New balloon treatment aims to clear blocked stents without extra surgery
NCT ID NCT04647253
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 4 times
Summary
This study tests a special balloon coated with a drug to treat heart arteries that have narrowed again after a stent was placed. About 600 adults with this condition will be randomly assigned to receive either the drug-coated balloon or a standard balloon procedure. The goal is to see if the new balloon is safer and more effective at keeping the artery open and preventing future heart problems.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
600 people
The number who actually took part.
- Started
-
May 2021
- Expected to finish
-
Sep 2027
An estimate. End dates often move.
- Lead sponsor
-
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.
- Ages
-
18 years and older
- Sex
-
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.
Clinical Inclusion Criteria * Subject must be at least 18 years of age * Subject (or legal guardian) understands the trial requirements and the treatment procedures, and provides written informed consent before any trial-specific tests or procedures are performed * Subject is eligible for percutaneous coronary intervention (PCI) * Subject is willing to comply with all protocol-required follow-up evaluation * Women of child-bearing potential must agree to use a reliable method of contraception from the time of screening through 12 months after the index procedure Angiographic Inclusion Criteria (visual estimate) * In-stent restenosis in a lesion previously treated with either a drug-eluting stent or bare metal stent, located in a native coronary artery with a visually estimated reference vessel diameter (RVD) \> 2.0 mm and ≤ 4.0 mm. * Target lesion length must be \< 26 mm (by visual estimate) and must be covered by only one balloon. * Target lesion must have visually estimated stenosis \> 50% and \< 100% in symptomatic patients (\>70% and \<100% in asymptomatic patients) prior to lesion pre-dilation. * Target lesion must be successfully pre-dilated. o Note: Successful predilation/pretreatment refers to dilation with a balloon catheter of appropriate length and diameter, or pretreatment with directional or rotational coronary atherectomy, laser or cutting/scoring balloon with no greater than 50% residual stenosis and no dissection greater than National Heart, Lung, Blood Institute (NHLBI) type C. Thrombolysis in Myocardial Infarction (TIMI) grade flow in the target lesion must be \>2 * If a non-target lesion is treated, it must be treated first and must be deemed a success. * Note: Successful treatment of a non-target lesion is defined as a residual stenosis of ≤ 30% in 2 near-orthogonal projections with TIMI 3 flow, as visually assessed by the physician, without the occurrence of prolonged chest pain or ECG changes consistent with MI. Clinical Exclusion Criteria * Subject has other serious medical illness (e.g. cancer, congestive heart failure) that may reduce life expectancy to less than 24 months. * Subject has current problems with substance abuse (e.g. alcohol, cocaine, heroin, etc.). * Subject has planned procedure that may cause non-compliance with the protocol or confound data interpretation. * Subject is participating in another investigational drug or device clinical study that has not reached its primary endpoint. * Subject intends to participate in another investigational drug or device clinical study within 12 months after the index procedure. * Woman who is pregnant or nursing. (A pregnancy test must be performed within 7 days prior to the index procedure, except for women who definitely do not have child-bearing potential.) * Left ventricular ejection fraction known to be \< 25%. * Subject had PCI or other coronary interventions within the last 30 days. * Planned PCI or CABG after the index procedure. * STEMI or QWMI \<72h prior to the index procedure. * Cardiogenic shock (SBP \< 80 mmHg requiring inotropes, IABP or fluid support). * Known allergies against paclitaxel or other components of the used medical devices. * Known hypersensitivity or contraindication for contrast dye that in the opinion of the investigator cannot be adequately pre-medicated. * Intolerance to antiplatelet drugs, anticoagulants required for procedure. * Platelet count \< 100k/mm3 (risk of bleeding) or \> 700k/mm3. * Subject with renal insufficiency (creatinine ≥2.0 mg/dl) or failure (dialysis dependent). * Subject has suspected or proven COVID-19 at present or within the past 4 weeks with resolution of symptoms. Angiographic Exclusion Criteria (visual estimate) * Target lesion is located within a bifurcation with planned treatment of side branch vessel. * Target lesion is located within a saphenous vein or arterial graft. * Thrombus present in the target vessel * \> 50% stenosis of an additional lesion proximal or clinically significant distal (\>2.0mm RVD) to the target lesion. * Patient with unprotected left main coronary artery disease. (\>50% diameter stenosis)
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for In-stent restenosis are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Baylor Heart and Vascular Hospital
Dallas, Texas, 75226, United States
-
Bergan Cardiology
Omaha, Nebraska, 68124, United States
-
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
-
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
-
Carondelet Medical Group St. Mary's Hospital
Tucson, Arizona, 85745, United States
-
Cedars Sinai Medical Center
Los Angeles, California, 90048, United States
-
Centennial Medical Center
Nashville, Tennessee, 37203, United States
-
Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
-
Columbia University Medical Center
New York, New York, 10032, United States
-
Emory University Hospital
Atlanta, Georgia, 30322, United States
-
Evanston Hospital
Evanston, Illinois, 60201, United States
-
Heart Hospital of Austin
Austin, Texas, 78756, United States
-
Henry Ford Hospital
Detroit, Michigan, 48202, United States
-
Houston Methodist Hospital
Houston, Texas, 77030, United States
-
Inova Fairfax Hospital
Falls Church, Virginia, 22042, United States
-
Jersey Shore University Medical Center
Neptune City, New Jersey, 07753, United States
-
Lindner Center for Research and Education at Christ Hospital
Cincinnati, Ohio, 45219, United States
-
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
-
Methodist North Hospital
Memphis, Tennessee, 38104, United States
-
Montefiore Medical Center
New York, New York, 10467, United States
-
Northside Hospital
Lawrenceville, Georgia, 30046, United States
-
Ochsner Medical Center
New Orleans, Louisiana, 70121, United States
-
Overland Park Regional Medical Center
Overland Park, Kansas, 66211, United States
-
Regions Hospital
Saint Paul, Minnesota, 55101, United States
-
Rhode Island Hospital
Providence, Rhode Island, 02903, United States
-
San Francisco Veterans Affairs Medical Center
San Francisco, California, 94121, United States
-
South Denver Cardiology
Littleton, Colorado, 80210, United States
-
St. Anthony Hospital
Lakewood, Colorado, 80216, United States
-
St. Francis Hospital
Roslyn, New York, 11576, United States
-
St. Luke's Hospital of Kansas City
Kansas City, Missouri, 64111, United States
-
Stanford University Medical Center
Stanford, California, 94305, United States
-
Tallahassee Memorial Hospital
Tallahassee, Florida, 32308, United States
-
Tufts Medical Center
Boston, Massachusetts, 02111, United States
-
UPMC Pinnacle Health
Wormleysburg, Pennsylvania, 17053, United States
-
University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
-
University of California San Diego
La Jolla, California, 92037, United States
-
University of Virginia Medical Center
Charlottesville, Virginia, 22908, United States
-
University of Washington
Seattle, Washington, 98195, United States
-
Wake Medical Center
Raleigh, North Carolina, 27610, United States
-
Wellstar Kennestone Hospital
Marietta, Georgia, 30060, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a laser drill through the Heart's hardest blockages?
- Can a Spur-Shaped stent fix Re-Blocked arteries?
- New balloon tackles tough heart blockages in major registry
- Insulin resistance score may predict stent failure
- New catheter device tested for stubborn leg vein blockages
- Heart stent study seeks to predict blockage return with advanced lipid test