MagicTouch for Treatment of In-Stent Restenosis in Coronary Artery Lesions

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-110
SponsorConcept Medical Inc.

About this trial

A Prospective, Multicenter, Randomized, Two-Arm, Single-blind Superiority Trial to Evaluate the Safety and Efficacy of the MagicTouch™ Sirolimus- Coated Balloon in the Treatment of Coronary Drug-Eluting Stent In-Stent Restenosis.

Subjects with prior DES implantation presenting with ISR lesions undergoing PCI will be randomized into two groups: treatment with the MagicTouch™ sirolimus-coated balloon or POBA on a 2:1 basis. Approximately 492 subjects will be enrolled in the randomized study in a maximum of 50 study sites located in the United States.

The goal is to establish the safety and efficacy of the MagicTouch™ sirolimus- coated balloon in treatment of coronary in-stent restenosis (ISR).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subject is at least 18 years old

Subject (or legal guardian) understands the trial requirements and treatment procedures and provides written informed consent prior to any trial-specific tests or treatment

Patient with an indication for PCI due to suspected in-stent restenosis

In-stent restenosis after drug-eluting stent implantation(s) in the target lesion (i.e. single and multiple stent layer ISR cases are eligible)

Disqualifiers

STEMI within 72 hours of presentation to the first treating hospital, whether a transfer facility or the study hospital

NSTEACS in whom the biomarkers have not peaked

PCI within the 24 hours prior to the index procedure (not including PCI performed in non-target lesions during the index procedure)

Prior DCB treatment (coronary or off-label peripheral) of target lesion ISR

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sirolimus Drug Coated Balloon

    Device

    Magic TouchTM (Concept Medical) is a semi-compliant sirolimus drug coated balloon (SCB) for PCI, based on a polymer-free and nanocarrier based drug delivery technology.

  • Plan balloon Angioplasty (POBA)

    Device

    Plan balloon used to open clogged or narrow coronary arteries due to underlying atherosclerosis

Treatment groups

492 Participants
are divided into 2 treatment groups
Group A: MagicTouch Sirolimus-Coated BalloonExperimental treatment 1 intervention
Group B: POBAActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

TLF (Target Lesion Failure)

The composite rate of cardiac death, target-vessel MI (Myocardial Infarction) or ischemia-driven TLR (Target Lesion Revascularization)

Time frame
12 months

Secondary outcomes

1

MACE (Major adverse cardiovascular events)

composite of cardiovascular mortality, any MI (Myocardial Infarction), and ID-TLR (Ischemia-Driven Target Lesion Revascularization)

Time frame
30 days and 6, 12, 24, 36, 48, and 60 months
2

TVF (Target vessel failure)

composite of cardiovascular mortality, ID-TVR (Ischemia-Driven Target Vessel Revascularization), and TV-MI (Target Vessel Myocardial Infarction)

Time frame
30 days and 6, 12, 24, 36, 48, and 60 months
3

Any revascularization

any repeat PCI or CABG

Time frame
30 days and 6, 12, 24, 36, 48, and 60 months
4

ID-TLR (Ischemia-Driven Target Lesion Revascularization)

Repeat revascularization of the target lesion due to recurrent ischemia

Time frame
30 days and 6, 12, 24, 36, 48, and 60 months

Other outcomes

1

Angina as assessed by SAQ-7 (Seattle Angina Questionnaire)

Quality of Life Endpoint, Angina will be assessed at these specified timepoints and prior to any invasive procedure

Time frame
30 days, 6, 12, 24, 36, 48 and 60 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Concept Medical Inc.

Lead sponsor

Cardiovascular Research Foundation, New York

Collaborator