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ISRCTN
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ISRCTN92243650
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ClinicalTrials.gov identifier
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Public title
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Xience® or Vision® stent - Management of Angina in the elderly
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Scientific title
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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
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Acronym
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XIMA
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Serial number at source
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version 2.0
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Study hypothesis
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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.
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Lay summary
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Ethics approval
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King's college hospital research ethics committee approved on the 27th August 2008 ((ref: 08/H0808/107)
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Study design
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Multicentre randomised prospective controlled trial
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Countries of recruitment
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Spain, United Kingdom
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Disease/condition/study domain
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Coronary disease; acute coronary syndromes
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Participants - inclusion criteria
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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
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Participants - exclusion criteria
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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
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Anticipated start date
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01/10/2008
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Anticipated end date
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01/10/2011
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Status of trial
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Completed |
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Patient information material
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Not available in web format, please use contact details to request a patient information sheet
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Target number of participants
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800
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Interventions
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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.
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Primary outcome measure(s)
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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
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Secondary outcome measure(s)
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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.
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Sources of funding
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Abbott Laboratories Limited (UK)
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Trial website
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Publications
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Contact name
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Dr
Adam
de Belder
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Address
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The Sussex Cardiac Centre
Royal Sussex County Hospital
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City/town
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Brighton
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Zip/Postcode
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BN2 5BE
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Country
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United Kingdom
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Tel
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+44 (0)1273 696955 x 4897
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Email
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adam.debelder@bsuh.nhs.uk
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Sponsor
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Brighton and Sussex University Hospitals NHS Trust (UK)
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Address
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Royal Sussex County Hospital
Eastern Road
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City/town
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Brighton
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Zip/Postcode
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BN2 5BE
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Country
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United Kingdom
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Tel
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+44 (0)1273 696955
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Email
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scot.harfield@bsuh.nhs.uk
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Sponsor website:
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http://www.bsuh.nhs.uk/home/
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Date applied
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24/02/2010
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Last edited
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17/03/2010
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Date ISRCTN assigned
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17/03/2010
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