NCT00987610

Brief Summary

Under the circumstances that appropriate first-choice guidewires for percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) have yet to be established, the objective of this study is to determine appropriate first-choice guidewires. G-FORCE study is a prospective multicenter randomized study between normal (distal tip size 0.014 inch) and slender (distal tip size 0.010 inch or less) guidewires. Primary end point is lesion penetration rate of the first choice guidewire.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
260

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Oct 2009

Longer than P75 for phase_4

Geographic Reach
1 country

25 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 29, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 1, 2009

Completed
Same day until next milestone

Study Start

First participant enrolled

October 1, 2009

Completed
5.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2014

Completed
Last Updated

May 4, 2015

Status Verified

May 1, 2015

Enrollment Period

5.2 years

First QC Date

September 29, 2009

Last Update Submit

May 1, 2015

Conditions

Keywords

Percutaneous coronary interventionchronic total occlusionguidewireAngioplasty, Transluminal, Percutaneous CoronaryAngioplastyPercutaneous Coronary

Outcome Measures

Primary Outcomes (1)

  • Lesion penetration rate of a first-choice guidewire

    30 days

Secondary Outcomes (3)

  • Successful PCI rate

    30 days

  • Types of guidewires successfully passing through the lesion

    30 days

  • Major adverse cardio-cerebral events (MACCEs: total death, MI, stroke, and all revascularization procedures)

    30 days

Study Arms (2)

slender guidewire

ACTIVE COMPARATOR

Percutaneous coronary intervention (PCI) using guidewires with small distal tip equal to 0.010 inch or less

Device: Percutaneous coronary intervention (PCI)

normal guidewire

ACTIVE COMPARATOR

Percutaneous coronary intervention (PCI) using guidewires with normal distal tip equal to 0.014 inch

Device: Percutaneous coronary intervention (PCI)

Interventions

PCI for chronic total occlusion is performed using either arm of guidewire

normal guidewireslender guidewire

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Chronic total occlusion (CTO) lesion in native coronary artery
  • De novo lesion
  • Elective procedure

You may not qualify if:

  • No indication of PCI
  • Prior failed lesion
  • Restenotic or in-stent restenotic lesion
  • Vein or arterial grafts
  • Younger than 20 years old
  • Pregnant woman
  • Patients who gave no informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

Toyohashi Heart Center

Toyohashi, Aichi-ken, Japan

Location

The Jikei University Kashiwa Hospital

Kashiwa, Chiba, Japan

Location

Tokai University

Isehara, Kanagawa, 259-1193, Japan

Location

Shonan Kamakura General Hospital

Kamakura, Kanagawa, Japan

Location

Mie Heart Center

Taki-gun, Mie-ken, Japan

Location

Sendai Kousei Hospital

Sendai, Miyagi, Japan

Location

Tohoku Koseinenkin Hospital

Sendai, Miyagi, Japan

Location

Kurashiki Central Hospital

Kurashiki, Okayama-ken, Japan

Location

Kansan Rosai Hospital

Amagasaki, Japan

Location

Aomori Central Hospital

Aomori, Japan

Location

Tsuchiya General Hospital

Hiroshima, Japan

Location

Kokura Kinen hospital

Kitakyushu, Japan

Location

Takahashi Hospital

Kobe, Japan

Location

Kurune University Hospital

Kurume, Japan

Location

Kyoto University

Kyoto, Japan

Location

Iwate Prefectual Central Hospital

Morioka, Japan

Location

Hyogo College of Medicine

Nishinomiya, Japan

Location

Toho University Omori Medical Hospital Center

Ōta-ku, Japan

Location

Hoshi General Hospital

Sapporo, Japan

Location

Sapporo Higashi Tokushukai

Sapporo, Japan

Location

Tokeidai Hospital

Sapporo, Japan

Location

Shizuoka General Hospital

Shizuoka, Japan

Location

Tenri Hospital

Tenri, Japan

Location

Wakayama Medical University

Wakayama, Japan

Location

Yokohama Sakae Kyosai Hospital

Yokohama, Japan

Location

Related Publications (1)

  • Ikari Y, Awata M, Mitsudo K, Akasaka T, Saito S, Ishihara T, Fujii T, Hashimoto H, Terashima M, Ikemoto T, Hibi K, Tazaki J, Nakamura A, Nishikawa H, Sato T, Nakagawa Y. Efficient distal tip size of primary guidewire for antegrade percutaneous coronary intervention in chronic total occlusion: The G-FORCE study. Int J Cardiol. 2017 Jan 15;227:94-99. doi: 10.1016/j.ijcard.2016.11.076. Epub 2016 Nov 9.

MeSH Terms

Conditions

Coronary Occlusion

Interventions

Percutaneous Coronary Intervention

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

Endovascular ProceduresVascular Surgical ProceduresCardiovascular Surgical ProceduresSurgical Procedures, OperativeMinimally Invasive Surgical Procedures

Study Officials

  • Yuji Ikari, MD, PhD

    Tokai University

    PRINCIPAL INVESTIGATOR
  • Kazuaki Mitsudo, MD

    Kurashiki Central Hospital

    PRINCIPAL INVESTIGATOR
  • Osamu Kato, MD

    Toyohashi Heart Center

    PRINCIPAL INVESTIGATOR
  • Shigeru Saito, MD

    Shonan Kamakura General Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, Department of Cardiology

Study Record Dates

First Submitted

September 29, 2009

First Posted

October 1, 2009

Study Start

October 1, 2009

Primary Completion

December 1, 2014

Study Completion

December 1, 2014

Last Updated

May 4, 2015

Record last verified: 2015-05

Locations