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New balloon could offer alternative for clogged heart stents
NCT ID NCT07045194
First seen Jun 26, 2026 · Last updated Jul 24, 2026 · Updated 3 times
Summary
This study tests a new balloon coated with sirolimus (Virtue SAB) against an existing balloon coated with paclitaxel (AGENT DCB) for treating in-stent restenosis — when a previously placed stent in a heart artery becomes blocked again. About 740 people with one re-narrowed stent will be randomly assigned to receive one of the two balloons during a procedure. The main goal is to see if the sirolimus balloon works as well as the paclitaxel balloon at preventing heart-related problems one year later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sirolimus (on a balloon catheter)
- What this could lead to
- If it works, this could offer an alternative treatment for re-narrowed heart arteries, potentially reducing the need for repeat procedures.
- What could go wrong
- This is a non-inferiority trial, meaning it aims to show the new balloon is not worse than the existing one, not that it is better. The study is still recruiting, and results are not yet available.
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 740 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Oct 2032
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.
- 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: * In-stent restenosis (one or two stent layers) in a lesion previously treated with drug- eluting (DES) or bare metal stents (BMS) in a native coronary artery. * The target lesion has a reference vessel diameter ≥ 2.0 mm and ≤ 4.0 mm by visual assessment. * The subject has only one critical ISR lesion in the target vessel. * The subject may have one other critical lesion in a non-target vessel that must be treated before the Target Lesion (TL). * Target lesion length must be ≤ 26 mm and must be completely coverable by only one Virtue® or AGENT™ balloon. The balloon can extend up to 5 mm proximal or distal beyond the edge of the target stented length. * The target lesion must have one of the following: * Visually estimated stenosis of ≥ 70% and \<100% diameter stenosis, OR * Visually estimated stenosis ≥ 50% and \< 70% with one of the following: * abnormal fractional flow reserve (FFR) including Angio based FFR ≤ 0.80, or; * abnormal instantaneous wave-free ratio (iFR) or resting full-cycle ratio (RFR) ≤ 0.89, or; * abnormal stress or imaging stress test, or; * ischemic symptoms referable to the target lesion * Involved in a NSTEMI or Acute Coronary Syndrome (ACS) event with decreasing enzymes * Target lesion must be successfully pre-treated according to standard of care with an achieved residual stenosis of ≤ 30% by visual estimate with TIMI grade flow of 3 prior to randomization. Exclusion Criteria: * Subject has a left ventricular ejection fraction \< 30% within 6 months. * Subject was treated by PCI or another coronary intervention within the last 30 days. * Planned PCI or CABG after the index procedure. * Subjects with STEMI \< 72 hours prior to index procedure and those with NSTEMI who have increasing biomarkers within 12 hours of the index procedure. * If single-layer ISR, any previous treatment (other than balloon angioplasty alone) of the target vessel for restenosis. If double-layer ISR, any treatment (other than balloon angioplasty alone) of the double-layer ISR restenosis. * Target lesion is located within a saphenous vein graft or an arterial graft. * Thrombus is present in the target vessel. * \> 50% stenosis of an additional lesion proximal or clinically significant distal (\>2.0mm RVD) to the target lesion. * A dissection in the target lesion requiring treatment with a stent post pre-dilatation. * The target ISR lesion has more than two layers of previously placed stents. * Subject has critical unprotected left main coronary artery disease.
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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
15 sites. 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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Ascension Columbia St. Mary's Hospital
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Ascension Sacred Heart
RECRUITINGPensacola, Florida, 32504, United States
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Ascension Saint Agnes Heart Care
RECRUITINGBaltimore, Maryland, 21229, United States
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Ascension Seton Hays
RECRUITINGKyle, Texas, 78640, United States
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Ascension St. Thomas Hospital
RECRUITINGNashville, Tennessee, 37236, United States
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Ascension St. Vincent
RECRUITINGIndianapolis, Indiana, 46290, United States
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Ascension Via Christi Saint Francis
RECRUITINGWichita, Kansas, 67214, United States
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Corewell Health William Beaumont University Hospital
RECRUITINGRoyal Oak, Michigan, 48073, United States
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Mission Hospital
RECRUITINGAsheville, North Carolina, 28801, United States
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St. Francis Hospital
RECRUITINGRoslyn, New York, 11576, United States
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The Cardiac and Vascular Institute
RECRUITINGGainesville, Florida, 32605, United States
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The Lindner Center for Research at Christ Hospital
RECRUITINGCincinnati, Ohio, 45219, United States
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Thomas Jefferson University
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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TriStar Centennial Medical Center
RECRUITINGNashville, Tennessee, 37203, United States
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WellSpan Health
RECRUITINGYork, Pennsylvania, 17403, United States
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