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Evaluation of the Safety and Effectiveness of the VRS100 System in PCI (ESSENCE)

Primary Purpose

Coronary Artery Disease, Cardiovascular Diseases, Coronary Disease

Status
Not yet recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
VRS100 robotic-assisted PCI
Manual PCI
Sponsored by
Shenzhen Raysight Intelligent Medical Technology Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Coronary Artery Disease

Eligibility Criteria

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

Inclusion Criteria: General Inclusion Criteria: Age ≥18 years. Patients with coronary artery disease undergoing Percutaneous Coronary Intervention (PCI). The subject has been informed of the nature of the study, agrees to its provisions and has provided written informed consent. Angiographic Inclusion Criteria: In situ primary coronary vascular disease. Reference vessel diameter is 2.5-4.0mm by visual estimate. Target lesion length is ≤30.0mm. Target lesion is a single de novo native coronary artery lesion. This lesion may consist of multiple lesions (with ≤10mm between diseased segments) and must be completely covered by a single stent with ≥5.0mm of normal segments on proximal and distal edges of the lesion. Target lesion diameter showing stenosis ≥70% by visual estimate, or ≥50% with myocardial ischemia. Exclusion Criteria: Patients meeting any of the following criteria will be excluded: General Exclusion Criteria: Subjects with indications for urgent PCI surgery. Evidence of an acute myocardial infarction within one week prior to the intended VRS100 procedure. Subject has undergone PCI within 72 hours prior to the VRS100 procedure. Subject has undergone PCI within 30 days prior to the VRS100 procedure and experienced a MACE or a serious adverse event (SAE). Severe heart failure (NYHA IV). Subject has suffered a stroke, or has an active peptic ulcer or upper gastrointestinal bleeding within 6 months prior to planned VRS100 procedure. Subject has known hypersensitivity or contraindication to aspirin, heparin, ticagrelor, clopidogrel, bivalirudin, PTX(paclitaxel), stainless steel, etc. Subject has acute or chronic kidney disease (serum creatinine level of >2.5 mg/dL or >221 umol/L) or need dialysis. Pregnant or breastfeeding, or planning to be pregnant. Repeated enrollment. Any other factors that the researchers consider not suitable for inclusion or completion of this study. Angiographic Exclusion Criteria: Any previous stent placement within 5.0 mm (proximal or distal) of the target lesion. The study lesion requires planned treatment with directional coronary atherectomy (DCA), laser, rotational atherectomy or any device except for balloon dilatation prior to stent placement. Cardiac allograft vasculopathy (CAV). The study vessel has evidence of intraluminal thrombus. Chronic total occlusion (CTO). The study lesion located in a native vessel distal to an ostial, bifurcation or anastomosis. Unprotected left main coronary artery disease defined as an obstruction greater than 50% diameter stenosis in the left main coronary artery. The study lesion or vessel proximal to the target lesion has severe tortuosity or calcification. Target lesion that cannot be fully covered by a single stent. more than 2 lesions requires treatment in one vessel. Subject requires treatment of more than one vessel.

Sites / Locations

  • Shenzhen People's Hospital
  • Zhongshan Hospital
  • West China Hospital of Sichuan University

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

VRS100 robotic-assisted PCI

Manual PCI

Arm Description

VRS100 robotic-assisted PCI

Manual PCI

Outcomes

Primary Outcome Measures

Clinical Success
Defined as angiographic success (residual stenosis after stenting of <30% with final TIMI [Thrombolysis In Myocardial Infarction] flow grade 3) without an in-hospital major adverse cardiovascular event (MACE) (cardiovascular death, MI, clinically driven target vessel revascularization).
Technical Success
Defined as the successful advancement and retraction of PCI devices using the VRS100 System and without conversion to manual operation.

Secondary Outcome Measures

PCI Procedure Time
Defined as the time measured from the insertion of the guide catheter until the removal of the guide catheter.
Overall Procedure Time
Defined as the time measured from the insertion of the hemostasis sheath until the removal of the guide catheter.
Fluoroscopy and/or X-Ray Time
As recorded by an X-Ray System utilized during the procedure.
Patient Radiation Exposure - Cumulative Dose
Cumulative dose (mGy) as recored during the procedure.
Contrast Fluid Volume
The amount of contrast fluid used (mL) during the procedure.
Performance of the Experimental Device
The frequency of failures and performance evaluation

Full Information

First Posted
September 4, 2023
Last Updated
September 4, 2023
Sponsor
Shenzhen Raysight Intelligent Medical Technology Co., Ltd.
Collaborators
Shanghai Zhongshan Hospital, West China Hospital, Shenzhen People's Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT06032572
Brief Title
Evaluation of the Safety and Effectiveness of the VRS100 System in PCI (ESSENCE)
Official Title
Evaluation of the Safety and Effectiveness of the VRS100 Robotic Console System in Percutaneous Coronary Interventions: A Multicenter, Randomised, Non-inferiority Trial (ESSENCE)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 8, 2023 (Anticipated)
Primary Completion Date
August 1, 2024 (Anticipated)
Study Completion Date
August 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shenzhen Raysight Intelligent Medical Technology Co., Ltd.
Collaborators
Shanghai Zhongshan Hospital, West China Hospital, Shenzhen People's Hospital

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 objective of this study is to evaluate the safety and effectiveness of the clinical and technical performance of the VRS100 system with disposable surgical kit in the delivery and manipulation of coronary guidewires and stent/balloon systems for use in percutaneous coronary interventions (PCI).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease, Cardiovascular Diseases, Coronary Disease, Myocardial Ischemia, Arteriosclerosis, Vascular Disease Occlusive

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
204 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
VRS100 robotic-assisted PCI
Arm Type
Experimental
Arm Description
VRS100 robotic-assisted PCI
Arm Title
Manual PCI
Arm Type
Active Comparator
Arm Description
Manual PCI
Intervention Type
Procedure
Intervention Name(s)
VRS100 robotic-assisted PCI
Intervention Description
The VRS100 is intended for use in the remote delivery and manipulation of guidewires and rapid exchange balloon/stent catheters, and remote manipulation of guide catheters during percutaneous coronary intervention (PCI) procedures.
Intervention Type
Procedure
Intervention Name(s)
Manual PCI
Intervention Description
Use the traditional technique of manually advancing intracoronary guidewires, balloons, and stents at the patient's tableside.
Primary Outcome Measure Information:
Title
Clinical Success
Description
Defined as angiographic success (residual stenosis after stenting of <30% with final TIMI [Thrombolysis In Myocardial Infarction] flow grade 3) without an in-hospital major adverse cardiovascular event (MACE) (cardiovascular death, MI, clinically driven target vessel revascularization).
Time Frame
48-hrs or hospital discharge, whichever occurs first
Title
Technical Success
Description
Defined as the successful advancement and retraction of PCI devices using the VRS100 System and without conversion to manual operation.
Time Frame
1 day
Secondary Outcome Measure Information:
Title
PCI Procedure Time
Description
Defined as the time measured from the insertion of the guide catheter until the removal of the guide catheter.
Time Frame
During procedure
Title
Overall Procedure Time
Description
Defined as the time measured from the insertion of the hemostasis sheath until the removal of the guide catheter.
Time Frame
During procedure
Title
Fluoroscopy and/or X-Ray Time
Description
As recorded by an X-Ray System utilized during the procedure.
Time Frame
During procedure
Title
Patient Radiation Exposure - Cumulative Dose
Description
Cumulative dose (mGy) as recored during the procedure.
Time Frame
During procedure
Title
Contrast Fluid Volume
Description
The amount of contrast fluid used (mL) during the procedure.
Time Frame
During procedure
Title
Performance of the Experimental Device
Description
The frequency of failures and performance evaluation
Time Frame
During procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: General Inclusion Criteria: Age ≥18 years. Patients with coronary artery disease undergoing Percutaneous Coronary Intervention (PCI). The subject has been informed of the nature of the study, agrees to its provisions and has provided written informed consent. Angiographic Inclusion Criteria: In situ primary coronary vascular disease. Reference vessel diameter is 2.5-4.0mm by visual estimate. Target lesion length is ≤30.0mm. Target lesion is a single de novo native coronary artery lesion. This lesion may consist of multiple lesions (with ≤10mm between diseased segments) and must be completely covered by a single stent with ≥5.0mm of normal segments on proximal and distal edges of the lesion. Target lesion diameter showing stenosis ≥70% by visual estimate, or ≥50% with myocardial ischemia. Exclusion Criteria: Patients meeting any of the following criteria will be excluded: General Exclusion Criteria: Subjects with indications for urgent PCI surgery. Evidence of an acute myocardial infarction within one week prior to the intended VRS100 procedure. Subject has undergone PCI within 72 hours prior to the VRS100 procedure. Subject has undergone PCI within 30 days prior to the VRS100 procedure and experienced a MACE or a serious adverse event (SAE). Severe heart failure (NYHA IV). Subject has suffered a stroke, or has an active peptic ulcer or upper gastrointestinal bleeding within 6 months prior to planned VRS100 procedure. Subject has known hypersensitivity or contraindication to aspirin, heparin, ticagrelor, clopidogrel, bivalirudin, PTX(paclitaxel), stainless steel, etc. Subject has acute or chronic kidney disease (serum creatinine level of >2.5 mg/dL or >221 umol/L) or need dialysis. Pregnant or breastfeeding, or planning to be pregnant. Repeated enrollment. Any other factors that the researchers consider not suitable for inclusion or completion of this study. Angiographic Exclusion Criteria: Any previous stent placement within 5.0 mm (proximal or distal) of the target lesion. The study lesion requires planned treatment with directional coronary atherectomy (DCA), laser, rotational atherectomy or any device except for balloon dilatation prior to stent placement. Cardiac allograft vasculopathy (CAV). The study vessel has evidence of intraluminal thrombus. Chronic total occlusion (CTO). The study lesion located in a native vessel distal to an ostial, bifurcation or anastomosis. Unprotected left main coronary artery disease defined as an obstruction greater than 50% diameter stenosis in the left main coronary artery. The study lesion or vessel proximal to the target lesion has severe tortuosity or calcification. Target lesion that cannot be fully covered by a single stent. more than 2 lesions requires treatment in one vessel. Subject requires treatment of more than one vessel.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lihui Li
Phone
13636480344
Email
lihui.li@raysightmed.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Junbo Ge
Organizational Affiliation
Shanghai Zhongshan Hospital
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Yong He
Organizational Affiliation
West China Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Da Yin
Organizational Affiliation
Shenzhen People's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shenzhen People's Hospital
City
Shenzhen
State/Province
Guangdong
ZIP/Postal Code
518020
Country
China
Facility Name
Zhongshan Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Facility Name
West China Hospital of Sichuan University
City
Chengdu
State/Province
Sichuang
ZIP/Postal Code
610041
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Evaluation of the Safety and Effectiveness of the VRS100 System in PCI (ESSENCE)

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