Dissecting the Role of Distal Embolization of Athero-thrombotic Material in Primary PCI: the ThrombOticBurden and mIcrovAscularobStruction (TOBIAS) Study.
TOBIAS
1 other identifier
interventional
20
1 country
1
Brief Summary
demonstrate that FD-OCT guidance is feasible and possibly results in reduction of frequency-domain Optical Coherence Tomography-defined residual thrombus burden after thrombus-aspiration.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2013
CompletedFirst Submitted
Initial submission to the registry
July 12, 2013
CompletedFirst Posted
Study publicly available on registry
August 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedOctober 22, 2013
October 1, 2013
2 years
July 12, 2013
October 21, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
number of cross-sections with thrombus area more than 10% at post-stenting frequency-domain (FD) Optical Coherence Tomography
Whether FD-OCT guidance of manual thrombus aspiration (TA) is superior to conventional angio-guided TA in reducing residual thrombus burden after stenting (defined as the number of cross-sections with thrombus area more than 10% at post-stenting FD-OCT)
within the primary PCI procedure
Secondary Outcomes (1)
major adverse cardiac events
at 6 months
Study Arms (2)
angio-guided thrombus aspiration
ACTIVE COMPARATORthrombus aspiration guided by angiography
OCT-guided thrombus aspiration
EXPERIMENTALthrombus aspiration guided by optical coherence tomography
Interventions
angio-guided thrombus aspiration with monorail thrombus aspiration catheter (Eliminate, Terumo, Tokyo, Japan)
FD-OCT-guided thrombus aspiration with monorail thrombus aspiration catheter (Eliminate, Terumo, Tokyo, Japan); OCT images will be acquired at the site of culprit coronary artery with a commercially available system (Lunawave System; Fastview catheter/Terumo, Tokio, Japan OR C7 System; LightLab Imaging Inc; C7 Dragonfly catheter/St Jude Medical, Westford, MA)
Eligibility Criteria
You may qualify if:
- ST elevation myocardial infarction
- Ages Eligible for Study: \>18 years old
- Genders Eligible for Study: Both (female sex with child-bearing potential excluded)
You may not qualify if:
- occluded (TIMI 0) or sub occluded (TIMI 1) proximal vessel of estimated diameter ≥3mm
- intended use of thrombus aspiration
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Cardiovascular Department, Ospedale S.Donato
Arezzo, AR, 52100, Italy
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director
Study Record Dates
First Submitted
July 12, 2013
First Posted
August 1, 2013
Study Start
July 1, 2013
Primary Completion
July 1, 2015
Last Updated
October 22, 2013
Record last verified: 2013-10