NCT04298307

Brief Summary

The REPLICA TRIAL tries to assess the intracoronary lithotripsy safety and efficacy profiles in real-world patients with calcified coronary artery disease.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
426

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2020

Typical duration for all trials

Geographic Reach
1 country

26 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

February 26, 2020

Completed
9 days until next milestone

First Posted

Study publicly available on registry

March 6, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

May 4, 2020

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2023

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2023

Completed
Last Updated

June 15, 2025

Status Verified

July 1, 2022

Enrollment Period

3.1 years

First QC Date

February 26, 2020

Last Update Submit

June 13, 2025

Conditions

Keywords

Intracoronary lithotripsyCalcified lesionsPercutaneous Coronary Intervention

Outcome Measures

Primary Outcomes (1)

  • Procedural success

    Assessment of procedural success defined as angiographic results (TIMI grade 3 and residual stenosis \< 20% without in-hospital complications ).

    Index Procedure

Secondary Outcomes (8)

  • MACE

    Index Procedure

  • MACE

    12 months

  • Residual stenosis

    Index Procedure

  • Death (all cause)

    12 months

  • Death (cardiovascular)

    12 months

  • +3 more secondary outcomes

Study Arms (1)

Patients with calcified coronary artery disease

Patients with calcified coronary artery disease require an ICL using the Shockwave catheter.

Other: Intracoronary lithotripsy (ICL)

Interventions

ICL using the Shockwave catheter.

Patients with calcified coronary artery disease

Eligibility Criteria

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

Patients will be scheduled to undergo a intracoronary lithotripsy procedure using the Shockwave catheter (Shockwave Medical, Fremont, CA).

You may qualify if:

  • Patients ≥ 18 years of age.
  • Patients with calcified coronary artery disease requiring percutaneous revascularization with stent implantation who, at the operator's discretion and according to the hospital routine clinical practice, require an ICL with the Shockwave catheter.
  • The patients have been informed of the study characteristics and have given their written informed consent.

You may not qualify if:

  • Refusal to participate in this study.
  • Patients whose life expectancy is \< 1 year.
  • Patients with hemodynamic instability with Killip class III or IV.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (26)

Hospital Universitari Germans Trias I Pujol

Badalona, Barcelona, 08916, Spain

Location

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Barcelona, 08907, Spain

Location

Hospital Universitario Mutua de Terrassa

Terrassa, Barcelona, 08221, Spain

Location

Hospital Universitario Marques de Valdecilla

Santander, Cantabria, 39008, Spain

Location

Hospital Clinico Universitario de Santiago de Compostela

Santiago de Compostela, Coruña, 15706, Spain

Location

Hospital Universitario A Coruña

A Coruña, LA Coruña, 15006, Spain

Location

Hospital Universitario Alvaro Cunqueiro

Vigo, Pontevedra, 36213, Spain

Location

Hospital Universitario de Cabueñes

Gijón, Principality of Asturias, 33394, Spain

Location

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, 33011, Spain

Location

Hospital General Universitario de Albacete

Albacete, 02006, Spain

Location

Hospital Universitario de Badajoz

Badajoz, 06080, Spain

Location

Hospital General Universitario de Ciudad Real

Ciudad Real, 13005, Spain

Location

Hospital de León

León, 24080, Spain

Location

Hospital Universitario Lucus Agusti

Lugo, 27003, Spain

Location

Hospital La Luz

Madrid, 28003, Spain

Location

Hospital Universitario La Princesa

Madrid, 28006, Spain

Location

Hospital Clinico San Carlos

Madrid, 28040, Spain

Location

Hospital Universitario La Paz

Madrid, 28046, Spain

Location

Hospital Central de La Defensa

Madrid, 28047, Spain

Location

Hospital Universitario Puerta de Hierro

Majadahonda, 28222, Spain

Location

Hospital Universitario de Salamanca

Salamanca, 37007, Spain

Location

Hospital Universitario Donostia

San Sebastián, 20014, Spain

Location

Hospital Universitari Joan Xxiii

Tarragona, 43005, Spain

Location

Hospital Universitario Virgen de La Salud de Toledo

Toledo, 45004, Spain

Location

Hospital Clinico Universitario de Valladolid

Valladolid, 47003, Spain

Location

Hospital Universitario Miquel Servet

Zaragoza, 50009, Spain

Location

Related Publications (6)

  • Brinton TJ, Ali ZA, Hill JM, Meredith IT, Maehara A, Illindala U, Lansky A, Gotberg M, Van Mieghem NM, Whitbourn R, Fajadet J, Di Mario C. Feasibility of Shockwave Coronary Intravascular Lithotripsy for the Treatment of Calcified Coronary Stenoses. Circulation. 2019 Feb 5;139(6):834-836. doi: 10.1161/CIRCULATIONAHA.118.036531. No abstract available.

    PMID: 30715944BACKGROUND
  • Ali ZA, Nef H, Escaned J, Werner N, Banning AP, Hill JM, De Bruyne B, Montorfano M, Lefevre T, Stone GW, Crowley A, Matsumura M, Maehara A, Lansky AJ, Fajadet J, Di Mario C. Safety and Effectiveness of Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Stenoses: The Disrupt CAD II Study. Circ Cardiovasc Interv. 2019 Oct;12(10):e008434. doi: 10.1161/CIRCINTERVENTIONS.119.008434. Epub 2019 Sep 25.

    PMID: 31553205BACKGROUND
  • Wong B, El-Jack S, Newcombe R, Glenie T, Armstrong G, Khan A. Shockwave Intravascular Lithotripsy for Calcified Coronary Lesions: First Real-World Experience. J Invasive Cardiol. 2019 Mar;31(3):46-48. doi: 10.25270/jic/19.00048. Epub 2019 Feb 15.

    PMID: 30765621BACKGROUND
  • Vilalta V, Rodriguez-Leor O, Cid-Alvarez B, et al. Intracoronary Lithotripsy in a High-risk Real-world Population: First Experience in Severely Calcified, Complex Coronary Lesions. REC Interv Cardiol 2019; in press.

    BACKGROUND
  • Bourantas CV, Zhang YJ, Garg S, Iqbal J, Valgimigli M, Windecker S, Mohr FW, Silber S, Vries Td, Onuma Y, Garcia-Garcia HM, Morel MA, Serruys PW. Prognostic implications of coronary calcification in patients with obstructive coronary artery disease treated by percutaneous coronary intervention: a patient-level pooled analysis of 7 contemporary stent trials. Heart. 2014 Aug;100(15):1158-64. doi: 10.1136/heartjnl-2013-305180. Epub 2014 May 20.

    PMID: 24846971BACKGROUND
  • Rodriguez-Leor O, Cid-Alvarez AB, Lopez-Benito M, Gonzalo N, Vilalta V, Diarte de Miguel JA, Lopez LF, Jurado-Roman A, Diego A, Oteo JF, Cuellas C, Trillo R, Travieso A, Alfonso F, Carrillo X, Vegas-Valle JM, Cortes-Villar C, Pascual I, Munoz Camacho JF, Flores X, Vera-Vera S, Moreu J, Barreira de Sousa G, Marti D, Jimenez-Mazuecos J, Fuertes M, Ocaranza R, de la Torre Hernandez JM, Lozano F, Solana Martinez SG, Gomez-Lara J, Perez de Prado A; REPLICA-EPIC18 Investigators. A Prospective, Multicenter, Real-World Registry of Coronary Lithotripsy in Calcified Coronary Arteries: The REPLICA-EPIC18 Study. JACC Cardiovasc Interv. 2024 Mar 25;17(6):756-767. doi: 10.1016/j.jcin.2023.12.018. Epub 2024 Feb 21.

MeSH Terms

Conditions

Cardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesCoronary Artery Disease

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart Diseases

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
12 Months
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 26, 2020

First Posted

March 6, 2020

Study Start

May 4, 2020

Primary Completion

June 1, 2023

Study Completion

August 1, 2023

Last Updated

June 15, 2025

Record last verified: 2022-07

Locations