NCT03573388

Brief Summary

Background: the decision-making process of patients with angiographically-intermediate coronary lesions (ICL) is clinically challenging and may benefit from adjunctive invasive techniques. Fractional-flow-reserve (FFR) represents the gold standard to evaluate ICL but optical-coherence-tomography (OCT) is a novel, promising, high resolution coronary imaging technique. Objectives:

  1. 1.Investigate the relation between OCT and FFR parameters in ICL and understand if OCT measures may predict FFR.
  2. 2.Understand if OCT parameters may predict clinical outcome of patients with ICL not underwent revascularization on the bases of negative FFR.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2017

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

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

Study Start

First participant enrolled

October 16, 2017

Completed
14 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2017

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 18, 2018

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 23, 2018

Completed
2 months until next milestone

First Posted

Study publicly available on registry

June 29, 2018

Completed
Last Updated

June 29, 2018

Status Verified

June 1, 2018

Enrollment Period

14 days

First QC Date

April 23, 2018

Last Update Submit

June 19, 2018

Conditions

Keywords

Intermediate coronary lesionsFractional flow reserveOptical coherence tomography

Outcome Measures

Primary Outcomes (3)

  • OCT measures predicting FFR - mean lumen area

    ICL mean lumen area (MLA)

    1 day

  • OCT measure predicting FFR - area stenosis

    ICL percentage area stenosis (AS)

    1 day

  • OCT measure predicting FFR - thrombus or ulceration

    Presence of thrombus or ulceration at the level of ICL

    1 day

Secondary Outcomes (1)

  • Major Adverse Cardiac Events (MACE) in untreated patients (no PCI or CABG)

    1 year

Study Arms (1)

Optical coherence tomography (OCT)

Device: Optical coherence tomography (OCT)

Interventions

Lesion OCT assessment

Optical coherence tomography (OCT)

Eligibility Criteria

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

Stable or unstable patients with intermediate coronary lesions who underwent both FFR and OCT assessment of the same lesion

You may qualify if:

  • Patients with angiographically-intermediate coronary lesion
  • Patients who underwent both FFR and OCT assessment of the same lesion

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Policlinico A. Gemelli. Università Cattolica del Sacro Cuore

Roma, 00168, Italy

Location

Related Publications (1)

  • Lombardi M, Vergallo R, Costantino A, Bianchini F, Kakuta T, Pawlowski T, Leone AM, Sardella G, Agostoni P, Hill JM, De Maria GL, Banning AP, Roleder T, Belkacemi A, Trani C, Burzotta F. Development of machine learning models for fractional flow reserve prediction in angiographically intermediate coronary lesions. Catheter Cardiovasc Interv. 2024 Sep;104(3):472-482. doi: 10.1002/ccd.31167. Epub 2024 Aug 1.

MeSH Terms

Conditions

Coronary Disease

Interventions

Tomography, Optical Coherence

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

Tomography, OpticalOptical ImagingDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisTomographyInvestigative Techniques

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD

Study Record Dates

First Submitted

April 23, 2018

First Posted

June 29, 2018

Study Start

October 16, 2017

Primary Completion

October 30, 2017

Study Completion

February 18, 2018

Last Updated

June 29, 2018

Record last verified: 2018-06

Locations