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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01939249
Registration number
NCT01939249
Ethics application status
Date submitted
6/09/2013
Date registered
11/09/2013
Date last updated
26/06/2017
Titles & IDs
Public title
Prospective, Randomized, Multicenter Study to Assess the Safety and Effectiveness of the Orsiro Sirolimus-eluting Stent
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Scientific title
BIOTRONIK-A Prospective, Randomized, Multicenter Study to Assess the Safety and Effectiveness of the Orsiro Sirolimus Eluting Stent in the Treatment of Subjects With up to Two de Novo Coronary Artery Lesions - IV
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Secondary ID [1]
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C1204
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Universal Trial Number (UTN)
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Trial acronym
BIOFLOW-IV
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coronary Artery Disease
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Active comparator: Abbott Laboratories Xience - Subjects assigned to Abbott Laboratories Xience can be treated with either the Xience Prime or Xience Xpedition drug eluting stent (DES).
Experimental: Biotronik Orsiro - Subjects assigned to Biotronik Orsiro will be treated with Biotronik Orsiro
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Target Vessel Failure
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Assessment method [1]
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Timepoint [1]
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12 months post index procedure
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Secondary outcome [1]
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Rate of clinically-driven target lesion revascularization (TLR)
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Assessment method [1]
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Timepoint [1]
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1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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Secondary outcome [2]
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Rate of clinically-driven target vessel revascularization (TVR)
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Assessment method [2]
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Timepoint [2]
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1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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Secondary outcome [3]
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Rate of target lesion failure (TLF), defined as composite of cardiac death, target vessel Q-wave or non-Q wave myocardial infarction (MI), emergent coronary artery bypass graft (CABG), any clinically-driven TLR
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Assessment method [3]
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Timepoint [3]
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1-month, 6-month, 12-month, 2-year, 3-year, 4-year and 5-year
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Eligibility
Key inclusion criteria
Main
* Subject must provide written informed consent
* The target reference vessel diameter (RVD) is = 2.50 mm and = 3.75 mm assessed either visually or by online QCA.
* Target lesion length is = 26 mm (assessed either visual estimate or by online QCA) and can be covered by one study stent
* Single de novo lesion with = 50% and < 100% stenosis in up to 2 coronary arteries
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Subject has evidence of myocardial infarction within 72 hours prior to the index procedure
* Planned intervention of non-target vessel(s) within 30 days after the index procedure
* Planned intervention of target vessel(s) after the index procedure
* Target lesion is located in the left main
* Target lesion is located in or supplied by an arterial or venous bypass graft
* Target lesion involves a side branch > 2.0 mm in diameter by visual estimate or by online QCA
* Proximal or distal to the target lesion located stenosis that might require future revascularization or impede run off
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/01/2020
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Actual
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Sample size
Target
585
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Fiona Stanley Hospital - Murdoch
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Recruitment hospital [2]
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Prince of Wales Hospital Sydney - Sydney
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Recruitment postcode(s) [1]
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6961 - Murdoch
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Recruitment postcode(s) [2]
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NSW 2031 - Sydney
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Recruitment outside Australia
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Belgium
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Leuven,
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Belgium
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Roeselare
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Denmark
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Roskilde
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Germany
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Bad Krozingen
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Germany
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Bad Oeynhausen
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Germany
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Bad Segeberg
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Germany
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Berlin
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Germany
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Bonn
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Germany
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Dachau
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Germany
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Hannover
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Germany
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Nürnberg
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Israel
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Haifa
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Israel
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Jerusalem,
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Israel
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Petach Tikva
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Japan
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Fukuoka
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Japan
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Hiroshima
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Japan
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Hokkaido
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Japan
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Hyogo
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Japan
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Kanagawa
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Japan
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Kumamoto
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Japan
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Tokyo
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Netherlands
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Amsterdam
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Blaricum
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Breda
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Zwolle
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New Zealand
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Christchurch
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Poland
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Krakow
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Poland
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Lubin
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Poland
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Poznan
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Warsaw
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Barcelona
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Santander
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Spain
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Sweden
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Oerebrö
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Uppsala
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Lausanne
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Switzerland
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Lugano
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Switzerland
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Zürich
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Biotronik AG
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Ethics approval
Ethics application status
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Summary
Brief summary
BIOFLOW-IV is a prospective, international, multicenter, randomised controlled trial. The purpose of this trial is to compare the Biotronik Orsiro drug eluting stent system with the Xience Prime / Xience Xpedition (Xience)drug eluting stent system in de novo coronary lesions. The study is powered for non-inferiority with respect to Target Vessel Failure(TVF)at 12 months.
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Trial website
https://clinicaltrials.gov/study/NCT01939249
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Trial related presentations / publications
Hemetsberger R, Abdelghani M, Toelg R, Garcia-Garcia HM, Farhan S, Mankerious N, Elbasha K, Allali A, Windecker S, Lefevre T, Saito S, Kandzari D, Waksman R, Richardt G. Complex vs. non-complex percutaneous coronary intervention with newer-generation drug-eluting stents: an analysis from the randomized BIOFLOW trials. Clin Res Cardiol. 2022 Jul;111(7):795-805. doi: 10.1007/s00392-022-01994-4. Epub 2022 Feb 25. Hemetsberger R, Abdelghani M, Toelg R, Mankerious N, Allali A, Garcia-Garcia HM, Windecker S, Lefevre T, Saito S, Slagboom T, Kandzari D, Koolen J, Waksman R, Richardt G. Impact of Coronary Calcification on Clinical Outcomes After Implantation of Newer-Generation Drug-Eluting Stents. J Am Heart Assoc. 2021 Jun 15;10(12):e019815. doi: 10.1161/JAHA.120.019815. Epub 2021 May 29. Dan K, Garcia-Garcia HM, Kolm P, Windecker S, Saito S, Kandzari DE, Waksman R. Comparison of Ultrathin, Bioresorbable-Polymer Sirolimus-Eluting Stents and Thin, Durable-Polymer Everolimus-Eluting Stents in Calcified or Small Vessel Lesions. Circ Cardiovasc Interv. 2020 Sep;13(9):e009189. doi: 10.1161/CIRCINTERVENTIONS.120.009189. Epub 2020 Sep 8. Toelg R, Slagboom T, Waltenberger J, Lefevre T, Saito S, Kandzari DE, Koolen J, Richardt G. Individual patient data analysis of the BIOFLOW study program comparing safety and efficacy of a bioresorbable polymer sirolimus eluting stent to a durable polymer everolimus eluting stent. Catheter Cardiovasc Interv. 2021 Nov 1;98(5):848-856. doi: 10.1002/ccd.29254. Epub 2020 Sep 5. Saito S, Toelg R, Witzenbichler B, Haude M, Masotti M, Salmeron R, Witkowski A, Uematsu M, Takahashi A, Waksman R, Slagboom T. BIOFLOW-IV, a randomised, intercontinental, multicentre study to assess the safety and effectiveness of the Orsiro sirolimus-eluting stent in the treatment of subjects with de novo coronary artery lesions: primary outcome target vessel failure at 12 months. EuroIntervention. 2019 Dec 6;15(11):e1006-e1013. doi: 10.4244/EIJ-D-18-01214.
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Public notes
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Contacts
Principal investigator
Name
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Shigeru Saito, MD
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Address
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Okinawa Tokushukai Shonan Kamakura General Hospital
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01939249
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