Definitions and standardized endpoints for the use of drug-coated balloon in coronary artery disease: consensus document of the Drug Coated Balloon Academic Research Consortium

Eur Heart J. 2025 Jul 7;46(26):2498-2519. doi: 10.1093/eurheartj/ehaf029.

Abstract

The Drug Coated Balloon Academic Research Consortium project originated from the lack of standardization and comparability between studies using drug-coated balloons in the treatment of obstructive coronary artery disease. This document is a collaborative effort between academic research organizations and percutaneous coronary intervention societies in Europe, the USA, and Asia. This consensus sought to standardize study designs and endpoints for clinical trials involving drug-coated balloons, including defining angiographic, intravascular, and non-invasive imaging methods for lesion assessment, alongside considerations for post-revascularization pharmaco-therapy. The concept of 'blended therapy', which advocates for combining device strategies, is also discussed. This paper delineates study types, endpoint definitions, follow-up protocols, and analytical approaches, aiming to provide consistency and guidance for interventional cardiologists and trialists.

Keywords: Academic Research Consortium; Coronary artery disease; Drug-coated balloon; Randomized clinical trial.

Publication types

  • Consensus Development Conference

MeSH terms

  • Angioplasty, Balloon, Coronary* / instrumentation
  • Angioplasty, Balloon, Coronary* / methods
  • Angioplasty, Balloon, Coronary* / standards
  • Clinical Trials as Topic / standards
  • Coated Materials, Biocompatible*
  • Coronary Angiography
  • Coronary Artery Disease* / therapy
  • Drug-Eluting Stents
  • Endpoint Determination / standards
  • Humans
  • Research Design / standards
  • Treatment Outcome

Substances

  • Coated Materials, Biocompatible