NCT06436092

Brief Summary

JDEPTH-LM Registry is a prospective, observational, multi-center study designed for the efficacy and safety of Double-effect kissing balloon technique (W-KBT) in left main (LM) bifurcation percutaneous coronary intervention (PCI) using Perfusion balloon (PB) and Drug coated balloon (DCB) in patients with left main coronary artery disease (LMD) with left circumflex artery (LCx) ostium stenosis.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
280

participants targeted

Target at P75+ for all trials

Timeline
44mo left

Started May 2024

Longer than P75 for all trials

Geographic Reach
1 country

32 active sites

Status
recruiting

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 Progress35%
May 2024Dec 2029

First Submitted

Initial submission to the registry

May 10, 2024

Completed
17 days until next milestone

Study Start

First participant enrolled

May 27, 2024

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 30, 2024

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2027

Expected
2.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2029

Last Updated

March 13, 2025

Status Verified

March 1, 2025

Enrollment Period

3 years

First QC Date

May 10, 2024

Last Update Submit

March 11, 2025

Conditions

Keywords

Ischemic heart disease

Outcome Measures

Primary Outcomes (2)

  • Procedure success rate

    indicating the proportion of cases meeting the following three conditions: * Device delivery success * Achievement of DCB expansion for 30 seconds or more * No bailout stenting performed in the LCx

    During PCI procedure

  • Major adverse cardiovascular event (MACE) at 12 months

    consisting of all-cause mortality, nonfatal myocardial infarction (MI), and ischemia-driven unplanned revascularization for left main disease

    Within 12 months of PCI procedure

Secondary Outcomes (5)

  • Time to ST-change from DCB inflation

    During PCI procedure

  • Total DCB Inflation time

    During PCI procedure

  • Maximum changes in blood pressure and heart rate

    During PCI procedure

  • Rate of use of vasopressors, inotropes, and mechanical circulatory support systems after W-KBT

    During PCI procedure

  • Incidence cases for each component of MACE and ischemia-driven unplanned revascularization for lesions at the LCx ostium

    Within 12 months of PCI

Other Outcomes (10)

  • Assessment of distal LAD coronary flow preservation during C-KBT vs. W-KBT

    During PCI procedure

  • ST-change recovery time

    During PCI procedure

  • Incidence of periprocedural MI defined by Fourth Universal Definition of Myocardial Infarction (4th UDMI), Academic Research Consortium (ARC)-2 and Society for Cardiovascular Angiography and Interventions (SCAI) definitions

    Within 12 months of PCI

  • +7 more other outcomes

Study Arms (1)

JDEPTH-LM Registry Participants

Subjects ≥ 18 years of age with de novo LMD with LCx ostium stenosis presenting with stable angina, non-ST-elevation myocardial infarction, or unstable angina that are suitable for percutaneous coronary intervention including W-KBT processes. Approximately 280 subjects at 17 sites in Japan will be enrolled. Subjects will be followed through discharge and 12 months in routine clinical practice.

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Subjects ≥ 18 years of age with de novo LMD with LCx ostium stenosis presenting with stable angina, non-ST-elevation myocardial infarction, or unstable angina that are suitable for percutaneous coronary intervention including W-KBT processes. Approximately 280 subjects at 17 sites in Japan will be enrolled. Subjects will be followed through discharge and 12 months in routine clinical practice.

You may qualify if:

  • Age ≥ 18 years
  • Patient with stable coronary artery disease, non-ST-elevation myocardial infarction, or unstable angina
  • Left main disease confirmed by coronary angiography or coronary CT angiography
  • Clinical and anatomical eligibility for PCI as agreed by the local Heart Team
  • Patient with consent prior to undergoing PCI
  • Left main Medina classification (1,1,1), (1,0,1), (0,1,1), (0,0,1) confirmed by coronary angiography
  • De novo target lesion in LMT-LAD amenable for crossover stenting with provisional side-branch approach as determined by PCI operator
  • De novo ostial LCx lesions
  • Lesion indicated in No. 8 with a length of less than 10 mm or a stenosis of less than 70% confirmed by coronary angiography

You may not qualify if:

  • Inability to provide written informed consent
  • Patient with a history of ST-elevation myocardial infarction within the previous 1 week
  • Patient in a state of cardiogenic shock
  • Patient with a history of coronary artery bypass grafting
  • Patient with malignant tumors or other conditions with a life expectancy of less than one year
  • Patient considered suitable for stent placement in the ostial LCx from a medical perspective
  • Patient considered unsuitable for anti-thrombotic therapy after PCI
  • Other patient whom the investigator deems unsuitable for the safe conduct of LM-PCI, including W-KBT

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Ichinomiya Municipal Hospital

Ichinomiya, Aichi-ken, Japan

RECRUITING

Fujita Health University School of Medicine

Toyoake, Aichi-ken, Japan

NOT YET RECRUITING

Chiba University Hospital

Chiba, Chiba, Japan

RECRUITING

New Tokyo Hospital

Matsudo, Chiba, Japan

RECRUITING

Tokyo Bay Urayasu Ichikawa Medical Center

Urayasu, Chiba, Japan

RECRUITING

Ehime Prefectural Central Hospital

Matsuyama, Ehime, Japan

RECRUITING

Fukuoka Wajiro Hospital

Fukuoka, Fukuoka, Japan

RECRUITING

National Hospital Organization Kyushu Medical Center

Fukuoka, Fukuoka, Japan

NOT YET RECRUITING

Kokura Memorial Hospital

Kitakyushu, Fukuoka, Japan

NOT YET RECRUITING

Gifu Heart Center

Gifu, Gifu, Japan

RECRUITING

Gunma University Hospital

Maebashi, Gunma, Japan

NOT YET RECRUITING

Hakodate Municipal Hospital

Hakodate, Hokkaido, Japan

RECRUITING

Sapporo Higashi Tokushukai Hospital

Sapporo, Hokkaido, Japan

RECRUITING

Tsuchiura Kyodo General Hospital

Tsuchiura, Ibaraki, Japan

RECRUITING

Tsukuba Medical Center Hospital

Tsukuba, Ibaraki, Japan

NOT YET RECRUITING

Kanazawa Cardiovascular Hospital

Kanazawa, Ishikawa-ken, Japan

RECRUITING

Memorial Heart Center Iwate Medical University

Morioka, Iwate, Japan

RECRUITING

Shonan Kamakura General Hospital

Kamakura, Kanagawa, Japan

RECRUITING

Kitasato University School of Medicine

Sagamihara, Kanagawa, Japan

RECRUITING

Yokosuka Kyosai Hospital

Yokosuka, Kanagawa, Japan

RECRUITING

Chikamori Hospital

Kochi, Kochi, Japan

RECRUITING

Kumamoto University Hospital

Kumamoto, Kumamoto, Japan

RECRUITING

Shinshu University Hospital

Matsumoto, Nagano, Japan

RECRUITING

Kurashiki Central Hospital

Kurashiki, Okayama-ken, Japan

NOT YET RECRUITING

Urasoe General Hospital

Urasoe, Okinawa, Japan

RECRUITING

The University of Tokyo Hospital

Bunkyo, Tokyo, Japan

NOT YET RECRUITING

Moriyama Memorial Hospital

Edogawa City, Tokyo, Japan

RECRUITING

Sakakibara Heart Institute

Fuchū, Tokyo, Japan

RECRUITING

Jikei University Katsushika Medical Center

Katsushika-ku, Tokyo, Japan

RECRUITING

NTT Medical Center Tokyo

Shinagawa, Tokyo, Japan

RECRUITING

Keio University Hospital

Shinjuku, Tokyo, Japan

NOT YET RECRUITING

Japanese Red Cross Wakayama Medical Center

Wakayama, Wakayama, Japan

RECRUITING

MeSH Terms

Conditions

Angina, StableAngina, UnstableMyocardial Ischemia

Condition Hierarchy (Ancestors)

Angina PectorisHeart DiseasesCardiovascular DiseasesVascular DiseasesChest PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Takayuki Warisawa, MD, PhD

CONTACT

Study Design

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

Study Record Dates

First Submitted

May 10, 2024

First Posted

May 30, 2024

Study Start

May 27, 2024

Primary Completion (Estimated)

May 31, 2027

Study Completion (Estimated)

December 31, 2029

Last Updated

March 13, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations