ClinicalTrials.gg
Status unknownNCT03913832TRANSFORM IUpdated Oct 5, 2022

TReAtmeNt of Small Coronary Vessels: MagicTouch Sirolimus Coated Balloon

An interventional study of sirolimus drug coated balloon (SCB) and paclitaxel releasing coronary balloon catheter in Coronary Artery Disease and DCB, sponsored by Concept Medicals BV. Status unknown at 6 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-10-05.

Sponsored by Concept Medicals BV · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2022), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
121
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study is a prospective, multinational (Italy, Ireland and UK), multicenter, randomised Clinical Trial that compares the efficacy and performance of two drug coated balloon (DCB), the MAGIC TOUCH sirolimus coated balloon (Concept Medical) and SeQuent Please paclitaxel coated balloon (B Braun). The objective of the study is to compare angiographic outcomes of Magic TouchTM sirolimus coated balloon (Concept Medical) versus SeQuentTM paclitaxel coated balloon (Bbraun) for the treatment of de novo coronary artery lesions in small vessels (≤2.75 mm) with respect to Net Gain (mm) at 6 months follow-up

Read the detailed description

A prospective, randomized, multi-centre study in subjects with small vessels, i.e. at least one de-novo lesion in a small vessel (≤2.75mm). Vessel size will be determined first by QCA on-line (screening, pre-procedure). If, based on QCA on-line the vessel size pre-procedure is ≤2.75mm and following a successful pre-dilatation (i.e. no angiographic dissections type CDEF and TIMI>2), the subject will be randomized in a 1:1 fashion to Magic Touch or SeQuent Please Neo. OCT will be performed post pre-dilatation (guidance) prior to drug coated balloon (DCB) treatment. The DCB balloon size will be selected based on OCT measurements.

02

Conditions studied

  • Coronary Artery Disease
  • DCB

Keywords

  • small vessel
  • sirolimus
  • drug coating balloon
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In context

Coronary Artery Disease

5,677 studies on the registry are indexed under Coronary Artery Disease; 958 are open to participants now.

This study's enrollment of 121 is close to the median of 123 across 3,481 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

This is the only study on the registry with Concept Medicals BV as lead sponsor.

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

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

  1. Male or female patients ≥18 years
  2. Patient with chronic stable angina or stabilized acute coronary syndromes with normal cardiac biomarker values

    Note: For patients showing elevated Troponin (e.g. non-STEMI patients) at baseline (within 72h pre-PCI) an additional blood sample must be collected prior to randomization to confirm that:

    • hs-cTn or Troponin I or T levels are stable, i.e. the value should be within 20% range of the value found in the first sample at baseline, or have dropped
    • CK-MB and CK levels are within normal range If hs-cTn or Troponin I or T levels are stable or have dropped, the CK-MB and CK levels are within normal ranges, and the ECG is normal, the patient may be included in the study.
  3. The patient has a planned intervention in one or two separate major epicardial territories (LAD, LCX or RCA) and has at least one de-novo lesion in a small vessel (≤2.75mm by QCA prior to pre-dilatation)
  4. Target lesion length ≤30 mm
  5. Able to understand and provide informed consent and comply with all study procedures including 6 months angiographic follow-up
  6. Patient must have completed the follow-up phase of any previous study

Exclusion criteria

Exclusion Criteria:

  1. Patient is a woman who is pregnant or nursing (a pregnancy test must be performed within 7 days prior to the index procedure in women of child-bearing potential)
  2. Evidence of ongoing acute myocardial infarction (AMI) in ECG and/or elevated cardiac biomarkers (according to local standard hospital practice) have not returned within normal limits at the time of procedure
  3. Known contraindication or hypersensitivity to sirolimus, paclitaxel, or to medications such as aspirin, heparin, and all of the following four medications: clopidogrel bisulfate, ticlopidine, prasugrel, ticagrelor
  4. Patient suffered from stroke/TIA during the last 6 months
  5. LVEF \<30%
  6. Platelet count \<100,000 cells/mm3 or >400,000 cells/mm3, a WBC of \<3,000 cells/mm3, or documented or suspected liver disease (including laboratory evidence of hepatitis)
  7. Known renal insufficiency (e.g. serum creatinine >2.5mg/dL, or creatinine clearance ≤30 mL/min), or subject on dialysis, or acute kidney failure (as per physician judgment)
  8. Patient undergoing planned surgery within 6 months with the necessity to stop DAPT
  9. History of bleeding diathesis or coagulopathy
  10. The patient is a recipient of a heart transplant
  11. Concurrent medical condition with a life expectancy of less than 12 months
  12. The patient is unwilling/not able to return for angiographic recatherisation at 6 month follow-up
  13. Currently participating in another trial and not yet at its primary endpoint.

    Angiographic exclusion criteria:

  14. The patient has a planned intervention in three separate major epicardial territories (3 vessel disease)
  15. The patient has a planned intervention in the left-main plus two separate major epicardial territories (left-main plus 2 vessel disease)
  16. Target vessel size >2.75 mm (by QCA)
  17. Target vessel size \<2.00 mm (by QCA)
  18. Target lesion has a total occlusion or TIMI flow \<2
  19. Target lesion in left main stem
  20. The target vessel contains visible thrombus
  21. Aorto-ostial target lesion (within 3 mm of the aorta junction)
  22. Moderate-severe tortuous, calcified or angulated coronary anatomy of the target vessel that in the opinion of the investigator would result in suboptimal imaging or excessive risk of complication from placement of an OCT catheter
  23. Lesion is located within an arterial or saphenous vein graft or distal to a diseased arterial or saphenous vein graft.
05

Study design

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

Study arms

  • Experimental
    sirolimus drug coated balloon (SCB)

    Magic TouchTM (Concept Medical) is a sirolimus drug coated balloon (SCB)

    Device: sirolimus drug coated balloon (SCB)

  • Active comparator
    paclitaxel releasing coronary balloon catheter.

    SeQuent PleaseTM (B. Braun Melsungen AG, Vascular Systems,Berlin, Germany) is a paclitaxel releasing coronary balloon catheter

    Device: paclitaxel releasing coronary balloon catheter

Interventions

  • Devicesirolimus drug coated balloon (SCB)

    Magic TouchTM (Concept Medical) is a sirolimus drug coated balloon (SCB) for PCI, based on a polymer-free and Nano based drug delivery technology. Magic Touch SCB is a product of CMI proprietary drug delivery technology "Nanolute". It is indicated (CE approved) for ISR, small vessels, bifurcation lesions \& de novo lesions.

  • Devicepaclitaxel releasing coronary balloon catheter

    SeQuent PleaseTM (B. Braun Melsungen AG, Vascular Systems,Berlin, Germany) is a paclitaxel releasing coronary balloon catheter.

06

What researchers measure

Primary outcomes

  1. Net Gain (mm) In-segment

    The primary endpoint is in-segment (balloon treated area) Net Gain (mm) at 6 months post-procedure.

    Time frame: 6 Months

Secondary outcomes

  1. Device success

    Successful delivery and inflation within 45 seconds of the allocated DCB device at the intended target lesion during an attempt with a DCB not previously used (first use) and successful withdrawal of the device system with attainment of final in-lesion residual stenosis of \<30% (by Quantitative Coronary angiography).

    Time frame: Post procedure (Right after the treatment with drug coated balloon)

  2. Procedure Success

    Successful delivery and inflation within 45 seconds of the allocated DCB device at all intended target lesion(s) during an attempt with a DCB not previously used (first use) and successful withdrawal of the device system with attainment of final in-lesion residual stenosis of \<30% (by QCA) without the occurrence of TLF during the index procedure hospital stay).

    Time frame: Post procedure (Right after the treatment with drug coated balloon)

  3. Acute/subacute/early/late vessel closure/thrombosis

    Closure by restenosis or thrombosis (diameter stenosis of 100% and/or TIMI grade 0).

    Time frame: 1, 6 months and 12 Months

  4. Angiographic outcomes: late lumen loss

    The difference between the minimum lumen diameter (MLD) immediately after index procedure and the MLD at follow-up as measured in (preferable) identical orthogonal views (MLDpost - MLDfup).

    Time frame: 6 months

  5. Angiographic outcomes:Minimal lumen diameter

    The smallest lumen diameter in the segment of interest

    Time frame: 6 months

  6. Angiographic outcomes: Percent diameter stenosis

    The percentage of luminal narrowing of vessel segment of interest

    Time frame: 6 months

  7. Angiographic outcomes: Restenosis rate

    Restenosis is defined as ≥50% diameter stenosis at follow-up.

    Time frame: 6 months

  8. Device oriented Composite Endpoint (DoCE / TLF): Cardiac death

    Any death due to proximate cardiac cause (e.g. MI, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, all study procedure related deaths including those related to concomitant treatment.

    Time frame: 1, 6 months and 12 Months

  9. Device oriented Composite Endpoint (DoCE / TLF): Target vessel: myocardial infarction (TV-MI)

    The term myocardial injury should be used when there is evidence of elevated cardiac troponin values (cTn) with at least one value above the 99th percentile upper reference limit (URL) TV-MI: Myocardial Infarction not clearly attributable to a non-target vessel.

    Time frame: 1, 6 months and 12 Months

  10. Device oriented Composite Endpoint (DoCE / TLF): clinically indicated target lesion revascularization(TLR)

    TLR is defined as any repeat percutaneous intervention of the target lesion or bypass surgery of the target vessel performed for restenosis or other complication of the target lesion.

    Time frame: 1, 6 months and 12 Months

07

Study locations

6 sites
  • Galway University Hospital
    Galway, Ireland
  • Maria Cecilia Hospital spa
    Cotignola, Emilia-Romagna 48033, Italy
  • I.R.C.C.S. Policlinico San Donato
    San Donato Milanese, Lombardy 20097, Italy
  • AOUC Azienda Ospedaliero-Universitaria Careggi
    Florence, Tuscany 50134, Italy
  • Istituto Clinico Humanitas
    Rozzano, Italy
  • Heart of England NHS Trust, Heartlands Hospital
    Birmingham, United Kingdom
08

References and documents

Publications

  • Ono M, Kawashima H, Hara H, Katagiri Y, Takahashi K, Kogame N, Wykrzykowska JJ, Piek JJ, Doshi M, Sharif F, Onuma Y, Colombo A, Serruys PW, Cortese B. A Prospective Multicenter Randomized Trial to Assess the Effectiveness of the MagicTouch Sirolimus-Coated Balloon in Small Vessels: Rationale and Design of the TRANSFORM I Trial. Cardiovasc Revasc Med. 2021 Apr;25:29-35. doi: 10.1016/j.carrev.2020.10.004. Epub 2020 Oct 17. PubMed 33109476 ↗

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03913832
Lead sponsor
Concept Medicals BV
Responsible party
Sponsor
First posted
Apr 12, 2019
Start date
Aug 28, 2020
Primary completion
Mar 10, 2023 (estimated)
Completion
Sep 10, 2023 (estimated)
Last update
Oct 5, 2022

Study contacts

Patrick Serruys, Dr
study chair · NUIG Imaging CoreLab
Bernardo Cortese, Dr
study chair · Fondazione RIC

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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