Balloons vs. stents: new trial aims to find best treatment for heart blockages
NCT ID NCT06551662
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing whether drug-coated balloons work as well as drug-eluting stents for people with blocked heart arteries. About 321 participants will be randomly assigned to one of three treatments. The main goal is to see how well blood flows through the treated arteries after 6 to 9 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Paclitaxel or Sirolimus drug-coated balloons, or drug-eluting stents
- What this could lead to
- If successful, this could show that drug-coated balloons are a safe and effective alternative to stents for certain types of heart blockages, potentially reducing the need for permanent metal implants.
- What could go wrong
- This is a mid-sized trial, and the results may not apply to all patients. There is a risk that balloons may not keep the artery as open as stents, and long-term outcomes are still unknown.
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 321 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Feb 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: * Subject must be age ≥18 years. * Subject has silent ischemia, or stable/unstable angina, or acute MI older than 1-week from the onset of chest pain to admission. * Subject understands the trial design and treatment procedures and provides written informal consent before entering the trial * Subject is willing to comply with all protocol-required follow-up evaluations. * Target lesion must be native non-LM bifurcation lesion * Target lesion must be a bifurcation lesion on coronary angiography (defined as Medina 0,1,1, Medina 1,0,1, Medina 1,1,1 or Medina 0,0,1 coronary bifurcation lesions) and is eligible for percutaneous coronary intervention (PCI). * Target lesion reference vessel diameter (both main vessel and side branch) * 2.0 mm by visual estimation. * Target lesion must have visually estimated stenosis ≥50%. * Target lesion length of side branch must be \<25 mm by visual estimation. Exclusion Criteria: * Patient with STEMI (within 3 days from the onset of chest pain to coronarography). * Patient has known allergy to the study balloon/stent system. * Patient has any other serious medical illness that may reduce life expectancy to less than 12 months. * Patient is pregnant or nursing. * Patient is participating in another clinical trial that has not reached its primary endpoint within 24 months after the index procedure. * Patient has a planned procedure that may cause non-compliance with the protocol or confound data interpretation. * In-stent restenosis lesion. * Chronic total occlusion (CTO) lesion in either main vessel or side branch. * Left ventricular ejection fraction \<30%; * Visible and untreatable thrombus at lesion site; * Target lesion/vessel with any of the following characteristics: * Severe and/or \>270° calcification of the target vessel, also proximal to the lesion (intravascular imaging); * Bifurcation lesion where stent strategy is anticipated; * Left main stem stenosis \>50%; * Target lesion is in the left main stem; * Lesions length \>50 mm (main vessel) * Lesions length \>25 mm (side branch)
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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
17 sites in 4 countries. 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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Centre for Heart Disease, University Hospital Wroclaw Department of Heart Disease, Wroclaw Medical University
NOT_YET_RECRUITINGWroclaw, Poland
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Clinical Department of Interventional Cardiology, Medical University of Lublin
NOT_YET_RECRUITINGLublin, Poland
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Department of Cardiology
NOT_YET_RECRUITINGWałbrzych, Poland
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Department of Cardiology and Internal Diseases, Military Institute of Medicine
NOT_YET_RECRUITINGWarsaw, Poland
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Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland
NOT_YET_RECRUITINGKatowice, 40-635, Poland
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Department of Cardiology, Copper Health Centre (MCZ)
NOT_YET_RECRUITINGLubin, Poland
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Department of Cardiology, Poznan University of Medical Sciences
NOT_YET_RECRUITINGPoznan, Poland
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Department of Cardiology, The Ministry of Internal Affairs and Administration Hospital, Rzeszow
NOT_YET_RECRUITINGRzeszów, Poland
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Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Kraków, Poland
NOT_YET_RECRUITINGKrakow, Poland
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Department of Invasive Cardiology, Centre of Postgraduate Medical Education, Central Clinical Hospital of the Ministry of Interior and Administration
NOT_YET_RECRUITINGWarsaw, Poland
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First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland
NOT_YET_RECRUITINGGdansk, Poland
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Fondazione Ricerca e Innovazione Cardiovascolare
NOT_YET_RECRUITINGMilan, Italy
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Heart Institute, Cluj-Napoca
RECRUITINGCluj-Napoca, Romania
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Second Department of Cardiology, Jagiellonian University Medical College, Krakow, Poland
NOT_YET_RECRUITINGKrakow, Poland
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Sibiu County Emergency Clinical Hospital
RECRUITINGSibiu, Romania
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Tan Tock Seng Hospital
NOT_YET_RECRUITINGSingapore, Singapore
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Third Department of Cardiology, Medical University of Katowice
NOT_YET_RECRUITINGZabrze, Poland
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