Prevail Global

  • Research type

    Research Study

  • Full title

    A randomized controlled study of the Prevail Drug-Coated Balloon in subjects with in-stent restenosis and a single arm prospectively enrolled study of the Prevail Drug-Coated Balloon for de novo lesions in small vessel disease (Prevail Global)

  • IRAS ID

    348473

  • Contact name

    Azfar G. Zaman

  • Contact email

    azfar.zaman@nhs.net

  • Sponsor organisation

    Medtronic Vascular, Inc.

  • Clinicaltrials.gov Identifier

    NCT06535854

  • Duration of Study in the UK

    6 years, 2 months, 1 days

  • Research summary

    The purpose of this global study is to evaluate the clinical safety and efficacy of the Prevail Drug-Coated Balloon (DCB) in 1) the treatment of in-stent restenosis (ISR) which is characterized by narrowing of arteries previously treated with stents and, 2) in new narrowing of arteries in small vessels (de novo small vessel disease, DNSV).

    The Prevail DCB is a small balloon that contains medication on it. The balloon is at the tip of a catheter used to get to the arteries in the heart. The medication is designed to reduce the re-occurrence of narrowed arteries. The Prevail DCB used for this study is considered an investigational device. A version of this product was approved for use in July 2020.

    The patients in the study that will be treated for ISR, will receive either the Prevail DCB, or competitor product, Agent DCB which is already approved for use for patients who need a procedure to open narrow coronary arteries. The assignment of which DCB a patient will get is determined by randomisation in a 1:1 ratio.

    The patients in the study that will be treated for DNSV will only be treated with the Prevail DCB. Results from this cohort will be compared to historical results from Medtronic clinical studies using coronary stents.

    Patients will be followed up for 5 years after the procedure. The overall study is expected to last about 6 years, recruiting approximately 1205 patients at about 65 sites worldwide.

  • REC name

    London - Surrey Research Ethics Committee

  • REC reference

    25/LO/0113

  • Date of REC Opinion

    11 Feb 2025

  • REC opinion

    Favourable Opinion