ClinicalTrials.gg
Not yet recruitingNCT07912541ADVANCEUpdated Nov 3, 2026

ADVA ACE Coronary Stent System in Coronary Artery Disease Patients (ADVANCE)

An interventional study of ADVA ACE Everolimus Eluting Coronary Stent System in Coronary Artery Disease, De Novo Stenosis Lesion and Coronary Stent Implantation, sponsored by Advanced MedTech Solutions Pvt. Ltd.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Advanced MedTech Solutions Pvt. Ltd. · Not applicable, Interventional, and Treatment

Updated Nov 3, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
110
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A prospective, global, multi-centre, single-arm clinical study to evaluate the Safety and Performance of ADVA ACE Everolimus eluting Coronary Stent System in Coronary Artery Disease in Indian \& European population.

To evaluate the performance of ADVA ACE Everolimus Eluting Stent, follow up indicated by MACE at 6 months.

Of the 110, 40 patients will be assigned to European population, and 70 patients will be assigned to Indian population. QCA is applicable to all Indian patients while OCT applicable for 10 Indian patients only at baseline and 6-months follow-up visit.

A QCA Analysis will be performed on all 70 patients in Indian population \& 10 Indian patients only.

Interval (Days) for patients visit at Day 0, Day 30±14, Day 180±14 and Day 360±14.

Read the detailed description

A prospective, global, multi-centre, single-arm clinical study to evaluate the Safety and Performance of ADVA ACE Everolimus eluting Coronary Stent System in Coronary Artery Disease in Indian \& European population. (ADVANCE)

A QCA Analysis will be performed on all 70 patients in Indian population \& OCT for only 10 Indian patients at baseline visit and at 6-month follow up visit.

Interval (Days) for patients visit at Day 0, Day 30±14, Day 180±14 and Day 360±14.

Sample size distribution:

Of the 110, 40 patients will be assigned to European population, and 70 patients will be assigned to Indian population.

Primary Objective:

To evaluate the performance of Adva ACE Everolimus Eluting Stent assessed by Major Adverse Cardiac Events (MACE) a composite of cardiovascular death, non-fatal Myocardial Infarction (MI) and Clinically driven Target Vessel Revascularization (CD-TVR) at 180 days.

Secondary Objectives:

To estimate patient safety and performance through incidence of Major Adverse Cardiac Events (MACE) at 30 and 360 days, clinically driven target lesion revascularization (CD-TLR), Target vessel failure (TVF) a composite of cardiovascular death, Target Vessel Myocardial Infarction (TV-MI) and Clinically driven Target Vessel Revascularization (CD-TVR), Stent thrombosis and individual components of composite endpoints at 30, 180 and 360 days.

To estimate device and procedure success of Adva ACE Everolimus Eluting stent on the device and procedure.

To estimate angiographic (QCA) and OCT parameters of performance of Adva ACE Everolimus eluting stent as defined by Late lumen loss and percentage diameter stenosis at 180 days (For India Only).

Exploratory objectives: None

Stent is approved for manufacturing and marketing in India.

02

Conditions studied

  • Coronary Artery Disease
  • De Novo Stenosis Lesion
  • Coronary Stent Implantation

Keywords

  • ADVA ACE Everolimus Eluting Coronary Stent System
  • Late Lumen Loss
  • QCA
  • OCT
  • percutaneous coronary intervention
  • Advanced Medtech Solutions
03

In context

Coronary Artery Disease

4,861 studies on the registry are indexed under Coronary Artery Disease; 892 are open to participants now.

This study's planned enrollment of 110 is below the median of 124 across 3,009 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Advanced MedTech Solutions Pvt. Ltd. is the lead sponsor of 2 studies on the registry; 2 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

  1. Age ≥18 years
  2. Gender: All (Males, Females, Transgenders, Non-binary)
  3. ICF: Patient or legally authorized representative (LAR) agrees to participate by signing the form.
  4. Patient with coronary artery disease eligible for percutaneous coronary intervention (PCI) as per current ESC / AHA/ WCC or hospital's approved guidelines.
  5. Patient with coronary artery disease having de novo lesion in native coronary arteries with a visually estimated diameter stenosis ≥50 %.
  6. Patients with Reference vessel diameter of 2.25 to 4.5 mm.
  7. Patients with lesion length ≤36 mm.

Exclusion criteria

Exclusion Criteria:

  1. Pregnant and/or lactating females.
  2. Patients under judicial protection, tutorship, curatorship, imprisonment etc (for Europe only).
  3. Patients requiring staged procedure.
  4. Known congestive heart failure ( IV) or (LVEF) \<30%.
  5. Patients with known or allergies to aspirin, heparin, clopidogrel, ticlopidine, Everolimus or similar drugs, or any other analogue or derivative, cobalt, chromium, nickel, molybdenum or contrast media.
  6. Current medical condition with a of less than 12 months.
  7. Diagnosis: Acute Myocardial Infarction within 72 hours of Planned Index procedure.
  8. Patient has current unstable arrhythmias.
  9. Patients previously treated with PCI or CABG for any coronary artery lesion revascularization.
  10. Patients with Chronic Total Occlusion or In-Stent Restenosis lesion.
  11. Patients with Ostial Lesions (within 5.0mm of vessel origin).
  12. Patients with Bifurcation lesions that include a side branch >2.0 mm diameter.
  13. Unprotected Left Main Coronary Artery lesion.
  14. Heavily calcified lesion and/or calcified lesion which cannot be successfully predilated in opinion of the treating cardiologist.
  15. Patients with Cardiogenic shock, systemic bleeding and coagulation disorders, intracranial bleeding, Renal insufficiency requiring dialysis, Acute or chronic renal dysfunction (serum creatinine >2.0mg/dl or 150 µmol/L), peripheral vascular diseases, cancer, etc. and patients who are planning to undergo surgery within 1 year of the index procedure.
  16. Patients with count \<100.000 cells/mm3 or >700.000 cells/mm3 or a WBC\<3.000 cells/mm3.
  17. Currently participating in another clinical trial.
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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

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

Study arms

  • Other
    ADVA ACE Everolimus Eluting Coronary Stent System

    Device: ADVA ACE Everolimus Eluting Coronary Stent System

Interventions

  • DeviceADVA ACE Everolimus Eluting Coronary Stent System

    ADVA ACE - Everolimus Eluting Coronary Stent System is a device/drug combination product comprised of two regulated components: a device (coronary stent system) and a drug product (a formulation of Everolimus contained in a biodegradable polymer coating). is uniquely designed with a low polymer load, abluminal coating and bioabsorbable polymer matrix which may reduce the risk of thrombosis and the need for prolonged dual antiplatelet therapy.

06

What researchers measure

Primary outcomes

  1. Major adverse cardiac events (MACE) - defined as composite of cardiovascular death, non-fatal myocardial infarction (MI), and clinically driven target vessel revascularization (CD-TVR)

    Time frame: 180 days

Secondary outcomes

  1. Incidence of Major Advance Cardiac Events 1. Cardiac Death 2. Non- fatal Myocardial Infarction 3. Clinically driven Target Vessel Revascularization

    Time frame: 30 and 360 days

  2. Clinically driven target lesion revascularization (CD-TLR)

    Time frame: 30, 180 and 360 days

  3. Target vessel failure (TVF)

    a composite of Cardiovascular (CV) death, TV-MI and CD-TVR, and individual components of composite end points

    Time frame: 30, 180 and 360 days

  4. Non-Target Vessel related Myocardial Infarction

    Time frame: 30, 180, and 360 days

  5. Stent thrombosis

    Stent thrombosis as per 1. Academic Research Consortium \[ARC\] 2 Evidence definitions - Definite and probable. 2. As per latency - Acute (0-24 hours), Subacute (24 hours- 30 days) and late (30-365 days)

    Time frame: 0-24 hours, 24 hours-30 days and late 30-365 days

  6. Device success

    Defined as achievement of a final residual stenosis of \<20%, Successful deployment of stent with complete retrieval of delivery system without coronary dissection, device deformation \& visible mal apposition on fluoroscopy with stent boost

    Time frame: 0 hour, 24 hours, 3 days

  7. Procedural Success

    Defined as achievement of a final diameter stenosis of \< 20%(site reported) using any PCI method, without the occurrence of death, MI, or repeat target vessel revascularization during hospital stay.

    Time frame: 0 hour, 24 hours, 3 days

  8. Lesion success

    Defined as achievement of \< 20% residual stenosis using any percutaneous method.

    Time frame: 0 hour, 24 hours, 3 days

Other outcomes

  1. QCA Endpoints

    Late Lumen Loss

    Time frame: 0 and 180 days

  2. QCA Endpoints

    Angiographic binary restenosis

    Time frame: 0 and 180 days

  3. QCA Endpoints

    In-stent and in-segment minimum lumen diameter (MLD)

    Time frame: 0 and 180 days

  4. QCA Endpoints

    In-stent and in-segment % diameter stenosis (DS)

    Time frame: 0 and 180 days

  5. OCT Endpoints

    Minimal Lumen Area (MLA)

    Time frame: 0 and 180 days

  6. OCT Endpoints

    Late lumen loss (LLL)

    Time frame: 0 and 180 days

  7. OCT Endpoints

    Percentage area stenosis

    Time frame: 0 and 180 days

  8. OCT Endpoints

    Neointimal hyperplasia

    Time frame: 0 and 180 days

  9. OCT Endpoints

    proportion of in stent and in segment binary restenosis

    Time frame: 0 and 180 days

  10. OCT Endpoints

    Proportion of struts uncovered and malapposed

    Time frame: 0 and 180 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Medical Device Coordination Group (MDCG). MDCG 2020-10/1 Rev. 1: Guidance on Safety Reporting in Clinical Investigations of Medical Devices under Regulation (EU) 2017/745. European Commission.
  • European Parliament and Council of the European Union. Regulation (EU) 2017/745 of 5 April 2017 on medical devices, amending Directive 2001/83/EC, Regulation (EC) No 178/2002 and Regulation (EC) No 1223/2009, and repealing Council Directives 90/385/EEC and 93/42/EEC. Official Journal of the European Union. 2017; L117:1-175.
  • Government of India, Ministry of Health and Family Welfare. Medical Devices Rules, 2017. Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i), 31 January 2017. Available at: https://cdsco.gov.in/opencms/opencms/en/Medical-Device-Division/Medical-Device-Rules/
  • Chopra HK, Ramakrishnan S, Pancholia AK, Bansal M, editors. CSI Cardiology Update 2014. 1st ed. New Delhi: Jaypee Brothers Medical Publishers; 2015.
  • Coherent Market Insights. India Coronary Stents Market. Available at: https://www.coherentmarketinsights.com/market-insight/india-coronary-stents-market-3484. Accessed 11 May 2025.
  • Eurostat. Cardiovascular diseases statistics. European Commission. Available at: https://ec.europa.eu/eurostat/statistics-explained/index.php/Cardiovascular_diseases_statistics. Accessed 11 May 2025.
  • Aminian, Alireza, et al. "Trends in Percutaneous Coronary Intervention for In-Stent Restenosis in the United States." Journal of the American College of Cardiology, vol. 76, no. 10, 2020, pp. 1131-42
  • World Heart Federation. World Heart Report 2023: Confronting the World's Number One Killer. Heart Federation, 2023, https://world-heart-federation.org/wp-content/uploads/World-Heart-Report-2023.pdf
  • Writing Committee Members; Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, Bischoff JM, Bittl JA, Cohen MG, DiMaio JM, Don CW, Fremes SE, Gaudino MF, Goldberger ZD, Grant MC, Jaswal JB, Kurlansky PA, Mehran R, Metkus TS Jr, Nnacheta LC, Rao SV, Sellke FW, Sharma G, Yong CM, Zwischenberger BA. 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 Jan 18;79(2):e21-e129. doi: 10.1016/j.jacc.2021.09.006. Epub 2021 Dec 9. PubMed 34895950 ↗
  • Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, Byrne RA, Collet JP, Falk V, Head SJ, Juni P, Kastrati A, Koller A, Kristensen SD, Niebauer J, Richter DJ, Seferovic PM, Sibbing D, Stefanini GG, Windecker S, Yadav R, Zembala MO; ESC Scientific Document Group. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019 Jan 7;40(2):87-165. doi: 10.1093/eurheartj/ehy394. No abstract available. PubMed 30165437 ↗
  • Casanova-Sandoval J, Minana-Escriva G, Bosch-Peligero E, Munoz-Camacho JF, Fernandez-Rodriguez D, Rivera K, Fernandez-Cisnal A, Valcarcel-Paz D, Garcia-Guimaraes M. The ultrathin-strut everolimus-eluting stent in a real-world population: the Everythin multicenter registry. REC Interv Cardiol. 2025 Feb 24;7(1):23-28. doi: 10.24875/RECICE.M24000481. eCollection 2025 Jan-Mar. PubMed 40417152 ↗
  • Kereiakes DJ, Meredith IT, Windecker S, Lee Jobe R, Mehta SR, Sarembock IJ, Feldman RL, Stein B, Dubois C, Grady T, Saito S, Kimura T, Christen T, Allocco DJ, Dawkins KD. Efficacy and safety of a novel bioabsorbable polymer-coated, everolimus-eluting coronary stent: the EVOLVE II Randomized Trial. Circ Cardiovasc Interv. 2015 Apr;8(4):e002372. doi: 10.1161/CIRCINTERVENTIONS.114.002372. PubMed 25855680 ↗
  • Karmpaliotis D, Stoler R, Walsh S, El-Jack S, Potluri S, Moses J, Oldroyd K, Banning A, Webster M, Zaman A, Wu W, Ahmed M, Underwood P, Allocco D. Safety and efficacy of Everolimus-Eluting bioabsorbable Polymer-Coated stent in patients with long coronary lesions: The EVOLVE 48 study. Catheter Cardiovasc Interv. 2022 Feb;99(2):373-380. doi: 10.1002/ccd.29798. Epub 2021 May 29. PubMed 34051049 ↗
  • Jensen LO, Thayssen P, Christiansen EH, Maeng M, Ravkilde J, Hansen KN, Hansen HS, Krusell L, Kaltoft A, Tilsted HH, Berencsi K, Junker A, Lassen JF; SORT OUT IV Investigators. Safety and Efficacy of Everolimus- Versus Sirolimus-Eluting Stents: 5-Year Results From SORT OUT IV. J Am Coll Cardiol. 2016 Feb 23;67(7):751-62. doi: 10.1016/j.jacc.2015.11.051. PubMed 26892409 ↗
  • Patted SV. Safety and efficacy of Evermine50 Everolimus-eluting coronary stent system in patients with native coronary artery lesions: Three-year outcomes from a single-center. J Cardiovasc Thorac Res. 2025 Mar 18;17(1):58-65. doi: 10.34172/jcvtr.025.33123. eCollection 2025 Mar. PubMed 40365519 ↗
  • Hou XM, Han WZ, Qiu XB, Chen H, Fang WY. Safety and effectiveness of drug-eluting stents in Chinese patients with coronary artery disease with off- and on-label indications: results from a single-centre registry. Heart Asia. 2013 Jan 24;5(1):101-5. doi: 10.1136/heartasia-2013-010316. eCollection 2013. PubMed 27326098 ↗
  • Park SJ, Kim YH. Current status of percutaneous coronary intervention with drug-eluting stents in Asia. Circulation. 2008 Dec 16;118(25):2730-7. doi: 10.1161/CIRCULATIONAHA.107.743450. No abstract available. PubMed 19106397 ↗
  • Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006 Nov;3(11):e442. doi: 10.1371/journal.pmed.0030442. PubMed 17132052 ↗
  • Chong B, Jayabaskaran J, Jauhari SM, Chan SP, Goh R, Kueh MTW, Li H, Chin YH, Kong G, Anand VV, Wang JW, Muthiah M, Jain V, Mehta A, Lim SL, Foo R, Figtree GA, Nicholls SJ, Mamas MA, Januzzi JL, Chew NWS, Richards AM, Chan MY. Global burden of cardiovascular diseases: projections from 2025 to 2050. Eur J Prev Cardiol. 2025 Aug 25;32(11):1001-1015. doi: 10.1093/eurjpc/zwae281. PubMed 39270739 ↗
  • Tsampasian V, Bloomfield GS. The evolving global burden of cardiovascular diseases: what lies ahead. Eur J Prev Cardiol. 2025 Aug 25;32(11):1016-1017. doi: 10.1093/eurjpc/zwae330. No abstract available. PubMed 39365755 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Nov 2028, 24 months later.

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 24 months is below 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
Oct 21, 2026
First posted
Nov 3, 2026
StartEst.
Nov 2026
Primary completionEst.
Nov 2028
CompletionEst.
May 2029
Last update
Nov 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.
Registered
First appeared on the registry. No changes since
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07912541
Lead sponsor
Advanced MedTech Solutions Pvt. Ltd.
Collaborators
Clicebo Solutions Private Limited
Responsible party
Sponsor
First posted
Nov 3, 2026
Start date
Nov 2026 (estimated)
Primary completion
Nov 2028 (estimated)
Completion
May 2029 (estimated)
Last update
Nov 3, 2026

Study contacts

Sudipt Chakraborty
Contact
schakraborty@amsltd.com
+91 9211465538
Dr. Priyadarshini Arambam
Contact
regulatory@clicebo.com
+91 9910990347
Dr. Upendra Kaul, M.B.B.S., M.D, D.M Cardiology
principal investigator · Batra Hospital & Medical Research Centre, New Delhi-110062

Oversight

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

Not currently enrolling

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