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Clinical Trials of Pulsed Sonic Balloon Dilatation Catheter and Pulsed Sonic Generater

Primary Purpose

Coronary Calcified Disease

Status
Enrolling by invitation
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Pulsed Sonic Balloon Dilatation Catheter and Pulsed Sonic Generater
Sponsored by
Lepu Medical Technology (Beijing) Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Calcified Disease focused on measuring Coronary Sonic Balloon

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. 18≤age≤80 years old, males or females;
  2. Life expectancy ≥ 6 months;
  3. Patients with evidence of asymptomatic myocardial ischemia, stability or instability; with angina, or obsolete heart infarction for interventional therapy;
  4. The target lesion is primary, in situ coronary artery lesion;
  5. The target vessel reference diameter is 1.5-4.0mm, and the lesion length is ≤40mm (visual inspection);
  6. Target lesion is with a visually estimated stenosis of ≥70%(or≥50% with evidence of myocardial ischemia) ;
  7. Highly calcified lesions;
  8. Only one target lesion requiring sonic balloon treatment is allowed;
  9. The number of non-target lesions requiring interventional treatment is no more than 2, and the target lesions should be treated after the non-target lesions are successfully treated;
  10. Patients who can understand the purpose of the trial, voluntarily participate and sign the informed consent form, and can accept required clinical follow-up.

Exclusion Criteria:

  1. New York Heart Association (NYHA) class III or IV;
  2. Severe liver and kidney damage, transaminase more than 3 times the upper limit of normal, creatinine > 2.5mg/dL (221μmol/L) or chronic renal failure requiring long-term dialysis;
  3. Stroke occurred within 6 months of joining the group, excluding transient is chemic attack (TIA) and cavity infarction;
  4. Have a history of active peptic ulcer or upper gastrointestinal (GI) bleeding within 6 months of joining the group;
  5. Platelet count <80×10⁹/L;
  6. Subject refuses or is not suitable for CABG surgery;
  7. The target lesion is planned to undergo coronary atherectomy, laser, double guide wire balloon, mastoid balloon, cutting balloon or thrombus aspiration;
  8. Dissection of the target vessel after preoperative angiography or guide wire pass through;
  9. The stent has been implanted within 10mm of the proximal or distal end of the target lesion, and there is a definite or possible thrombus in the target vessel;
  10. The target lesion is located or involved within 5mm of the opening of LAD, LCX and RCA;
  11. Left main stem disease or bridge vascular disease;
  12. Angiography shows that the blood vessel path is tortuous, and the test device is difficult to reach the target position or difficult to recover;
  13. Patients with implanted pacemakers or cardiac rhythm devices;
  14. Evidence of aneurysm within 10 mm of the target lesion;
  15. Patients who are known to be allergic to heparin, contrast agents, aspirin, clopidogrel, and anesthetics;
  16. The subject is currently participating in another drug or device clinical study that has not yet completed;
  17. Pregnant or nursing subjects;
  18. Other patients should be excluded based on the assessment of the investigators;

Sites / Locations

  • Beijing Anzhen Hospital, Capital Medical Univesity
  • Beijing Chao-yang Hospital , Capital Medical University
  • Peking University First Hospital
  • Peking University People's Hospital
  • Peking University Third Hospital
  • The Southwest Hospital of Amu
  • The First Affiliated Hospital, Sun Yat-sen University
  • The Second Xiangya Hospital of Central South University
  • Xiangya Hospital Central South University
  • LinFen Central Hospital
  • The First Affiliated Hospital of Soochow University
  • Union Hospital Tongji Medical College Huazhong University of Science and Technology
  • Xuzhou central hospital
  • Sir Run Run Shaw Hospital ZheJiang University School of Medicine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

pulsed sonic balloon dilatation catheter and pulsed sonic generater

Arm Description

All subjects will receive treatment from the pulsed sonic balloon dilatation catheter

Outcomes

Primary Outcome Measures

Procedural success rate
Procedural success was defined as residual stenosis ≤30% after successful stent delivery without the occurrence of in-hospital adverse cardiac events (include cardiac death, target vessel-related myocardial infarction (TV-MI) and target lesion revascularizition)

Secondary Outcome Measures

Device success rate
Device success was defined as residual stenosis ≤50% with the successful delivery, deployment and withdrawal of pulsed acoustic wave balloon dilatation catheter to the target lesion.
Lumen diameter obtained
Defined as the change of minimal luminal diameter[MLD] between the Follow-up points and baseline.
Percentage of diameter stenosis
Defined as (1-minimal luminal diameter[MLD]/reference vessel diameter[RVD])*100%
Target Lesion Failure (TLF)
Target lesion failure is a composite endpoint of cardiac death, target vessel related myocardial infarction (TV-MI) and the ischemia-driven target lesion revascularization.
Patient-related cardiovascular clinical composite endpoint (POCE)
Including all-cause death, all MI, or any revascularization
Confirmed and probable thrombotic events
Including Acute thrombosis, Early thrombosis, Late thrombosis, Very late thrombosis.
The stability of the pulse sonic energy generator
Including excellent, good and poor levels
Ease of use of pulsed acoustic energy generators
Including excellent, good and poor levels

Full Information

First Posted
May 27, 2022
Last Updated
June 1, 2022
Sponsor
Lepu Medical Technology (Beijing) Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05406869
Brief Title
Clinical Trials of Pulsed Sonic Balloon Dilatation Catheter and Pulsed Sonic Generater
Official Title
A Prospective, Multicenter, Single-arm Study to Evaluate the Safety and Efficacy of Pulsed Sonic Balloon Dilatation Catheter and Pulsed Sonic Generater in the Treatment of Coronary Calcified Lesions
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Enrolling by invitation
Study Start Date
May 6, 2022 (Actual)
Primary Completion Date
October 7, 2022 (Anticipated)
Study Completion Date
January 7, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lepu Medical Technology (Beijing) Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The prospective, multicenter, single- arm study is designed to verify the safety and efficacy of pulsed sonic balloon dilatation catheter and pulsed sonic generater in the treatment of coronary calcification lesions.
Detailed Description
The study will include a total of 170 patients with calcified coronary lesions who will be treated with pulsed sonic balloon dilatation catheter and pulsed sonic generater. Optical coherence tomography (OCT) imaging subgroups of 30 patients were designed in 1-2 centers to further accurately assess the treatment effect of calcified lesions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Calcified Disease
Keywords
Coronary Sonic Balloon

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
170 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
pulsed sonic balloon dilatation catheter and pulsed sonic generater
Arm Type
Experimental
Arm Description
All subjects will receive treatment from the pulsed sonic balloon dilatation catheter
Intervention Type
Device
Intervention Name(s)
Pulsed Sonic Balloon Dilatation Catheter and Pulsed Sonic Generater
Intervention Description
Deliver Pulsed Sonic Balloon Dilatation Catheter to the target vessel prior to placing a coronary stent or others
Primary Outcome Measure Information:
Title
Procedural success rate
Description
Procedural success was defined as residual stenosis ≤30% after successful stent delivery without the occurrence of in-hospital adverse cardiac events (include cardiac death, target vessel-related myocardial infarction (TV-MI) and target lesion revascularizition)
Time Frame
immediate post-procedure
Secondary Outcome Measure Information:
Title
Device success rate
Description
Device success was defined as residual stenosis ≤50% with the successful delivery, deployment and withdrawal of pulsed acoustic wave balloon dilatation catheter to the target lesion.
Time Frame
immediate post-procedure
Title
Lumen diameter obtained
Description
Defined as the change of minimal luminal diameter[MLD] between the Follow-up points and baseline.
Time Frame
immediate post sonic balloon treatment, immediate post-procedure
Title
Percentage of diameter stenosis
Description
Defined as (1-minimal luminal diameter[MLD]/reference vessel diameter[RVD])*100%
Time Frame
immediate post sonic balloon treatment, immediate post-procedure
Title
Target Lesion Failure (TLF)
Description
Target lesion failure is a composite endpoint of cardiac death, target vessel related myocardial infarction (TV-MI) and the ischemia-driven target lesion revascularization.
Time Frame
before discharge or 7 days post-procedure, 30 days post-procedure
Title
Patient-related cardiovascular clinical composite endpoint (POCE)
Description
Including all-cause death, all MI, or any revascularization
Time Frame
before discharge or 7 days post-procedure, 30 days post-procedure
Title
Confirmed and probable thrombotic events
Description
Including Acute thrombosis, Early thrombosis, Late thrombosis, Very late thrombosis.
Time Frame
before discharge or 7 days post-procedure, 30 days post-procedure
Title
The stability of the pulse sonic energy generator
Description
Including excellent, good and poor levels
Time Frame
immediate post-procedure
Title
Ease of use of pulsed acoustic energy generators
Description
Including excellent, good and poor levels
Time Frame
immediate post-procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18≤age≤80 years old, males or females; Life expectancy ≥ 6 months; Patients with evidence of asymptomatic myocardial ischemia, stability or instability; with angina, or obsolete heart infarction for interventional therapy; The target lesion is primary, in situ coronary artery lesion; The target vessel reference diameter is 1.5-4.0mm, and the lesion length is ≤40mm (visual inspection); Target lesion is with a visually estimated stenosis of ≥70%(or≥50% with evidence of myocardial ischemia) ; Highly calcified lesions; Only one target lesion requiring sonic balloon treatment is allowed; The number of non-target lesions requiring interventional treatment is no more than 2, and the target lesions should be treated after the non-target lesions are successfully treated; Patients who can understand the purpose of the trial, voluntarily participate and sign the informed consent form, and can accept required clinical follow-up. Exclusion Criteria: New York Heart Association (NYHA) class III or IV; Severe liver and kidney damage, transaminase more than 3 times the upper limit of normal, creatinine > 2.5mg/dL (221μmol/L) or chronic renal failure requiring long-term dialysis; Stroke occurred within 6 months of joining the group, excluding transient is chemic attack (TIA) and cavity infarction; Have a history of active peptic ulcer or upper gastrointestinal (GI) bleeding within 6 months of joining the group; Platelet count <80×10⁹/L; Subject refuses or is not suitable for CABG surgery; The target lesion is planned to undergo coronary atherectomy, laser, double guide wire balloon, mastoid balloon, cutting balloon or thrombus aspiration; Dissection of the target vessel after preoperative angiography or guide wire pass through; The stent has been implanted within 10mm of the proximal or distal end of the target lesion, and there is a definite or possible thrombus in the target vessel; The target lesion is located or involved within 5mm of the opening of LAD, LCX and RCA; Left main stem disease or bridge vascular disease; Angiography shows that the blood vessel path is tortuous, and the test device is difficult to reach the target position or difficult to recover; Patients with implanted pacemakers or cardiac rhythm devices; Evidence of aneurysm within 10 mm of the target lesion; Patients who are known to be allergic to heparin, contrast agents, aspirin, clopidogrel, and anesthetics; The subject is currently participating in another drug or device clinical study that has not yet completed; Pregnant or nursing subjects; Other patients should be excluded based on the assessment of the investigators;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yida Tang
Organizational Affiliation
Peking University Third Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Beijing Anzhen Hospital, Capital Medical Univesity
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Beijing Chao-yang Hospital , Capital Medical University
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking University First Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking University People's Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
The Southwest Hospital of Amu
City
Chongqing
Country
China
Facility Name
The First Affiliated Hospital, Sun Yat-sen University
City
Guangzhou
Country
China
Facility Name
The Second Xiangya Hospital of Central South University
City
Hunan
Country
China
Facility Name
Xiangya Hospital Central South University
City
Hunan
Country
China
Facility Name
LinFen Central Hospital
City
Shanxi
Country
China
Facility Name
The First Affiliated Hospital of Soochow University
City
Suzhou
Country
China
Facility Name
Union Hospital Tongji Medical College Huazhong University of Science and Technology
City
Wuhan
Country
China
Facility Name
Xuzhou central hospital
City
Xuzhou
Country
China
Facility Name
Sir Run Run Shaw Hospital ZheJiang University School of Medicine
City
Zhejiang
Country
China

12. IPD Sharing Statement

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Clinical Trials of Pulsed Sonic Balloon Dilatation Catheter and Pulsed Sonic Generater

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