described
Receives: Device: Percutaneous coronary intervention
Resolute OnyxActive comparatorNot described
Receives: Device: Percutaneous coronary intervention

What is being measured

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

  1. Composite of cardiac death, myocardial infarction (MI) and definite or probable stent thrombosis at 12 months

    Measured: 12 months post-procedure

Secondary outcomes (15)
  1. Rate of definite/probable stent thrombosis according to the ARC definition

    Measured: until 12 months post-procedure

  2. Rate of MACCE

    composite of all-cause death, MI, and stroke

    Measured: until 12 months post-procedure

  3. Rate of MACE

    composite of cardiac death, MI, and Target Vessel Revascularization (TVR)

    Measured: until 12 months post-procedure

  4. Rate of cardiac death or MI

    all, target vessel related MI, Q-wave and non Q-wave, ST-related and non ST-related

    Measured: until 12 months post-procedure

  5. Rate of all-cause death, cardiac, non-cardiac

    Measured: until 12 months post-procedure

  6. Rate of stroke, ischemic and hemorrhagic

    Measured: until 12 months post-procedure

  7. Rate of clinically-indicated TVR

    Measured: until 12 months post-procedure

  8. Rate of clinically-indicated Target Lesion Revascularization (TLR)

    Measured: until 12 months post-procedure

  9. Rate of Target Vessel Failure (TVF)

    Composite of clinically-driven TVR, cardiac death or target-vessel related MI

    Measured: until 12 months post-procedure

  10. Rate of target lesion failure (TLF)

    Composite of clinically driven TLR, cardiac death or target vessel related MI

    Measured: until 12 months post-procedure

  11. Rate of bleeding according to BARC definition

    Measured: until 12 months post-procedure

  12. Rate of bleeding according to GUSTO definition

    Measured: until 12 months post-procedure

  13. Rate of bleeding according to TIMI definition

    Measured: until 12 months post-procedure

  14. Rate of Device success

    Attainment of less than 30% residual stenosis of the target lesion using assigned stent only

    Measured: until 12 months post-procedure

  15. Rate of Procedure success

    Attainment of less than 30% residual stenosis of the target lesion using assigned stent only without occurrence of in-hospital major adverse cardiac events

    Measured: until 12 months post-procedure

Timeline

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

  1. First posted24 Oct 2019
  2. Study start24 Feb 2020
  3. Primary completion20 Sep 2022
  4. Study completion20 Sep 2022

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
Model description
Prospective, multi-center, international, two-arm randomized controlled clinical study.
Masking
None (open label)
Enrolment
1,948 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04137510
Sponsor's protocol ID
C1703
Status last verified
Apr 2023
First submitted
22 Oct 2019
Last updated
7 Jun 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Mankerious N, Hemetsberger R, Wlodarczak A, Merkely B, Kelbaek H, Cayla G, Legutko J, Galli S, Godin M, Toth GG, Lhermusier T, Saad M, Honton B, Sanguineti F, Dietrich PL, Frank D, Stammen F, Ferdinande B, Silvain J, Capodanno D, Nef H, Richardt G, Toelg R, Valgimigli M. Biodegradable polymer sirolimus-eluting or durable polymer zotarolimus-eluting stents in high bleeding-risk patients with acute coronary syndrome: the BIOFLOW-DAPT randomized trial. Eur Heart J Acute Cardiovasc Care. 2026 Aug 5:zuag089. doi: 10.1093/ehjacc/zuag089. Online ahead of print.

    PubMed 42555546
  • Valgimigli M, Wlodarczak A, Tolg R, Merkely B, Kelbaek H, Legutko J, Galli S, Godin M, Toth GG, Lhermusier T, Honton B, Dietrich PL, Stammen F, Ferdinande B, Silvain J, Capodanno D, Cayla G; Bioflow-DAPT Investigators. Biodegradable-Polymer or Durable-Polymer Stents in Patients at High Bleeding Risk: A Randomized, Open-Label Clinical Trial. Circulation. 2023 Sep 26;148(13):989-999. doi: 10.1161/CIRCULATIONAHA.123.065448. Epub 2023 Aug 25.

    PubMed 37624364
  • Landi A, Wlodarczak A, Tolg R, Kelbaek H, Legutko J, Galli S, Godin M, Toth GG, Lhermusier T, Honton B, Dietrich PL, Stammen F, Ferdinande B, Silvain J, Capodanno D, Cayla G, Valgimigli M; BIOFLOW-DAPT investigators. Design and Rationale of the BIOFLOW-DAPT Trial: a Prospective, Randomized, Multicenter Study to Assess the Safety of the Orsiro Mission Stent Compared to the Resolute Onyx Stent in Subjects at High Risk for Bleeding in Combination with 1-Month Dual Antiplatelet Therapy. J Cardiovasc Transl Res. 2023 Oct;16(5):1135-1143. doi: 10.1007/s12265-023-10400-x. Epub 2023 Jun 1.

    PubMed 37264295
  • Capodanno D. Another Coronary Stent for Patients at High Bleeding Risk. JACC Cardiovasc Interv. 2021 Sep 13;14(17):1884-1887. doi: 10.1016/j.jcin.2021.07.028. No abstract available.

    PubMed 34503738

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Percutaneous coronary intervention in people with Coronary Artery Disease, run by Biotronik AG at 53 sites in 18 countries.

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 20 inclusion and 12 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: finished, as of the sponsor's last update on 7 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in France, Germany, Switzerland, Belgium, Italy and 13 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Composite of cardiac death, myocardial infarction (MI) and definite or probable stent thrombosis at 12 months (time frame: 12 months post-procedure). 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 NCT04137510, which also lists 4 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 Jun 2024.

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Bioflow-DAPT Study (NCT04137510) | AzTrials