Can a Drug-Coated balloon keep heart arteries open without a stent?
NCT ID NCT07817719
First seen Sep 14, 2026 · Last updated Sep 15, 2026 · Updated 1 time
Summary
Researchers are testing whether a drug-coated balloon alone can keep heart arteries open after clearing a chronic total blockage, without leaving a permanent metal stent. The study plans to enroll 38 adults with a long-standing coronary occlusion and angina or documented ischemia. Doctors deliver paclitaxel to the artery wall using a balloon, then track how well the vessel stays open at nine months with angiography and ultrasound imaging.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a paclitaxel-coated balloon catheter
- What this could lead to
- If it works, this could offer a stent-free option for reopening long-blocked heart arteries, leaving no metal implant behind.
- What could go wrong
- This is a small, single-center pilot with no comparison group, so it cannot prove the approach beats stents. The artery may renarrow, and the trial is not designed to show clinical superiority.
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 38 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2028
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: * Age 18 years or older * Chronic total coronary occlusion (CTO) of more than three months' duration, confirmed by prior angiography or lesion characteristics * Clinical indication for revascularization, defined as limiting angina and/or documented ischemia * Successful CTO recanalization, defined as restoration of Thrombolysis in Myocardial Infarction (TIMI) grade 3 antegrade flow and absence of any flow-limiting dissection * Life expectancy greater than one year * Written informed consent provided Exclusion Criteria: * Acute coronary syndrome or cardiogenic shock at presentation * Flow-limiting dissection (TIMI grade below 3) requiring stent implantation * Left main coronary artery as the CTO target vessel * Reference vessel diameter below 2.0 mm or above 4.0 mm * In-stent chronic total occlusion * Absolute contraindication to dual antiplatelet therapy for the protocol-defined duration of 3 to 6 months * Inability to achieve adequate lesion preparation, defined as absence of flow-limiting or otherwise significant dissection and satisfactory conditions for drug delivery, confirmed by angiography and intravascular ultrasound (IVUS)
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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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InCor - Instituto do Coracao - University of Sao Paulo Heart Institute
São Paulo, São Paulo, 05403-000, Brazil
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