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CTRI Number  CTRI/2022/03/040921 [Registered on: 08/03/2022] Trial Registered Prospectively
Last Modified On: 09/05/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Registry 
Study Design  Single Arm Study 
Public Title of Study   An observational registry study on the use of ENCRUSO RAL- Everolimus eluting stent in indian population 
Scientific Title of Study   A ProSpective, multicentre, registry to evalUate the Clinical outCome of Encruso RAL-Everolimus Eluting Coronary Stent System in real world percutaneOus coronary revasculaRization in Indian population- SUCCESSOR 
Trial Acronym  SUCCESSOR 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Upendra Kaul 
Designation  Chairman Batra Heart Centre and Dean Academics and Research 
Affiliation  Batra Hospital and Medical Research Centre 
Address  Batra Heart Centre, 1st floor, Room No. 17, 1, Tughlakabad Institutional Area
Mehrauli Badarpur Road
New Delhi
DELHI
110062
India 
Phone  09811150518  
Fax    
Email  upendra.kaul@batrahospitaldelhi.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Upendra Kaul 
Designation  Chairman Batra Heart Centre and Dean Academics and Research 
Affiliation  Batra Hospital and Medical Research Centre 
Address  Batra Heart Centre, 1st floor, Room No. 17, 1, Tughlakabad Institutional Area
Mehrauli Badarpur Road
New Delhi
DELHI
110062
India 
Phone  09811150518  
Fax    
Email  upendra.kaul@batrahospitaldelhi.org  
 
Details of Contact Person
Public Query
 
Name  Priyadarshini Arambam 
Designation  Project Manager 
Affiliation  Clicebo Solutions Private Limited 
Address  Room No. 1, N 28 Ground Floor CR Park

South
DELHI
110019
India 
Phone  9910990347  
Fax    
Email  priyadarshini@clicebo.com  
 
Source of Monetary or Material Support  
Nano Therapeutics Private Limited 
 
Primary Sponsor  
Name  Nano Therapeutics Private Limited 
Address  Plot no. D-54/2, Hojiwala Industrial Estate, Road No. 23, Near Gate No. 3 Sachin Palsana Highway, Sachin, Surat-394230, Gujarat, India 
Type of Sponsor  Other [Medical Device Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 18  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sameer I Dani  Apollo CVHF Heart Institute  A unit of Apollo CVHF Limited, Department of Cardiology, Opp. GNFC Tower, Pakwan Cross Road, S.G. Highway, Bodakdeb, Ahmedabad-380059
Ahmadabad
GUJARAT 
9825038855

drsameerdani@yahoo.com 
Dr Dhiman Kahali  B M Birla Heart Research Centre  Department of Cardiology,1/1 National Library Avenue, Kolkata-700027
Kolkata
WEST BENGAL 
9830048563

dhiman.kahali@gmail.com 
Dr Upendra Kaul  Batra Hospital and Medical Research Centre  Room no. 17, 1st Floor, Batra Heart Centre, 1, Tughlakabad Institutional Area Mehrauli Badarpur Road
New Delhi
DELHI 
09811150518

upendra.kaul@batrahospitaldelhi.org 
Dr N Raja Ramesh  Dr. Ramesh Cardiac and Multispecialty Hospital Pvt Ltd Pvt. Ltd  Ring Road, Near ITI College Vijaywada-520008
Krishna
ANDHRA PRADESH 
8662463463

nukavarapuraja@gmail.com 
Dr Ashok Kumar Parida  HEALTHWORLD HOSPITALS  C-49 Commercial Area, opp ESIC Sub-Regional Office Durgapur, West Bengal 713216
Barddhaman
WEST BENGAL 
9932000556

ashokparida@gmail.com 
Dr Basavaraj Utagi  Justice K S Hegde Charitable Hospital  DEPARTMENT OF CARDIOLOGY, DERALAKATTE, MANGALORE UNIVERSITY ROAD, MANGALORE -575018
Dakshina Kannada
KARNATAKA 
8660294608

basavaraj.utagi@gmail.com 
Dr Tom Devasia  Kasturba Hospital   Department of Cardiology KMC Manipal ,Udupi Karnataka 576104
Udupi
KARNATAKA 
9448158508

tomdevasia@hotmail.com 
Dr SK Sinha  LPS Institute of cardiology and Cardiac surgery  Room No.13 3rd floor GSVM Medical College, Swaroop Nagar Kanpur, Uttar Pradesh-208002
Kanpur Dehat
UTTAR PRADESH 
9670220088

fionasan@rediffmail.com 
Dr BB Chanana  Maharaja Agrasen Hospital  West Punjabi Bagh, New Delhi-110026
West
DELHI 
9810109195

bbchanana@yahoo.com 
Dr Rakesh Rai Sapra  Marengo QRG Hospital  Plot No, 1 Sector- 16, Faridabad, Haryana 121002
Faridabad
HARYANA 
9811335464

saprarakesh@hotmail.com 
Dr Rohit Mody  Max Super Speciality Hospital  NH-64, Near District Civil Hospital, Mansa Road, Bathinda, Punjab 151 001
Bathinda
PUNJAB 
9888925988

drmody_2k@yahoo.com 
Dr Manoj Kumar  Max Super Speciality Hospital, Patparganj  Department of Cardiology, 108-A, IP Extension, Patparganj, New Delhi-110092
East
DELHI 
9811506252

manoj.kumar@maxhealthcare.com 
Dr Viveka Kumar  Max Super Speciality Hospital, Saket (A Unit of Devki Devi Foundation)  East Block, Department of Cardiac Sciences, 2, Press Enclave Road, Saket-110017
New Delhi
DELHI 
9871001190

viveka.kumar@maxhealthcare.com 
Dr Yash Paul Sharma  PGIMER   Department of Cardiology, Sector-12 Chandigarh-160012 India
Chandigarh
CHANDIGARH 
9417167214

ypspgi@gmail.com 
Dr Ganesh Vilas Manudhane  Sevenhills Hospital  Department of Cardiology,Marol Maroshi road, Andhaeri East, Mumbai, Maharasatra-400059
Mumbai
MAHARASHTRA 
7276705766

drganeshmanudhane@gmail.com 
Dr Nikhil D Parikh   Soni Hospital  38, Kanota Bagh, JLN Marg,Near Birla Mandir,Jaipur,Rajasthan-302004
Jaipur
RAJASTHAN 
9829054944

nikhil17961@gmail.com 
Dr Bijulal Sasidharan  Sree Chitra Tirunal lnstitute for Medical Sciences and Technology  Department of Cardiology Jai Nagar W Rd, Chalakkuzhi, Thiruvananthapuram 695011
Thiruvananthapuram
KERALA 
9446590185

bijulalsasidharan@gmail.com 
Dr Shanmugam Krishnan  Sri Jayadeva Institute of Cardiovascular Sciences & Research  Department of Cardiology,Bannerghatta Road, Jayanagar, Bangaluru-560069
Bangalore
KARNATAKA 
9968889887

shanmugammmc@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 18  
Name of Committee  Approval Status 
Ethics Committee GSVM Medical College , Kanpur  Approved 
Central Ethics Committee  Approved 
Healthworld Hospitals Institutional Ethics Committee  Approved 
IEC PGIMER, Chandigarh  Approved 
Institutional Ethics Committee , Apollo Hospitals, Gandhinagar   Approved 
Institutional Ethics Committee, B M Birla Heart Research Centre  Approved 
Institutional Ethics Committee, Maharaja Agrasen Hospital  Approved 
Institutional Ethics Committee, Max Super Speciality Hospital ,Bathinda  Approved 
Institutional Ethics Committee, max Super Speciality Hospital, Patparganj  Approved 
Institutional Ethics Committee, Ramesh Hospital, Vijaywada  Approved 
Institutional Ethics Committee,Devki Devi Foundation  Approved 
Institutional Ethics Committee,SCTIMST  Approved 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
Medical Ethics Committee Sevenhills  Approved 
QRG Medicare Ethics Committee  Approved 
Scientific Research and Ethical Review Committee  Approved 
Somex Research & Health Ethics Committee   Approved 
Sri Jayadeva Institute Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I251||Atherosclerotic heart disease of native coronary artery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  98.00 Year(s)
Gender  Both 
Details  1.Male or female patient who is 18 years and above
2.Patients undergoing percutaneous coronary intervention with Encruso RAL-Everolimus Eluting Coronary Stent System
3.Patient or legal guardian understands the study requirements and provides written informed consent
4.Patient who is on dual antiplatelet therapy for at least 6 months post procedure 
 
ExclusionCriteria 
Details  1.Patient has known hypersensitivity or allergies to Aspirin, Heparin,Clopidogrel, Ticlopidine, Everolimus or similar drugs, or any other
analogue or derivative, cobalt, chromium, or contrast media
2.Patient with life expectancy less than 2 years
3.Pregnant and lactating females or planning to become pregnant while in the study
4.Patient currently participating in another investigational drug or device clinical trial 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Target Lesion Failure (TLF) rate
A composite endpoint of Cardiac Death
Target Vessel related Myocardial Infarction (MI)
and
Clinically driven Target Lesion Revascularization
(TLR) at 1 year follow-up

OCT sub study:
Strut-level analysis
Proportion of covered struts
o Thickness of neointimal hyperplasia (NIH) over
covered struts
Proportion of malapposed struts
Mean malapposed strut to lumen distance
Ratio of uncovered struts to total struts
Maximum length of consecutive segments of uncovered and malapposed struts

Cross-section level analysis:
NIH area, volume
Percent volumetric stent obstruction
Incomplete stent apposition (ISA) area and volume 
1 year

OCT sub study: 6 month 
 
Secondary Outcome  
Outcome  TimePoints 
Target Vessel Failure (TVF) rate
ID-TVR
ID-TLR
TV-MI
Patient oriented composite endpoint (a composite endpoint of all cause death, all myocardial infarction, and all revascularization)
Major Adverse Cardiac Events (MACE) which is
the composite endpoint of cardiac death,non-fatal myocardial infarction and non-fatal stroke
Nonfatal MI
Cardiac death (death from cardiac cause)
All cause death (including cardiac & non cardiac
death)
Stent thrombosis (defined by Academic Research Consortium [ARC] criteria) 
2 year 
Procedural endpoints:

Device success (residual coronary stenosis less than 50 %, normal coronary flow and absence of coronary dissection)
Device success and absence of PCI complication (periprocedural MI, coronary
perforation, urgent CABG or death) or revascularization within 3 days 
3 days 
OCT SUB STUDY:
Mean and minimum lumen area and volume
Stent expansion, eccentricity and symmetry
Mean and minimum lumen area and volume ISA area and volume
Proportion of malapposed struts, mean malapposed strut-to-lumen distance 
post procedure 
OCT SUB STUDY:
Serial changes in mean lumen area, minimum lumen area, and ISA area from post procedure to 6 months
Proportion of cross sections with peri strut low
intensity areas (PLIA) and neoatherosclerosis
Quantification of NIH backscattering, attenuation
and optical intensity 
6 months 
OCT SUB STUDY:
Angiographic Endpoint:
In-stent and in-segment acute gain post procedure
Diameter stenosis percent at post procedure and
6 months
In-stent area late loss (LL) at 6 months
In-segment late loss at 6 months
In-stent area and in-segment area % diameter
stenosis post procedure and at 6-months
In-stent area and in-segment angiographic
binary restenosis rate at 6-months
Aneurysm, thrombus and persisting dissection at
6 months 
6 month 
 
Target Sample Size   Total Sample Size="500"
Sample Size from India="500" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/03/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
It is a prospective, multi-center, non-randomized, registry study with clinical follow up to be conducted at 30 days, 180 days, year 1 and year 2 post index procedure. 500 patients to receive treatment with the Encruso RAL-Everolimus Eluting Coronary Stent.The primary objective of the study is to evaluate the safety and efficacy of the Encruso RAL-Everolimus eluting coronary stent system implanted during routine clinical practice in India at 1 year follow up. 50 patients out of 500 will be included in the OCT sub study. The primary objective of the study is to evaluate the malapposition, degree of strut coverage and vessel wall response after implantation of Encruso RAL-Everolimus Eluting Coronary Stent by Optical Coherence Tomography at 6 months angiographic follow up. The sub study is designed to run seamlessly with the main study but sites can opt out if they choose not to participate.
 
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