OCT- Versus Angiography-guided Paclitaxel Drug-Coated Balloon Angioplasty in De Novo Coronary Artery
Primary Purpose
Coronary Artery Disease
Status
Unknown status
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
OCT-guided paclitaxel drug-coated balloon angioplasty
Angiography-guided paclitaxel drug-coated balloon angioplasty
Sponsored by

About this trial
This is an interventional treatment trial for Coronary Artery Disease
Eligibility Criteria
Inclusion Criteria:
- 18 to 85 years old
- Patients have ischemic symptoms or evidence of myocardial ischemia (inducible or spontaneous) in the presence of a stenosis of at least 50% in a native coronary artery, including stable angina, unstable angina, or silent ischemia.
- Reference vessel diameter >2.5 mm, and <4.0 mm.
- Lesion length of <22 mm
- Written informed consent
Exclusion Criteria:
- Myocardial infarction within 4 weeks, including ST-elevation myocardial infarction and non-ST-elevation myocardial infarction
- Cardiogenic shock (systolic arterial pressure <90mmHg), congestive heart failure (NYHA or Killip≥3)
- Chronic kidney disease (eGFR <30 ml/min)
- Lesion length >22 mm, or vessel diameters of <2.5 mm or >4.0 mm
- Stents covering a major side branch (>2 mm)
- Left main lesion
- Graft lesion
- Aortic-coronary ostial lesion
- In-stent restenotic lesion
- Chronic total occlusion
- Severe calcified lesions.
- Visible angiographic thrombus
- Severe comorbidities: eg. malignancy (life expectancy <2 years)
Sites / Locations
- Beijing Anzhen Hospital, Capital Medical UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
OCT-guided arm
Angiography-guided arm
Arm Description
Outcomes
Primary Outcome Measures
Late lumen loss
Evaluated by QCA
Secondary Outcome Measures
Rate of binary restenosis
Evaluated by QCA
Target lesion failure
Including death, target vessel myocardial infarction, or target lesion revascularization
Full Information
NCT ID
NCT04276389
First Posted
February 18, 2020
Last Updated
February 18, 2020
Sponsor
Beijing Anzhen Hospital
1. Study Identification
Unique Protocol Identification Number
NCT04276389
Brief Title
OCT- Versus Angiography-guided Paclitaxel Drug-Coated Balloon Angioplasty in De Novo Coronary Artery
Official Title
OCT- Versus Angiography-guided Paclitaxel Drug-Coated Balloon Angioplasty in De Novo Coronary Artery After Lesion Preparation With Scoring Balloon - A Prospective Multicenter Cohort Study
Study Type
Interventional
2. Study Status
Record Verification Date
February 2020
Overall Recruitment Status
Unknown status
Study Start Date
August 1, 2017 (Actual)
Primary Completion Date
August 31, 2020 (Anticipated)
Study Completion Date
August 31, 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Beijing Anzhen Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
OCT allows precise evaluation of intimal injury after lesion preparation and may improve the acute results and long-term outcomes after paclitaxel drug-coated balloon angioplasty. This prospective multicenter cohort study aims to assess the efficacy and safety of OCT- versus angiography-guided paclitaxel drug-coated balloon angioplasty in middle-sized de novo coronary artery after lesion preparation with scoring balloon.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Coronary Artery Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Non-Randomized
Enrollment
80 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
OCT-guided arm
Arm Type
Active Comparator
Arm Title
Angiography-guided arm
Arm Type
Placebo Comparator
Intervention Type
Device
Intervention Name(s)
OCT-guided paclitaxel drug-coated balloon angioplasty
Intervention Description
OCT-guided paclitaxel drug-coated balloon angioplasty in middle-sized de novo coronary artery
Intervention Type
Device
Intervention Name(s)
Angiography-guided paclitaxel drug-coated balloon angioplasty
Intervention Description
Angiography-guided paclitaxel drug-coated balloon angioplasty in middle-sized de novo coronary artery
Primary Outcome Measure Information:
Title
Late lumen loss
Description
Evaluated by QCA
Time Frame
9 months
Secondary Outcome Measure Information:
Title
Rate of binary restenosis
Description
Evaluated by QCA
Time Frame
9 months
Title
Target lesion failure
Description
Including death, target vessel myocardial infarction, or target lesion revascularization
Time Frame
9 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
18 to 85 years old
Patients have ischemic symptoms or evidence of myocardial ischemia (inducible or spontaneous) in the presence of a stenosis of at least 50% in a native coronary artery, including stable angina, unstable angina, or silent ischemia.
Reference vessel diameter >2.5 mm, and <4.0 mm.
Lesion length of <22 mm
Written informed consent
Exclusion Criteria:
Myocardial infarction within 4 weeks, including ST-elevation myocardial infarction and non-ST-elevation myocardial infarction
Cardiogenic shock (systolic arterial pressure <90mmHg), congestive heart failure (NYHA or Killip≥3)
Chronic kidney disease (eGFR <30 ml/min)
Lesion length >22 mm, or vessel diameters of <2.5 mm or >4.0 mm
Stents covering a major side branch (>2 mm)
Left main lesion
Graft lesion
Aortic-coronary ostial lesion
In-stent restenotic lesion
Chronic total occlusion
Severe calcified lesions.
Visible angiographic thrombus
Severe comorbidities: eg. malignancy (life expectancy <2 years)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Shao-Ping Nie, MD, PhD
Phone
86-10-84005256
Email
spnie@ccmu.edu.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Yaping Zeng, MD
Phone
86-10-84005255
Email
zengyaping2@163.com
Facility Information:
Facility Name
Beijing Anzhen Hospital, Capital Medical University
City
Beijing
ZIP/Postal Code
100029
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yaping Zeng, MD
Phone
86-10-84005255
Email
zengyaping2@163.com
First Name & Middle Initial & Last Name & Degree
Xiao Wang, MD
Phone
86-10-84005255
Email
spaceeye123@126.com
First Name & Middle Initial & Last Name & Degree
Shao-Ping Nie, MD, PhD
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
OCT- Versus Angiography-guided Paclitaxel Drug-Coated Balloon Angioplasty in De Novo Coronary Artery
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