ClinicalTrials.gg
RecruitingNCT05544864ISAR-DESIRE5Updated Jan 6, 2025

Intracoronary Stenting and Restenosis - Randomized Trial of Drug-eluting Stent Implantation or Drug-coated Balloon Angioplasty According to Neointima Morphology in Drug-eluting Stent Restenosis 5

An interventional study of Drug eluting stent (DES) and Drug coated ballloon (DCB) in Coronary Artery Disease and Restenoses, Coronary, sponsored by Deutsches Herzzentrum Muenchen. Recruiting at 5 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-01-06.

Sponsored by Deutsches Herzzentrum Muenchen · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2022; still recruiting 4 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
376
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The hypothesis of the study is, that there is a significant interaction in treatment effect between the OCT pattern of neointima (heterogeneous or homogeneous) and the type of percutaneous coronary intervention (drug-eluting stent or drug-coated balloon) in patients with in-stent restenosis.

02

Conditions studied

  • Coronary Artery Disease
  • Restenoses, Coronary
03

In context

Coronary Artery Disease

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

This study's planned enrollment of 376 is above the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Deutsches Herzzentrum Muenchen is the lead sponsor of 114 studies on the registry; 10 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

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. Patients with ischemic symptoms and/or evidence of myocardial ischemia
  2. Presence of ≥ 50% restenosis after prior implantation of drug-eluting stents in native coronary vessels.
  3. Availability of an OCT-pullback of the target lesion
  4. Written by the patient for participation in the study.
  5. Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  1. Cardiogenic shock
  2. Acute ST-elevation myocardial infarction within 48 hours from symptom onset.
  3. Target lesion located in left main trunk or bypass graft.
  4. Additional coronary intervention planned within 30 days of the procedure.
  5. Non-successful treatment of other lesion(s) during the same procedure
  6. Severe renal insufficiency ( ≤ 30 ml/min)
  7. to any components of the devices or dual antiplatelet therapy
  8. Pregnancy (present, suspected or planned) or positive pregnancy test.
  9. Previous enrollment in this trial or participation in any other study at the time of enrollment.
  10. or other comorbid conditions with less than 12 months or that may result in protocol non-compliance.
  11. Patient's inability to fully comply with the study protocol
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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

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

Study arms

  • Other
    homogenous

    Stratification - homogenous pattern

    Device: Drug eluting stent (DES) · Device: Drug coated ballloon (DCB)

  • Other
    heterogenous

    Stratification - homogenous pattern

    Device: Drug eluting stent (DES) · Device: Drug coated ballloon (DCB)

Interventions

  • DeviceDrug eluting stent (DES)

    DES-implantation with an everolimus-eluting stent (Xience, Abbott Vascular)

  • DeviceDrug coated ballloon (DCB)

    DCB angioplasty with any commercially available drug-coated balloon

06

What researchers measure

Primary outcomes

  1. Composite endpoint of major adverse cardiac event (MACE)

    Composite endpoint of major adverse cardiac event (MACE) * all-cause death * myocardial infarction * target lesion revascularization (TLR)

    Time frame: 24 months of clinical follow-up after randomization

Secondary outcomes

  1. Target lesion failure (TLF): a composite of cardiac death, target-vessel myocardial infarction and TLR

    Time frame: 24 months of clinical follow-up after randomization

  2. Individual endpoints of the composite endpoints

    * all-cause death * myocardial infarction * target lesion revascularization (TLR)

    Time frame: 24 months of clinical follow-up after randomization

  3. Stent thrombosis according to the ARC criteria

    Time frame: 24 months of clinical follow-up after randomization

  4. Safety endpoint: a composite endpoint of all-cause death and myocardial infarction

    Time frame: 24 months of clinical follow-up after randomization

07

Study locations

5 of 5 sites recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2022 (actual). Primary completion is estimated for Sep 2026, 48 months after the start.

Of 753 non-industry interventional studies with no phase under Coronary Artery Disease, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 53. This study's planned 48 months is above that.

Counting every sponsor, half of 930 studies reached it within 30 months; a quarter within 15 and three quarters within 50.

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

Registered
Sep 9, 2022
First posted
Sep 19, 2022
StartActual
Sep 28, 2022
Primary completionEst.
Sep 2026
CompletionEst.
Sep 2026
Last update
Jan 6, 2025
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 Jan 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05544864
Collaborators
EvidentIQ Germany GmbH, Abbott, Technical University of Munich
Responsible party
Sponsor
First posted
Sep 19, 2022
Start date
Sep 28, 2022
Primary completion
Sep 2026 (estimated)
Completion
Sep 2026 (estimated)
Last update
Jan 6, 2025

Study contacts

Felix Voll, MD
Contact
voll@dhm.mhn.de
+49 89 1218 2749
Salvatore Cassese, MD, PHD
Contact
cassese@dhm.mhn.de
+49 89 1218 2764

Oversight

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

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