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Acute Coronary Syndrome (ACS)NCT06365502

Preventive Drug-coated Balloon Angioplasty in Vulnerable Atherosclerotic Plaque (RESTORE Trial)

A study testing Drug-coated balloon and Guideline-directed medical treatment in people with Acute Coronary Syndrome (ACS), run by Harbin Medical University at 18 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The objective of this multicenter, prospective, open-label, controlled, randomized trial is to demonstrate the superiority of drug-coated balloon (DCB) treatment on non-flow limited vulnerable plaque as compared to guideline-directed medical therapy (GDMT) in improving clinical cardiovascular outcomes in patients with… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Acute Coronary Syndrome (ACS)
What is being tested?
Drug-coated balloon and Guideline-directed medical treatment
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,860 participants
Where
18 sitesChina
Study dates
16 Apr 2024to Dec 2030
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must be between 18 and 80 years of age
  • Subject must present with acute myocardial infarction or unstable angina planned for PCI
  • Successful stent implantation (i.e., residual stenosis less than 20%) must be done in culprit lesions and any lesions with ischemia evidence (e.g., QFR equal or less than 0.8)
  • Subject must have at least one native non-culprit lesion with visually estimated stenosis of 40-80% and QFR >0.8
  • Target lesion must have a visually estimated diameter of 2.0-4.0 mm and length of ≤ 50 mm
  • Target lesion must have any two of the intravascular imaging criteria of PB >65%, MLA <3.5 mm^2 (OCT) or 4.0mm^2 (IVUS), FCT <75 μm, or maximal lipid arc >180°
  • Subject must provide written informed consent before any study-related procedure

Who cannot join

  • Subject has known hypersensitivity or contraindication to any of the study drugs (including all asprin, P2Y12 inhibitors, one or more components of the study devices, including paclitaxel, etc) that cannot be adequately pre-medicated
  • Subject is receiving immunosuppressant therapy or has known immunosuppressive or severe autoimmune disease that requires chronic immunosuppressive therapy (e.g., human immunodeficiency virus, systemic lupus erythematosus, etc.)
  • Hypotension, shock, or need for mechanical support or intravenous vasopressors;
  • Creatinine clearance ≤30 ml/min/1.73 m^2 (as calculated by MDRD formula for estimated GFR)
  • Left ventricular ejection fraction<30% by the most recent imaging test within 30 days before procedure (echo, MRI, contrast left ventriculography or others)
  • Life expectancy <2 years for any
Show all 14Show fewer
  • Subject is currently participating in another investigational drug or device clinical study that has not yet completed its primary endpoint
  • Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results.
  • The target lesion is located within 10 mm of the proximal or distal of stent
  • The target lesion cannot be in the left main coronary artery
  • The target lesion is located in a bifurcation lesion (i.e., the diameter of the branch vessels is >2 mm with >50% of stenosis)
  • The target lesion is located in severe calcification or tortuosity of vessels
  • The target lesion involved in the ostium of LAD, LCX or RCA (within 3 mm of the ostium)
  • The target lesion is located within the bypass graft artery

Trial locations and contacts

18 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Haibo Jia, PhD contact

15945685291

jhb101180@163.com

18 sites in 1 country

China18 sites, 18 recruiting
  • Affiliated Beijing Luhe Hospital of Capital Medical University

    Beijin, Beijing Municipality, 101149

    Guangyao zhai

    Guangyao zhai

    Not yet recruiting
  • The Third Second Hospital of Jilin University

    Changchun, Jilin, 132000

    Bin Liu

    Bin Liu

    Not yet recruiting
  • Dalian Municipal Central Hospital

    Dalian, Liaoning, 116000

    Xiaoqun Zheng

    Xiaoqun Zheng

    Not yet recruiting
  • The First Affiliated Hospital of Dalian Medical University

    Dalian, Liaoning, 116000

    Bo Zhang

    Bo Zhang

    Not yet recruiting
  • Daqing Oilfield General Hospital

    Daqing, Heilongjiang, 150000

    Zhiqi Sun

    Zhiqi Sun

    Not yet recruiting
  • The Second Affiliated Hospital of Harbin Medical University

    Harbin, Heilongjiang, 150000

    Haibo Jia, PhD

    Bo Yu, PhD

    Recruiting
  • The Affiliated Hospital of Neimenggu Medical University

    Hohhot, Neimenggu, 011500

    Fengying Chen

    Fengying Chen

    Not yet recruiting
  • The First Affiliated Hospital of Jiamusi University

    Jiamusi, Heilongjiang, 150000

    Guangyuan Yang

    Guangyuan Yang

    Not yet recruiting
  • Shandong Provincial Hospital

    Jinan, Shandong, 250000

    Haitao Yuan

    Haitao Yuan

    Not yet recruiting
  • Affiliated Hospital of Jining Medical University

    Jining, Shandong, 250000

    Lijun Gan

    Lijun Gan

    Not yet recruiting
  • Mudanjiang Cardiovascular Hospital

    Mudanjiang, Heilongjiang, 150000

    Kai Liu

    Kai Liu

    Not yet recruiting
  • The Affiliated Hospital of Qingdao University

    Qingdao, Shandong, 250000

    Peng Li

    Peng Li

    Not yet recruiting
  • The People's Hospital of Liaoning Province

    Shengyang, Liaoning, 132000

    Bo Luan

    Bo Luan

    Not yet recruiting
  • Tongji Hospital Tongji Medical College of HUST

    Wuhan, Hubei, 430022

    Xiang Chen

    Xiang Chen

    Not yet recruiting
  • Yantai Yuhuangding Hospital

    Yantai, Shandong, 250000

    Lin Zhong

    Lin Zhong

    Not yet recruiting
  • Fuwai Central China Cardiovascular Hospital

    Zhengzhou, Henan, 450000

    Xiaohui Zheng

    Xiaohui Zheng

    Not yet recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450000

    Chunguang Qiu

    Chunguang Qiu

    Not yet recruiting
  • Affiliated Hospital of Zunyi Medical University

    Zunyi, Guizhou, 563000

    Ranzun Zhao

    Ranzun Zhao

    Not yet recruiting

Other trials in China

About this study

Official title: A Multicenter, Prospective, Open-label, Controlled, Randomized Trial of Preventive Drug-coated Balloon Angioplasty in Vulnerable Atherosclerotic Plaque (RESTORE Trial)

The objective of this multicenter, prospective, open-label, controlled, randomized trial is to demonstrate the superiority of drug-coated balloon (DCB) treatment on non-flow limited vulnerable plaque as compared to guideline-directed medical therapy (GDMT) in improving clinical cardiovascular outcomes in patients with acute coronary syndrome.

Being tested
Drug-coated balloon, Guideline-directed medical treatment
Medical subject headings
Acute Coronary Syndrome

What participants receive

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

  • Drug-coated balloonDevice

    Non-culprit lesion will be pretreated before DCB treatment. The bail-out stent treatment is permitted if pretreatment failed.

  • Guideline-directed medical treatmentDrug

    All individuals will receive guideline-directed medical treatment.

Study groups in NCT06365502
Study groupRoleWhat they receive
DCB treatmentExperimentalNon-flow limited vulnerable plaque will be treated by drug-coated balloon when the enrolled individual is randomized into DCB treatment group. The individual located in DCB treatment will receive guideline-directed medical treatment.
Receives: Device: Drug-coated balloon; Drug: Guideline-directed medical treatment
Guideline-directed medical treatmentActive comparatorNon-flow limited vulnerable plaque will be left with no intervention when the individual is randomized into guideline-directed medical treatment group. The individual will receive guideline-directed medical treatment alone.
Receives: Drug: Guideline-directed medical treatment

What is being measured

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

  1. Target lesion failure (TLF)

    Measured: At 24 months

Secondary outcomes (45)
  1. Target lesion failure (TLF)

    Measured: At 30 days

  2. Target lesion failure (TLF)

    Measured: At 6 months

  3. Target lesion failure (TLF)

    Measured: At 12 months

  4. Major cardiac adverse event (MACE)

    MACE is defined as the composite of all-cause death, recurrent myocardial infarction, revascularization, unplanned readmission for angina exacerbation or unstable angina

    Measured: At 30 days

  5. Major cardiac adverse event (MACE)

    MACE is defined as the composite of all-cause death, recurrent myocardial infarction, revascularization, unplanned readmission for angina exacerbation or unstable angina

    Measured: At 6 months

  6. Major cardiac adverse event (MACE)

    MACE is defined as the composite of all-cause death, recurrent myocardial infarction, revascularization, unplanned readmission for angina exacerbation or unstable angina

    Measured: At 12 months

  7. Major cardiac adverse event (MACE)

    MACE is defined as the composite of all-cause death, recurrent myocardial infarction, revascularization, unplanned readmission for angina exacerbation or unstable angina

    Measured: At 24 months

  8. All-cause death

    Any death will be recorded as all-cause death

    Measured: At 30 days

  9. All-cause death

    Any death will be recorded as all-cause death

    Measured: At 6 months

  10. All-cause death

    Any death will be recorded as all-cause death

    Measured: At 12 months

  11. All-cause death

    Any death will be recorded as all-cause death

    Measured: At 24 months

  12. Cardiac death and target lesion MI

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 30 days

  13. Cardiac death and target lesion MI

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 6 months

  14. Cardiac death and target lesion MI

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 12 months

  15. Cardiac death and target lesion MI

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 24 months

  16. Cardiac death

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 30 days

  17. Cardiac death

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 6 months

  18. Cardiac death

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 12 months

  19. Cardiac death

    All deaths are considered cardiac unless an unequivocal non-cardiac cause can be established. Cardiac death is defined as any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), witnessed death and death of unknown cause, all procedure related deaths including those related to concomitant treatment

    Measured: At 24 months

  20. Target lesion myocardial infarction

    Target lesion Myocardial Infarction (TL-MI) and non-TL-MI will be assessed

    Measured: At 30 days

  21. Target lesion myocardial infarction

    Target lesion Myocardial Infarction (TL-MI) and non-TL-MI will be assessed

    Measured: At 6 months

  22. Target lesion myocardial infarction

    Target lesion Myocardial Infarction (TL-MI) and non-TL-MI will be assessed

    Measured: At 12 months

  23. Target lesion myocardial infarction

    Target lesion Myocardial Infarction (TL-MI) and non-TL-MI will be assessed

    Measured: At 24 months

  24. Periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-Periprocedural will be assessed.

    Measured: At 30 days

  25. Periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-Periprocedural will be assessed.

    Measured: At 6 months

  26. Periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-Periprocedural will be assessed.

    Measured: At 12 months

  27. Periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-Periprocedural will be assessed.

    Measured: At 24 months

  28. Periprocedural and non-periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-periprocedural will be assessed

    Measured: At 30 days

  29. Periprocedural and non-periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-periprocedural will be assessed

    Measured: At 6 months

  30. Periprocedural and non-periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-periprocedural will be assessed

    Measured: At 12 months

  31. Periprocedural and non-periprocedural myocardial infarction

    Periprocedural Myocardial Infarction (TL-MI) and non-periprocedural will be assessed

    Measured: At 24 months

  32. Target vessel failure (TVF)

    TVF is defined as the composite of cardiac death, target vessel myocardial infarction and ischemia-driven target vessel revascularization.

    Measured: At 30 days

  33. Target vessel failure (TVF)

    TVF is defined as the composite of cardiac death, target vessel myocardial infarction and ischemia-driven target vessel revascularization.

    Measured: At 6 months

  34. Target vessel failure (TVF)

    TVF is defined as the composite of cardiac death, target vessel myocardial infarction and ischemia-driven target vessel revascularization.

    Measured: At 12 months

  35. Target vessel failure (TVF)

    TVF is defined as the composite of cardiac death, target vessel myocardial infarction and ischemia-driven target vessel revascularization.

    Measured: At 24 months

  36. Minimal lumen area after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  37. Plaque burden after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  38. FCT after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  39. Lipid arc after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  40. FCT <75 μm after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  41. PB >65% after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  42. PB >70% after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  43. MLA <3.5 mm^2 after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  44. Maximal lipid arc >180° after DCB treatment

    Post-procedure imaging examination is required

    Measured: At baseline

  45. Cardiac biomarkers: GDF-15, interleukin-6, interleukin-1β and ceramide etc.

    The centers with sample preservation qualifications will be asked to preserve blood samples.

    Measured: At baseline and one-year follow-up

Timeline

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

  1. First posted15 Apr 2024
  2. Study start16 Apr 2024
  3. Primary completionDec 2027 (estimated)
  4. Study completionDec 2030 (estimated)

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,860 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06365502
Sponsor's protocol ID
KY2023-156
Status last verified
May 2024
First submitted
10 Apr 2024
Last updated
22 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Drug-coated balloon and Guideline-directed medical treatment in people with Acute Coronary Syndrome (ACS), run by Harbin Medical University at 18 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 7 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 22 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 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 Haibo Jia, PhD (15945685291, jhb101180@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Target lesion failure (TLF) (time frame: At 24 months). 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 22 May 2024.

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