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Xience® or Vision® stent - Management of Angina in the elderly
ISRCTN ISRCTN92243650
ClinicalTrials.gov identifier
Public title Xience® or Vision® stent - Management of Angina in the elderly
Scientific title A multicentre randomised controlled trial of drug-eluting versus bare metal stents in the treatment of patients over 80 years of age with complex coronary artery disease
Acronym XIMA
Serial number at source version 2.0
Study hypothesis The treatment of complex coronary disease causing limiting symptoms of angina with drug-eluting stent (DES) technology will prove superior to bare metal stent (BMS) technology, with respect to a combined endpoint of mortality, myocardial infarction (MI), requirement for target vessel revascularisation and severe haemorrhage, in patients aged 80 or above.
Lay summary
Ethics approval King's college hospital research ethics committee approved on the 27th August 2008 ((ref: 08/H0808/107)
Study design Multicentre randomised prospective controlled trial
Countries of recruitment Spain, United Kingdom
Disease/condition/study domain Coronary disease; acute coronary syndromes
Participants - inclusion criteria 1. Age > 80 years
2. Stable angina or acute coronary syndrome
3. Coronary narrowing suitable for stenting that is either =15mm long and/or =3mm diameter.
4. Any lesion with high risk of restenosis eg chronic total occlusion (CTO), bifurcation, severe calcification
5. Any left main stem lesion
Participants - exclusion criteria 1. Acute ST-Segment Elevation Myocardial Infarction (STEMI)
2. Cardiogenic shock
3. Platelet count =50 x 109/mm^3
4. Patient life expectancy < 1 year
5. Known allergies to clopidogrel, aspirin, heparin, stainless steel, IV contrast or stent drug elutant
6. Recent major gastrointestinal (GI) haemorrhage (within 3 months)
7. Any previous cerebral bleeding episode
8. Participation in another investigational drug or device study
9. Patient unable to give consent
10. Clinical decision precluding the use of DES
Anticipated start date 01/10/2008
Anticipated end date 01/10/2011
Status of trial Completed
Patient information material Not available in web format, please use contact details to request a patient information sheet
Target number of participants 800
Interventions The treatment is a procedure percutaneous coronary intervention. Patients are randomised to receive either a Drug eluting stent or a Bare metal stent. Both arms are followed up for 1 year.
Primary outcome measure(s) Combined primary outcome at 1 year
1.1. Death
1.2. Myocardial infarction
1.3. Target Vessel Failure
1.4. Major haemorrhage
2. Procedural cost
Secondary outcome measure(s) 1. Angina status
2. Antianginal tablet prescription (Rx)
3. Procedural
3.1. Procedure success
3.2. Procedure Major Adverse Cardiac Events (MACE)
3.3. In-hospital complications
All secondary outcomes will be measured at 3, 6, 12 months.
Sources of funding Abbott Laboratories Limited (UK)
Trial website
Publications
Contact name Dr  Adam  de Belder
  Address The Sussex Cardiac Centre
Royal Sussex County Hospital
  City/town Brighton
  Zip/Postcode BN2 5BE
  Country United Kingdom
  Tel +44 (0)1273 696955 x 4897
  Email adam.debelder@bsuh.nhs.uk
Sponsor Brighton and Sussex University Hospitals NHS Trust (UK)
  Address Royal Sussex County Hospital
Eastern Road
  City/town Brighton
  Zip/Postcode BN2 5BE
  Country United Kingdom
  Tel +44 (0)1273 696955
  Email scot.harfield@bsuh.nhs.uk
  Sponsor website: http://www.bsuh.nhs.uk/home/
Date applied 24/02/2010
Last edited 17/03/2010
Date ISRCTN assigned 17/03/2010
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