Sirolimus-coated Balloon Versus Drug-eluting Stent in Native Coronary Vessels - TRANSFORM II
This study, called TRANSFORM II, is looking at how well two different treatments work for people with blocked heart arteries. One treatment uses a special balloon coated with a medicine called sirolimus (Magic Touch). The other treatment uses a tiny mesh tube, called a stent, which is also coated with medicine (everolimus). Stents are a common way to treat this condition. The study wants to find out if the special balloon is as good as, or better than, the stent for unblocking arteries that are not too narrow or too wide. This is an international study, meaning people from different countries are taking part.
At a glance
What is this study about?
Heart disease can happen when the arteries that supply blood to your heart become narrowed or blocked. This can cause chest pain or even a heart attack. Doctors can often treat this by opening up the blocked artery in a procedure called an angioplasty, often by inserting a small mesh tube called a stent to keep it open. This study is testing a different approach.
This study, called TRANSFORM II, wants to compare two ways of dealing with blocked heart arteries. One way uses a special balloon called `Magic Touch`. This balloon is coated with a medicine called sirolimus, which helps prevent the artery from narrowing again. The other way uses a `drug-eluting stent`, which is a tiny mesh tube coated with a medicine called everolimus. Stents are generally considered a very good treatment.
The main goal of this study is to see if the `Magic Touch` balloon works as well as, or even better than, the standard drug-eluting stent. They are particularly interested in arteries that are not extremely small and not extremely large (between 2mm and 3.5mm in width). By finding out which treatment is most effective, doctors can make better decisions about how to help people with narrowed heart arteries.
Key takeaways
- Compares a new drug-coated balloon with a standard drug-coated stent.
- Aims to find the best treatment for blocked heart arteries.
- Focuses on arteries between 2mm and 3.5mm wide.
- Participation involves either treatment and follow-up checks.
- You can withdraw from the study at any time.
Who may be eligible?
To be considered for this study, you need to be over 18 years old and have a problem with your heart arteries that your doctor thinks needs a procedure to open them up. The artery in question should be between 2mm and 3.5mm wide and the blockage shouldn't be too long (up to 50mm). You'll also need to agree to take part by signing a consent form.
There are several reasons why someone might not be able to join. For example, if you're allergic to important medicines often used in these procedures (like aspirin or heparin), or to the medicine on the balloon or stent (sirolimus or everolimus). If you are pregnant or breastfeeding, or if your kidneys or heart aren't working well enough, you won't be able to participate. Also, if you've had a very recent heart attack (within 48 hours), or if the blockage is extremely severe, or if you've already had a stent in that specific artery, you generally won't be eligible. They also can't include you if the artery is very twisted or has a lot of hard calcium deposits.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you over 18 years old?
- Do you need a procedure to open a blocked heart artery?
- Is the blocked artery between 2mm and 3.5mm wide?
- Are you not pregnant or breastfeeding?
- Do you not have a known allergy to common heart medications or the study drugs?
What does participation involve?
If you decide to take part in this study, you will have a medical procedure to treat your blocked heart artery, just as you would normally, but the type of device used (a special balloon or a stent) will be chosen at random, like flipping a coin. You will then have follow-up appointments to check on your progress. These appointments will involve check-ups and possibly some tests to see how your artery is doing after the procedure. The doctors will monitor your health for a period of time to compare how well each treatment works. The total duration of your participation in the study will depend on the follow-up schedule established by the researchers.
Potential risks and benefits
Locations (53)
- Bangladesh Specialized Hospital LtVerified postcodeDhaka, Bangladesh
- Kurmitola General HospitalVerified postcodeDhaka, Bangladesh
- LABAID Cardiac HospitalVerified postcodeDhaka, Bangladesh
- National Heart Foundation Hospital & Research InstituteVerified postcodeDhaka, Bangladesh
- National Institute of Cardiovascular DiseaseVerified postcodeDhaka, Bangladesh
- Hospital de Clínicas de Porto AlegreVerified postcodePorto Alegre, Brazil
- INC (National Institute of Cardiology),Verified postcodeRio de Janeiro, Brazil
- InCor (Heart Institute)Verified postcodeSão Paulo, Brazil
- Institute Dante Pazzanese of CardiologyVerified postcodeSão Paulo, Brazil
- Hospital Santa Isabel R. Frei CornélioVerified postcodeUbá, Brazil
- Jurong Park Medical Centre JPMCVerified postcodeBandar Seri Begawan, Brunei
- Clinique Louis PasteurVerified postcodeEssey-lès-Nancy, France
Common questions
What is the main purpose of this study?
To see if a special medical balloon (Magic Touch) is as effective as, or better than, a standard drug-coated stent for treating blocked heart arteries.
What does 'native coronary vessels' mean?
It refers to the original heart arteries that are being treated, not arteries where a bypass graft has been placed before.
How will I know which treatment I get?
The treatment you receive (the special balloon or the stent) will be chosen randomly, similar to drawing straws, so neither you nor your doctor will decide.
Are there medicines involved in this study?
Yes, both the balloon and the stent are coated with medicines (sirolimus or everolimus) that help prevent the artery from narrowing again, and you'll likely be on other heart medicines too.
Can I leave the study if I change my mind?
Yes, you can decide to stop participating in the study at any time without needing to give a reason, and it won't affect your future medical care.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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