ClinicalTrials.gg
RecruitingNCT06631755CaOCTUpdated Dec 19, 2025

Influence of Vessel Wall Calcification on Early Stent Strut Healing

An interventional study of Xience Skypoint stent over calcified coronary lesions in Coronary Artery Disease, sponsored by Fundación EPIC. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-19.

Sponsored by Fundación EPIC · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2026, 6 months ago, but the record still lists the study as recruiting.
  • Started Nov 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

To assess the influence of superficial calcium on the early endothelialization (1 month) of the struts of the Xience Skypoint stent (comparing struts with underlying superficial calcium to struts without underlying calcification)

Read the detailed description

To assess the influence of superficial calcium on the early endothelialization (1 month) of the struts of the Xience Skypoint stent (comparing struts with underlying superficial calcium to struts without underlying calcificatition by opticaL COHERENCE TOMOGRAPHY.

02

Conditions studied

  • Coronary Artery Disease

Keywords

  • Calcification
  • Strut coverage
  • Optical Coherence Tomography (OCT)
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 40 is below the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Fundación EPIC is the lead sponsor of 48 studies on the registry; 19 are open to participants now.

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

Patients who meet all the following conditions will be included:

  • Patients aged ≥ 18 years old and;
  • Patients with clinical indication for stent implantation and;
  • Patients with OCT evaluation that shows the presence of calcified tissue underlying the lumen surface, fulfilling the definition of superficial calcium (The distance from the abluminal point of the calcium to the luminal surface is less than 500 μm, in a perpendicular axis to the vessel luminal surface. When referred to the stent struts it will be assumed that such distance of less than 500 μm will be measured between the centre of the abluminal surface of the strut and the abluminal point of the calcium, in the same perpendicular axis).and;
  • Patients with good quality baseline OCT evaluation as judged by the investigators and;
  • Patients who have been briefed on the study characteristics and have given their prior written .

Exclusion criteria

Exclusion Criteria:

  • Patients who meet, at least, 1 of the following conditions will be excluded:
  • Patients with current ST-elevation Myocardial Infarction (STEMI).
  • Patients with non-native lesion: stent restenosis, segment previously treated with drug eluting balloon, arterial or saphenous vein grafts.
  • Patients with for the 1-month follow-up angiography and OCT:

    • (GFR)\< 30 ml/min/1.72m2
    • Contrast allergy
    • Baseline post-stent control OCT failure, due to tortuosity or any other reason.
  • Patient not candidate for a follow up angiography, due to frailty, non-cardiac disease or whatever other condition considered by the local team.
Terms in these criteria, in plain language(3)

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Other
    Coronary Artery Disease (CAD)

    Device: Xience Skypoint stent over calcified coronary lesions

Interventions

  • DeviceXience Skypoint stent over calcified coronary lesions

    Patients with Xience Skypoint stent implanted after OCT assesment of calcification

06

What researchers measure

Primary outcomes

  1. Mean strut coverage thickness of stent

    Mean strut coverage thickness (μ) of the stent struts located over superficial calcium will be compared to the mean strut coverage thickness of the struts in the calcium free frames by Optical Coherence Tomography (OCT).

    Time frame: 1 month

Secondary outcomes

  1. Proportion of covered struts

    proportion of covered struts (%) lying over superficial calcium compared to the proportion of covered struts in calcium free frames

    Time frame: 1 month

  2. Proportion of uncovered struts

    Proportion of uncovered struts by OCT at 1 month comparing calcified and non-calcified struts by OCT

    Time frame: 1 month

  3. Proportion of acute post PCI malapposition struts

    Proportion of acute post PCI malapposition comparing calcified and non-calcified struts by OCT

    Time frame: 1 month

  4. Proportion of malapposed struts

    Proportion of malapposed struts comparing calcified and non-calcified struts by OCT at 1 month

    Time frame: 1 month

  5. Proportion of the resolution of the baseline malapposition struts

    Proportion of the resolution of the baseline malapposition struts according to the presence of underlying superficial calcium by OCT at 1 month

    Time frame: 1 month

  6. Degree of endothelialization

    Difference in mean struck coverage thickness between calcified lesion and no calcified lesion

    Time frame: 1 month

  7. Major adverse cardiovascular events (MACE)

    Major adverse cardiovascular events (MACE) defined as a composite of all-cause mortality, cardiac death, myocardial infarction, or target vessel revascularization at 6 months

    Time frame: 6 months

  8. All Death

    Freedom from all Death

    Time frame: 6 months

  9. Cardiac Death

    Freedom from Cardiac Death

    Time frame: 6 months

  10. Myocardial Infarction

    Freedom from Myocardial Infarction

    Time frame: 6 months

  11. Target Vessel Revascularization

    Freedom from Target Vessel Revascularization

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Genereux P, Madhavan MV, Mintz GS, Maehara A, Palmerini T, Lasalle L, Xu K, McAndrew T, Kirtane A, Lansky AJ, Brener SJ, Mehran R, Stone GW. Ischemic outcomes after coronary intervention of calcified vessels in acute coronary syndromes. Pooled analysis from the HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) and ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) TRIALS. J Am Coll Cardiol. 2014 May 13;63(18):1845-54. doi: 10.1016/j.jacc.2014.01.034. Epub 2014 Feb 19. PubMed 24561145 ↗
  • Mosseri M, Satler LF, Pichard AD, Waksman R. Impact of vessel calcification on outcomes after coronary stenting. Cardiovasc Revasc Med. 2005 Oct-Dec;6(4):147-53. doi: 10.1016/j.carrev.2005.08.008. PubMed 16326375 ↗
  • Lindsay AC, Paulo M, Kadriye K, Tejeiro R, Alegria-Barrero E, Chan PH, Foin N, Syrseloudis D, Di Mario C. Predictors of stent strut malapposition in calcified vessels using frequency-domain optical coherence tomography. J Invasive Cardiol. 2013 Sep;25(9):429-34. PubMed 23995714 ↗
  • Honda Y, Toyama T, Miyaishi Y, Kan H, Kawaguchi R, Adachi H, Hoshizaki H, Oshima S. Coronary artery calcification as a new predictor of non-target lesion revascularization during the chronic phase after successful percutaneous coronary intervention. Cardiovasc Interv Ther. 2014 Oct;29(4):315-23. doi: 10.1007/s12928-014-0274-4. Epub 2014 Jun 7. PubMed 24906449 ↗
  • Madhavan MV, Tarigopula M, Mintz GS, Maehara A, Stone GW, Genereux P. Coronary artery calcification: pathogenesis and prognostic implications. J Am Coll Cardiol. 2014 May 6;63(17):1703-14. doi: 10.1016/j.jacc.2014.01.017. Epub 2014 Feb 12. PubMed 24530667 ↗
  • Otaegui Irurueta I, Gonzalez Sucarrats S, Barron Molina JL, Perez de Prado A, Massotti M, Carmona Ramirez MA, Marti G, Bellera N, Serra B, Serra V, Domingo E, Lopez-Benito M, Sabate M, Ferreira Gonzalez I, Garcia Del Blanco B. Can an ultrathin strut stent design and a polymer free, proendothelializing probucol matrix coating improve early strut healing? The FRIENDLY-OCT trial. An intra-patient randomized study with OCT, evaluating early strut coverage of a novel probucol coated polymer-free and ultra-thin strut sirolimus-eluting stent compared to a biodegradable polymer sirolimus-eluting stent. Int J Cardiol. 2022 Aug 1;360:13-20. doi: 10.1016/j.ijcard.2022.04.043. Epub 2022 Apr 25. PubMed 35472561 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06631755
Lead sponsor
Fundación EPIC
Responsible party
Sponsor
First posted
Oct 8, 2024
Start date
Nov 7, 2024
Primary completion
May 1, 2026 (estimated)
Completion
May 1, 2026 (estimated)
Last update
Dec 19, 2025

Study contacts

BRUNO GARCIA DEL BLANCO, MD, PhD
Contact
brunogb51@gmail.com
0034932746155
FUNDACION EPIC
Contact
iepic@fundacionepic.org
00987876135

Oversight

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

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