Coronary Artery DiseaseLONG NAGOMINCT07399002
LONG NAGOMI™ PMCF STUDY
An observational study of Coronary Artery Disease and Ischemic Heart Disease, run by Fundación EPIC at 10 sites in Spain.
Trial summary
The study is designed as a prospective, multi-center, observational PMCF (post-market clinical follow-up) study of the Ultimaster Nagomi™ _stent (lengths of 38, 44 and 50 mm) in the treatment of coronary artery disease according to the indications approved in the CE marking. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Coronary Artery Disease, Ischemic Heart Disease
- What is being tested?
- LONG NAGOMI
- Type of treatment
- Medical device
- How many people
- 1,039 participants
- Where
- 10 sitesSpain
- Study dates
- 27 Feb 2026to 1 Jan 2029
- How long will I take part?
- 12 Months
- Phase
- Observational
- 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
Study population: Patients undergoing PCI with implantation of a Long Nagomi stent
Who may be able to join
- Patients who meet ALL inclusion criteria will be included:
- Patients aged ≥ 18 years AND;
- Patients who according to standard practice of the hospital are amenable to PCI as indicated and considered adequate according to the European clinical practice guidelines on coronary revascularization AND;
- Patients with at least one lesion fulfilling the "long lesion criteria" suitable for a single stent approach AND;
- Patients who have been informed of the characteristics of the study and have provided written informed consent AND;
- Intention to treat all lesions with the Ultimaster Nagomi™ stent
Who cannot join
- Patients must not meet any of the following exclusion criteria:
- Patients who expressly decline to participate in the study.
- Pregnant or breastfeeding women.
- Patients with acute coronary syndrome (ACS) under conditions of cardiogenic shock (Killip class 4).
- Patients with contraindications or hypersensitivity to sirolimus.
- Patients with a life expectancy of less than 2 years.
- Patients in whom any surgery requiring general anesthesia is planned, comorbidity or indication likely necessitating the discontinuation of dual anti-platelet therapy before the recommended duration of dual anti-platelet therapy per the ESC or national guidelines.
- Patients included in other clinical trials that did not reach the primary objective.
Trial locations and contacts
10 sites in 1 country. Contact the study team or a site near you to ask about taking part.
10 sites in 1 country
Spain10 sites, 10 recruiting
- Recruiting
Hospital Universitario de Cabueñes
Cabueñes, 33394
- Recruiting
Hospital General Universitario de Ciudad Real
Ciudad Real, 13005
- Recruiting
Hospital General Universitario de Elche
Elche, 03203
- Recruiting
Hospital Universitario Juan Ramón Jiménez
Huelva, 21005
- Recruiting
Hospital Universitario de Leon
León, 24008
- Recruiting
Hospital Universitario Regional de Málaga
Málaga, 29010
- Recruiting
Hospital Universitario Virgen de la Victoria
Málaga, 29010
- Recruiting
Hospital Universitario de Navarra
Pamplona, 31008
- Recruiting
Hospital Universitario Marqués de Valdecilla
Santander, 39008
- Recruiting
Hospital Universitario Virgen del Rocio
Seville, 41013
About this study
Official title: Long Coronary Lesions: Safety and Performance of the Ultimaster Nagomi™ Stent in This Setting With a One-to-one Approach -One Lesion, One Stent- LONG NAGOMI™ PMCF STUDY
The study is designed as a prospective, multi-center, observational PMCF (post-market clinical follow-up) study of the Ultimaster Nagomi™ _stent (lengths of 38, 44 and 50 mm) in the treatment of coronary artery disease according to the indications approved in the CE marking.
Read the detailed description
The study serves to fulfill post marketing surveillance requirements for the Ultimaster Nagomi™ stent. This is a PMCF study of real-world use of the Ultimaster Nagomi™ DES aimed to reaffirm the device claims of effectiveness and safety, no comparator is required to meet these specified objectives and endpoints.
- Conditions
- Coronary Artery Disease, Ischemic Heart Disease
- Being tested
- LONG NAGOMI
- Keywords
- MDR (Medical Device Regulations), PMCF (Post-Market Clinical Follow-up)
- Medical subject headings
- Coronary Artery Disease, Myocardial Ischemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LONG NAGOMIDevice
Patients in whom treatment with long nagomi has been attempted
| Study group | Role | What they receive |
|---|---|---|
| Coronary Artery Disease (CAD) | Not described Receives: Device: LONG NAGOMI |
What is being measured
The primary outcome is the main question the study is designed to answer.
Target Lesion Failure (TLF)
Target Lesion Failure defined as the composite of cardiovascular death, target-vessel related myocardial infarction and clinically driven target lesion revascularization at 1-year post-procedure.
Measured: 1 year
Secondary outcomes (20)
Device success
Device success defined as delivery success (achievement of successful delivery of study stent to the target lesion, expansion of the study stent and withdrawal of the delivery catheter) with a final residual diameter stenosis of the target lesion of < 20% by visual assessment and/or < 30% by QCA, using the assigned device only.
Measured: Periprocedural
Safety of the stent: Freedom from Accidental dislodgement of the stent
Safety of the stent defined as an absence of Accidental stent dislodgement
Measured: Periprocedural
Safety of the stent: Freedom from Balloon rupture
Safety of the stent defined as an absence of Balloon rupture o Hypotube rupture.
Measured: Periprocedural
Safety of the stent: Freedom from Hypotube rupture o Hypotube rupture
Safety of the stent defined as an absence of o Hypotube rupture o Hypotube rupture.
Measured: Periprocedural
Safety of the procedure: Freedom from Challenging withdrawal
Safety of the procedure defined as an absence of Challenging withdrawal
Measured: Periprocedural
Safety of the procedure: Freedom from coronary perforation
Safety of the procedure defined as an absence of coronary perforation
Measured: Periprocedural
Safety of the procedure: Freedom from dissection >C
Safety of the procedure defined as an absence of dissection >C
Measured: Periprocedural
Safety of the procedure: Freedom from no-reflow
Safety of the procedure defined as an absence of no-reflow
Measured: Periprocedural
Safety of the procedure: Freedom from stent thrombosis
Safety of the procedure defined as an absence stent thrombosis
Measured: Periprocedural
Procedure success
To assess the procedure success rate defined as the achievement of < 20% residual stenosis by visual assessment in all target lesions using any percutaneous method without the occurrence of death, Q wave or WHO defined non-Q wave myocardial Infarction, or need for new revascularization of the target lesion during the hospital stay.
Measured: Periprocedural
Performance of the Ultimaster Nagomi™ stent in Severe calcified lesions
To assess Performance of the Ultimaster Nagomi™ stent in Severe calcified lesions
Measured: Periprocedural
Performance of the Ultimaster Nagomi™ stent in Severe tortuous vessels
To assess Performance of the Ultimaster Nagomi™ stent in Severe tortuous vessels
Measured: Periprocedural
Performance of the Ultimaster Nagomi™ stent in Distal vessels
To assess Performance of the Ultimaster Nagomi™ stent in Distal vessels
Measured: Periprocedural
Angina status assessment Seattle Angina Questionnaire (SAQ)
Angina status assessment Seattle Angina Questionnaire (SAQ)
Measured: Baseline
Angina status assessment Seattle Angina Questionnaire (SAQ)
Angina status assessment Seattle Angina Questionnaire (SAQ)
Measured: 12 monts
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Measured: After PCI
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Measured: 12 Months
Cardiovascular death
Percentage of cardiovascular death
Measured: 12 months
Target-vessel related myocardial infarction
Percentage of target-vessel related myocardial infarction
Measured: 12 Months
Clinically driven target lesion revascularization
Percentage of clinically driven target lesion revascularization
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Feb 2026
- Study start27 Feb 2026
- Primary completion1 Jan 2028 (estimated)
- Study completion1 Jan 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Coronary Artery 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
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 1,039 participants (estimated)
- Target duration
- 12 Months
Sponsor and investigators
- Lead sponsor
- Fundación EPIC
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07399002
- Sponsor's protocol ID
- rEPIC19- LONG NAGOMI
- Acronym
- LONG NAGOMI
- Status last verified
- Sep 2026
- First submitted
- 24 Nov 2025
- Last updated
- 11 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Khan, M. (2024). Prevalence of in-stent restenosis in patients having drug eluting stents with lengths exceeding 40mm: a single-center study. JHRR, 4(2), 837-841. doi.org/10.61919/jhrr.v4i2.960
Khanal S, Agarwal A, Kumar B. One-Year Outcomes of Long Coronary Drug-Eluting Stents (>/=40 MM) in Patients With Diffuse Coronary Artery Disease: Findings From a Tertiary Care Hospital in North India. Cureus. 2024 May 3;16(5):e59611. doi: 10.7759/cureus.59611. eCollection 2024 May.
PubMed 38832189Park KE, Wu CJ, Chehab B, Maksoud A, Bertolet B, Ying SW, Simoes T, Pingle SC, Chang CJ. One-year Outcomes of XIENCE Skypoint 48-mm Drug-Eluting Stents in Long Coronary Lesions: The SPIRIT 48 Trial. J Soc Cardiovasc Angiogr Interv. 2023 May 18;2(4):101001. doi: 10.1016/j.jscai.2023.101001. eCollection 2023 Jul-Aug.
PubMed 39131646Patra S, Chakraborty RN, Pande A, Banerjee S, Jena M, Mandal PC, De SK, Khan A, Das SS, Ghosh D, Nag R. Zotarolimus-eluting Resolute Integrity versus everolimus-eluting Xience Xpedition stents in the management of very long (>30mm) de novo coronary artery stenosis. Cardiovasc Revasc Med. 2017 Apr-May;18(3):160-164. doi: 10.1016/j.carrev.2016.12.007. Epub 2016 Dec 15.
PubMed 28017259Gautier A, Hovasse T, Arroyo D, Unterseeh T, Garot P, Champagne S, Neylon A, Sanguineti F, Benamer H, Chevalier B, Lefevre T. Safety and efficacy of 48 mm Xience Xpedition everolimus-eluting stent for the treatment of long coronary lesions. Catheter Cardiovasc Interv. 2022 Aug;100(2):179-187. doi: 10.1002/ccd.30249. Epub 2022 May 27.
PubMed 35621281
Study at a glance
From the registry record, last updated by the sponsor on 11 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Long Coronary Lesions: Safety and Performance of the Ultimaster Nagomi™ Stent in This Setting With a One-to-one Approach -One Lesion, One Stent- LONG NAGOMI™ PMCF STUDY
- ClinicalTrials.gov ID
- NCT07399002
- Acronym / sponsor ID
- LONG NAGOMI / rEPIC19- LONG NAGOMI
- Conditions
- Coronary Artery Disease, Ischemic Heart Disease
- Keywords
- MDR (Medical Device Regulations), PMCF (Post-Market Clinical Follow-up)
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 1,039 participants (estimated)
- Lead sponsor
- Fundación EPICUniversity, hospital or other
- Study start
- 27 Feb 2026 (actual)
- Primary completion
- 1 Jan 2028 (estimated)
- Study completion
- 1 Jan 2029 (estimated)
- First posted
- 10 Feb 2026 (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.
The study is designed as a prospective, multi-center, observational PMCF (post-market clinical follow-up) study of the Ultimaster Nagomi™ _stent (lengths of 38, 44 and 50 mm) in the treatment of coronary artery disease according to the indications approved in the CE marking.
Detailed description
The study serves to fulfill post marketing surveillance requirements for the Ultimaster Nagomi™ stent. This is a PMCF study of real-world use of the Ultimaster Nagomi™ DES aimed to reaffirm the device claims of effectiveness and safety, no comparator is required to meet these specified objectives and endpoints.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Target follow-up
- 12 Months
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Coronary Artery Disease (CAD) | – | Device: LONG NAGOMI |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients undergoing PCI with implantation of a Long Nagomi stent
Key inclusion criteria (6 listed)
- Patients who meet ALL inclusion criteria will be included:
- Patients aged ≥ 18 years AND;
- Patients who according to standard practice of the hospital are amenable to PCI as indicated and considered adequate according to the European clinical practice guidelines on coronary revascularization AND;
- Patients with at least one lesion fulfilling the "long lesion criteria" suitable for a single stent approach AND;
- Patients who have been informed of the characteristics of the study and have provided written informed consent AND;
Key exclusion criteria (8 listed)
- Patients must not meet any of the following exclusion criteria:
- Patients who expressly decline to participate in the study.
- Pregnant or breastfeeding women.
- Patients with acute coronary syndrome (ACS) under conditions of cardiogenic shock (Killip class 4).
- Patients with contraindications or hypersensitivity to sirolimus.
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 |
|---|---|---|
| LONG NAGOMIPatients in whom treatment with long nagomi has been attempted | Device | Coronary Artery Disease (CAD) |
Primary outcome
Target Lesion Failure (TLF)
Time frame: 1 year
Target Lesion Failure defined as the composite of cardiovascular death, target-vessel related myocardial infarction and clinically driven target lesion revascularization at 1-year post-procedure.
20 secondary outcomes
Device success
Time frame: Periprocedural
Safety of the stent: Freedom from Accidental dislodgement of the stent
Time frame: Periprocedural
Safety of the stent: Freedom from Balloon rupture
Time frame: Periprocedural
Safety of the stent: Freedom from Hypotube rupture o Hypotube rupture
Time frame: Periprocedural
Safety of the procedure: Freedom from Challenging withdrawal
Time frame: Periprocedural
Safety of the procedure: Freedom from coronary perforation
Time frame: Periprocedural
Safety of the procedure: Freedom from dissection >C
Time frame: Periprocedural
Safety of the procedure: Freedom from no-reflow
Time frame: Periprocedural
Safety of the procedure: Freedom from stent thrombosis
Time frame: Periprocedural
Procedure success
Time frame: Periprocedural
Performance of the Ultimaster Nagomi™ stent in Severe calcified lesions
Time frame: Periprocedural
Performance of the Ultimaster Nagomi™ stent in Severe tortuous vessels
Time frame: Periprocedural
Performance of the Ultimaster Nagomi™ stent in Distal vessels
Time frame: Periprocedural
Angina status assessment Seattle Angina Questionnaire (SAQ)
Time frame: Baseline
Angina status assessment Seattle Angina Questionnaire (SAQ)
Time frame: 12 monts
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Time frame: After PCI
Quality of Life assessed as per EuroQl five-dimensional (EQ-5D) questionnaire
Time frame: 12 Months
Cardiovascular death
Time frame: 12 months
Target-vessel related myocardial infarction
Time frame: 12 Months
Clinically driven target lesion revascularization
Time frame: 12 months
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 11 Sep 2026.
- BackgroundKhan, M. (2024). Prevalence of in-stent restenosis in patients having drug eluting stents with lengths exceeding 40mm: a single-center study. JHRR, 4(2), 837-841. doi.org/10.61919/jhrr.v4i2.960
- Background: PubMed 38832189Khanal S, Agarwal A, Kumar B. One-Year Outcomes of Long Coronary Drug-Eluting Stents (>/=40 MM) in Patients With Diffuse Coronary Artery Disease: Findings From a Tertiary Care Hospital in North India. Cureus. 2024 May 3;16(5):e59611. doi: 10.7759/cureus.59611. eCollection 2024 May.
- Background: PubMed 39131646Park KE, Wu CJ, Chehab B, Maksoud A, Bertolet B, Ying SW, Simoes T, Pingle SC, Chang CJ. One-year Outcomes of XIENCE Skypoint 48-mm Drug-Eluting Stents in Long Coronary Lesions: The SPIRIT 48 Trial. J Soc Cardiovasc Angiogr Interv. 2023 May 18;2(4):101001. doi: 10.1016/j.jscai.2023.101001. eCollection 2023 Jul-Aug.
- Background: PubMed 28017259Patra S, Chakraborty RN, Pande A, Banerjee S, Jena M, Mandal PC, De SK, Khan A, Das SS, Ghosh D, Nag R. Zotarolimus-eluting Resolute Integrity versus everolimus-eluting Xience Xpedition stents in the management of very long (>30mm) de novo coronary artery stenosis. Cardiovasc Revasc Med. 2017 Apr-May;18(3):160-164. doi: 10.1016/j.carrev.2016.12.007. Epub 2016 Dec 15.
- Background: PubMed 35621281Gautier A, Hovasse T, Arroyo D, Unterseeh T, Garot P, Champagne S, Neylon A, Sanguineti F, Benamer H, Chevalier B, Lefevre T. Safety and efficacy of 48 mm Xience Xpedition everolimus-eluting stent for the treatment of long coronary lesions. Catheter Cardiovasc Interv. 2022 Aug;100(2):179-187. doi: 10.1002/ccd.30249. Epub 2022 May 27.
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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.
10 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Coronary Artery Disease and Ischemic Heart Disease, run by Fundación EPIC at 10 sites in Spain.
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 6 inclusion and 8 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 11 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 10 sites in Spain. 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 TAMARA GARCIA CAMARERO, MD, PhD (0034615420460, tgcamarero@gmail.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: 1 year). 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 NCT07399002, which also lists 5 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 11 Sep 2026.