Balloon that delivers medicine directly to heart arteries could offer Stent-Free option
NCT ID NCT04470934
First seen Jul 16, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This study evaluates a special balloon coated with sirolimus, a drug that helps prevent arteries from narrowing again after angioplasty. The balloon is used during routine procedures to open blocked heart arteries in people with coronary artery disease. Researchers are tracking how well it works and its safety in real-world use, focusing on whether it reduces heart attacks or the need for repeat treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a sirolimus-coated balloon catheter that delivers the drug directly to the artery wall during angioplasty
- What this could lead to
- If successful, this could offer a stent-free option for treating coronary artery disease, reducing the need for repeat procedures.
- What could go wrong
- This is an observational study without a comparison group, so results may not prove superiority over existing treatments. Risks include artery injury, blood clots, or the drug not preventing re-narrowing as expected.
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.
- Participants
-
About 1,302 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2021
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This is a single-armed, prospective, international, multi-center, post-market study in patients with coronary artery disease and indication for PCI either due to anginal symptoms and a relevant stenotic coronary lesion during angiography or due to documented ischemia by non-invasive or invasive functional testing. All patients who undergo a target intervention with the SCB will be followed for 12 and 24 months after initial PCI.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * All common significant coronary lesions * Target lesion length \>34mm need to be covered with at least 2 devices * Patients eligible for this study must be at least 18 years of age * The patient must fulfil the standard recommendations for percutaneous coronary intervention (PCI), based on the last ESC recommendations within his/ her regular treatment or that the use of the product has already been decided within the regular planning of the patient's treatment Exclusion Criteria: * Intolerance to sirolimus * Allergy to components of the coating * Pregnancy and lactation * Complete occlusion of the treatment vessel because of an unsuccessfully re-canalized * Cardiogenic shock * Risk of an intraluminal thrombus * Hemorrhagic diathesis or another disorder such as gastro-intestinal ulceration or cerebral circulatory disorders which restrict the use of platelet aggregation inhibitor therapy and anti-coagulation therapy * Surgery shortly after myocardial infarction with indications of thrombus or poor coronary flow behavior * Severe allergy to contrast media * Lesions which are untreatable with PCI or other interventional techniques * Patients with an ejection fraction of \< 30 % * Vascular reference diameter \< 2.00 mm * Treatment of the left stem (first section of the left coronary artery) * Indication for a bypass surgery * Contraindication for whichever accompanying medication is necessary
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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.
Contacts and locations
Locations
-
Universitätsklinikum Jena
Jena, Thuringia, 07747, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- SMART-I: SiroMax™ Multi-Center coronary artery lesion treatment - safety and feasibility study of SiroMax SCB in ISR and DNSV
- Hospital-to-Home transitional cardiac rehabilitation as a transition from Centre-Based cardiac rehabilitation after cardiac surgery: a Single-Blind randomised controlled trial
- Opportunistic screening of coronary artery calcium on Non-Gated routine chest CT using artificial intelligence: retrospective external validation and clinical risk stratification
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- A shot of nicorandil before stenting might keep blood flowing
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