CClinicalTrials.gg
WithdrawnNCT02384629Updated Jul 27, 2016

PCI With AXXESS Biolimus A9 Eluting Bifurcation Stent in Treating Coronary Artery Bifurcation Disease

A Phase 4 interventional study of OCT-guided PCI with AXXESS stent and OCT-guided PCI with conventional DES (Biomatrix flex stent) in Coronary Bifurcation Lesions, sponsored by Yonsei University. Withdrawn. Open to participants aged 19 Years to 85 Years. Per ClinicalTrials.gov, last updated 2016-07-27.

Sponsored by Yonsei University · Phase 4, Interventional, and Treatment

Why this study was withdrawn
Problem with medical device provider
Phase
Phase 4
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
19 Years to 85 Years
Sex
All
01

Study summary

  1. To compare the safety and efficacy of AXXESS stent with conventional DES in patients with coronary artery bifurcation disease
  2. To assess the impact of optical coherence tomography (OCT) guidance on clinical outcomes following the stent type
02

Conditions studied

  • Coronary Bifurcation Lesions
03

In context

Lead sponsor

Yonsei University is the lead sponsor of 1,387 studies on the registry; 232 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Provision of informed consent prior to any study specific procedures,
  • Patients ≥ 19 years old,
  • Patients who are expected to undergo PCI for bifurcation lesions.

Exclusion criteria

Exclusion Criteria:

  • Age> 85 years,
  • Cardiogenic shock or unstable patients,
  • Increased risk of bleeding, anemia, thrombocytopenia,
  • A need for oral anticoagulation therapy,
  • Pregnant women or women with potential childbearing,
  • Life expectancy \< 1 year.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    AXXESS stent1

    AXXESS stent (OCT-guided)

    Device: OCT-guided PCI with AXXESS stent

  • Experimental
    Conventional DES1

    Conventional DES (Biomatrix flex stent, OCT-guided)

    Device: OCT-guided PCI with conventional DES (Biomatrix flex stent)

  • Active comparator
    AXXESS stent2

    AXXESS stent (Angio-guided)

    Device: Angio-guided PCI with AXXESS stent

  • Active comparator
    Conventional DES2

    Conventional DES (Biomatrix flex stent, Angio-guided)

    Device: Angio-guided PCI with PCI with conventional DES (Biomatrix flex stent)

Interventions

  • DeviceOCT-guided PCI with AXXESS stent

    The AXXESS stent (Biosensors Europe SA, Morges, Switzerland) is a dedicated self-expanding bifurcation stent eluting the sirolimus analog Biolimus A9 emulsed in a biodegradable polymer. It has the advantage to preserve the ostium of both distal branches and allows additional stent implantation in the distal branches for complete lesion coverage, while reducing large stent overlap and eliminating deformation. Optical coherence tomography (OCT), has enabled the evaluation of strut coverage and arterial healing after DES implantation with a superior resolution and delineation over other imaging modalities. With using these superiorities of OCT, there have been many studies assessing the neointimal coverage following various types of DES implantation in various periods.

  • DeviceOCT-guided PCI with conventional DES (Biomatrix flex stent)

    BioMatrix Flex is abluminal biodegradable polymer DES. Its abluminal coating is absorbed after 6 to 9months and turns the DES into a BMS. It combines the proven safety of a DES with an abluminal biodegradable polymer, the prove efficacy of BA9 and an advanced stent design. Optical coherence tomography (OCT), has enabled the evaluation of strut coverage and arterial healing after DES implantation with a superior resolution and delineation over other imaging modalities. With using these superiorities of OCT, there have been many studies assessing the neointimal coverage following various types of DES implantation in various periods.

  • DeviceAngio-guided PCI with AXXESS stent

    The AXXESS stent (Biosensors Europe SA, Morges, Switzerland) is a dedicated self-expanding bifurcation stent eluting the sirolimus analog Biolimus A9 emulsed in a biodegradable polymer. It has the advantage to preserve the ostium of both distal branches and allows additional stent implantation in the distal branches for complete lesion coverage, while reducing large stent overlap and eliminating deformation. We use the conventional coronary angiography.

  • DeviceAngio-guided PCI with PCI with conventional DES (Biomatrix flex stent)

    BioMatrix Flex is abluminal biodegradable polymer DES. Its abluminal coating is absorbed after 6 to 9months and turns the DES into a BMS. It combines the proven safety of a DES with an abluminal biodegradable polymer, the prove efficacy of BA9 and an advanced stent design. We use the conventional coronary angiography.

06

What researchers measure

Primary outcomes

  1. Late loss of side branch(SB)

    Late loss was defined as the difference between the minimal luminal diameter (MLD) immediately after the procedure and the MLD at 9-month follow-up, Measured the change in MLD by Quantitative coronary angiography (QCA)

    Time frame: 9 months after procedure

Secondary outcomes

  1. Cardiovascular (CV) death

    death for CV cause (MI, stroke)

    Time frame: 9 months after procedure

  2. Myocardial infarction (MI)

    MI definition: rise of cardiac biomarker with at least one of the following: Symptoms of ischemia, New or presumed new significant ST-segment-T wave (ST-T) changes or new left bundle branch block (LBBB), Development of pathological Q waves in the ECG, Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality, identification of an intracoronary thrombus by angiography or autopsy

    Time frame: 9 months after procedure

  3. stent thrombosis (ST)

    ST definition: Academic Research Consortium (ARC) definition

    Time frame: 9 months after procedure

  4. SB closure

    SB closure: TIMI flow \< 3 and/or stenosis \>75%

    Time frame: 9 months after procedure

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02384629
Lead sponsor
Yonsei University
Responsible party
Sponsor
First posted
Mar 10, 2015
Start date
Mar 2015
Primary completion
Mar 2017 (estimated)
Completion
Dec 2017 (estimated)
Last update
Jul 27, 2016

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Jul 2016. 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