ClinicalTrials.gg
Active, not recruitingNCT07839806DCB-SVDUpdated Sep 24, 2026

Drug-coated Balloons Versus Drug-eluting Stents for de Novo Small-vessel Coronary Artery Disease

An observational study in Coronary Artery Disease, sponsored by National and Kapodistrian University of Athens. Active, not recruiting at 1 site in Greece. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by National and Kapodistrian University of Athens · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
230
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 75 studies in Coronary Artery Disease with a site in Greece — 12 open to participants now, 18 under way, 3 of them phase 3. Coronary Artery Disease · Greece.

Planned enrollment
18th of 24
230 · median 727
Started
2024
with 6 others
Observational
24 of 75
6 open now
Primary completion
2026-12
later than 5 of 17 live
Registered
75th of 75
by date

Among the 75 studies in Coronary Artery Disease with a site in Greece, this one is the 18th largest by planned enrollment of the 24 observational ones that give a count, is one of 7 that started in 2024, is one of 24 observational ones, reaches primary completion later than 5 of the 17 other live ones, and was the 75th registered.

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 230 is below the median of 320 across 1,687 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Open to participants now

12 of the 75 studies in Coronary Artery Disease with a site in Greece are open now.

All 12 open studies →

A study can be open while its sites in Greece have not opened yet or have stopped. Only those recruiting at a site in Greece →

Who these studies take

Of the 588 Coronary Artery Disease studies recruiting now, 402 (68%) set no upper age limit and 68 (12%) stop at 75 or younger; 38 take children under 18; 47 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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02

Study summary

This prospective, multicenter observational study will compare the safety and clinical outcomes of drug-coated balloon angioplasty and second-generation drug-eluting stent implantation in patients undergoing percutaneous coronary intervention for previously untreated lesions in small coronary vessels.

The treatment strategy will be selected by the treating interventional cardiologist according to the patient's clinical and angiographic characteristics and will not be assigned randomly by the study. Participants will receive standard clinical care and will be followed for 12 months. The study will evaluate major adverse cardiovascular events, including cardiovascular death, myocardial infarction, and the need for repeat treatment of the target lesion. Procedural outcomes and treatment-related complications will also be recorded.

Read the detailed description

Small-vessel coronary artery disease remains a challenging setting for percutaneous coronary intervention because the limited vessel diameter increases the potential clinical impact of neointimal proliferation and restenosis. Second-generation drug-eluting stents represent an established treatment strategy, whereas drug-coated balloons deliver an antiproliferative agent without leaving a permanent metallic scaffold.

This is a prospective, multicenter, non-randomized observational study of consecutive patients undergoing percutaneous coronary intervention for de novo small-vessel coronary lesions. Lesion preparation and all procedural decisions will be performed according to contemporary clinical practice. Following adequate lesion preparation, the selection of a drug-coated balloon or a second-generation drug-eluting stent will be made by the treating interventional cardiologist on the basis of clinical, angiographic, and procedural considerations. The study protocol does not assign treatment and does not alter routine patient care.

Baseline demographic and clinical characteristics, angiographic findings, lesion characteristics, procedural details, device-related information, and in-hospital events will be recorded prospectively. Participants will undergo clinical follow-up for 12 months to document cardiovascular events, repeat coronary revascularization, and other relevant clinical outcomes. Outcomes will be compared between the drug-coated balloon and drug-eluting stent cohorts, taking into consideration the non-randomized nature of treatment selection and potential baseline differences between the groups.

03

Conditions studied

  • Coronary Artery Disease

Keywords

  • Small vessel coronary artery disease
  • Coronary artery disease
  • Drug coated balloon
  • Drug eluting stent
  • Percutaneous Coronary Intervention
  • De Novo Coronary lesion
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Consecutive adult patients with chronic coronary syndrome or non-ST-elevation acute coronary syndrome undergoing percutaneous coronary intervention for de novo small-vessel coronary artery disease at participating centers will be considered for inclusion. Eligible lesions will be located in native coronary arteries with a reference vessel diameter greater than 2.0 mm and less than 2.75 mm. Patients will be included in the drug-coated balloon or second-generation drug-eluting stent cohort according to the treatment selected by the treating interventional cardiologist during routine clinical care. Treatment allocation will not be randomized or determined by the study protocol.

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

  • Age 18 years or older. Chronic coronary syndrome or non-ST-elevation acute coronary syndrome requiring percutaneous coronary intervention.

De novo lesion in a native coronary artery. Reference vessel diameter greater than 2.0 mm and less than 2.75 mm. Angiographic diameter stenosis greater than 70%. Successful lesion preparation, defined as residual stenosis of 30% or less, TIMI grade 3 flow, and absence of an NHLBI type C-F flow-limiting dissection.

Treatment with a drug-coated balloon or a second-generation drug-eluting stent, selected at the discretion of the treating interventional cardiologist.

Ability to provide and comply with clinical follow-up.

Exclusion criteria

Exclusion Criteria:

  • ST-elevation myocardial infarction requiring primary percutaneous coronary intervention.

In-stent restenosis. Cardiogenic shock or hemodynamic instability at the time of the index procedure.

to antiplatelet therapy or to any component of the devices used.

of less than 12 months because of a non-cardiovascular condition.

Pregnancy. Inability to provide or complete the planned follow-up.

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.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
230 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • Drug Coated Balloon Group

    Patients undergoing percutaneous coronary intervention for de novo small-vessel coronary artery disease using a drug-coated balloon after adequate lesion preparation. Treatment selection is made by the treating interventional cardiologist as part of routine clinical care.

    Device: Drug coated balloon

  • Drug Eluting Stent Group

    Patients undergoing percutaneous coronary intervention for de novo small-vessel coronary artery disease using a second-generation drug-eluting stent. Treatment selection is made by the treating interventional cardiologist as part of routine clinical care.

    Device: Drug Eluting stent

Interventions

  • DeviceDrug coated balloon

    Percutaneous coronary intervention performed using a drug-coated balloon following adequate lesion preparation. Balloon type, diameter, length, inflation pressure, and inflation duration are selected by the treating interventional cardiologist according to lesion characteristics and routine clinical practice. Bailout stent implantation may be performed when clinically required, including in cases of significant residual stenosis, impaired coronary flow, or flow-limiting dissection.

  • DeviceDrug Eluting stent

    Percutaneous coronary intervention performed using a second-generation drug-eluting stent following lesion preparation. Stent type, diameter, length, implantation pressure, and post-dilatation strategy are selected by the treating interventional cardiologist according to lesion characteristics and routine clinical practice.

06

What researchers measure

Primary outcomes

  1. Major Adverse Cardiovascular Events

    Number of participants experiencing at least one major adverse cardiovascular event, defined as the composite of cardiovascular death, nonfatal myocardial infarction, or clinically driven target lesion revascularization.

    Time frame: From the index procedure through 12 months

Secondary outcomes

  1. Cardiovascular Death

    Time frame: Through 12 months

  2. Nonfatal Myocardial Infarction

    Time frame: Through 12 months

  3. Target Vessel Revascularization

    Time frame: Through 12 months

  4. Procedural Success

    Time frame: During the index procedure

  5. Major Bleeding

    Time frame: During hospitalization and through 12 months

  6. Bailout Stent Implantation

    Time frame: During the index procedure

07

Study locations

1 site
  • First Department of Cardiology, Medical School of Athens, National and Kapodistrian University of Athens, General Hospital of Athens Ippokrateio, Athens, Greece
    Athens, Attica 11527, Greece
08

References and documents

Publications

  • Fezzi S, Scheller B, Cortese B, Alfonso F, Jeger R, Colombo A, Joner M, Shin ES, Kleber FX, Latib A, Rissanen TT, Eccleshall S, Ribichini F, Tao L, Koo BK, Chieffo A, Ge J, Granada JF, Stoll HP, Spaulding C, Cavalcante R, Abizaid A, Muramatsu T, Boudoulas KD, Waksman R, Mehran R, Cutlip DE, Krucoff MW, Stone GW, Garg S, Onuma Y, Serruys PW. Definitions and standardized endpoints for the use of drug-coated balloon in coronary artery disease: consensus document of the Drug Coated Balloon Academic Research Consortium. EuroIntervention. 2025 Apr 24;21(19):e1116-36. doi: 10.4244/EIJ-E-25-00021. Online ahead of print. PubMed 40272160 ↗
  • Fezzi S, Serruys PW, Cortese B, Scheller B, Alfonso F, Jeger R, Colombo A, Joner M, Shin ES, Kleber F, Latib A, Rissanen TT, Eccleshall S, Ribichini F, Tao L, Koo BK, Chieffo A, Ge J, Granada JF, Stoll HP, Spaulding C, Cavalcante R, Abizaid A, Muramatsu T, Boudoulas KD, Waksman R, Mehran R, Cutlip D, Krucoff M, Stone GW, Garg S, Onuma Y. Indications for Use of Drug-Coated Balloons in Coronary Intervention: Academic Research Consortium Position Statement. J Am Coll Cardiol. 2025 Oct 14;86(15):1170-1202. doi: 10.1016/j.jacc.2025.07.049. PubMed 41062231 ↗
  • Fahrni G, Scheller B, Coslovsky M, Gilgen N, Farah A, Ohlow MA, Mangner N, Weilenmann D, Wohrle J, Cuculi F, Leibundgut G, Mobius-Winkler S, Zweiker R, Twerenbold R, Kaiser C, Jeger R; BASKET-SMALL 2 Investigators. Drug-coated balloon versus drug-eluting stent in small coronary artery lesions: angiographic analysis from the BASKET-SMALL 2 trial. Clin Res Cardiol. 2020 Sep;109(9):1114-1124. doi: 10.1007/s00392-020-01603-2. Epub 2020 Jan 29. PubMed 31993736 ↗
  • Cortese B, Testa G, Rivero F, Erriquez A, Alfonso F. Long-Term Outcome of Drug-Coated Balloon vs Drug-Eluting Stent for Small Coronary Vessels: PICCOLETO-II 3-Year Follow-Up. JACC Cardiovasc Interv. 2023 May 8;16(9):1054-1061. doi: 10.1016/j.jcin.2023.02.011. Epub 2023 Apr 19. PubMed 37164603 ↗
  • Tsiamis N, Tsakirian F, Papanikolaou A, Afendoulis D, Toulgaridis F, Dimitriadis K, Tolis I, Tzortzis S, Triantis G, Aghayan S, Tsioufis K, Toutouzas K. Revolutionizing Modern Percutaneous Coronary Intervention: Drug-Coated Balloons for Diabetics With Small Vessel Disease. A Narrative Review. Catheter Cardiovasc Interv. 2026 May;107(6):1922-1933. doi: 10.1002/ccd.70550. Epub 2026 Mar 15. PubMed 41833545 ↗

Individual participant data

Plan to share: No — Individual participant-level data are not currently planned to be shared because the study consent, institutional data-governance requirements, and applicable data-protection regulations do not provide for public or unrestricted sharing of participant-level clinical data. Aggregate study results may be reported in scientific publications and conference presentations.

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 Oct 2024 (actual). Primary completion is estimated for Dec 2026, 26 months after the start.

Of 634 non-industry observational studies under Coronary Artery Disease, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 122. This study's planned 26 months is below that.

Counting every sponsor, half of 759 studies reached it within 40 months; a quarter within 21 and three quarters within 87.

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

Registered
Sep 18, 2026
First posted
Sep 24, 2026
StartActual
Oct 3, 2024
Primary completionEst.
Dec 3, 2026
CompletionEst.
Oct 3, 2027
Last update
Sep 24, 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 Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07839806
Collaborators
Sismanoglio General Hospital
Responsible party
Nikolaos Tsiamis (Cardiology Resident and PhD Candidate, National and Kapodistrian University of Athens) — Principal investigator
First posted
Sep 24, 2026
Start date
Oct 3, 2024
Primary completion
Dec 3, 2026 (estimated)
Completion
Oct 3, 2027 (estimated)
Last update
Sep 24, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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