Clinical trial NCT02659254: A First-in-Man Study of the Firesorb BVS (FUTURE-I)
Official title: A First-in-Man Study of the Firesorb Sirolimus Target Eluting Bioresorbable Vascular Scaffold in Patients With Coronary Artery Disease: FUTURE-I
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Coronary Artery Disease
Keywords: Drug-Eluting Stents,Absorbable Implants,Stents
Lead sponsor: Shanghai MicroPort Medical (Group) Co., Ltd.
Sponsor class: INDUSTRY
First posted: 2016-01-20
Enrollment: 45
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This study is a small scale pilot trial for Sirolimus Target Eluting Bioresorbable Vascular Scaffold (Firesorb) in Patients with Coronary Artery Disease for the first time. The goal is to access the preliminary safety and efficacy of Firesorb implantation in the human body, and to provide evidence for subsequent large-scale, multi-center, randomized controlled clinical trials. Then provide the basis for the formal application of the product in China.

Detailed description: This study is a prospective, single-center clinical trial. The investigator design to recruit 45 subjects. After implanting the Sirolimus Target Eluting Bioresorbable Vascular Scaffold (Firesorb) successfully, all the subjects will be randomly assigned to queue 1 (n=30) and queue 2 (n=15). The clinical follow-up will be performed in all subjects at 1 month,6 months,1 year,2 years,3 years,4 years and 5 years after scaffold implantation. Angiographic,IVUS and OCT follow-up will be performed at 6 months and 2 years after scaffold implantation in queue 1; angiographic,IVUS and OCT follow-up will be performed at 1 year and 3 years after scaffold implantation in queue 2. The primary endpoint of the study is target lesion failure (TLF) at 30 days after scaffold implantation, the secondary endpoints are series of imaging outcomes, for evaluation of feasibility and preliminary safety and efficacy of the product.

Eligibility criteria: Inclusion Criteria:

1. 18-75 years of age, males or non-pregnant females;
2. With silent ischemia evidence, patients with stable or unstable angina, or in patients with old myocardial infarction;
3. Total number of target lesion is 1;
4. Target lesion length ≤ 25mm (Visual); target lesion diameter between 3.0mm to 3.5mm;
5. Visual assessment of target lesion diameter stenosis ≥ 70%,TIMI blood flow≥1;
6. Each target lesion may be covered by a single stent;
7. Patients with indications for coronary artery bypass graft surgery;
8. To understand the purpose of testing, voluntary and informed consent, patients undergoing invasive imaging follow-up.

Exclusion Criteria:

1. Within 1 week of any acute myocardial infarction or myocardial enzymes did not return to normal;
2. Implantation of stent in target vessel within 1 year , patients with planned intervention again within six months;
3. Severe congestive heart failure (NYHA class III and above) ,left ventricular ejection fraction or \<40% (ultrasound or left ventricular angiography);
4. Preoperative renal function serum creatinine \>2.0mg/DL; receiving hemodialysis;
5. Bleeding, active gastrointestinal ulcers, brain hemorrhage or subarachnoid hemorrhage and half year history of ischemic stroke, antiplatelet agents and would not allow an anticoagulant therapy contraindications patients undergoing antithrombotic therapy;
6. Aspirin, clopidogrel, heparin, contrast agent, poly lactic acid polymer and rapamycin allergies;
7. The patient's life expectancy is less than 12 months;
8. Top participated in other drug or medical device and does not meet the primary study endpoint in clinical trials time frame;
9. Researchers determine patient compliance is poor, unable to complete the study in accordance with the requirements;
10. Heart transplantation patients;
11. The unstable arrhythmia, such as high risk ventricular extrasystole and ventricular tachycardia;
12. Cancer need chemotherapy;
13. Immunosuppression and autoimmune diseases, planned or undergoing immunosuppressive therapy;
14. Planning or being receiving long-term anticoagulant therapy, such as heparin, warfarin, etc;
15. Within six months for elective surgery requires stopping aspirin, Clopidogrel patients;
16. Blood test prompted platelet counts of less than 100x10E9/L or greater than 700x10E9/L, white blood cells than 3x10E9/L; known or suspected liver disease (such as hepatitis);
17. Peripheral vascular disease, 6F catheter is not available.

Primary outcomes:
measure: Device-oriented composite endpoints (Target Lesion Failure)
timeFrame: 1 month after index procedure
Secondary outcomes:
measure: Target Lesion Failure
timeFrame: 6 months,1 year,2 years,3 years,4 years and 5 years after index procedure
measure: Patient-oriented clinical composite endpoint (PoCE)
timeFrame: 1 month,6 months,1 year,2 years,3 years,4 years and 5 years after index procedure
measure: Device Success
timeFrame: From the start of index procedure to end of index procedure
measure: Procedural Success
timeFrame: At time of procedure up to 7 days in hospital
measure: Scaffold Thrombosis/Stent Thrombosis (per ARC definition)
timeFrame: 1 month,6 months,1 year,2 years,3 years,4 years and 5 years after index procedure
measure: In-device, in-segment, proximal and distal minimum lumen diameter (MLD)
timeFrame: 6 months,1 year,2 years and 3 years after index procedure
measure: In-device, in-segment, proximal and distal % diameter stenosis (DS)
timeFrame: 6 months,1 year,2 years and 3 years after index procedure
measure: In-device, in-segment, proximal and distal angiographic binary restenosis (ABR)
timeFrame: 6 months,1 year,2 years and 3 years after index procedure
measure: In-device, in-segment,proximal and distal late lumen loss (LLL)
timeFrame: 6 months,1 year,2 years and 3 years after index procedur
measure: Vasomotion
timeFrame: 6 months,1 year,2 years and 3 years after index procedure
Other outcomes:
measure: Descriptive analysis of morphometric, lesion composition and scaffold strut data obtained with OCT
timeFrame: Immediate,6 months,1 year,2 years and 3 years after index procedure
measure: Descriptive analysis of vascular and scaffold morphology obtained with IVUS
timeFrame: 6 months,1 year,2 years and 3 years after index procedure
Locations:
city: Peking
country: China
facility: Fu Wai Hospital
state: Beijing
Study officials:
affiliation: Fu Wai Hospital & National Center for Cardiovascular Diseases in China
name: Runlin Gao, MD
role: PRINCIPAL_INVESTIGATOR
References: