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Drug Coated BalloonLNBNCT07038408

Leave Nothing Behind Study Which Compares DCB With Bail Out BRS Versus BRS Strategy Alone

A study testing Angioplasty with DCB (bail-out BRS) and Angioplasty with BRS in people with Drug Coated Balloon and Bioresorbable Scaffold, run by Ceric Sàrl at 1 site in Estonia.

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 goal of this study is to investigate the equivalence in early and long-term efficacy between the two "Leave nothing behind strategies" (Drug-Coated Baloon [DCB] strategy with bail-out BioResorbable Scaffold [BRS] versus BRS strategy) of de-novo native coronary artery lesions in a relatively young Percutaneous… Read more about this study

Who is it for?
Ages 18 to 68 years
What is being tested?
Angioplasty with DCB (bail-out BRS) and Angioplasty with BRS
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,256 participants
Where
1 siteEstonia
Study dates
24 Apr 2026to Mar 2032
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 68 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged ≥ 18 years ≤ 68 years
  • Single vessel or multivessel disease with low to moderate complex de-novo native coronary artery lesions up to 30 mm length and reference vessel diameter 2.75-4.0 mm
  • Maximum of 3 target lesions
  • Maximal cumulative lesion length of all treated lesions 80 mm
  • Signed informed consent for participation in the study

Who cannot join

  • ST-segment Elevation Myocardial Infarction (STEMI) treatment at index or in the previous 48 hours
  • Severe calcified lesions
  • Bifurcations lesions with planned 2 device strategy
  • Left-Main (LM) disease ≥ 50% diameter stenosis
  • More than 3 target lesions
  • Renal insufficiency with Glomerular Filtration Rate (GFR) < 45 ml/min
Show all 12Show fewer
  • Life expectancy less than 1 year
  • Known hypersensitivity or allergy to aspirin or P2Y12 receptor inhibitors
  • Incapable of providing written informed consent
  • Pregnant or breastfeeding women
  • Under judicial protection, tutorship, or curatorship
  • Participation in another trial

Trial locations and contacts

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

DAVIDE CAPODANNO, Professor contact

+39-3393238566

dcapodanno@unict.it

Estonia1 site, 1 recruiting
  • Põhja-Eesti Regionaalhaigla

    Tallinn, 13419

    Peep Laanmets

    Recruiting

Other trials in Estonia

About this study

Official title: Multi-center, Open-label, Prospective, Randomized Study to Show Long-term Efficacy of DCB Treatment With Bail-out BRS in Comparison to BRS Treatment of De-novo Native Coronary Artery Lesions in a Relatively Young PCI Population.

The goal of this study is to investigate the equivalence in early and long-term efficacy between the two "Leave nothing behind strategies" (Drug-Coated Baloon [DCB] strategy with bail-out BioResorbable Scaffold [BRS] versus BRS strategy) of de-novo native coronary artery lesions in a relatively young Percutaneous Coronary Intervention (PCI) population, to be more specific, Patients with Chronic Coronary Syndromes (CCS) and Acute Coronary Syndrome (ACS) (Non-ST-segment Elevation Myocardial Infarction [NSTEMI] and Unstable angina) between 18-68 years of age scheduled for PCI. The main questions aim to answer are:

DCB strategy with bail-out BRS implantation has equivalent clinical outcomes at 12 months compared to BRS strategy? DCB strategy with bail-out BRS implantation has noninferior angiographic in-segment net gain at 13 months compared to BRS strategy? DCB strategy with bail-out BRS implantation has equivalent clinical outcomes at 60 months compared to BRS strategy?

Read more

Participants will be followed at:

  1. st FU visit - 1 month (in hospital)
  2. nd FU visit - 6 months (telephone)
  3. rd FU visit - 365 days±15 days (telephone) - 1Y Primary efficacy endpoint
  4. th FU visit - 395 days±15 days (in hospital) co-primary efficacy endpoint for the angiographic substudy
  5. th FU visit - 730 days±30 days (telephone call) - 2Y
  6. th FU visit - 1095 days±30 days (telephone call) - 3Y
  7. th FU visit - 1460 days±30 days (telephone call) - 4Y
  8. th FU visit- 1825 days±30 days (telephone call) - 5Y
Read the detailed description

The Leave Nothing Behind Study is an is an investigator-initiated trial. The Primary efficacy endpoint is target-vessel failure (TVF), defined as the composite of cardiovascular death, target-vessel myocardial infarction or ischemia-driven target-vessel revascularization (TVR) at 12 months.

Co-primary efficacy endpoint (angiographic substudy) is the in-segment net gain at 13 months.

Investigators aim to enroll 2256 patients in the main study and 196 patients in the angiographic substudy.

Being tested
Angioplasty with DCB (bail-out BRS), Angioplasty with BRS
Keywords
MULTI-CENTER, OPEN-LABEL, PROSPECTIVE, RANDOMIZED STUDY, LONG-TERM EFFICACY OF DCB TREATMENT WITH BAIL-OUT BRS, BRS TREATMENT, DE-NOVO NATIVE CORONARY ARTERY LESIONS, YOUNG PCI POPULATION
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.

  • Angioplasty with DCB (bail-out BRS)Procedure or surgery

    Also called DCB arm with bail-out BRS

    Angioplasty starts with lesion preparation in both arms with a PTCA balloon catheter.

    The lesion is treated with the Mozec SEB through femoral or brachial artery. The DCB should be delivered to the target lesion within 120 seconds of insertion into the guide catheter. Under fluoroscopic visualization, the DCB is inflated at least 30 seconds (single inflation). If the results are insufficient, multiple inflation is permitted. If despite appropriate delivery and inflation of the DCB, the results remain insufficient bail-out BRS should be performed.

    Bail-out BRS is performed through femoral or brachial artery. After correct positioning, the BRS is deployed slowly, i.e. 10 seconds/atm up to 4 atm, then 5 seconds/atm up to nominal pressure or higher until desired expansion is obtained. After desired expansion obtained, pressure is maintained for 30 seconds before balloon deflation. After BRS implantation, Optical Coherence Tomography (OCT) is performed, if available.

  • Angioplasty with BRSProcedure or surgery

    Also called BRS arm

    Bail-out BRS is performed through femoral or brachial artery. BRS implantation is guided by OCT, if available. After correct positioning, the BRS is deployed slowly, i.e. 10 seconds/atm up to 4 atm, then 5 seconds/atm up to nominal pressure or higher until desired expansion is obtained. After desired expansion obtained, pressure is maintained for 30 seconds before balloon deflation. After BRS implantation, OCT is performed, if available.

Study groups in NCT07038408
Study groupRoleWhat they receive
DCB treatment (Mozec SEB)ExperimentalMozec SEB is used during the angioplasty (V2) for patients randomized in the DCB arm with bail-out BRS. If the operator considers the results as insufficient, the MeRes100 is also used in the patient.
Receives: Procedure: Angioplasty with DCB (bail-out BRS)
BRS treatment (MeRes100)Active comparatorMeRes100 is used during the angioplasty (V2) for patients randomized in the BRS arm.
Receives: Procedure: Angioplasty with DCB (bail-out BRS); Procedure: Angioplasty with BRS

What is being measured

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

  1. Target-vessel Failure (TVF)

    Target vessel failiure is defined as the composite of cardiovascular death, target-vessel myocardial infarction or ischemia-driven target-vessel revascularization

    Measured: From enrollment to the end of treatment at 12 months

Secondary outcomes (4)
  1. Target-Vessel Failure (TVF) at 2, 3, 4 and 5 years.

    Target vessel failiure is defined as the composite of cardiovascular death, target-vessel myocardial infarction or ischemia-driven target-vessel revascularization

    Measured: From enrollment to the end of treatment at every year from 2 years until 5 years follow-up

  2. Target-Lesion Failure (TLF)

    Target Lesion Failure is is defined as the composite of cardiac death, target vessel-related myocardial infarction (Q wave and non-Q wave) and ischemia-driven target lesion revascularization

    Measured: From enrollment to the end of treatment every year until end of 5 years

  3. (Bleeding Academic Research Consortium) BARC 2, 3 or 5 bleedings

    BARC definitions Type 2: any overt, actionable sign of hemorrhage that does not fit the criteria for type 3, type 4, or type 5 but does meet at least one of the following criteria: requiring nonsurgical, medical intervention by a health care professional; leading to hospitalization or increased level of care; or prompting evaluation.

    Type 3a: overt bleeding plus a hemoglobin drop of 3 to 5 g/dL* ; any transfusion with overt bleeding.

    Type 3b: overt bleeding plus a hemoglobin drop of 5 g/dL ; cardiac tamponade; bleeding requiring surgical intervention for control ; bleeding requiring intravenous vasoactive agens.

    Type 3c: intracranial hemorrhage

    Measured: From enrollment to the end of treatment every year until end of 5 years

  4. Net Adverse Clinical Event (NACE)

    NACE defined as all-cause death, myocardial infarction, all-stroke, ischemia driven TVR or BARC 3 or 5 bleeding

    Measured: From enrollment to the end of treatment every year until end of 5 years

Timeline

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

  1. First posted26 Jun 2025
  2. Study start24 Apr 2026
  3. Primary completion30 Nov 2028 (estimated)
  4. Study completionMar 2032 (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
None (open label)
Enrolment
2,256 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07038408
Sponsor's protocol ID
Leave Nothing Behind
Acronym
LNB
Status last verified
Apr 2026
First submitted
6 Jun 2025
Last updated
30 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Verma PK, Sroa S, Koushal P. A real-world experience with a thin-strut bioresorbable vascular scaffold system: a single-centre study. AsiaIntervention. 2025 Mar 20;11(1):26-34. doi: 10.4244/AIJ-D-24-00033. eCollection 2025 Mar.

    PubMed 40114731
  • Abizaid A, Kedev S, Ali RBM, Santoso T, Cequier A, van Geuns RVG, Chevalier B, Hellig F, Costa R, Onuma Y, Costa JR Jr, Serruys P, Bangalore S. Imaging and 2-year clinical outcomes of thin strut sirolimus-eluting bioresorbable vascular scaffold: The MeRes-1 extend trial. Catheter Cardiovasc Interv. 2021 Nov 15;98(6):1102-1110. doi: 10.1002/ccd.29396. Epub 2020 Dec 2.

    PubMed 33269506
  • Seth A, Onuma Y, Chandra P, Bahl VK, Manjunath CN, Mahajan AU, Kumar V, Goel PK, Wander GS, Kaul U, Ajit Kumar VK, Abizaid A, Serruys PW. Three-year clinical and two-year multimodality imaging outcomes of a thin-strut sirolimus-eluting bioresorbable vascular scaffold: MeRes-1 trial. EuroIntervention. 2019 Sep 20;15(7):607-614. doi: 10.4244/EIJ-D-19-00324.

    PubMed 31147308
  • Premchand Jain RK, Parikh K, Sethuraman S, Sharma K, Roy S, Vithala SR, Gollamandala KR, Packirisamy G, Mantravadi SS, Roleder T. Safety and Performance of the MOZEC Sirolimus-Eluting Coronary Balloon in the Treatment of Stenotic Coronary Artery Lesions: A Real-World, Multicenter, Post-Marketing Surveillance Study. Cardiol Res. 2025 Apr;16(2):130-139. doi: 10.14740/cr2026. Epub 2025 Feb 28.

    PubMed 40051667
  • Capodanno D, Angiolillo DJ. Antiplatelet Therapy After Implantation of Bioresorbable Vascular Scaffolds: A Review of the Published Data, Practical Recommendations, and Future Directions. JACC Cardiovasc Interv. 2017 Mar 13;10(5):425-437. doi: 10.1016/j.jcin.2016.12.279.

    PubMed 28279311
  • Tamburino C, Latib A, van Geuns RJ, Sabate M, Mehilli J, Gori T, Achenbach S, Alvarez MP, Nef H, Lesiak M, Di Mario C, Colombo A, Naber CK, Caramanno G, Capranzano P, Brugaletta S, Geraci S, Araszkiewicz A, Mattesini A, Pyxaras SA, Rzeszutko L, Depukat R, Diletti R, Boone E, Capodanno D, Dudek D. Contemporary practice and technical aspects in coronary intervention with bioresorbable scaffolds: a European perspective. EuroIntervention. 2015 May;11(1):45-52. doi: 10.4244/EIJY15M01_05.

    PubMed 25599676
  • Vanoverbeke L, Bennett J. Drug-eluting resorbable coronary scaffolds: a review of recent advances. Expert Opin Drug Deliv. 2025 Jul;22(7):919-933. doi: 10.1080/17425247.2025.2495043. Epub 2025 Apr 20.

    PubMed 40238640
  • Power DA, Camaj A, Kereiakes DJ, Ellis SG, Gao R, Kimura T, Ali ZA, Stockelman KA, Dressler O, Onuma Y, Serruys PW, Stone GW; ABSORB Investigators. Early and Late Outcomes With the Absorb Bioresorbable Vascular Scaffold: Final Report From the ABSORB Clinical Trial Program. JACC Cardiovasc Interv. 2025 Jan 13;18(1):1-11. doi: 10.1016/j.jcin.2024.08.050.

    PubMed 39814482
  • Jeger RV, Eccleshall S, Wan Ahmad WA, Ge J, Poerner TC, Shin ES, Alfonso F, Latib A, Ong PJ, Rissanen TT, Saucedo J, Scheller B, Kleber FX; International DCB Consensus Group. Drug-Coated Balloons for Coronary Artery Disease: Third Report of the International DCB Consensus Group. JACC Cardiovasc Interv. 2020 Jun 22;13(12):1391-1402. doi: 10.1016/j.jcin.2020.02.043. Epub 2020 May 27.

    PubMed 32473887
  • Stefanini GG, Holmes DR Jr. Drug-eluting coronary-artery stents. N Engl J Med. 2013 Jan 17;368(3):254-65. doi: 10.1056/NEJMra1210816. No abstract available.

    PubMed 23323902
  • Zhang YJ, Bourantas CV, Muramatsu T, Iqbal J, Farooq V, Diletti R, Campos CA, Onuma Y, Garcia-Garcia HM, Serruys PW. Comparison of acute gain and late lumen loss after PCI with bioresorbable vascular scaffolds versus everolimus-eluting stents: an exploratory observational study prior to a randomised trial. EuroIntervention. 2014 Oct;10(6):672-80. doi: 10.4244/EIJV10I6A118.

    PubMed 24472767
  • Asano T, Serruys PW, Collet C, Miyazaki Y, Takahashi K, Chichareon P, Katagiri Y, Modolo R, Tenekecioglu E, Morel MA, Garg S, Wykrzykowska J, Piek JJ, Sabate M, Morice MC, Chevalier B, Windecker S, Onuma Y. Angiographic late lumen loss revisited: impact on long-term target lesion revascularization. Eur Heart J. 2018 Sep 21;39(36):3381-3389. doi: 10.1093/eurheartj/ehy436.

    PubMed 30124834
  • Madhavan MV, Kirtane AJ, Redfors B, Genereux P, Ben-Yehuda O, Palmerini T, Benedetto U, Biondi-Zoccai G, Smits PC, von Birgelen C, Mehran R, McAndrew T, Serruys PW, Leon MB, Pocock SJ, Stone GW. Stent-Related Adverse Events >1 Year After Percutaneous Coronary Intervention. J Am Coll Cardiol. 2020 Feb 18;75(6):590-604. doi: 10.1016/j.jacc.2019.11.058.

    PubMed 32057373

Questions about this trial

What is this clinical trial studying?

A study testing Angioplasty with DCB (bail-out BRS) and Angioplasty with BRS in people with Drug Coated Balloon and Bioresorbable Scaffold, run by Ceric Sàrl at 1 site in Estonia.

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 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: looking for participants now, as of the sponsor's last update on 30 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Estonia. 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 DAVIDE CAPODANNO, Professor (+39-3393238566, dcapodanno@unict.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Target-vessel Failure (TVF) (time frame: From enrollment to the end of treatment at 12 months). 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 NCT07038408, which also lists 13 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 30 Apr 2026.

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