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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00607321
Registration number
NCT00607321
Ethics application status
Date submitted
22/01/2008
Date registered
5/02/2008
Date last updated
18/05/2017
Titles & IDs
Public title
Bare Metal Bifurcation Stent Clinical Trial in Humans
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Scientific title
The Medtronic Bare Metal Bifurcation Stent Clinical Trial in Humans
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Secondary ID [1]
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IP088
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Universal Trial Number (UTN)
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Trial acronym
BRANCH
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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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Myocardial Ischemia
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Medtronic Bifurcation Stent System
Experimental: 1 - Medtronic Bifurcation Stent System
Treatment: Devices: Medtronic Bifurcation Stent System
Percutaneous Coronary Stenting
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Intervention code [1]
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Treatment: Devices
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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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Number of Participants With Target Vessel Failure (TVF) at 30 Days Post Procedure.
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Assessment method [1]
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TVF was reported if any of the following events occurred: Recurrent MI in territory not clearly attributed to a vessel other than the target lesion; Cardiac death not clearly due to a non-target vessel endpoint or Clinically driven target revascularization.
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Timepoint [1]
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30 days
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Secondary outcome [1]
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Device Success
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Assessment method [1]
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Device success is reported as Historical-standard definition: attainment of \<50% residual stenosis of all target lesion/s using only the assigned device and any adjunct stents as specified in the Investigational Plan.
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Timepoint [1]
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During index procedure
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Secondary outcome [2]
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Number of Participants With Target Vessel Failure (TVF) at 6 Months
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Assessment method [2]
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TVF was reported if any of the following events occurred: Recurrent MI in territory not clearly attributed to a vessel other than the target lesion; Cardiac death not clearly due to a non-target vessel endpoint or Clinically driven target revascularization.
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Timepoint [2]
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6 month
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Secondary outcome [3]
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Number of Participants With Target Vessel Failure at 9 Months.
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Assessment method [3]
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TVF was reported if any of the following events occurred: Recurrent MI in territory not clearly attributed to a vessel other than the target lesion; Cardiac death not clearly due to a non-target vessel endpoint or Clinically driven target revascularization.
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Timepoint [3]
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9 month
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Secondary outcome [4]
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Number of Participant With Target Vessel Failure at 12 Months
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Assessment method [4]
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TVF was reported if any of the following events occurred: Recurrent MI in territory not clearly attributed to a vessel other than the target lesion; Cardiac death not clearly due to a non-target vessel endpoint or Clinically driven target revascularization.
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Timepoint [4]
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12 month
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Eligibility
Key inclusion criteria
General Inclusion Criteria
* Candidate for percutaneous coronary intervention & emergent coronary artery bypass graft surgery
* Clinical evidence of ischemic heart disease or a positive functional study
* Female patients of childbearing potential has negative pregnancy test within 7 days before trial procedure
* Patient or patient's legal representative provided written informed consent
* Patient agrees to comply with follow-up evaluations
Angiographic Inclusion Criteria
* Target lesion ia a single de novo bifurcation lesion involving a native coronary artery with reference vessel diameter for the proximal main of 3.8 - 4.3 mm, distal main of 3.0 - 3.5 mm, & side branch RVD up to 2.5 mm
* Acceptable target lesion lengths are any combination of:
* <16mm proximally from carina in proximal main vessel
* <16mm distally from the carina in distal main branch
* <12mm from carina in side branch
* Target lesion in main vessel has stenosis of > 50% and <100%
* Target vessel has (TIMI) flow >2
General
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Minimum age
18
Years
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Maximum age
No limit
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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
Exclusion Criteria
* Known hypersensitivity/contraindication to aspirin, heparin or bivalirudin, clopidogrel or ticlopidine, cobalt, nickel, chromium, molybdenum, or sensitivity to contrast media, which can't be adequately pre-medicated
* Platelet count <100,000 cells/mm³ or >700,000 cells/mm³, or a white blood cell (WBC) count <3,000 cells/mm³ within 7 days prior to index procedure
* Serum creatinine level >170 micromol/L within 7 days prior to index procedure
* Evidence of acute MI within 72 hours of intended trial procedure (defined as: QWMI or NQWMI having CK enzymes >2X laboratory upper limit of normal with presence of elevated CK-MB (any amount above laboratory upper limit of normal)
* Previous stenting anywhere in target vessel
* PCI of non-target vessel within 30 days prior to procedure that results in any MACE event. If non target vessel stent is implanted within 72 hours prior to index procedure, 2 post procedural serial CK or CK-MB measurements must be below investigational site's upper limit of normal.
* PCI of non-target vessel within 24 hours prior to procedure
* Planned PCI of any vessel within 30 days post-procedure
* Planned PCI of the target vessel within 6 months post-procedure
* During index procedure, target lesion requires treatment with device other than PTCA or cutting balloon prior to stent placement
* Documented left ventricular ejection fraction (LVEF) <30% at most recent evaluation.
* History of stroke or transient ischemic attack (TIA) within prior 6 months
* Active peptic ulcer or upper gastrointestinal (GI) bleeding within prior 6 months
* History of bleeding diathesis or coagulopathy or will refuse blood transfusions
* Concurrent medical condition with life expectancy < 12 months
* Currently participating in investigational drug or device trial that's not completed the primary endpoint or that clinically interferes with current trial endpoints; or requires coronary angiography, IVUS or other coronary artery imaging procedures.
Angiographic Exclusion Criteria
* Bifurcation angle of >90 degrees by visual estimate
* Target lesion located in native vessel with saphenous vein graft or left/right internal mammary artery (LIMA/RIMA) bypass
* Significant stenosis (>50%) proximal or distal to target lesion that might require revascularization or impede run off.
* Target vessel is excessively tortuous (two bends >90º to reach target lesion)
* Target lesion has any of following characteristics:
* Lesion location is aorto-ostial, unprotected left main lesion, or within 5 mm of origin of left anterior descending (LAD), left circumflex (LCX), or right coronary artery (RCA).
* Severely calcified
* Evidence of thrombus
* Co-existence of unprotected left main coronary artery disease (obstruction >50% in left main coronary artery)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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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
Single group
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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
Completed
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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
1/02/2008
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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
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Actual
1/08/2010
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Medtronic Vascular
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To assess the feasibility and safety of the Medtronic Bifurcation Stent System for the treatment of single de novo bifurcation lesions in native coronary arteries with reference vessel diameters (RVD) for the proximal main vessel of 3.8 - 4.3 mm, distal main branch of 3.0 - 3.5 mm, and side branch RVD up to 2.5 mm.
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Trial website
https://clinicaltrials.gov/study/NCT00607321
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ian Meredith, MD
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Address
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Monash Medical Centre
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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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 are available at
https://clinicaltrials.gov/study/NCT00607321
Download to PDF