Coronary Heart DiseaseNCT04995159
Optimized Antiplatelet Therapy in Patients With CHD After Implantation of NeoVas™ BRS System
A study testing Single anti-platelet therapy and Dual anti-platelet therapy in people with Coronary Heart Disease, run by Lepu Medical Technology (Beijing) Co., Ltd. at 114 sites in China.
Trial summary
This study is designed to verify the safety and efficacy of Lepu® NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System combined with different antiplatelet therapies in the treatment of coronary heart disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Coronary Heart Disease
- What is being tested?
- Single anti-platelet therapy and Dual anti-platelet therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,150 participants
- Where
- 114 sitesChina
- Study dates
- Sep 2021to Jan 2028
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- Age 18 or above, male or non-pregnant female.
- Evidence of myocardial ischemia (e.g., stable angina, unstable angina, medium-low risk NSTEMI, STEMI with onset more than 1 week, old myocardial infarction or asymptomatic myocardial ischemia), and suitable for PCI surgery.
- The target lesion is in-situ coronary artery lesion, the total length of single lesion is no more than 40mm (the total length of stent is no more than 48mm), and the diameter of the target lesion is between 2.75mm and 3.75mm (visual measurement).
- The diameter stenosis of target lesion is ≥70% in visual (or ≥50% with clinical evidence of myocardial ischemia in that range), and the TIMI blood flow is greater than grade 1.
- The stent with diameter more than 3.0mm is allowed to overlap with another stent once, the overlapping methods could be edge to edge or at most 1mm overlap. The total number of stents per patient is no more than 4, with a maximum of 2 stents per vessel (the 2.75mm diameter stent is not allowed to overlap).
- Patient with indications for coronary artery bypass surgery.
- Aspirin and clopidogrel could be used continuously during the study.
- Patient who can understand the purpose of this trial, is willing to participate in the trial and to conduct clinical follow-up as required by the study protocol.
Who cannot join
- Acute ST-segment elevation myocardial infarction within 1 week.
- Left main coronary artery disease, branch vessel diameter≥2.0mm, three-vessel coronary artery disease and bridge vessel disease; visible thrombus in the target vessel.
- Severe distortion, severe calcification that cannot be successfully predilated, and other lesions that are not suitable for stent delivery and deployment.
- Intra-stent restenosis.
- Severe heart failure (NYHA≥III or left ventricular ejection fraction<35%).
- Severe renal insufficiency, eGFR<30ml/min/1.73m2 or serum creatinine>2.5mg/dL (221μmol/L).
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- Patients with bleeding tendency, active gastrointestinal ulcer, history of cerebral hemorrhage or subarachnoid hemorrhage, history of stroke within half a year, fundus hemorrhage affecting vision, antiplatelet agents and anticoagulant treatment contraindications who cannot receive antithrombotic therapy.
- Patients requiring long-term oral anticoagulants during the study period.
- Patients who are pregnant, breastfeeding, or planning to become pregnant during the study period.
- Patients with malignancies, organ transplants, or drug addiction that can seriously affect study compliance.
- Patients with contraindications to aspirin, clopidogrel or ticagrelor.
- Known allergy to aspirin, clopidogrel, ticagrelor, heparin, contrast agent, polylactic acid polymer and rapamycin.
- Thrombosis occurred during previous clopidogrel treatment.
- Life expectancy is less than 36 months.
- Participated in clinical trials of other drugs or medical devices before enrollment and failed to meet the time limit of the primary end point.
- Patients who will have elective surgery within a year and need to discontinue aspirin, clopidogrel or ticagrelor.
- Subjects are deemed unsuitable for enrollment by investigators.
Trial locations and contacts
114 sites in 1 country. Contact the study team or a site near you to ask about taking part.
114 sites in 1 country
China114 sites
Baoji Central Hospital
Baoji, Shanxi, 721008
Yuhu Chun
The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science
Baotou, Inner Mongolia, 014017
Hanjun Pei
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100005
Zhicheng Jing
Beijing Chaoyang Hospital, Capital Medical University
Beijing, Beijing Municipality, 100020
Lefeng Wang
Beijing Anzhen Hospital, Capital Medical University-12 Ward
Beijing, Beijing Municipality, 100029
Yujie Zhou
Beijing Anzhen Hospital, Capital Medical University-28 Ward
Beijing, Beijing Municipality, 100029
Jinghua Liu
Beijing Anzhen Hospital, Capital Medical University-33 Ward
Beijing, Beijing Municipality, 100029
Xiantao Song
Beijing Shijitan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100038
Jianjun Peng
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
Hongwei Li
Xuan Wu Hospital, Capital Medical University
Beijing, Beijing Municipality, 100053
Hengjian Hao
Peking University Third Hospital
Beijing, Beijing Municipality, 100191
Yida Tang
Beijing Luhe Hospital, Capital Medical University
Beijing, Beijing Municipality, 101199
Jincheng Guo
Beijing Jingmei Group General Hospital
Beijing, Beijing Municipality, 102399
Yu Wang
The First Affiliated Hospital of Bengbu Medical College
Bengbu, Anhui, 233099
Hongju Wang
Cangzhou Central Hospital
Cangzhou, Hebei, 061011
Jun Zhang
China-Japan Union Hospital of Jilin University
Changchun, Jilin, 130033
Yuquan He
The Second Hospital of Jilin University
Changchun, Jilin, 130041
Bin Liu
The First Bethune Hospital of Jilin University
Changchun, Jilin, 130061
Qian Tong
Xiangya Hospital, Central South University
Changsha, Hunan, 410008
Zaixin Yu
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400042
Kanghua Ma
The Second Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400042
Yuehui Yin
Affiliated Zhongshan Hospital of Dalian University
Dalian, Liaoning, 116001
Zhenguo Zheng
Dalian Municipal Central Hospital Affiliated of Dalian Medical University
Dalian, Liaoning, 116089
Xiaoqun Zheng
Foshan First People's Hospital
Foshan, Guangdong, 528000
Xili Yang
The First Affiliated Hospital of Gannan Medical College
Ganzhou, Jiangxi, 341000
Yongling Liao
Guangdong Provincial Hospital of Traditional Chinese Medicine
Guangzhou, Guangdong, 510000
Qiuxiong Chen
The Third Affiliated Hospital of Guangdong Medical University
Guangzhou, Guangdong, 510150
Ximing Chen
Guilin People's Hospital
Guilin, Guangxi, 541002
Yubin Wu
Guizhou Provincial People's Hospital
Guiyang, Guizhou, 550000
Qiang Wu
Haikou People's Hospital
Haikou, Hainan, 570208
Bo Xing
The Second Affiliated Hospital of Hainan Medical University
Haikou, Hainan, 570216
Yuewu Chen
Sir Run Run Shaw Hospital, Zhejiang University
Hangzhou, Zhejiang, 310016
Guosheng Fu
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 311100
Hong Yuan
The Fourth Hospital of Harbin Medical University
Harbin, Heilongjiang, 150001
Wei Yang
The Second Hospital of Harbin Medical University
Harbin, Heilongjiang, 150086
Bo Yu
The First Affiliated Hospital with Anhui Medical University
Hefei, Anhui, 230022
Xianhe Lin
Hengshui People's Hospital
Hengshui, Hebei, 053099
Qun Zheng
Gynecology of Huai'an First People's Hospital, Nanjing Medical University
Huai'an, Jiangsu, 223300
Xiwen Zhang
Qilu Hospital of Shandong University
Jinan, Shandong, 250012
Jifu Li
Jingzhou Central Hospital
Jingzhou, Hubei, 434020
Keping Yang
Fuwai Yunnan Cardiovascular Hospital
Kunming, Yunnan, 650000
Xiangbin Pan
The First People's Hospital of Yunnan
Kunming, Yunnan, 650034
Hong Zhang
Gansu Provincial Hospital
Lanzhou, Gansu, 730000
Ping Xie
The First Hospital of Lanzhou University
Lanzhou, Gansu, 730000
Ming Bai
Lanzhou University Second Hospital
Lanzhou, Gansu, 730099
Xin Lin
Affiliated Lianyungang Hospital of Nanjing University of Chinese Medicine
Lianyungang, Jiangsu, 222000
Xin Wang
Liuzhou People's Hospital
Liuzhou, Guangxi, 545006
Fangyong Jiang
Liuzhou Worker's Hospital
Liuzhou, Guangxi, 545006
Hong Wang
Jiangxi Provincial People's Hospital
Nanchang, Jiangxi, 330006
Lang Hong
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Xiaoping Peng
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Yanqing Wu
Zhongda Hospital Southeast University
Nanjing, Jiangsu, 210009
Genshan Ma
The First Affiliated Hospital with Nanjing Medical University
Nanjing, Jiangsu, 210029
Xiangqing Kong
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530021
Lang Li
The First People's Hospital of Nanning
Nanning, Guangxi, 530022
Xianming Zhao
Nanyang Central Hospital
Nanyang, Henan, 473005
Gang Li
Nanyang Second General Hospital
Nanyang, Henan, 473009
Quanbao Shi
The Affiliated Hospital of Qingdao University
Qingdao, Shandong, 266000
Shanglang Cai
Sanya Central Hospital (Hainan Third People's Hospital)
Sanya, Hainan, 571199
Xiangqun Zhou
Shanghai Changzheng Hospital
Shanghai, Shanghai Municipality, 200003
Chun Liang
Ruijin Hospital Affiliated to School of Medicine, Shanghai Jiaotong University
Shanghai, Shanghai Municipality, 200025
Ruiyan Zhang
Shanghai Chest Hospital
Shanghai, Shanghai Municipality, 200030
Ben He
Xinhua Hospital Affiliated to School of Medicine, Shanghai Jiaotong University
Shanghai, Shanghai Municipality, 200092
Li Zhang
Shanghai East Hospital
Shanghai, Shanghai Municipality, 200120
Qi Zhang
Changhai Hospital
Shanghai, Shanghai Municipality, 200433
Xianxian Zhao
Shanghai General Hospital
Shanghai, Shanghai Municipality, 200940
Wenyi Yang
Shanghai 6th People's Hospital
Shanghai, Shanghai Municipality, 201306
Chengxing Shen
Shantou Central Hospital
Shantou, Guangdong, 515041
Zhixiong Cai
The First Affiliated Hospital of Shantou University Medical College
Shantou, Guangdong, 515041
Bin Wang
The Second Affiliated Hospital of Shantou University Medical College
Shantou, Guangdong, 515041
Jilin Li
The People's Hospital of Liaoning Province
Shenyang, Liaoning, 110016
Zhanquan Li
General Hospital of Northern Theater Command
Shenyang, Liaoning, 110066
Yaling Han
Shenzhen University General Hospital
Shenzhen, Guangdong, 518055
Haiying Li
Hebei General Hospital
Shijiazhuang, Hebei, 050057
Xiaoyong Qi
the 980th Hospital of Chinese People's Liberation Army Joint Logistics Support Force
Shijiazhuang, Hebei, 050082
Leisheng Ru
Second Hospital of Shanxi Medical University
Taiyuan, Shanxi, 030001
Bin Yang
Shanxi Cardiovascular Hospital
Taiyuan, Shanxi, 030024
Jian An
Tianjin Chest Hospital
Tianjin, Tianjin Municipality, 300222
Hongliang Cong
Teda International Cardiovascular Hospital
Tianjin, Tianjin Municipality, 300457
Wenhua Lin
People's Hospital of Xinjiang Uygur Autonomous Region
Ürümqi, Xinjiang, 830001
Yining Yang
Weihai Central Hospital
Weihai, Shandong, 264400
Jianhua Zhou
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Xiang Cheng
Fifth Hospital in Wuhan
Wuhan, Hubei, 430050
Lifeng Hong
Renmin Hospital of Wuhan University
Wuhan, Hubei, 430060
Hong Jiang
Zhongnan Hospital of Wuhan University
Wuhan, Hubei, 430071
Xiaorong Hu
The First Affiliated Hospital of Wannan Medical College
Wuhu, Anhui, 241001
Shengxing Tang
The Second Affiliated Hospital of Xi'an Jiaotong University
Xi’an, Shanxi, 710004
Jie Deng
First Affiliated Hospital of the Fourth Military Medical University
Xi’an, Shanxi, 710032
Ling Tao
The First Affiliated Hospital of Xi'an Jiaotong University
Xi’an, Shanxi, 710061
Dongqi Wang
Shanxi Provincial Hospital
Xi’an, Shanxi, 710068
Xiling Shou
Xiangtan Central Hospital
Xiangtan, Hunan, 411199
Mingxing Wu
Xingtai People's Hospital
Xingtai, Hebei, 054001
Qingmin Wei
Xinxiang Central Hospital
Xinxiang, Henan, 453099
Zhifang Wang
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, Henan, 453199
Guo'an Zhao
Xuzhou Cancer Hospital
Xuzhou, Jiangsu, 221005
Yaojun Zhang
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221006
Chunmei Qi
Tangdu Hospital of the Fourth Military Medical University of the PLA
Yanan, Shanxi, 716000
Yan Li
Yan'an University Affiliated Hospital
Yanan, Shanxi, 716000
Feng Gao
Yantai Yuhuangding Hospital
Yantai, Shandong, 264099
Lin Zhong
General Hospital of Ningxia Medical University
Yinchuan, Ningxia, 750003
Shaobin Jia
Yingtan People's Hospital
Yingtan, Jiangxi, 335000
Jinying Tong
Yulin First People's Hospital
Yulin, Guangxi, 537099
Ping Li
Zhanjiang Central People's Hospital
Zhanjiang, Guangdong, 524000
Jie Chen
Zhengzhou Central Hospital
Zhengzhou, Henan, 450001
Zhichen Zhao
Henan Provincial People's Hospital
Zhengzhou, Henan, 450003
Lixia Wang
Henan Provincial Chest Hospital
Zhengzhou, Henan, 450008
Fengling Wang
The Second Affiliated Hospital, Zhengzhou University
Zhengzhou, Henan, 450014
Daguo Wan
The 7th People's Hospital of Zhengzhou
Zhengzhou, Henan, 450016
Yujie Zhao
The First Affiliated Hospital of Henan University of Science and Technology
Zhengzhou, Henan, 450052
Xuming Yang
The First Affiliated Hospital, Zhengzhou University
Zhengzhou, Henan, 450052
Jinying Zhang
The First Affiliated Hospital of Henan University of Chinese Medicine
Zhengzhou, Henan, 450099
Yushan Chen
Fuwai Central China Cardiovascular Hospital
Zhengzhou, Henan, 451460
Chuanyu Gao
The Fifth Affiliated Hospital of Sun Yat-sen University
Zhuhai, Guangdong, 519000
Jian Chen
Zibo Central Hospital
Zibo, Shandong, 255020
Jun Wang
About this study
Official title: Evaluate the Safety and Efficacy of Optimized Antiplatelet Therapy in Patients With Coronary Heart Disease After Implantation of NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System.
This study is designed to verify the safety and efficacy of Lepu® NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System combined with different antiplatelet therapies in the treatment of coronary heart disease.
Read the detailed description
A total of 2150 subjects are planned to be enrolled in this trial. Subjects meeting the inclusion criteria and without exclusion criteria are implanted with NeoVas™ stents and randomly assigned to the experimental group and the control group in a 1:1 ratio. Patients in both groups will receive aspirin in combination with a P2Y12 receptor antagonist in the first year after PCI (either clopidogrel or ticagrelor will be selected by investigators according to the degree of ischemia). Aspirin will be discontinued one year after surgery and clopidogrel will be continued until 5 years after surgery in the experimental group. The control group will continue to take dual antiplatelet (DAPT) drugs, including aspirin and clopidogrel, for 2 more years; then aspirin will be used alone from the 4th year to the 5th year.
Subjects will be followed up at 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years after surgery to observe whether the net adverse clinical events (NACEs) and other end points occur or not.
- Conditions
- Coronary Heart Disease
- Being tested
- Single anti-platelet therapy, Dual anti-platelet therapy
- Keywords
- Bioabsorbable Coronary Artery Rapamycin-eluting Stent System, Optimized Antiplatelet Therapy, Coronary Heart Disease, Randomized Controlled Trial
- Medical subject headings
- Coronary Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Single anti-platelet therapyDrug
Also called SAPT strategy
Aspirin in combination with a P2Y12 receptor antagonist (either clopidogrel or ticagrelor will be selected by investigators according to the degree of ischemia) in the first year after PCI. Aspirin will be discontinued one year after surgery and clopidogrel will be continued until 5 years after surgery.
Dual anti-platelet therapyDrug
Also called DAPT strategy
Aspirin in combination with a P2Y12 receptor antagonist (either clopidogrel or ticagrelor will be selected by investigators according to the degree of ischemia) in the first year after PCI. Patients continue to take dual antiplatelet (DAPT) drugs, including aspirin and clopidogrel, for 2 more years; then aspirin will be used alone from the 4th year to the 5th year.
| Study group | Role | What they receive |
|---|---|---|
| Poststent SAPT treatment cohort | Experimental | receiving the treatment with NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System of Lepu Medical combined with SAPT strategy Receives: Drug: Single anti-platelet therapy |
| Poststent DAPT treatment cohort | Active comparator | receiving the treatment with NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System of Lepu Medical combined with DAPT strategy Receives: Drug: Dual anti-platelet therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Net adverse clinical event (NACE)
NACE includes POCE (including all-cause death, all non-fatal myocardial infarction (Universal Definition of Myocardial Infarction, 4th Edition), any revascularization, and stroke), and major bleeding events of grade 2, 3, and 5 as defined by BARC.
Measured: 3 years
Secondary outcomes (11)
Target lesion failure (TLF)
Target lesion failure (TLF) includes cardiac death, target vessel myocardial infarction (TV-MI) and ischemic-driven target lesion revascularization (ID-TLR).
Measured: 3 years
Comparison of net adverse clinical events
Measured: 30 days, 6 months, 1 year, 2 years, 4 years, and 5 years
Bleeding events of grade 3 and 5 as defined by BARC
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Bleeding events of grade 2, 3 and 5 as defined by BARC
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Bleeding events of grade 1, 2, 3 and 5 as defined by BARC
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Comparison of target lesion failures
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Patient-oriented composite endpoint (PoCE)
Patient-oriented composite endpoint (PoCE) includes all-cause death, all MI, any revascularization, and stroke.
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Ischemic-driven target lesion revascularization (iTLR)
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Ischemic-driven target vessel revascularization (iTVR)
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
All cardiac revascularization
All cardiac revascularization includes PCI and CABG.
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Two types of stent thrombosis events as defined by BRS_ARC2
Measured: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Aug 2021
- Study startSep 2021 (estimated)
- Primary completionJan 2026 (estimated)
- Study completionJan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Coronary Heart DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 2,150 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Yaling Han, Study chair, The General Hospital of Northern Theater Command
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04995159
- Sponsor's protocol ID
- OPT-BRS
- Status last verified
- Jul 2021
- First submitted
- 29 Jul 2021
- Last updated
- 6 Aug 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Aug 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluate the Safety and Efficacy of Optimized Antiplatelet Therapy in Patients With Coronary Heart Disease After Implantation of NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System.
- ClinicalTrials.gov ID
- NCT04995159
- Acronym / sponsor ID
- OPT-BRS
- Conditions
- Coronary Heart Disease
- Keywords
- Bioabsorbable Coronary Artery Rapamycin-eluting Stent System, Optimized Antiplatelet Therapy, Coronary Heart Disease, Randomized Controlled Trial
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 2,150 participants (estimated)
- Lead sponsor
- Lepu Medical Technology (Beijing) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Sep 2021 (estimated)
- Primary completion
- Jan 2026 (estimated)
- Study completion
- Jan 2028 (estimated)
- First posted
- 6 Aug 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is designed to verify the safety and efficacy of Lepu® NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System combined with different antiplatelet therapies in the treatment of coronary heart disease.
Detailed description
A total of 2150 subjects are planned to be enrolled in this trial. Subjects meeting the inclusion criteria and without exclusion criteria are implanted with NeoVas™ stents and randomly assigned to the experimental group and the control group in a 1:1 ratio. Patients in both groups will receive aspirin in combination with a P2Y12 receptor antagonist in the first year after PCI (either clopidogrel or ticagrelor will be selected by investigators according to the degree of ischemia). Aspirin will be discontinued one year after surgery and clopidogrel will be continued until 5 years after surgery in the experimental group. The control group will continue to take dual antiplatelet (DAPT) drugs, including aspirin and clopidogrel, for 2 more years; then aspirin will be used alone from the 4th year to the 5th year.
Subjects will be followed up at 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years after surgery to observe whether the net adverse clinical events (NACEs) and other end points occur or not.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Poststent SAPT treatment cohort | Experimental | Drug: Single anti-platelet therapyreceiving the treatment with NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System of Lepu Medical combined with SAPT strategy |
| Poststent DAPT treatment cohort | Active comparator | Drug: Dual anti-platelet therapyreceiving the treatment with NeoVas™ Bioabsorbable Coronary Artery Rapamycin-eluting Stent System of Lepu Medical combined with DAPT strategy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age 18 or above, male or non-pregnant female.
- Evidence of myocardial ischemia (e.g., stable angina, unstable angina, medium-low risk NSTEMI, STEMI with onset more than 1 week, old myocardial infarction or asymptomatic myocardial ischemia), and suitable for PCI surgery.
- The target lesion is in-situ coronary artery lesion, the total length of single lesion is no more than 40mm (the total length of stent is no more than 48mm), and the diameter of the target lesion is between 2.75mm and 3.75mm (visual measurement).
- The diameter stenosis of target lesion is ≥70% in visual (or ≥50% with clinical evidence of myocardial ischemia in that range), and the TIMI blood flow is greater than grade 1.
- The stent with diameter more than 3.0mm is allowed to overlap with another stent once, the overlapping methods could be edge to edge or at most 1mm overlap. The total number of stents per patient is no more than 4, with a maximum of 2 stents per vessel (the 2.75mm diameter stent is not allowed to overlap).
Key exclusion criteria (17 listed)
- Acute ST-segment elevation myocardial infarction within 1 week.
- Left main coronary artery disease, branch vessel diameter≥2.0mm, three-vessel coronary artery disease and bridge vessel disease; visible thrombus in the target vessel.
- Severe distortion, severe calcification that cannot be successfully predilated, and other lesions that are not suitable for stent delivery and deployment.
- Intra-stent restenosis.
- Severe heart failure (NYHA≥III or left ventricular ejection fraction<35%).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Single anti-platelet therapyAlso: SAPT strategyAspirin in combination with a P2Y12 receptor antagonist (either clopidogrel or ticagrelor will be selected by investigators according to the degree of ischemia) in the first year after PCI. Aspirin will be discontinued one year after surgery and clopidogrel will be continued until 5 years after surgery. | Drug | Poststent SAPT treatment cohort |
| Dual anti-platelet therapyAlso: DAPT strategyAspirin in combination with a P2Y12 receptor antagonist (either clopidogrel or ticagrelor will be selected by investigators according to the degree of ischemia) in the first year after PCI. Patients continue to take dual antiplatelet (DAPT) drugs, including aspirin and clopidogrel, for 2 more years; then aspirin will be used alone from the 4th year to the 5th year. | Drug | Poststent DAPT treatment cohort |
Primary outcome
Net adverse clinical event (NACE)
Time frame: 3 years
NACE includes POCE (including all-cause death, all non-fatal myocardial infarction (Universal Definition of Myocardial Infarction, 4th Edition), any revascularization, and stroke), and major bleeding events of grade 2, 3, and 5 as defined by BARC.
11 secondary outcomes
Target lesion failure (TLF)
Time frame: 3 years
Comparison of net adverse clinical events
Time frame: 30 days, 6 months, 1 year, 2 years, 4 years, and 5 years
Bleeding events of grade 3 and 5 as defined by BARC
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Bleeding events of grade 2, 3 and 5 as defined by BARC
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Bleeding events of grade 1, 2, 3 and 5 as defined by BARC
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Comparison of target lesion failures
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Patient-oriented composite endpoint (PoCE)
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Ischemic-driven target lesion revascularization (iTLR)
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Ischemic-driven target vessel revascularization (iTVR)
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
All cardiac revascularization
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Two types of stent thrombosis events as defined by BRS_ARC2
Time frame: 30 days, 6 months, 1 year, 2 years, 3 years, 4 years, and 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Aug 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Yaling Han study chair
The General Hospital of Northern Theater Command
114 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Single anti-platelet therapy and Dual anti-platelet therapy in people with Coronary Heart Disease, run by Lepu Medical Technology (Beijing) Co., Ltd. at 114 sites in China.
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 8 inclusion and 17 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: opening soon, as of the sponsor's last update on 6 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 114 sites in China. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Ting Zhang (+86-010-80120666, ting_zhang@lepumedical.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Net adverse clinical event (NACE) (time frame: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 6 Aug 2021.