Safety and Efficacy Study of Endothelial Progenitor Cell Capture Stent With 1 Months Dual Antiplatelet Therapy
NCT01394848 · Status: TERMINATED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 1
Last updated 2013-12-04
Summary
Thanks to rapid reendothelialization derived from the pro-healing property of the EPC capture stent, 1-month dual antiplatelet therapy (DAPT) is recommended after EPC capture stent implantation. Shorter maintenance of dual antiplatelet therapy might minimize the risk for stent thrombosis in cases of discontinuation of antiplatelet regimen and prevent wasteful medications and bleeding complications related with dual antiplatelet therapy. Thus, the EPC capture stent might be valuable for the elderly because they are vulnerable to premature discontinuation of DAPT.
On the other hand, statin upstream therapy has gained popularity because it seems to reduce periprocedural myocardial injury especially in ACS through its pleiotrophic effect like plaque stabilization. However, the benefit of pretreatment of statin in patients with stable angina remains controversial. It is reported that statin administration could increase EPC level by accelerated differentiation towards the endothelial progenitor lineage.
We hypothesize that the EPC capture stent with 1-month dual antiplatelet therapy is non-inferior to DES in the elderly subjects with stable coronary artery disease. To test this hypothesis, we will perform a multi-center, randomized, prospective trial aimed at demonstrating the efficacy and safety of the EPC capture stent with 1-month DATP versus EES with standard 12-month DAPT in elderly patients with stable coronary occlusive disease in real world practice.
Conditions
- Stable Angina
Interventions
- DEVICE
-
Endothelial cell capture stent with 1 month clopidogrel
75mg PO clopidogrel per day for 1 months
- DEVICE
-
Everolimus eluting stent with 12 month clopidogrel
75mg PO clopidogrel per day for over 12 months
- DRUG
-
Atorvastatin 20mg loading
Atorvastatin 20mg loading before index percutaneous coronary intervention
- DRUG
-
Atorvastatin 80mg loading
Atorvastatin 80mg loading before index percutaneous coronary intervention
Sponsors & Collaborators
-
OrbusNeich
collaborator INDUSTRY -
Yuhan Corporation
collaborator INDUSTRY -
Yonsei University
lead OTHER
Principal Investigators
-
Seung-Hwan Lee, MD, PhD · Yonsi university Wonju college of medicine, Wonju christian hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- FACTORIAL
Eligibility
- Min Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-10-31
- Primary Completion
- 2013-01-31
- Completion
- 2013-01-31
Countries
- South Korea
Study Locations
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