AGENT DCB STANCE: Safety and Effectiveness Study of AGENT Drug-Coated Balloon Compared to Standard of Care Percutaneous Coronary Intervention (PCI) Treatment for de Novo Coronary Lesions
Coronary Arterial Disease (CAD)de Novo Lesions in Native Coronary Arteries
Investigational drug(s) / intervention(s)
Drug Eluting BalloonDrug eluting stentPlain old balloon angioplasty
Drug Eluting Balloon: AGENT DCB
Drug eluting stent: Any commercially available DES used for standard of care.
Plain old balloon angioplasty: Bifurcation side branch - POBA
Study summary
AGENT DCB STANCE is a prospective, multicenter, open-label, 1:1 randomized controlled study designed to assess the safety and effectiveness of a treatment strategy with the AGENT Drug-Coated Balloon compared to standard of care percutaneous coronary intervention (PCI) treatment with drug eluting stent (DES) and/or balloon angioplasty in patients with de novo coronary lesions.
Subjects must have a de novo target lesion located in a native coronary artery.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Clinical Inclusion Criteria:
* Subject must be at least 18 years of age.
* Subject (or legal guardian) understands the trial requirements and the treatment procedures and provides written informed consent before any trial-specific tests or procedures are performed.
* Subject is eligible for percutaneous coronary intervention (PCI).
* Subject is willing to comply with all protocol-required follow-up evaluation.
* Women of child-bearing potential must agree to use a reliable method of contraception from the time of screening through 12 months after the index procedure.
Angiographic Inclusion Criteria:
* Target lesion is a de novo lesion located in a native coronary artery.
* Target lesion must have visually estimated stenosis \> 50% and \< 100% in symptomatic subjects (\>70% and \<100% in asymptomatic subjects) prior to lesion pre-dilation.
* Target lesion must be successfully pre-dilated.
* If a non-target lesion is treated, it must be treated first and must be deemed a success.
Clinical Exclusion Criteria:
* Subject has other serious medical illness (e.g. cancer, congestive heart failure) that may reduce life expectancy to less than 12 months.
* Subject has current problems with substance abuse (e.g. alcohol, cocaine, heroin, etc.) as assessed by Investigator.
* Subject has planned procedure that may cause non-compliance with the protocol or confound data interpretation.
* Subject is participating in another investigational drug or device clinical study that has not reached its primary endpoint.
* Subject intends to participate in another investigational drug or device clinical study within 12 months after the index procedure.
* Subject is a woman who is pregnant or nursing. A pregnancy test must be performed within 7 days prior to the index procedure, except for women who definitely do not have child-bearing potential.
* Subject has left ventricular ejection fraction known to be \< 30% within the last 12 months.
* Subject had PCI or other coronary interventions within the last 3 days.
* Subject has planned PCI or CABG after the index procedure.
* Subject had STEMI or QWMI \<72h prior to the index procedure.
* Subject presents with ACS and rising biomarkers, or ongoing chest pain or is hemodynamically unstable.
* Subject has cardiogenic shock (SBP \< 80 mmHg requiring inotropes, IABP or fluid support).
* Subject has history (within 6 months prior to the index procedure) of New York Heart Association (NYHA) class III or IV heart failure.
* Subject is considered not able to tolerate at least 30 seconds of coronary occlusion of the target lesion.
* Subject has known allergy to paclitaxel or other components of the used medical devices.
* Subject has known hypersensitivity or contraindication to contrast dye that in the opinion of the investigator cannot be adequately pre-medicated.
* Subject has intolerance to antiplatelet drugs, anticoagulants required for procedure.
* Subject has platelet count \< 100k/mm3 (risk of bleeding) or \> 700k/mm3.
* Subject with renal insufficiency (creatinine ≥2.0 mg/dl) or failure (dialysis dependent).
* Subject has previous or planned (within 30 days) TAVR.
* Previous cardiac transplant.
Angiographic Exclusion Criteria:
* In-stent restenosis.
* Target lesion is located within a saphenous vein or arterial graft.
* Target lesion is a total occlusion or has evidence of thrombus present in the target vessel.
* Target lesion is severely calcified by angiography or has \> 270° calcium arc on intravascular imaging or requires atherectomy or requires intravascular lithotripsy.
* Subject has unprotected left main coronary artery disease (\>50% diameter stenosis) or three-vessel coronary disease requiring revascularization of all 3 vessels.
* Subject with planned treatment of lesion involving aortic ostial location \<3 mm from aorta.
* Target Lesion is in a previously jailed side branch.
Primary outcome measure(s)
Target Lesion Failure (TLF) rate — 12-Month Target Lesion Failure (TLF) rate - defined as any ischemia-driven revascularization of the target lesion (TLR), myocardial infarction (MI, Q-wave and non-Q-wave) related to the target vessel, or cardiac death. The MI events include the Peri-Procedural MI (PPMI) according to the SCAI MI definition and the spontaneous MI according to the 4th Universal MI definition.
Trial sites (68)
Facility
City
Region
Status
St. Bernard's Medical Center
Jonesboro
Arkansas
Recruiting
Scripps Memorial Hospital
La Jolla
California
Recruiting
USC Medical Center
Los Angeles
California
Recruiting
Cedars - Sinai Medical Center
Los Angeles
California
Recruiting
University of California San Francisco
San Francisco
California
Recruiting
Stanford University Medical Center
Stanford
California
Recruiting
Los Robles Hospital & Medical Center
Thousand Oaks
California
Recruiting
South Denver Cardiology Associates, PC
Littleton
Colorado
Recruiting
The Cardiac and Vascular Institute Research Foundation
Gainesville
Florida
Recruiting
Mount Sinai Medical Center
Miami Beach
Florida
Recruiting
Piedmont Hospital
Atlanta
Georgia
Recruiting
Emory University Hospital
Atlanta
Georgia
Recruiting
Wellstar Kennestone Hospital
Marietta
Georgia
Recruiting
Northwestern University
Evanston
Illinois
Recruiting
Endeavor Health
Glenview
Illinois
Recruiting
Massachusetts General Hospital
Boston
Massachusetts
Recruiting
Brigham and Women's Hospital
Boston
Massachusetts
Recruiting
Beth Israel Deaconess Medical Center
Boston
Massachusetts
Recruiting
University of Michigan Hospitals
Ann Arbor
Michigan
Recruiting
Henry Ford Hospital
Detroit
Michigan
Recruiting
Corewell Health
Grand Rapids
Michigan
Recruiting
Mercy Hospital
Coon Rapids
Minnesota
Recruiting
St. Luke's Hospital of Kansas City
Kansas City
Missouri
Recruiting
NYU Langone Hospital
Brooklyn
New York
Recruiting
Mount Sinai Medical Center
New York
New York
Recruiting
Columbia University Medical Center
New York
New York
Recruiting
St. Francis Hospital
Roslyn
New York
Recruiting
Montefiore Medical Center
The Bronx
New York
Recruiting
Carolinas Medical Center
Charlotte
North Carolina
Recruiting
Lindner Center for Research and Education at Christ Hospital
Cincinnati
Ohio
Recruiting
Cleveland Clinic Foundation
Cleveland
Ohio
Recruiting
Ohio Health Riverside Methodist Hospital
Columbus
Ohio
Recruiting
Providence St. Vincent Medical Center
Portland
Oregon
Recruiting
UPMC Pinnacle
Mechanicsburg
Pennsylvania
Recruiting
York Hospital
York
Pennsylvania
Recruiting
Rhode Island Hospital
Providence
Rhode Island
Recruiting
Prisma Health Richland Hospital
Columbia
South Carolina
Recruiting
Heart Hospital of Austin
Austin
Texas
Withdrawn
Baylor Heart & Vascular Hospital
Dallas
Texas
Recruiting
The Methodist Hospital Research Institute
Houston
Texas
Recruiting
+ 28 more sites — see the full list on the official registry below.
More Boston Scientific Corporation trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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