Coronary disease & ACS

Rationale and design of the prevail global trial program evaluating the prevail drug-coated balloon in patients with in-stent restenosis and de novo small vessel disease

Am Heart JPublished prospective, international, dual cohort clinical study

Study context

Population
Patients undergoing percutaneous coronary intervention (PCI) for in-stent restenosis (ISR), and patients with de novo small vessel disease undergoing PCI
Planned comparison
The Prevail drug-coated balloons (DCB) versus an FDA-approved DCB
Primary endpoint
target lesion failure, defined as a composite of cardiac death, target vessel myocardial infarction, or clinically-driven target lesion revascularization
Follow-up
12 months post procedure
Methodological detailsrandomized controlled trial (1:1) design (ISR cohort), single-arm study compared with a historical control (de novo small vessel cohort)
  • Randomized controlled trial (1:1) design (ISR cohort)
  • Single-arm study compared with a historical control (de novo small vessel cohort)

No results yet. This paper sets out the design of a trial; its results are to come.

Further findings

Study conduct

Patient follow-up is planned for 1 month, 6 months, and yearly through 5 years
Enrollment is expected to start in early 2025

Original publication

Rationale and design of the prevail global trial program evaluating the prevail drug-coated balloon in patients with in-stent restenosis and de novo small vessel disease. Am Heart J. Published 23 January 2025. doi:10.1016/j.ahj.2025.01.010

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