RecruitingNot ApplicableNCT06365502

Preventive Drug-coated Balloon Angioplasty in Vulnerable Atherosclerotic Plaque (RESTORE Trial)

A Multicenter, Prospective, Open-label, Controlled, Randomized Trial of Preventive Drug-coated Balloon Angioplasty in Vulnerable Atherosclerotic Plaque (RESTORE Trial)


Sponsor

Harbin Medical University

Enrollment

1,860 participants

Start Date

Apr 16, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The objective of this multicenter, prospective, open-label, controlled, randomized trial is to demonstrate the superiority of drug-coated balloon (DCB) treatment on non-flow limited vulnerable plaque as compared to guideline-directed medical therapy (GDMT) in improving clinical cardiovascular outcomes in patients with acute coronary syndrome.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria7

  • Subjects must be between 18 and 80 years of age
  • Subject must present with acute myocardial infarction or unstable angina planned for PCI
  • Successful stent implantation (i.e., residual stenosis less than 20%) must be done in culprit lesions and any lesions with ischemia evidence (e.g., QFR equal or less than 0.8)
  • Subject must have at least one native non-culprit lesion with visually estimated stenosis of 40-80% and QFR >0.8
  • Target lesion must have a visually estimated diameter of 2.0-4.0 mm and length of ≤ 50 mm
  • Target lesion must have any two of the intravascular imaging criteria of PB >65%, MLA <3.5 mm\^2 (OCT) or 4.0mm\^2 (IVUS), FCT <75 μm, or maximal lipid arc >180°
  • Subject must provide written informed consent before any study-related procedure

Exclusion Criteria14

  • Subject has known hypersensitivity or contraindication to any of the study drugs (including all asprin, P2Y12 inhibitors, one or more components of the study devices, including paclitaxel, etc) that cannot be adequately pre-medicated
  • Subject is receiving immunosuppressant therapy or has known immunosuppressive or severe autoimmune disease that requires chronic immunosuppressive therapy (e.g., human immunodeficiency virus, systemic lupus erythematosus, etc.)
  • Hypotension, shock, or need for mechanical support or intravenous vasopressors;
  • Creatinine clearance ≤30 ml/min/1.73 m\^2 (as calculated by MDRD formula for estimated GFR)
  • Left ventricular ejection fraction<30% by the most recent imaging test within 30 days before procedure (echo, MRI, contrast left ventriculography or others)
  • Life expectancy <2 years for any
  • Subject is currently participating in another investigational drug or device clinical study that has not yet completed its primary endpoint
  • Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results.
  • The target lesion is located within 10 mm of the proximal or distal of stent
  • The target lesion cannot be in the left main coronary artery
  • The target lesion is located in a bifurcation lesion (i.e., the diameter of the branch vessels is >2 mm with >50% of stenosis)
  • The target lesion is located in severe calcification or tortuosity of vessels
  • The target lesion involved in the ostium of LAD, LCX or RCA (within 3 mm of the ostium)
  • The target lesion is located within the bypass graft artery

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Interventions

DEVICEDrug-coated balloon

Non-culprit lesion will be pretreated before DCB treatment. The bail-out stent treatment is permitted if pretreatment failed.

DRUGGuideline-directed medical treatment

All individuals will receive guideline-directed medical treatment.


Locations(18)

Affiliated Beijing Luhe Hospital of Capital Medical University

Beijin, Beijing Municipality, China

Affiliated Hospital of Zunyi Medical University

Zunyi, Guizhou, China

Daqing Oilfield General Hospital

Daqing, Heilongjiang, China

The Second Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

The First Affiliated Hospital of Jiamusi University

Jiamusi, Heilongjiang, China

Mudanjiang Cardiovascular Hospital

Mudanjiang, Heilongjiang, China

Fuwai Central China Cardiovascular Hospital

Zhengzhou, Henan, China

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Tongji Hospital Tongji Medical College of HUST

Wuhan, Hubei, China

The Third Second Hospital of Jilin University

Changchun, Jilin, China

Dalian Municipal Central Hospital

Dalian, Liaoning, China

The First Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, China

The People's Hospital of Liaoning Province

Shengyang, Liaoning, China

The Affiliated Hospital of Neimenggu Medical University

Hohhot, Neimenggu, China

Shandong Provincial Hospital

Jinan, Shandong, China

Affiliated Hospital of Jining Medical University

Jining, Shandong, China

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China

Yantai Yuhuangding Hospital

Yantai, Shandong, China

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