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Not yet recruitingNCT07920055SPRITUpdated Nov 5, 2026

Sirolimus-Coated Versus Paclitaxel-Coated Balloon for Recurrent Coronary In-Stent Restenosis After Prior Paclitaxel-Coated Balloon Treatment (SPRIT)

An interventional study of SeQuent SCB sirolimus-coated balloon and RESTORE DEB paclitaxel-coated balloon in Coronary In-stent Restenosis and Coronary Artery Disease, sponsored by Sir Run Run Shaw Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Sir Run Run Shaw Hospital · Not applicable, Interventional, and Treatment

Updated Nov 5, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This prospective, multicenter, randomized, open-label, noninferiority trial will compare a sirolimus-coated balloon (SeQuent SCB) with a paclitaxel-coated balloon (RESTORE DEB) in 106 adults with recurrent coronary in-stent restenosis after prior paclitaxel-coated balloon treatment of the same segment. Participants will be randomized 1:1 to treatment of the target lesion with one of the study devices. The primary outcome is in-segment late lumen loss on quantitative coronary angiography 9 months after the index procedure. Clinical follow-up is scheduled at 30 days and 6, 9, and 12 months. Angiographic analysis and clinical event adjudication will be performed blinded to treatment assignment.

Read the detailed description

Eligible patients have recurrent restenosis in a previously stented coronary segment that was treated with a paclitaxel-coated balloon. Up to two eligible lesions in one target vessel may be treated per participant. Randomization through a central interactive web response system uses stratified blocks based on Mehran in-stent restenosis type (I vs II/III), target-lesion length (≤20 vs >20 mm), and reference vessel diameter (≤3.0 vs >3.0 mm). The assigned balloon will be used according to the protocol and instructions for use. Participants are scheduled to receive aspirin plus clopidogrel for 3 months followed by aspirin monotherapy until study completion. Coronary angiography is planned at 9 months; intravascular ultrasound is assessed immediately after treatment and at 9 months according to the protocol. The primary comparison is the between-group difference in 9-month in-segment late lumen loss (SeQuent SCB minus RESTORE DEB), with a noninferiority margin of 0.25 mm. An independent core laboratory performs blinded quantitative coronary angiographic measurements, and a blinded clinical events committee adjudicates clinical events.

02

Conditions studied

  • Coronary In-stent Restenosis
  • Coronary Artery Disease

Keywords

  • drug-coated balloon; sirolimus-coated balloon; paclitaxel-coated balloon; recurrent in-stent restenosis; quantitative coronary angiography; late lumen loss
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 106 is below the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Sir Run Run Shaw Hospital is the lead sponsor of 135 studies on the registry; 72 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. Stable angina, acute coronary syndrome (NSTEMI at least 7 days after onset or STEMI at least 30 days after onset), prior myocardial infarction, or documented asymptomatic myocardial ischemia.
  3. Prior treatment of coronary in-stent restenosis with a paclitaxel-coated balloon alone; recurrent restenosis is in the previously treated segment, including 5 mm beyond the stent edge.
  4. Quantitative coronary angiography shows diameter stenosis ≥70%, or ≥50% with evidence of myocardial ischemia.
  5. Suitable for either type of coronary revascularization under study.
  6. Willing to take aspirin and clopidogrel for 3 months, followed by aspirin monotherapy through study completion.
  7. Willing to undergo angiographic and IVUS follow-up at 9 months and clinical follow-up at 30 days and 6, 9, and 12 months.
  8. Able to understand the study, provide written , and comply with study procedures.
  9. At least one recurrent target in-stent restenosis lesion requiring intervention, in one target vessel, with no more than two target lesions; any other de novo lesion requiring intervention must be >10 mm away from a target lesion.
  10. Mehran type I, II, or III in-stent restenosis of a bare-metal, inert-coated, or drug-eluting stent; target reference vessel diameter 2.5-4.0 mm and each target-lesion length ≤34 mm.

Exclusion criteria

Exclusion Criteria:

  1. Takayasu arteritis or active vasculitis.
  2. \<30 mL/min/1.73 m² or dialysis.
  3. or AST >3 times the .
  4. \<30%.
  5. Active bleeding, major bleeding within 3 months, or preprocedural \<10 g/dL.
  6. \<100,000/mm³ or >1.5 in the absence of anticoagulation.
  7. Cardiogenic shock.
  8. Concomitant disease requiring cytotoxic treatment or radiotherapy.
  9. Known allergy or to aspirin, heparin, clopidogrel, sirolimus, ticagrelor, tirofiban, paclitaxel, or iopromide; or contrast allergy not manageable with prophylaxis.
  10. Bleeding diathesis or a condition such as gastrointestinal ulcer that limits or prevents required antithrombotic therapy.
  11. Pregnancy, planned pregnancy during the study, inability to use effective through the 12-month visit, or breastfeeding.
  12. Critical illness or ≤1 year.
  13. Participation in another interventional study.
  14. Investigator judgment that the participant is unsuitable for the study.
  15. Three-vessel disease requiring treatment (all three major epicardial vessels with ≥70% stenosis and ischemia) or left main coronary disease.
  16. More than three lesions expected to require treatment overall, or more than two lesions requiring treatment in any coronary artery.
  17. Target lesion with residual stenosis >30%, TIMI flow \<3, or type C or worse dissection after predilatation.
  18. Target lesion with tortuosity, severe calcification, or angulation expected to prevent passage of the study balloon.
  19. Thrombus-containing target lesion.
  20. Prior coronary artery bypass grafting.
Terms in these criteria, in plain language(11)

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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
106 participants (estimated)

Study arms

  • Experimental
    SeQuent SCB Sirolimus-Coated Balloon

    Treatment of eligible recurrent coronary in-stent restenosis with SeQuent SCB sirolimus-coated balloon angioplasty. Up to two balloons may be used per participant under the protocol. All participants receive protocol-directed antiplatelet treatment

    Device: SeQuent SCB sirolimus-coated balloon

  • Active comparator
    RESTORE DEB Paclitaxel-Coated Balloon

    Treatment of eligible recurrent coronary in-stent restenosis with RESTORE DEB paclitaxel-coated balloon angioplasty. Up to two balloons may be used per participant under the protocol. All participants receive protocol-directed antiplatelet treatment

    Drug: RESTORE DEB paclitaxel-coated balloon

Interventions

  • DeviceSeQuent SCB sirolimus-coated balloon

    Coronary balloon angioplasty of eligible target lesions

  • DrugRESTORE DEB paclitaxel-coated balloon

    Coronary balloon angioplasty of eligible target lesions

06

What researchers measure

Primary outcomes

  1. In-Segment Late Lumen Loss at 9 Months

    Difference, in millimeters, between the in-segment minimum lumen diameter immediately after balloon angioplasty and the minimum lumen diameter in the same segment at 9 months, measured by blinded quantitative coronary angiography. The prespecified noninferiority margin for the adjusted mean difference (SeQuent SCB minus RESTORE DEB) is 0.25 mm.

    Time frame: Immediately after index procedure and at 9 months

Secondary outcomes

  1. Device Success

    Time frame: During index procedure

  2. Lesion Success

    Time frame: Immediately after index procedure

  3. Clinical Success

    Time frame: During index hospitalization

  4. In-Segment Binary Restenosis at 9 Months

    Proportion of treated lesions with ≥50% diameter stenosis in the treated segment on 9-month quantitative coronary angiography

    Time frame: 9 months after index procedure

  5. In-Stent Late Lumen Area Loss at 9 Months by IVUS

    Difference, in square millimeters, between the in-stent minimum lumen area immediately after treatment and at 9 months, measured by intravascular ultrasound.

    Time frame: Immediately after index procedure and at 9 months

  6. Neointimal Hyperplasia Area at 9 Months by IVUS

    Neointimal hyperplasia area measured by intravascular ultrasound at the 9-month assessment; report in square millimeters.

    Time frame: 9 months after index procedure

  7. Neointimal Hyperplasia Volume at 9 Months by IVUS

    Neointimal hyperplasia volume measured by intravascular ultrasound at the 9-month assessment; report in cubic millimeters

    Time frame: 9 months after index procedure

  8. Stent Malapposition at 9 Months by IVUS

    Proportion of evaluated lesions with stent malapposition on intravascular ultrasound, according to the prespecified imaging definition

    Time frame: 9 months after index procedure

  9. Edge Restenosis at 9 Months by IVUS

    Proportion of evaluated lesions with edge restenosis on intravascular ultrasound, according to the prespecified imaging definition.

    Time frame: 9 months after index procedure

  10. Target Lesion Failure

    Cumulative incidence of cardiac death, target-vessel myocardial infarction, or clinically driven target lesion revascularization

    Time frame: From index procedure through 30 days and 6, 9, and 12 months

  11. Patient-Oriented Composite Endpoint

    Cumulative incidence of all-cause death, any myocardial infarction, or any repeat revascularization

    Time frame: From index procedure through 30 days and 6, 9, and 12 months

  12. ARC-Defined Thrombotic Events

    Incidence of definite, probable, or possible thrombosis classified as acute, subacute, or late according to the protocol's Academic Research Consortium definitions

    Time frame: From index procedure through 12 months

  13. Seattle Angina Questionnaire Score

    Seattle Angina Questionnaire score at each scheduled assessment; specify the instrument version and score/domain to be analyzed in the final protocol

    Time frame: 6 and 12 months after index procedure

  14. SF-36 Health Survey Score

    Short Form-36 health-related quality-of-life score at each scheduled assessment; specify component or domain scores in the final protocol

    Time frame: 6 and 12 months after index procedure

  15. Device-Related Adverse Events

    Proportion of participants experiencing a device-related adverse event.

    Time frame: From index procedure through 30 days and 6, 9, and 12 months

  16. Bleeding Events

    Proportion of participants experiencing a bleeding event; grading standard to be specified in the final protocol.

    Time frame: From index procedure through 30 days and 6, 9, and 12 months

  17. Serious Adverse Events

    Proportion of participants experiencing a serious adverse event.

    Time frame: From index procedure through 30 days and 6, 9, and 12 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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 Aug 2028, 21 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 21 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 30, 2026
First posted
Nov 5, 2026
StartEst.
Nov 1, 2026
Primary completionEst.
Aug 31, 2028
CompletionEst.
Nov 30, 2028
Last update
Nov 5, 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 5, 2026
Show all 1 update
  1. Nov 5, 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
NCT07920055
Responsible party
Wenbin Zhang (Dr, Sir Run Run Shaw Hospital) — Principal investigator
First posted
Nov 5, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Aug 31, 2028 (estimated)
Completion
Nov 30, 2028 (estimated)
Last update
Nov 5, 2026

Study contacts

Wenbin Zhang
Contact
wzhang_crf@126.com
0571-86006241

Oversight

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

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