New stent design tested in thousands with complex heart blockages
NCT ID NCT05705973
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This study follows about 3000 people with complex coronary artery disease who receive the Ultimaster Nagomi stent, a device that slowly releases a drug to keep arteries open. The goal is to see how often the stent fails—meaning heart-related death, heart attack, or need for another procedure—in real-world, challenging cases. Researchers are tracking success rates and complications to better understand the stent's performance outside of controlled trials.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sirolimus-eluting coronary stent
- What this could lead to
- If successful, this could confirm that the Ultimaster Nagomi stent is safe and effective for people with complex coronary artery blockages.
- What could go wrong
- This is an observational follow-up, not a randomized trial, so results may be less definitive. Stents carry risks like blood clots or re-narrowing of the artery.
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
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3,000 people
The number who actually took part.
- Started
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Apr 2023
- Expected to finish
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Apr 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
Subjects who have signed the informed consent are considered enrolled upon insertion of the first Ultimaster NagomiTM stent is successfully implanted and the complex procedure criteria are confirmed. It is expected that study enrolment will take approximately 1.5 years. Enrolment will be competitive, i.e. enrolment will be closed once the total number of subjects has been reached irrespective of the number of subjects per individual site. Individual sites can not enroll more than 300 subjects. The enrolled patient population is expected to be representative for complex patients because of the limited exclusion criteria and the participation of multiple sites from across Europe
- 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.
General Inclusion Criteria: 1. Age ≥ 18 years 2. Patient has been informed of the nature of the study and agrees to its provisions, has provided written informed consent as approved by the Institutional Review Board/Ethics Committee of the respective clinical site 3. Ischemic heart disease with an indication for a PCI with, if available and per hospital guidelines, Heart Team consensus for a PCI procedure 4. Intention to treat all lesions requiring a PCI with the Ultimaster Nagomi stent Complex Procedure Inclusion Criteria Subject meets ≥ 1 of the complex procedure criteria: 1. Multivessel PCI defined as ≥ 2 native coronary arteries and/or venous or arterial bypass grafts treated with a stent 2. ≥ 3 stents implanted 3. ≥ 3 lesions treated 4. Complex bifurcation lesion defined as true bifurcation lesion (Medina 1.1.1, 1.0.1 or 0.1.1) with a side branch diameter ≥ 2.5 mm plus one of the following: i) side branch disease \> 10 mm ii) calcified lesion iii) thrombotic lesion e) Bifurcation lesion implanted with two stents f) Total stent length implanted \> 60 mm g) Chronic total occlusion defined as a 100% occlusion with antegrade TIMI 0 flow with at least a 3-month duration h) Left main stenting (main stem and/or bifurcation) i) In-stent restenosis j) Severe calcified lesion with use of atherectomy, lithotripsy or cutting balloon Exclusion Criteria: 1. Any surgery requiring general anaesthesia, comorbidity or indication likely necessitating the discontinuation of dual anti-platelet therapy before the recommended duration of dual anti-platelet therapy per the ESC or national guidelines 2. Hypersensitivity or contraindication to aspirin, heparin, L605 cobalt-chromium alloy, sirolimus or its structurally related compounds, lactide polymers or caprolactone polymers that cannot be pre-medicated 3. Known contrast sensitivity that cannot be premedicated 4. Pregnant and breastfeeding women 5. Life expectancy \< 1 year for any cardiac or non-cardiac cause 6. Participation in another clinical study that has not yet completed its primary endpoint 7. Earlier enrolment in the Nagomi Complex study 8. Unlikely to be available for follow-up during the duration of the study (2 years)
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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
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Albert Schweitzer Ziekenhuis
Dordrecht, Netherlands
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Altnagelvin Area Hospital
Londonderry, United Kingdom
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Bellvitge University Hospital
Barcelona, Spain
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C.H.U. Charleroi
Charleroi, Belgium
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CHR Citadelle
Liège, Belgium
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CHU Jean Minjoz
Besançon, France
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CHU UCL Mont Godinne Namur
Yvoir, Belgium
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Catharina Hospital Eindhoven
Eindhoven, Netherlands
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Centre Hospitalier Universitaire de Nîmes
Nîmes, France
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Clinique Louis Pasteur
Essey-lès-Nancy, France
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Clinique Pasteur
Toulouse, France
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Clinique Saint-Hilaire
Rouen, France
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Clinique Saint-Luc Bouge
Namur, Belgium
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Dedinje Cardiovascular Institute
Belgrade, Serbia
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East Tallinn Central Hospital
Tallinn, Estonia
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Galway University Hospital
Galway, Ireland
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Gävle Hospital
Gävle, Sweden
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Hopital de Jolimont
La Louvière, Belgium
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Hospital Universitario Juan Ramón Jiménez
Huelva, Spain
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Hospital Universitario Virgen del Rocio
Seville, Spain
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Hospital Universitario de León
León, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, Spain
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Hôpital Foch
Suresnes, France
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Hôpital Louis Pradel
Bron, France
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Hôpital Privé Jacques Cartier
Massy, France
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Hôpital de la Croix Rousse
Lyon, France
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IRCCS Istituto Auxologico Italiano
Milan, Italy
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Imelda Hospital
Bonheiden, Belgium
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Istituto Cardiocentro Ticino
Lugano, Switzerland
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Jeroen Bosch Ziekenhuis
's-Hertogenbosch, Netherlands
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Karolinska University Hospital
Huddinge, Sweden
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Klinikum Klagenfurt am Wörthersee
Klagenfurt, Austria
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Lincolnshire Heart Centre Lincoln County Hospital
Lincoln, United Kingdom
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London North West University Healthcare NHS Trus
London, United Kingdom
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Luzerner Kantonsspital
Lucerne, Switzerland
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Maasstad Ziekenhuis
Rotterdam, Netherlands
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Mater Private Hospital
Dublin, Ireland
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Mater Private Network
Cork, Ireland
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Medisch Centrum Leeuwarden
Leeuwarden, Netherlands
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Monzino Cardiology Center
Milan, Italy
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Newcastle Freeman Hospital
Newcastle upon Tyne, United Kingdom
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Rijnstate Ziekenhuis
Arnhem, Netherlands
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Royal Sussex County Hospital
Brighton, United Kingdom
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Salamanca University Hospital
Salamanca, Spain
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UZ Leuven
Leuven, Belgium
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University Clinical Center of Serbia
Belgrade, Serbia
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University Hospital Plymouth NHS trust
Plymouth, United Kingdom
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University Hospital of North Midlands
Newcastle, United Kingdom
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Universitätsspital Basel
Basel, Switzerland
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Uniwersytecki Szpital Kliniczny w Poznaniu Oddział Kardiologii
Poznan, Poland
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Worcestershire Royal Hospital
Worcester, United Kingdom
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Ziekenhuis Oost-Limburg
Genk, Belgium
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