NCT04171570

Brief Summary

The objective of this study is to demonstrate the superiority of Distal Radial Access (DTRA) to Conventional Transradial Access (CTRA) regarding forearm radial artery occlusion (RAO). This trial plans to include 1300 patients in around 12 locations around the world (11 participating sites in Europe and 1 participating site in Japan).

Trial Health

98
On Track

Trial Health Score

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

Enrollment
1,309

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2019

Typical duration for not_applicable

Geographic Reach
10 countries

16 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

October 23, 2019

Completed
29 days until next milestone

First Posted

Study publicly available on registry

November 21, 2019

Completed
19 days until next milestone

Study Start

First participant enrolled

December 10, 2019

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 28, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 28, 2021

Completed
Last Updated

May 24, 2022

Status Verified

May 1, 2022

Enrollment Period

2.1 years

First QC Date

October 23, 2019

Last Update Submit

May 23, 2022

Conditions

Keywords

Distal Transradial AccessRandomized Multicenter TrialRadial Access

Outcome Measures

Primary Outcomes (1)

  • Forearm radial artery occlusion (RAO) rate before discharge

    Forearm radial artery occlusion (RAO) rate before discharge measured with Doopler Ultrasound

    up to 5 days

Secondary Outcomes (12)

  • Rate of successful sheath insertion

    up to 2 days

  • Rate of access site crossover

    up to 2 days

  • Total procedural time

    up to 2 days

  • Sheath insertion time

    up to 2 days

  • Puncture site bleeding according to EASY criteria

    up to 5 days

  • +7 more secondary outcomes

Study Arms (2)

Distal Transradial Access

OTHER

Distal Transradial Access

Procedure: Coronary angiography and or Percutaneous coronary Intervention

Conventional Transradial Access

OTHER

Conventional Transradial Access

Procedure: Coronary angiography and or Percutaneous coronary Intervention

Interventions

Radial access punture site

Conventional Transradial AccessDistal Transradial Access

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patient is at least 18 years of age.
  • Patient has provided written informed consent.
  • Patient is undergoing diagnostic coronary angiography and/or PCI.
  • Patient is willing to comply with all protocol-required evaluations during the hospitalization.
  • Patient is suitable for both DTRA and CTRA using 6Fr GSS.

You may not qualify if:

  • Patient has a medical condition that may cause non-compliance with the protocol and/or confound the data interpretation.
  • Patients on chronic hemodialysis.
  • Patients presenting with ST-elevated myocardial infarction (STEMI).
  • Patients have chronic total occlusion (CTO) lesions in coronary artery.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (16)

Cliniques Universitaires Saint-Luc

Woluwe-Saint-Lambert, Brussels Capital, 1200, Belgium

Location

Hôpital Civil Marie Curie

Charleroi, Hainaut, 6042, Belgium

Location

CHU Jolimont

Haine-Saint-Paul, Hainaut, 7100, Belgium

Location

UZ Brussel

Brussels, 1090, Belgium

Location

Plzen Medical University

Pilsen, 306 05, Czechia

Location

University Hospital Johannes Wesling Klinikum Minden

Minden, 32429, Germany

Location

Bács-Kiskun Megyei Kórház

Kecskemét, 6000, Hungary

Location

Sant'Eugenio Hospital

Roma, 00144, Italy

Location

Istituto Clinico Humanitas

Rozzano, 20089, Italy

Location

Shonan Kamakura General Hospital

Kanagawa, 247-8533, Japan

Location

Isala Hospital

Zwolle, 8025 AB, Netherlands

Location

University Clinic of Cardiology, Skopje

Skopje, 1000, North Macedonia

Location

HUG Geneva

Geneva, 1211, Switzerland

Location

Kantonsspital Baselland Liestal

Liestal, CH-4410, Switzerland

Location

Royal Stoke University Hospital

Stoke-on-Trent, ST4 6QG, United Kingdom

Location

Sunderland Royal Hospital

Sunderland, United Kingdom

Location

Related Publications (4)

  • Kiemeneij F. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI). EuroIntervention. 2017 Sep 20;13(7):851-857. doi: 10.4244/EIJ-D-17-00079.

    PMID: 28506941BACKGROUND
  • Corcos T. Distal radial access for coronary angiography and percutaneous coronary intervention: A state-of-the-art review. Catheter Cardiovasc Interv. 2019 Mar 1;93(4):639-644. doi: 10.1002/ccd.28016. Epub 2018 Dec 11.

    PMID: 30536709BACKGROUND
  • Sgueglia GA, Di Giorgio A, Gaspardone A, Babunashvili A. Anatomic Basis and Physiological Rationale of Distal Radial Artery Access for Percutaneous Coronary and Endovascular Procedures. JACC Cardiovasc Interv. 2018 Oct 22;11(20):2113-2119. doi: 10.1016/j.jcin.2018.04.045.

    PMID: 30336816BACKGROUND
  • Aminian A, Saito S, Takahashi A, Bernat I, Jobe RL, Kajiya T, Gilchrist IC, Louvard Y, Kiemeneij F, Van Royen N, Yamazaki S, Matsukage T, Rao SV. Comparison of a new slender 6 Fr sheath with a standard 5 Fr sheath for transradial coronary angiography and intervention: RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT), a randomised multicentre trial. EuroIntervention. 2017 Aug 4;13(5):e549-e556. doi: 10.4244/EIJ-D-16-00816.

    PMID: 28218605BACKGROUND

MeSH Terms

Conditions

Coronary Disease

Interventions

Percutaneous Coronary Intervention

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

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

Study Officials

  • Adel Aminian, Dr.

    Hôpital Civil Marie Curie

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Randomization to distal transradial access or conventional transradial access. Both techniques are standard of care.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 23, 2019

First Posted

November 21, 2019

Study Start

December 10, 2019

Primary Completion

December 28, 2021

Study Completion

December 28, 2021

Last Updated

May 24, 2022

Record last verified: 2022-05

Data Sharing

IPD Sharing
Will not share

Locations