ClinicalTrials.gg
Status unknownNCT01086579BELLOUpdated Aug 14, 2013

Balloon Elution and Late Loss Optimization (BELLO) Study

An interventional study of IN.PACT Falcon paclitaxel eluting balloon (Drug eluting balloon) and Taxus (Paclitaxel eluting stent) in Coronary Artery Disease, sponsored by Fondazione Evidence per Attività e Ricerche Cardiovascolari ONLUS. Status unknown at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-08-14.

Sponsored by Fondazione Evidence per Attività e Ricerche Cardiovascolari ONLUS · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2013), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
182
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 302 studies in Coronary Artery Disease with a site in Italy — 48 open to participants now, 71 under way, 7 of them phase 3. Coronary Artery Disease · Italy.

Enrollment
112th of 189
182 · median 290
Started
2010
with 10 others
No phase
81 of 302
17 open now
Registered
48th of 302
by date

Among the 302 studies in Coronary Artery Disease with a site in Italy, this one is the 112th largest by enrollment of the 189 interventional ones that give a count, is one of 11 that started in 2010, is one of 81 with no phase, and was the 48th registered.

Coronary Artery Disease

4,857 studies on the registry are indexed under Coronary Artery Disease; 890 are open to participants now.

Browse Coronary Artery Disease studies →

Open to participants now

48 of the 302 studies in Coronary Artery Disease with a site in Italy are open now. Recruiting first, the newest first:

43 more — sign in →

All 48 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 588 Coronary Artery Disease studies recruiting now, 402 (68%) set no upper age limit and 68 (12%) stop at 75 or younger; 38 take children under 18; 47 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 302 studies in Coronary Artery Disease with a site in Italy, or all of them as a file.
02

Study summary

Prospective multicentre randomized (1:1) investigator initiated study, in which consecutive patients undergoing percutaneous revascularization of small coronary vessels will be assigned to one of the two study arms:

  1. Treatment Arm: IN.PACT Falcon™ paclitaxel drug-eluting balloon (DEB) dilatation and provisional spot bare-metal stenting (BMS).
  2. Control Arm: paclitaxel-eluting stent (PES) implantation as per standard practice.

Eligible subjects with coronary artery disease in a small vessel (reference diameter\<2.8mm) will be consecutively screened and enrolled based on the inclusion and exclusion criteria

The objective of the study is to assess the non-inferiority of the DEB to the PES as regards to primary endpoint of mean late lumen loss (LLL) at 6 months, defined as the difference between postprocedural minimum luminal (MLD) diameter and follow-up MLD, as assessed by quantitative coronary angiography and is based on the following assumptions:

  1. The means of LLL in the 2 groups are precisely equal
  2. A standard deviation in LLL of 0.5mm in both groups as demonstrated in the ISAR-SMART 3 and PEPCAD II trials
  3. A non-inferiority margin of 0.25mm between groups is clinically unimportant

Based on these assumptions:

  1. Null hypothesis (N0): mean LLL in DEB group is ≥0.25mm than that in the PES group (i.e. PES is superior to DEB)
  2. Alternative hypothesis 1 (H1): mean LLL between DEB and PES is \<0.25mm (i.e. DEB is non-inferior to PES)
  3. Alternative hypothesis 2 (H2): mean LLL between DEB and PES \<0 (i.e. DEB is superior to PES) Based on the above calculations, a sample size of 77 patients will be required in each group to show non-inferiority of DEB vs. PES with an α error of 0.025 (one-sided Z test) and a power of 80%. To account for a 20% rate of withdrawal, lost to follow-up or not presenting for follow-up angiography, a total of 182 patients (91 in each group) will be randomized.
03

Conditions studied

  • Coronary Artery Disease

Keywords

  • paclitaxel PTCA drug-eluting balloon
  • provisional spot stenting
  • coronary artery disease
  • Late Lumen Loss
  • Minimal lumen diameter
  • coronary artery disease in a small vessel
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age > 18 years.
  • Patient providing written .
  • Patients with stable angina pectoris (Canadian Cardiovascular Society [CCS] 1, 2 3) or unstable angina pectoris with documented ischemia (CCS 4, Braunwald Class IB-C, IIB-C or IIIB-C), or patients with documented silent ischemia.
  • Patients who are eligible for coronary revascularization (angioplasty and/or CABG).
  • Female patients with child bearing potential must have a negative pregnancy test within one week before treatment and must use adequate .

Angiographic Inclusion Criteria:

  • Native coronary artery.
  • De novo lesion.
  • Reference vessel diameter \< 2.8mm by visual estimate.
  • Target lesion with a visually estimated stenosis >50%.
  • Target lesion length \< 25mm by visual estimate.
  • A maximum of 2 epicardial vessels requiring revascularization.
  • A maximum of 2 target lesions can be included (In the case of treatment of more than one lesion, the treatment selected will remain the same).

Exclusion criteria

Exclusion Criteria:

  • Patients unable to give .
  • Patients enrolled in another study with any drug or device within the past 30 days.
  • Patients scheduled for a major surgical intervention within 6 months of enrolment in the study.
  • Patients with acute (\< 24h) or recent (≤ 48 hours) myocardial infarction.
  • Patients with a to an emergency coronary bypass surgery.
  • Any individual who may refuse a blood transfusion.
  • Patients with serum creatinine >2.0mg/dL or >180umol/L.
  • Patients with severe congestive heart failure.
  • Patients who had a cerebral stroke \<6 months prior to the Index Procedure.
  • EF () \< 30%.
  • Patients with any known allergy, or intolerance to acetylsalicylic acid (ASA), Clopidogrel or Ticlopidine, Paclitaxel.
  • Any known allergy to contrast medium that cannot be pre-treated.

Angiographic exclusion criteria:

  • >2 epicardial vessels requiring revascularization.
  • Target lesion distance from the ostium of left anterior descending coronary artery (LAD)/left circumflex coronary artery (LCX)/right coronary artery (RCA) is \< 5 mm.
  • Target lesion is located in either a venous or arterial graft.
  • Target vessel contains a previously implanted stent.
  • Angiographic evidence of thrombus at the target site.
  • Chronic total occlusions.
  • Restenotic lesions.
  • Bifurcation lesions which the operator decides a 2-stent technique as intention-to-treat is required OR bifurcations with side branches ≥ 2.5mm.
  • Failure to successfully treat non-target lesions within the target vessel (non-target lesions must be treated prior the target lesion).
  • Greater than 2 non-target lesions treated during the index procedure.
  • Previous Percutaneous Coronary Intervention (PCI) within the last 3 months.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
182 participants (actual)

Study arms

  • Experimental
    Treatment Arm (IN.PACT Falcon Drug Eluting Balloon)

    IN.PACT Falcon™ paclitaxel drug-eluting balloon (DEB) dilatation and provisional spot bare metal stenting (Bare Metal Stent).

    Device: IN.PACT Falcon paclitaxel eluting balloon (Drug eluting balloon)

  • Active comparator
    Control Arm PES

    Control Arm: paclitaxel-eluting stent (PES) implantation as per standard practice.

    Device: Taxus (Paclitaxel eluting stent)

Interventions

  • DeviceIN.PACT Falcon paclitaxel eluting balloon (Drug eluting balloon)

    Coronary Artery Bypass Graft (CABG)

    Also known as: IN.PACT Falcon paclitaxel eluting balloon

  • DeviceTaxus (Paclitaxel eluting stent)

    Percutaneous transluminal coronary angioplasty (PTCA) with stent

06

What researchers measure

Primary outcomes

  1. Late Lumen Loss (LLL) at 6 months follow-up defined as the difference between postprocedural minimum luminal diameter and follow-up minimum luminal diameter, as assessed by quantitative coronary angiography

    Time frame: 6 Month

Secondary outcomes

  1. Device Success: ability of the Investigational Device to be delivered, dilate, and be retrieved from the target lesion.

    Time frame: day 1

  2. Procedural Success: defined as Device Success without the occurrence of Major Adverse Cardiac Events (MACE) during the index hospitalization

    Time frame: day 1

  3. MACE rate through 30 days, 6 months,1, 2, 3 years post index procedure

    Time frame: 30 days, 6 months,1, 2, 3 years

  4. Target Lesion Revascularization (TLR) at 6 months,1, 2, 3 years post index procedure

    Time frame: 6 months,1, 2, 3 years

  5. Target Vessel Revascularization (TVR) at 6 months,1, 2, 3 years post index procedure

    Time frame: 6 months,1, 2, 3 years

  6. Target vessel failure (TVF), defined as cardiac death, Myocardial Infarction (MI) or TVR at 1 year

    Time frame: 1 Year

  7. Binary Restenosis rate at 6 months follow-up

    Time frame: 6 months

07

Study locations

1 site
  • Irccs Fondazione Centro S.Raffaele Del Monte Tabor
    Milan, MI 20100, Italy
08

References and documents

Publications

  • Latib A, Colombo A, Castriota F, Micari A, Cremonesi A, De Felice F, Marchese A, Tespili M, Presbitero P, Sgueglia GA, Buffoli F, Tamburino C, Varbella F, Menozzi A. A randomized multicenter study comparing a paclitaxel drug-eluting balloon with a paclitaxel-eluting stent in small coronary vessels: the BELLO (Balloon Elution and Late Loss Optimization) study. J Am Coll Cardiol. 2012 Dec 18;60(24):2473-80. doi: 10.1016/j.jacc.2012.09.020. Epub 2012 Nov 14. Erratum In: J Am Coll Cardiol. 2013 Apr 16;61(15):1660. PubMed 23158530 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Mar 2010, a primary completion of Mar 2012 and a completion of May 2014. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 11, 2010
First posted
Mar 15, 2010
Start
Mar 2010
Primary completionActual
Mar 2012
CompletionEst.
May 2014
Last update
Aug 14, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 14, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01086579
Lead sponsor
Fondazione Evidence per Attività e Ricerche Cardiovascolari ONLUS
Responsible party
Sponsor
First posted
Mar 15, 2010
Start date
Mar 2010
Primary completion
Mar 2012
Completion
May 2014 (estimated)
Last update
Aug 14, 2013

Study contacts

Antonio Colombo, Dr.
principal investigator · IRCCS Fondazione Centro S.Raffaele del Monte Tabor
Corrado Tamburino, Prof.
principal investigator · Presidio Ospedaliero Ferrarotto di Catania
Patrizia Presbitero, Prof
principal investigator · Istituto Clinico Humanitas di Rozzano (MI)
Alberta Pangrazi, Dr.
principal investigator · Azienda Ospedaliera Ospedali Riuniti Umberto I-G.M.Lancisi-G.Salesi di Ancona
Roberto Violini, Dr.
principal investigator · Azienda Ospedaliera San Camillo Forlanini di Roma
Francesca Buffoli, Dr.
principal investigator · Ospedale "C.Poma" di Mantova
Maurizio Tespili, Dr.
principal investigator · Azienda Ospedaliera "Bolognini" di Seriate
Fausto Castriota, Dr.
principal investigator · Citta' di Lecce Hospital di Lecce
Alberto Cremonesi, Dr.
principal investigator · Villa Maria Cecilia Hospital di Cotignola
Antonio Micari, Dr.
principal investigator · Villa Maria Eleonora Hospital di Palermo
Alfredo Marchese, Dr.
principal investigator · Casa di Cura "AntheaHospital" di Bari
Fabrizio Tomai, Dr.
principal investigator · European Hospital di Roma
Massimo Margheri, Dr.
principal investigator · Ospedale S.Maria delle Croci AUSL di Ravenna
Alberto Menozzi, Dr.
principal investigator · Azienda Ospedaliero-Universitaria di Parma

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2013. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion