CClinicalTrials.gg
CompletedNCT02870140TALENTUpdated Dec 17, 2020

Thin Strut Sirolimus-eluting Stent in All Comers Population vs Everolimus-eluting Stent

An interventional study of SUPRAFLEX and XIENCE in Coronary Stenosis, sponsored by ECRI bv. Completed at 23 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-12-17.

Sponsored by ECRI bv · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
1,435
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The primary objective of this study is to compare the performance of SUPRAFLEX to that of XIENCE in an all-comers patient population with symptomatic ischemic heart disease. The patients will be followed through 3 years for major clinical events.

Read the detailed description

This is a prospective, randomized, 1:1 balanced, controlled, single-blind, multi-center study comparing clinical outcomes at 12 months between SUPRAFLEX and XIENCE in a "Real world, all comers" patient population (patients with symptomatic coronary artery disease including patients with chronic stable angina, silent ischemia, and acute coronary syndromes, who qualify for percutaneous coronary interventions). The objective is to compare the SUPRAFLEX SES with the XIENCE EES with respect to target lesion failure (TLF) at 12 months in a non-inferiority trial in a "real world" patient population.

All patients will be (at minimum) contacted at 30 days, 6 months, and 12 months post procedure to assess clinical status and adverse events. The 30 day and 12 month will be a clinic visit. All patients will have annual contact through 3 years follow-up to assess clinical status and adverse events.

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Conditions studied

  • Coronary Stenosis

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Keywords

  • CAD
  • ACS
  • All comers
  • PCI
03

In context

Coronary Stenosis

302 studies on the registry are indexed under Coronary Stenosis; 63 are open to participants now.

This study's enrollment of 1,435 is above the median of 200 across 160 interventional studies indexed under Coronary Stenosis.

Browse Coronary Stenosis studies →

Lead sponsor

ECRI bv is the lead sponsor of 16 studies on the registry; 2 are open to participants now.

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

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Who can participate

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

Inclusion criteria

All comers" patients:

  • Male or female patients 18 years or older;
  • Presence of one or more coronary artery stenoses of 50% or more in a native coronary artery or in a saphenous venous or arterial bypass conduit suitable for coronary stent implantation.
  • The vessel should have a reference vessel diameter ranging from ≥2.25 mm to ≤4.5 mm (no limitation on the number of treated lesions, vessels, or lesion length); All lesions of the patient must comply with the angiographic inclusion criteria.
  • The patient (or legal guardian) understands the trial requirements and the treatment procedures and provides written informed consent before any trial-specific tests or procedures are performed. Patient is willing to comply with all protocol-required evaluations.

Exclusion criteria

Exclusion Criteria:

  • Known pregnancy or breastfeeding at time of randomization;
  • Known contraindication or hypersensitivity to sirolimus, everolimus, cobalt-chromium, or to medications such as aspirin, heparin, bivalirudin, and all of the following four medications: clopidogrel bisulfate, ticlopidine, prasugrel, ticagrelor;
  • Any PCI treatment within 6 months (\<6 months) prior to the index procedure.
  • Concurrent medical condition with a life expectancy of less than 12 months.
  • The patient is unwilling/ not able to return for outpatient clinic at 12 months follow-up.
  • Currently participating in another trial and not yet at its primary endpoint.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
1,435 participants (actual)

Study arms

  • Experimental
    SUPRAFLEX

    Percutaneous Coronary Intervention with the SUPRAFLEX Sirolimus Eluting Bioabsorbable Polymer Coronary Stent System. It is a balloon expandable sirolimus eluting stent with an bioabsorbable polymer coating.

    Device: SUPRAFLEX

  • Active comparator
    XIENCE

    Percutaneous Coronary Intervention with the XIENCE EES (Everolimus Eluting) Coronary Stent System. The stents are balloon expandable drug eluting stents using everolimus with a non-erodible or durable polymer coating.

    Device: XIENCE

Interventions

  • DeviceSUPRAFLEX

    Percutaneous Coronary Intervention

  • DeviceXIENCE

    Percutaneous Coronary Intervention

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What researchers measure

Primary outcomes

  1. Non inferiority comparison of a device oriented composite endpoint (DOCE) or Target Lesion Failure (TLF) of the SUPRAFLEX group to the XIENCE group

    TLF is a composite of clinical endpoint of cardiac death, target vessel myocardial infarction (TV-MI) and clinically-indicated target lesion revascularization.

    Time frame: 12 months post-procedure

Secondary outcomes

  1. Patient Oriented Composite Endpoint (PoCE) defined as the composite of all-cause death, any MI, and any revascularization

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

  2. Target Vessel Failure (TVF) defined as cardiac death, TV MI, and clinically indicated target vessel revascularization

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

  3. TLF (DoCE) defined as cardiac death, TV MI and clinically-indicated target lesion revascularization (for all follow-up/visits other than 12 months)

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

  4. Mortality (All death, Cardiac death, and Non-cardiac death (vascular and non-cardiovascular)

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

  5. Myocardial Infarction (All MI, Target Vessel MI, Non-Target Vessel MI)

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

  6. Revascularization (Any revascularisation, TLR (clinically and non-clinically), TVR (clinically and non-clinically) and non-TVR.

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

  7. Stent thrombosis rates according to ARC classification

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

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Study locations

23 sites
  • Research Centre BG-004
    Plovdiv, Bulgaria
  • Research Centre BG-001
    Sofia, Bulgaria
  • Research Centre HU-002
    Budapest, Hungary
  • Research Centre HU-001
    Szeged, Hungary
  • Research Centre IT-001
    Milan, Italy
  • Research Centre NL-007
    Amsterdam, Netherlands
  • Research Centre NL-008
    Breda, Netherlands
  • Research Centre NL-009
    Eindhoven, Netherlands
  • Research Centre NL-002
    Leeuwarden, Netherlands
  • Research Centre NL-003
    Rotterdam, Netherlands
  • Research Centre PL-002
    Chrzanow, Poland
  • Research Centre PL-005
    Kędzierzyn- Koźle, Poland
  • Research Centre NL-009
    Warsaw, Poland
  • Research Centre ES-003
    Barcelona, Spain
  • Research Centre ES-005
    Barcelona, Spain
  • Research Centre ES-012
    Madrid, Spain
  • Research Centre ES-018
    Vigo, Spain
  • Research Centre GB-021
    Belfast, United Kingdom
  • Research Centre GB-002
    Cardiff, United Kingdom
  • Research Centre GB-010
    Cottingham, United Kingdom
  • Research Centre GB-022
    London, United Kingdom
  • Research Centre GB-013
    Newcastle-Upon-Tyne, United Kingdom
  • Research Centre GB-012
    Stevenage, United Kingdom
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References and documents

Publications

  • de Winter RJ, Zaman A, Hara H, Gao C, Ono M, Garg S, Smits PC, Tonino PAL, Hofma SH, Moreno R, Choudhury A, Petrov I, Cequier A, Colombo A, Kaul U, Onuma Y, Serruys PW. Sirolimus-eluting stents with ultrathin struts versus everolimus-eluting stents for patients undergoing percutaneous coronary intervention: final three-year results of the TALENT trial. EuroIntervention. 2022 Aug 19;18(6):492-502. doi: 10.4244/EIJ-D-21-00766. PubMed 35285804 ↗
  • Wang R, Kawashima H, Hara H, Gao C, Ono M, Takahashi K, Tu S, Soliman O, Garg S, van Geuns RJ, Tao L, Wijns W, Onuma Y, Serruys PW. Comparison of Clinically Adjudicated Versus Flow-Based Adjudication of Revascularization Events in Randomized Controlled Trials. Circ Cardiovasc Qual Outcomes. 2021 Nov;14(11):e008055. doi: 10.1161/CIRCOUTCOMES.121.008055. Epub 2021 Oct 20. PubMed 34666500 ↗
  • Zaman A, de Winter RJ, Kogame N, Chang CC, Modolo R, Spitzer E, Tonino P, Hofma S, Zurakowski A, Smits PC, Prokopczuk J, Moreno R, Choudhury A, Petrov I, Cequier A, Kukreja N, Hoye A, Iniguez A, Ungi I, Serra A, Gil RJ, Walsh S, Tonev G, Mathur A, Merkely B, Colombo A, Ijsselmuiden S, Soliman O, Kaul U, Onuma Y, Serruys PW; TALENT trial investigators. Safety and efficacy of a sirolimus-eluting coronary stent with ultra-thin strut for treatment of atherosclerotic lesions (TALENT): a prospective multicentre randomised controlled trial. Lancet. 2019 Mar 9;393(10175):987-997. doi: 10.1016/S0140-6736(18)32467-X. Epub 2019 Feb 28. PubMed 30827782 ↗

Individual participant data

Plan to share: Undecided — The research data will be entered on separate forms and stored under a code number, according to prevailing legal requirements. No names or other personal data will be stored. Only the study doctor will hold the information to link the code to the patients. The encoded data will be processed, analysed and reported by the research employees of this study, who have an obligation of secrecy. Representatives of the sponsor or members of the Ethics Committee (EC) and regulatory authorities within Europe can have access to the medical files in order to inspect the correctness of the research data. Data may be provided to representatives and affiliates of the industries supporting the study: Sahajanand Medical Technologies.It is possible that the results of this study are presented or published in medical journals; this will always be without mention of the identity of the patients.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 17, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02870140
Lead sponsor
ECRI bv
Collaborators
Sahajanand Medical Technologies Limited
Responsible party
Sponsor
First posted
Aug 17, 2016
Start date
Oct 21, 2016
Primary completion
Sep 20, 2018
Completion
Aug 26, 2020
Last update
Dec 17, 2020

Study contacts

P. W. Serruys, Prof. MD.
study chair · International Center for Circulatory Health, NHLI, Imperial College, London, United Kingdom
U. Kaul, Prof. MD.
study chair · Fortis Escorts Heart Institute & Research Centre, New Delhi, India
R. de Winter, Prof. MD.
principal investigator · Academisch Medisch Centrum, Amsterdam, The Netherlands
A. Zaman, MD.
principal investigator · Cardiac Catheter Laboratories, Royal Freeman, Newcastle, United Kingdom
Ernest Spitzer, MD.
study director · ECRI-Trials B.V. (E.Spitzer@ECRI-Trials.com)

Oversight

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

Not currently enrolling

This study is completed, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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