Could a Drug-Coated balloon beat stents for a common heart attack cause?
NCT ID NCT07783880
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This study tests whether using a drug-coated balloon during a procedure to open a blocked artery is better than medication alone for treating plaque erosions, a common cause of heart attacks. About 62 adults who have had a heart attack and have plaque erosion will be randomly assigned to receive either the balloon procedure or standard medication. The trial will compare outcomes at 2 days and 1 year, using imaging to measure artery openness and tracking heart-related events.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Drug-coated balloon (SeQuent) used during percutaneous coronary intervention (PCI), compared with medication (GP IIb/IIIa inhibitor or heparin plus dual antiplatelet therapy)
- What this could lead to
- If effective, this approach could offer a better, less invasive treatment for plaque erosions, potentially reducing the need for stents and improving recovery after a heart attack.
- What could go wrong
- This is a small pilot study, so results may not be conclusive. The procedure carries risks like any heart intervention, and the drug-coated balloon might not outperform standard medication.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 62 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients aged ≥18 years presenting with MI where the culprit de-novo (stent restenosis/thrombosis excluded) lesion has a Thrombolysis in Myocardial Infarction (TIMI) flow of ≥ I with signs of thrombus on angiographic (or CCTA followed by conventional coronary angiography) evaluation located in a native coronary artery (a by-pass graft vessel excluded) addressable by PCI; 2. OCT criteria (all 4 should be present): 1. Presence of thrombus 2. Absence of an overt ruptured plaque flap 3. Area of stenosis of ≥ 50% 4. Presence of atherosclerotic, predominantly lipidic or fibrotic plaque underneath (absence of major calcifications or calcified noduli) Exclusion Criteria: 1. Culprit lesion located or extending in the Left Main coronary artery; 2. Presence of large coronary aneurysms; 3. Large thrombus burden (extending for more than \> 15 mm); 4. Patients with severe tortuous lesions (OCT judged not possible); 5. Spontaneous coronary dissection is suspected; 6. Renal insufficiency (Glomerular Filtration Rate (GFR) \< 29 ml/min/1.73m2; Kidney Disease Outcomes Quality Initiative (KDOQI) stage 4 and 5); 7. Life expectancy less than 2 years; 8. Pregnant or lactating women; 9. Patients currently participating in another trial; 10. Patients that are unable or unwilling to provide consent; OCT exclusion criteria: 11. Overt plaque rupture; 12. Thrombosed protruding calcified noduli; 13. Predominantly calcific lesions with calcium arc \> 180° in the target segment; 14. Presence of calcium plaque of \> 0.4 mm thick;
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Miedziowe Centrum Zdrowia SA
Lubin, Poland
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