New heart artery treatment could save millions: hybrid strategy tested against standard stenting
NCT ID NCT07159737
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests if a new hybrid approach—using one stent plus a drug-coated balloon—works better than the usual two-stent method for treating a severe blockage in the left main coronary artery. About 800 adults with this condition will be randomly assigned to one of the two treatments. The goal is to see which method better prevents death, heart attacks, and the need for repeat procedures over two years.
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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 800 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 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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A government agency
The lead sponsor is a government body.
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: Floating eligibility criteria * De novo unprotected true left main bifurcation (UTLMB) (Medina 1,1,1; 1,0,1; and 0,1,1). * Optimal LCx lesion preparation (residual stenosis less than 30% with absence of flow-limiting dissection). * The operator feels it might be appropriate to place either a drug-eluting stent (DES) or drug-coated balloon (DCB) to the LCX * Clinically stable at the time of randomisation. * Able to complete 2-year follow-up. * Able to complete dual antiplatelet therapy (DAPT) as per guidelines. * Written informed consent (or verbal consent on-table with written consent as soon as possible thereafter). Exclusion Criteria: * Protected left main (patent graft to LAD and LCX) * Need for anticoagulation * LCx reference vessel diameter less than 2.5 mm (\< 2.5 mm) * Cardiogenic shock * Severe left ventricular (LV) dysfunction making either strategy unsafe * Contraindication to antiplatelet therapy or study devices * Life expectancy less than 2 years * Participation in another trial that may affect results
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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 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.