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Coronary Artery DiseaseNCT06535854

Prevail Global Study

A study testing Prevail DCB and Agent DCB in people with Coronary Artery Disease, run by Medtronic Vascular at 79 sites in 9 countries.

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 purpose of the study is to evaluate the clinical safety and efficacy of the Prevail DCB. 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?
Prevail DCB and Agent DCB
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,205 participants
Where
79 sitesin 9 countries
Study dates
24 Feb 2025to Feb 2031
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

  • ≥ 18 years
  • Negative pregnancy test
  • Stable or unstable angina, positive functional test, or stable NSTEMI
  • Life expectancy >1 year
  • Willing and able to cooperate with study procedures and required follow up evaluations

Who cannot join

  • Known hypersensitivity or contraindication to antiplatelet medications or a sensitivity to contrast media which cannot be adequately pre-medicated
  • History of an allergic reaction or significant sensitivity to paclitaxel or any other analogue or derivative
  • Platelet count < 100,000 cells/mm³ or > 700,000 cells/mm³, or a white blood cell (WBC) count < 3,000 cells/mm³
  • Renal insufficiency (or failure)
  • Acute MI
  • Previous PCI of the target vessel within 6 months prior to the procedure
Show all 13Show fewer
  • Planned PCI of any vessel within 72 hours post-index procedure and/or planned PCI of the target vessel within 12 months post-procedure
  • History of a stroke or transient ischemic attack (TIA)
  • Active peptic ulcer or upper gastrointestinal (GI) bleeding
  • History of bleeding diathesis or coagulopathy or will refuse blood transfusions
  • Documented left ventricular ejection fraction (LVEF) <30%
  • Planned surgery that would cause interruption in recommended DAPT duration per current guidelines
  • Currently participating in an investigational drug or another device study that has not completed the primary endpoint or that clinically interferes with the current study endpoints; or requires additional coronary angiography, IVUS or other coronary artery imaging procedures

Trial locations and contacts

79 sites in 9 countries. Contact the study team or a site near you to ask about taking part.

79 sites in 9 countries

United States55 sites, 54 recruiting
  • Lehigh Valley Hospital - Cedar Crest

    Allentown, Pennsylvania, 18103

    Shai Singh

    Recruiting
  • AnMed Health Medical Center

    Anderson, South Carolina, 29621

    John Meehan

    Recruiting
  • University of Michigan Health System - University Hospital

    Ann Arbor, Michigan, 48109

    Daniel Menees

    Recruiting
  • Emory University Hospital Midtown

    Atlanta, Georgia, 30308

    Pratik Sandesara

    Recruiting
  • Piedmont Atlanta Hospital

    Atlanta, Georgia, 30309

    Prashant Kaul

    Recruiting
  • Cardiology P.C.

    Birmingham, Alabama, 35211

    Tushar Mishra

    Recruiting
  • The University of Alabama at Birmingham

    Birmingham, Alabama, 35294

    Mustafa Ahmed

    Recruiting
  • Kaleida Health

    Buffalo, New York, 14214

    Vijay Iyer

    Recruiting
  • Virtua Our Lady of Lourdes Hospital

    Camden, New Jersey, 08103

    Kintur Sanghvi

    Recruiting
  • Medical University of South Carolina (MUSC)

    Charleston, South Carolina, 29425

    Christopher Nielsen

    Recruiting
  • Advocate Illinois Masonic Medical Center

    Chicago, Illinois, 60657

    Joaquin Gonzalez

    Recruiting
  • The Lindner Research Center

    Cincinnati, Ohio, 45219

    Jarrod Frizzell

    Recruiting
  • BayCare Health System

    Clearwater, Florida, 33756

    Parag Patel

    Recruiting
  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, 44106

    Anjan Gupta

    Recruiting
  • OhioHealth Riverside Methodist Hospital

    Columbus, Ohio, 43214

    Arash Arshi

    Recruiting
  • Baylor Heart & Vascular Hospital

    Dallas, Texas, 75226

    Robert Stoler

    Recruiting
  • Saint Elizabeth Healthcare

    Edgewood, Kentucky, 41017

    Mohan Brar

    Recruiting
  • M Health Fairview Clinic

    Edina, Minnesota, 55435

    Withdrawn
  • Parkview Health

    Fort Wayne, Indiana, 46845

    Peter Chaille

    Recruiting
  • North Florida Regional Medical Center

    Gainesville, Florida, 32605

    Mark Tulli

    Recruiting
  • Corewell Health

    Grand Rapids, Michigan, 49503

    Araya Negash

    Recruiting
  • The Moses H Cone Memorial Hospital

    Greensboro, North Carolina, 27401

    Muhammad Arida

    Recruiting
  • UPMC Pinnacle Harrisburg Campus

    Harrisburg, Pennsylvania, 17101

    Randolph Hubbard

    Recruiting
  • HCA Houston Medical Center

    Houston, Texas, 77004

    Pranav Loyalka

    Recruiting
  • Huntsville Hospital

    Huntsville, Alabama, 35801

    Michael Butler

    Recruiting
  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

    Anthony (Tony) Spaedy

    Recruiting
  • Saint Lukes Mid America Heart Institute

    Kansas City, Missouri, 64111

    Dany Jacob

    Recruiting
  • Gundersen Lutheran

    La Crosse, Wisconsin, 54601

    Wah Wah Htun

    Recruiting
  • John L McClellan Memorial Veterans Hospital

    Little Rock, Arkansas, 72205

    Barry Uretsky

    Recruiting
  • Norton Heart and Vascular Institute

    Louisville, Kentucky, 40205

    Sean Stewart

    Recruiting
  • Medical Center of the Rockies

    Loveland, Colorado, 80538

    Shivanshu Madan

    Recruiting
  • Northwell Health North Shore University Hospital

    Manhasset, New York, 11030

    Avneet Singh

    Recruiting
  • University of Miami Hospital

    Miami, Florida, 33136

    Yiannis Chatzizisis

    Recruiting
  • Abbott Northwestern Hospital

    Minneapolis, Minnesota, 55407

    Konstantinos Voudris

    Recruiting
  • Providence Saint Patrick Hospital

    Missoula, Montana, 59802

    Michael Reed

    Recruiting
  • Midwest Cardiovascular Institute

    Naperville, Illinois, 60540

    Osama Qaqi

    Recruiting
  • TriStar Centennial Medical Center

    Nashville, Tennessee, 37203

    Brian Jefferson

    Recruiting
  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

    Colin Barker

    Recruiting
  • Cumc/Nyph

    New York, New York, 10032

    Ajay Kirtane

    Recruiting
  • Montefiore Medical Center

    New York, New York, 10467

    Andrea Mignatti

    Recruiting
  • Kansas City Heart Rhythm Institute (Midwest Heart and Vascular Specialist)

    Overland Park, Kansas, 66211

    Jayasheel Eshcol

    Recruiting
  • The Valley Hospital

    Paramus, New Jersey, 07652

    Kimberley Michel

    Rajiv Tayal

    Recruiting
  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

    Taisei Kobayashi

    Recruiting
  • The Heart Hospital Baylor Plano

    Plano, Texas, 75093

    Sibi Thomas

    Recruiting
  • Oregon Health & Science University Hospital

    Portland, Oregon, 97239

    Firas Zahr

    Recruiting
  • Rhode Island Hospital and Health Services - Lifespan

    Providence, Rhode Island, 02903

    Saraschandra Vallabhajosyula

    Recruiting
  • Saint Francis Hospital (Roslyn NY)

    Roslyn, New York, 11576

    Elizabeth Haag

    Marion Cyriac

    Recruiting
  • CentraCare Heart & Vascular Center MN - Saint Cloud Hospital

    Saint Cloud, Minnesota, 56303

    Stephen Kidd

    Recruiting
  • University of Washington (UW) Medical Center

    Seattle, Washington, 98195

    Lorenzo Azzalini

    Recruiting
  • Stanford Hospital & Clinics

    Stanford, California, 94305

    Jennifer Tremmel

    Recruiting
  • Carondelet Saint Marys

    Tucson, Arizona, 85745

    Kapil Lotun

    Recruiting
  • Medstar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

    Hayder Hashim

    Recruiting
  • Ascension Via Christi Saint Francis

    Wichita, Kansas, 67214

    Bassem Chehab

    Recruiting
  • Novant Health New Hanover Regional Medical Center

    Wilmington, North Carolina, 28401

    Sunil Iyer

    Recruiting
  • Saint Joseph Mercy Ann Arbor

    Ypsilanti, Michigan, 48197

    Mansoor Qureshi

    Recruiting

Other trials in United States

Canada5 sites, 5 recruiting
  • Hôpital du Sacre Coeur de Montreal

    Montreal

    Raja Hatem

    Recruiting
  • Montreal Heart Institute

    Montreal

    Guillaume Marquis-Gravel

    Recruiting
  • University of Ottawa Heart Institute

    Ottawa

    Derek So

    Recruiting
  • Toronto General Hospital

    Toronto

    Sanjog Kalra

    Recruiting
  • Vancouver General Hospital

    Vancouver

    David Wood

    Recruiting

Other trials in Canada

Japan5 sites, 5 recruiting
  • Teikyo University Hospital

    Itabashi-ku, Tokyo

    Yusuke Watanabe

    Recruiting
  • Shonan Kamakura General Hospital

    Kamakura, Kanagawa

    Shigeru Saito

    Recruiting
  • Kokura Memorial Hospital

    Kitakyushu, Fukuoka

    Kenji Ando

    Recruiting
  • Sendai Kousei Hospital

    Sendai, Miyagi

    Shintaro Honda

    Recruiting
  • Saiseikai Yokohamashi Tobu Hospital

    Yokohama, Kanagawa

    Ito Yoshiaki

    Recruiting

Other trials in Japan

South Korea5 sites, 5 recruiting
  • Keimyung University Dongsan Hospital

    Daegu

    Yoon Hyuck Jun

    Recruiting
  • Asan Medical Center

    Seoul

    DukWoo Park

    Recruiting
  • Korea University Anam Hospital

    Seoul

    Soon Jun Hong

    Recruiting
  • Seoul National University Hospital

    Seoul

    Koo Bon Kwon

    Recruiting
  • Seoul Saint Marys Hospital

    Seoul

    Byung-Hee Hwang

    Recruiting

Other trials in South Korea

Germany3 sites, 3 recruiting
  • Herzzentrum Dresden GmbH Universitätsklinik

    Dresden

    Norman Mangner

    Recruiting
  • Universitat des Saarlandes

    Homburg

    Bruno Scheller

    Recruiting
  • MediClin Herzzentrum Lahr / Baden

    Lahr

    Kambis Mashayekhi

    Recruiting

Other trials in Germany

Ireland2 sites, 2 recruiting
  • Mater Private Network

    Dublin

    Robert Byrne

    Recruiting
  • Galway University Hospitals - University Hospital Galway (UHG)

    Galway

    Darren Mylotte

    Recruiting

Other trials in Ireland

Singapore2 sites, 2 recruiting
  • Sengkang General Hospital

    Singapore

    Jack Wei Chieh Tan

    Recruiting
  • Tan Tock Seng Hospital

    Singapore

    Fahim Haider Jafary

    Recruiting

Other trials in Singapore

Hong Kong1 site, 1 recruiting
  • Queen Mary Hospital

    Hong Kong

    Frankie Tam

    Recruiting

Other trials in Hong Kong

United Kingdom1 site, 1 recruiting
  • The Newcastle upon Tyne Hospitals NHS Foundation Trust - Freeman Hospital

    Newcastle upon Tyne

    Azfar Zaman

    Recruiting

Other trials in United Kingdom

About this study

Official title: A Randomized Controlled Study of the Prevail Drug-Coated Balloon in Subjects With In-stent Restenosis and a Single Arm Prospectively Enrolled Study of the Prevail Drug-Coated Balloon for de Novo Lesions in Small Vessel Disease (Prevail Global).

The purpose of the study is to evaluate the clinical safety and efficacy of the Prevail DCB.

Read the detailed description

The Prevail Global study is a prospective, premarket, interventional, multi-center, global, dual cohort clinical study enrolling subjects undergoing percutaneous coronary intervention for in-stent restenosis (ISR Cohort) in a randomized controlled study of the Prevail Drug-Coated Balloon, and subjects undergoing percutaneous coronary intervention of the Prevail Drug-Coated Balloon for de novo lesions in small vessel disease (DNSV Cohort) in a single arm prospectively enrolled study.

In the ISR Cohort this will be accomplished by randomizing subjects to either a Prevail DCB arm or an Agent DCB arm to compare results of the treatment of ISR with coronary lesions previously treated with DES or BMS in native coronary arteries. In the DNSV Cohort this will be accomplished through collection of data to compare results of the Prevail DCB to a DES historical control in subjects undergoing PCI for de novo lesions in small vessel disease.

Subjects will be enrolled at approximately 85 study sites; the same study sites will be used for enrollment of both cohorts. The enrollment period is anticipated to be approximately 12 months. Subjects will remain in the study with follow-up clinical assessments through 5 years, study exit, or death, whichever comes first.

Being tested
Prevail DCB, Agent DCB
Keywords
ISR, DNSV
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.

  • Prevail DCBDevice

    The Prevail Paclitaxel-coated PTCA Balloon Catheter is intended for percutaneous transluminal coronary angioplasty (PTCA) in the coronary arteries with a vessel diameter from 2.00 mm to 4.00 mm to treat in-stent restenosis (ISR) and to treat de novo lesions in small vessel disease.

  • Agent DCBDevice

    The Agent Paclitaxel-coated PTCA Balloon Catheter is intended for percutaneous transluminal coronary angioplasty (PTCA) in the coronary arteries with a vessel diameter from 2.00 mm to 4.00 mm to treat in-stent restenosis (ISR).

Study groups in NCT06535854
Study groupRoleWhat they receive
ISR Cohort Prevail DCBExperimentalTo evaluate the clinical safety and efficacy of the Prevail DCB in the treatment of ISR with coronary lesions previously treated with drug-eluting or bare metal stents in native coronary arteries.
Receives: Device: Prevail DCB; Device: Agent DCB
DNSV Cohort (RVD 2.0 - 2.75mm)ExperimentalTo evaluate the clinical safety and efficacy of the Prevail DCB as compared to a DES historical control in subjects undergoing PCI for de novo lesions in small vessel disease.
Receives: Device: Prevail DCB

What is being measured

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

  1. ISR Cohort Primary Analysis

    The TLF rate of the Prevail DCB arm at 12 months post procedure compared to the Agent DCB arm for non-inferiority

    Measured: 1 year post-procedure

  2. DNSV Cohort Primary Analysis

    The TLF rate of the Prevail DCB arm at 12 months post procedure compared to a DES historical control

    Measured: 1 year post-procedure

Secondary outcomes (10)
  1. Acute success

    Acute success (device, lesion, and procedure) through hospital discharge only

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  2. All deaths

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  3. Cardiac death

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  4. All myocardial infarction (MI), including target vessel myocardial infarction (TVMI)

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  5. Clinically-driven target lesion revascularization (cd-TLR) defined as repeat PCI or CABG to the target lesion

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  6. Clinically-driven target vessel revascularization (cd-TVR)

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  7. Major adverse cardiac event (MACE) defined as composite of death, MI, or repeat cd-TLR

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  8. Target lesion failure (TLF) defined as composite of cardiac death, TVMI, or cd-TLR

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  9. Target vessel failure (TVF) defined as composite of cardiac death, TVMI, or cd-TVR

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

  10. Target lesion thrombosis (TLT) (definite or probable) according to Academic Research Consortium (ARC) definition

    Measured: hospital discharge, 30 days, and 6, 12, 24, 36, 48, and 60 months

Timeline

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

  1. First posted2 Aug 2024
  2. Study start24 Feb 2025
  3. Primary completionFeb 2027 (estimated)
  4. Study completionFeb 2031 (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
Participant
Enrolment
1,205 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06535854
Sponsor's protocol ID
MDT22021
Status last verified
Oct 2026
First submitted
30 Jul 2024
Last updated
21 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Kandzari DE, Latib A, Mylotte D, Ali ZA, Zaman A, Brar S, Parke M, Scheller B. Rationale and design of the prevail global trial program evaluating the prevail drug-coated balloon in patients with in-stent restenosis and de novo small vessel disease. Am Heart J. 2025 May;283:26-36. doi: 10.1016/j.ahj.2025.01.010. Epub 2025 Jan 23.

    PubMed 39863032

Questions about this trial

What is this clinical trial studying?

A study testing Prevail DCB and Agent DCB in people with Coronary Artery Disease, run by Medtronic Vascular at 79 sites in 9 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 5 inclusion and 13 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 21 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 79 sites in United States, Canada, Japan, South Korea, Germany and 4 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.

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 Jeroen Frijhoff (+31 (0)43.356.6566, rs.prevailglobal@medtronic.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ISR Cohort Primary Analysis (time frame: 1 year post-procedure). 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 NCT06535854, which also lists 1 linked publication.

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 21 Oct 2026.

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Prevail Global Study (NCT06535854) | AzTrials