ClinicalTrials.gg
RecruitingNCT07444957SECuREUpdated Mar 3, 2026

Safety and Effectiveness of the Crystalline Sirolimus-Eluting Device in Patients With Coronary Artery Disease

An observational study in Coronary Arterial Disease (CAD), NSTEMI - Non-ST Segment Elevation Myocardial Infarction (MI) and Stable Angina, Unstable Angina, NSTEMI, sponsored by Fundación Interhospitalaria para la Investigación Cardiovascular FIC. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-03.

Sponsored by Fundación Interhospitalaria para la Investigación Cardiovascular FIC · Observational

From the registry’s dates

  • Started Jan 2026; still recruiting 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,118
Ages
18 Years and older
Sex
All
01

Study summary

This prospective, multicenter, post-market observational study aims to evaluate the safety and effectiveness of the crystalline sirolimus-coated balloon (SeQuent® Sirolimus-Coated Balloon) for the treatment of coronary artery disease in routine clinical practice. Consecutive, unselected adult patients undergoing percutaneous coronary intervention for de novo coronary lesions or in-stent restenosis will be enrolled.

The primary objective is to assess target lesion failure at 12 months, defined as the composite of target vessel myocardial infarction or ischemia-driven target lesion revascularization. Secondary objectives include angiographic procedural success, major adverse cardiovascular events, bleeding outcomes, and longer-term clinical results up to 36 months, as well as outcomes across predefined anatomical and clinical subgroups.

The study seeks to answer whether treatment with the crystalline sirolimus-coated balloon provides a safe and effective revascularization strategy in a real-world population with diverse clinical presentations and lesion characteristics.

02

Conditions studied

  • Coronary Arterial Disease (CAD)
  • NSTEMI - Non-ST Segment Elevation Myocardial Infarction (MI)
  • Stable Angina, Unstable Angina, NSTEMI
  • Drug Coated Balloon
  • ST-Elevation Myocardial Infarction
  • Silent Ischemia

Keywords

  • coronary arterial disease
  • drug coated ballloon
  • TLR
  • TVR
  • MACE
03

In context

Angina, Stable

343 studies on the registry are indexed under Angina, Stable; 56 are open to participants now.

This study's planned enrollment of 1,118 is above the median of 508 across 103 observational studies indexed under Angina, Stable.

Browse Angina, Stable studies →

Lead sponsor

This is the only study on the registry with Fundación Interhospitalaria para la Investigación Cardiovascular FIC 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
Sampling method
Non-probability sample

Study population

Adult patients (≥18 years) with coronary artery disease undergoing percutaneous coronary intervention in routine clinical practice, in whom treatment of a coronary stenosis in a native vessel (de novo lesion or in-stent restenosis) or in a coronary bypass graft with the SeQuent® Sirolimus-Coated Balloon is selected at the operator's discretion. Consecutive, unselected "real-world" patients will be enrolled across participating centers, including a broad range of clinical presentations and anatomical lesion substrates, provided they meet the study eligibility criteria and provide written informed consent.

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

  • All patients must provide written .
  • Patients aged ≥18 years with coronary artery disease in whom, at the operator's discretion, treatment of a coronary stenosis in a native vessel (either de novo lesion or in-stent restenosis) or in a coronary bypass graft using the cSCB is indicated, in accordance with routine clinical practice.
  • All treated lesions/segments (single or tandem) must receive cSCB therapy covering at least 3 mm beyond both edges of the lesion or pre-dilated segment to avoid geographic miss.
  • In patients with multivessel coronary artery disease, all non-target vessels will be treated according to operator discretion: a) If more than one vessel is treated with the device (SeQuent® SCB), all vessels will be documented and analyzed separately. b) Only one lesion per vessel will be included unless lesions are separated by ≥20 mm. c) Only one lesion per vessel will be included. d) If more than one lesion in the target vessel requires treatment, all lesions treated with a device different from the investigational procedure or with a device other than the investigational device (SeQuent® SCB) must be separated from the target lesion by ≥20 mm or considered as a single treated lesion according to this study protocol.

Exclusion criteria

Exclusion Criteria:

  • Explicit refusal by the patient to participate in the study.
  • Known intolerance to sirolimus or to any component of the device.
  • to any antiplatelet therapy.
  • less than 12 months.
  • Indication for surgical coronary revascularization.
  • Pregnancy or breastfeeding.
  • Clinical characteristics considered unsuitable for drug-coated balloon use at the operator's discretion, including: a) Hemorrhagic diathesis or other conditions such as gastrointestinal ulceration or cerebrovascular disorders restricting the use of antiplatelet therapy. b) Cardiogenic shock. c) Patients with \<30% without the use of a ventricular assist device during PCI.

Angiographic exclusion criteria

  • Reference vessel diameter \<2.00 mm or >4.0 mm.
  • Treatment of the left main coronary artery.
  • Lesions not amenable to PCI or other interventional techniques.
  • Coronary artery spasm in the absence of significant stenosis.
  • Target lesion not suitable for drug-coated balloon-only PCI at the operator's discretion, including: a) Aorto-ostial lesions. b) Lesions with significant persistent residual thrombotic content visible in the vessel despite thromboaspiration. c) Treatment shortly after myocardial infarction with evidence of thrombus or impaired coronary flow.
Terms in these criteria, in plain language(5)

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.

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.

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,118 participants (estimated)
Patient registry
No

Groups and cohorts

  • Drug-coated balloon

    patients treated in routine clinical practice using the SeQuent® Sirolimus-Coated Balloon

06

What researchers measure

Primary outcomes

  1. Target Lesion Failure (TLF)

    Target lesion failure is defined as the composite of cardiac death, target vessel myocardial infarction (TV-MI) or ischemia-driven target lesion revascularization (TLR), assessed following treatment with the SeQuent® Sirolimus-Coated Balloon in routine clinical practice.

    Time frame: From enrollment to 1 year, 2 years and 3 years

Secondary outcomes

  1. Cardiac death

    Cardiac death is defined as any death resulting from an immediate cardiac cause, procedure-related cardiac complications, or any death of unknown cause.

    Time frame: From enrollment to 1 year, 2 years and 3 years

  2. Ischemia-Driven Target Lesion Revascularization (TLR)

    Incidence of ischemia-driven target lesion revascularization following treatment with the SeQuent® Sirolimus-Coated Balloon.

    Time frame: From enrollment to 2 years and 3 years

  3. Immediate Angiographic Procedural Success

    Procedural success defined as residual stenosis ≤30% and absence of flow-limiting dissection (TIMI flow \<3) immediately after the intervention.

    Time frame: Index procedure

  4. Major Adverse Cardiovascular Events (MACE)

    Composite of cardiovascular death, non-fatal myocardial infarction, or target lesion revascularization.

    Time frame: From enrollment to 1 year, 2 years and 3 years

  5. Bleeding Events

    Incidence of bleeding events assessed according to Bleeding Academic Research Consortium (BARC) criteria.

    Time frame: From enrollment to 1 year, 2 years and 3 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Jeger RV, Farah A, Ohlow MA, Mangner N, Mobius-Winkler S, Leibundgut G, Weilenmann D, Wohrle J, Richter S, Schreiber M, Mahfoud F, Linke A, Stephan FP, Mueller C, Rickenbacher P, Coslovsky M, Gilgen N, Osswald S, Kaiser C, Scheller B; BASKET-SMALL 2 Investigators. Drug-coated balloons for small coronary artery disease (BASKET-SMALL 2): an open-label randomised non-inferiority trial. Lancet. 2018 Sep 8;392(10150):849-856. doi: 10.1016/S0140-6736(18)31719-7. Epub 2018 Aug 28. PubMed 30170854 ↗
  • Jimenez Diaz VA, Iniguez Romo A. Intracoronary artery visualisation of crystalline sirolimus deposits after drug-coated balloon angioplasty for acute coronary syndrome. Lancet. 2023 Dec 2;402(10417):2111-2112. doi: 10.1016/S0140-6736(23)02349-8. No abstract available. PubMed 38042617 ↗

Individual participant data

Plan to share: Undecided — Individual participant data sharing has not been planned. Data access is restricted due to confidentiality agreements, ethical approvals, and data protection regulations. Any future data sharing would require additional approvals and appropriate data anonymization.

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 Jan 2026 (actual). Primary completion is estimated for Jul 2027, 18 months after the start.

Of 52 observational studies under Angina, Stable, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 79. This study's planned 18 months is below that.

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

Registered
Feb 24, 2026
First posted
Mar 3, 2026
StartActual
Jan 5, 2026
Primary completionEst.
Jul 5, 2027
CompletionEst.
Jul 6, 2030
Last update
Mar 3, 2026
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 Mar 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07444957
Lead sponsor
Fundación Interhospitalaria para la Investigación Cardiovascular FIC
Responsible party
Sponsor
First posted
Mar 3, 2026
Start date
Jan 5, 2026
Primary completion
Jul 5, 2027 (estimated)
Completion
Jul 6, 2030 (estimated)
Last update
Mar 3, 2026

Study contacts

Víctor A Jiménez Díaz, MD, MPH
Contact
victor.alfonso.jimenez.diaz@sergas.es
+34986825564
Pablo Juan-Salvadores, Pharma, MPH, PhD
Contact
pablo.juan@iisgaliciasur.es
+34986825564
Víctor A Jiménez Díaz, MD, MPH
study chair · Hospital Álvaro Cunqueiro, Vigo. SERGAS
Pablo Juan-Salvadores, Pharma, MPH, PhD
study director · Galicia Sur Health Research Institute (IIS Galicia Sur), Cardiovascular Research Group, Vigo, Spain.

Oversight

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

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