NCT01663896

Brief Summary

The purpose of this study is to define and evaluate optical coherence tomography (OCT) stent guidance parameters through prospective data collection in percutaneous coronary intervention (PCI) procedures of de novo lesions.

Trial Health

98
On Track

Trial Health Score

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

Enrollment
418

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2012

Typical duration for all trials

Geographic Reach
13 countries

35 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

August 7, 2012

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 13, 2012

Completed
4 months until next milestone

Study Start

First participant enrolled

December 11, 2012

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 12, 2015

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2015

Completed
4.8 years until next milestone

Results Posted

Study results publicly available

July 2, 2020

Completed
Last Updated

July 2, 2020

Status Verified

June 1, 2020

Enrollment Period

2.2 years

First QC Date

August 7, 2012

Results QC Date

June 22, 2016

Last Update Submit

June 17, 2020

Conditions

Keywords

OCT, FFR, percutaneous coronary intervention

Outcome Measures

Primary Outcomes (3)

  • Incidence of OCT Peri-procedural Guidance Parameter(s) for Stenting

    Incidence of OCT peri-procedural guidance parameter(s) for stenting and their relation to patient outcomes in-hospital.

    In-hospital until discharge

  • Incidence of OCT Peri-procedural Guidance Parameter(s) for Stenting

    Incidence of OCT peri-procedural guidance parameter(s) for stenting and their relation to patient outcomes through 30 days

    30 Days

  • Incidence of OCT Peri-procedural Guidance Parameter(s) for Stenting (Academic Research Consortium(ARC))

    Incidence of OCT peri-procedural guidance parameter(s) for stenting and their relation to patient outcomes through 12 months

    12 months

Secondary Outcomes (1)

  • Percentage of Change in Physician Decision-making Pre and Post PCI Due to OCT

    1 Year

Study Arms (1)

Single or multi vessel disease

Pre- and post-PCI fractional flow reserve (FFR) and OCT were performed in participants.

Device: OCT stent guidance

Interventions

Participants undergoing pre- and post-PCI fractional flow reserve (FFR) and OCT

Single or multi vessel disease

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Elective or ad hoc PCI, stable angina, acute coronary syndrome

You may qualify if:

  • Age ≥ 18 years.
  • Patient provides signed written informed consent before any study-specific procedure.
  • De novo coronary artery disease in target vessel.
  • Single or multi vessel disease. For multi vessel disease up to two vessels and three lesions treated, with no more than two lesions per vessel. Vessel is defined as, left anterior descending, left circumflex, and right coronary arteries. Any branch within the vessel is considered part of the vessel.
  • Elective or ad hoc PCI, stable angina, acute coronary syndrome (unstable angina and NSTEMI).
  • Angiographically significant (\>50% visual estimation) stenosis present in at least one native coronary artery.
  • Mandatory use of FFR and OCT pre and post PCI. PCI strongly recommended in subjects with an FFR ≤ 0.80 in target vessel.

You may not qualify if:

  • Subjects with STEMI, emergent PCI, or in cardiogenic shock.
  • Subjects with target left main lesion.
  • Subjects with restenosis or stent thrombosis in the target vessel.
  • Planned use of bare metal stent.
  • Known renal insufficiency (examples being but not limited to eGFR \< 60 ml/kg/m2, serum creatinine ≥ 2.5 mg/dL, or on dialysis).
  • Aorto-ostial lesion location within 3 mm of the aorta junction (both right and left).
  • Extreme angulation (\> 90°) or excessive tortuosity (\> two 45° angles) proximal to or within the target lesion.
  • Vessel(s) and lesion(s) not amenable for PCI, for example diffuse disease.
  • Any other medical condition that in the opinion of the investigator will interfere with patient safety or study results.
  • Currently participating in another clinical study that interferes with study results.
  • Pregnant or nursing subjects and those who plan pregnancy in the period up to 1 year following index procedure.
  • Life expectancy less than 1 year.
  • Potential for non-compliance to protocol requirements and follow-up.
  • Planned or prior heart transplantation or listed for heart transplant.
  • Any condition that precludes the subject from undergoing PCI, for example subjects with heparin induced thrombocytopenia, or contrast allergy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (36)

University Hospital - Univ. of Alabama at Birmingham (UAB)

Birmingham, Alabama, 35233, United States

Location

Scripps Clinic, Green Hospital

La Jolla, California, United States

Location

Florida Hospital Orlando

Orlando, Florida, United States

Location

Emory University Hospital

Atlanta, Georgia, United States

Location

Loyola University Chicago

Maywood, Illinois, 60153, United States

Location

Central Baptist Hospital

Lexington, Kentucky, United States

Location

Baptist Health East

Louisville, Kentucky, United States

Location

St. Luke's Hospital/Mid America Heart

Kansas City, Missouri, United States

Location

Rutgers Cardiovascular Institute

New Brunswick, New Jersey, United States

Location

Mount Sinai Medical Center

New York, New York, United States

Location

Heart Hospital of Austin

Austin, Texas, United States

Location

Dallas VA Medical Center

Dallas, Texas, United States

Location

University of Texas Medical Branch at Galveston

Galveston, Texas, United States

Location

Swedish Medical Center

Seattle, Washington, United States

Location

Aurora St. Luke's Medical Center

Milwaukee, Wisconsin, United States

Location

The Prince Charles Hospital

Chermside, Queensland, Australia

Location

Med. Univ. Vienna

Vienna, Austria

Location

OLV Hospital

Aalst, Belgium

Location

Gasthuisberg Leuven

Leuven, Belgium

Location

Montreal Heart Institute

Montreal, Quebec, Canada

Location

University of Hong Kong

Hong Kong, Hong Kong, China

Location

University Hospital Brno

Brno, Czechia

Location

CHU Clermont Ferrand

Clermont-Ferrand, France

Location

CHC du Marie Lannelongue

Le Plessis-Robinson, France

Location

Clinique Pasteur

Toulouse, France

Location

Deutsches Herzzentrum

Munich, Germany

Location

Ospedali Riuniti di Bergamo

Bergamo, Italy

Location

Centro Cardiologico Monzino

Milan, Italy

Location

Ospedale San Giovanni Addolorata

Rome, Italy

Location

Kobe University Graduate School of Medicine

Hyōgo, Japan

Location

Nara Medical University Hospital

Nara, Japan

Location

Osaka Saiseikai Nakatsu Hospital

Osaka, Japan

Location

Wakayama Medical University

Wakayama, Japan

Location

Thoraxcentre Erasmus MC

Rotterdam, Netherlands

Location

Hospital Univ. Clinico San Carlos

Madrid, Spain

Location

Royal Brompton Hospital

London, United Kingdom

Location

Related Publications (1)

  • Wijns W, Shite J, Jones MR, Lee SW, Price MJ, Fabbiocchi F, Barbato E, Akasaka T, Bezerra H, Holmes D. Optical coherence tomography imaging during percutaneous coronary intervention impacts physician decision-making: ILUMIEN I study. Eur Heart J. 2015 Dec 14;36(47):3346-55. doi: 10.1093/eurheartj/ehv367. Epub 2015 Aug 4.

MeSH Terms

Conditions

Coronary Artery DiseaseOrnithine Carbamoyltransferase Deficiency Disease

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesUrea Cycle Disorders, InbornBrain Diseases, Metabolic, InbornBrain Diseases, MetabolicBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesGenetic Diseases, X-LinkedGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesAmino Acid Metabolism, Inborn ErrorsMetabolism, Inborn ErrorsMetabolic DiseasesNutritional and Metabolic Diseases

Limitations and Caveats

Patients with acute STEMI, left main PCI, severe chronic kidney disease, and other high-risk features were excluded. No prescriptive recommendations were provided in the protocol, a wide variation in physician behavior was expected and observed.

Results Point of Contact

Title
Sr. Manager, Global Clinical Affairs
Organization
St. Jude Medical

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 7, 2012

First Posted

August 13, 2012

Study Start

December 11, 2012

Primary Completion

March 12, 2015

Study Completion

October 1, 2015

Last Updated

July 2, 2020

Results First Posted

July 2, 2020

Record last verified: 2020-06

Data Sharing

IPD Sharing
Will not share

Locations