About this trial
The objective of this study is to assess the safety and efficacy of the Freesolve resorbable magnesium scaffold (RMS) in the treatment of subjects with up to two de novo lesions in native coronary arteries compared to the Xience coronary drug-eluting stent (DES) system
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subject is ≥ 18 years and ≤ 80 years of age
Subject has provided written informed consent as approved by the Ethics Committee / Institutional Review Board (IRB) of the respective clinical site prior to the study related procedures
Subject is eligible for PCI according to the applicable guidelines
Subject is an acceptable candidate for coronary artery bypass surgery
Disqualifiers
Subject is hemodynamically stable with documented declining cardiac biomarkers;
Target lesion(s) to be treated are not located in the culprit vessel(s) and are not culprit lesion(s)
Subject is eligible for Dual Antiplatelet Therapy (DAPT) with aspirin plus either clopidogrel, prasugrel, ticagrelor or ticlopidine
Documented left ventricular ejection fraction (LVEF) ≥ 30% within 6 months prior to or during the procedure (prior to randomization)
Trial design
Parallel
Treatments tested in this trial
Freesolve RMS
DeviceFreesolve Sirolimus-Eluting Coronary Resorbable Magnesium Scaffold (RMS) System, a drug-eluting balloon-expandable resorbable scaffold
Xience DES
DeviceXience Everolimus Eluting Stent System
Treatment groups
Trial outcomes
Primary outcomes
Target Lesion Failure (TLF) rate at 12 months post-index procedure
The primary endpoint is Target Lesion Failure (TLF) at 12 months, a composite of Cardiac Death, Target Vessel Q-wave or non-Q wave MI, or clinically driven target lesion revascularization (TLR).
Secondary outcomes
Procedure success
Procedure success defined as achievement of \< 30% final residual diameter stenosis \[by Quantitative Coronary Angiography (QCA) or visual estimation\] of the target lesion using the assigned study device only, without the occurrence of cardiac death, Q-wave or non-Q-wave MI, or repeat revascularization of the target lesion during the hospital stay
Device Success
Device Success defined as a final residual diameter stenosis of \< 30% by QCA or visual estimation, using the assigned device only with * successful delivery of the device to the target lesion, and * appropriate device deployment, and * successful removal of the delivery system
Target lesion failure (TLF)
TLF is defined as a composite of Cardiac Death, Target Vessel Q-wave or non-Q-wave myocardial infarction (MI), or clinically driven Target Lesion Revascularization (TLR)
Target Vessel Failure (TVF)
Target Vessel Failure (TVF), a composite of Cardiac Death, Target Vessel Q-wave or non-Q wave MI, or clinically driven Target Vessel Revascularization (TVR)