A ComparIson of Strategies to PrepAre SeveRely CALCified Coronary Lesions
ISAR-CALC
1 other identifier
interventional
74
2 countries
5
Brief Summary
The objective of this prospective, multicenter, randomized, open-label trial is to evaluate the completeness of stent expansion following a strategy of lesion preparation with either a Super High-Pressure NC PTCA Balloon (OPN NC) or a Scoring PTCA Balloon (NSE Alpha) after unsuccessful lesion preparation with conventional NC balloon angioplasty in an angiographically well-defined group of patients with severely calcified coronary lesions (grade 3) undergoing coronary stent implantation (SYNERGY everolimus-eluting stent (EES)).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2018
5 active sites
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
First Submitted
Initial submission to the registry
March 23, 2018
CompletedFirst Posted
Study publicly available on registry
April 4, 2018
CompletedStudy Start
First participant enrolled
July 20, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 23, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 23, 2019
CompletedNovember 22, 2019
November 1, 2019
1.2 years
March 23, 2018
November 21, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Stent expansion index (SEI)
Stent expansion index (SEI), defined as minimum stent area divided by mean reference area in an optical coherence tomography (OCT) quantitative analysis
intraprocedural
Secondary Outcomes (8)
Angiographic Success
intraprocedural
Procedural Success
30 days
Strategy Success
intraprocedural
Acute lumen gain,
intraprocedural
Complementary lesion preparations
intraprocedural
- +3 more secondary outcomes
Study Arms (2)
OPN NC
EXPERIMENTALPatients receiving a Super High-Pressure NC PTCA Balloon (OPN NC)
NSE Alpha
EXPERIMENTALPatients receiving a Scoring PTCA Balloon (NSE Alpha)
Interventions
Strategy of Super High-Pressure NC PTCA Balloon (OPN NC) after unsuccessful lesion preparation with conventional NC balloon angioplasty.
Strategy of Scoring PTCA Balloon (NSE Alpha) after unsuccessful lesion preparation with conventional NC balloon angioplasty.
Eligibility Criteria
You may qualify if:
- Age above 18 years and consentable;
- Persistent angina symptoms despite optimal medical therapy and/or evidence of inducible ischemia;
- Angiographically-proven coronary artery disease;
- De novo lesion in a native coronary artery;
- Target reference vessel diameter between 2.25 and 4.00 mm by visual estimation;
- Calcification of the target lesion as determined by angiography (grade 3);
- Unsuccessful lesion preparation (\<30% reduction of baseline diameter stenosis) with conventional NC balloon angioplasty
- Written informed consent.
You may not qualify if:
- Myocardial infarction (within 1 week);
- Limited long-term prognosis due to other conditions;
- Target lesion is in a coronary artery bypass graft;
- Target lesion is an in-stent restenosis;
- Target lesion is aorto-ostial;
- Target vessel thrombus.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Deutsches Herzzentrum Muenchenlead
- SIS Medical AGcollaborator
Study Sites (5)
Universitäts-Herzzentrum Freiburg Bad Krozingen
Bad Krozingen, Germany
Segeberger Kliniken GmbH
Bad Segeberg, Germany
Herzzentrum Leipzig
Leipzig, Germany
Deutsches Herzzentrum Muenchen
München, Germany
Luzerner Kantonsspital
Lucerne, Switzerland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Robert A Byrne, MD BCh PhD
Deutsches Herzzentrum Muenchen
- PRINCIPAL INVESTIGATOR
Salvatore Cassese, MD PhD
Deutsches Herzzentrum Muenchen
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 23, 2018
First Posted
April 4, 2018
Study Start
July 20, 2018
Primary Completion
September 23, 2019
Study Completion
October 23, 2019
Last Updated
November 22, 2019
Record last verified: 2019-11
Data Sharing
- IPD Sharing
- Will not share