Coronary Artery Disease Clinical Trial
— PROCTOROfficial title:
PeRcutaneous cOronary Intervention of Native Coronary arTery Versus Venous Bypass Graft in Patients With Prior cORonary Artery Bypass Graft Surgery - the PROCTOR Trial
Multi-centre, randomised clinical trial with anticipated 17 European centres: in the Netherlands, Belgium, Germany and UK. Patients with a dysfunctional bypass graft with a clinical indication for revascularization will be randomized to either PCI of the native vessel or PCI of the dysfunctional venous bypass graft. 584 patients with a a clinical indication for percutaneous coronary intervention and a dysfunctional graft on the target vesselional venous bypass graft are planned to be enrolled during 3 years.Study objectives: to investigate the clinical and angiographic outcome of native vessel PCI compared to PCI of venous bypass graft in patients with a dysfunctional venous bypass graft with a clinical indication for revascularization. 1 year and 5 years, follow-up will be performed by means of a telephonic visit. After 3 years patients will be admitted to undergo a control invasive angiography.The CT-substudy and the PROCTOR registry is planned to be conducted too.
Status | Recruiting |
Enrollment | 584 |
Est. completion date | June 30, 2027 |
Est. primary completion date | December 31, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - A significant stenosis (>50% on angiography) in a venous bypass graft - The native lesion must be bypassed by a single graft or must be connected to a jump graft at the most distal anastomosis of that graft - In jumpgraft lesions, the lesion must be located distally to the second-to-last anastomosis - Clinical indication for revascularization as determined by the local heart team (based on symptoms, documented ischemia, and viability). - Both the native lesion and the venous graft lesion must be deemed suitable for PCI with a commercially available second generation DES. - Informed consent must be obtained Exclusion Criteria: - < 18 years of age - Target vessel diameter < 2.5 mm - CABG performed less than 1 year prior to inclusion - Diameter of the graft > 5.5 mm - Aneurysm formation in the bypass graft - Heavy burden of thrombus in the bypass graft (>50% of the bypass graft lumen in =2 out of 3 of the proximal, middle or distal third of the bypass graft). - STEMI at presentation - NSTEMI patients with ongoing ischemia - Cardiogenic shock - Severe kidney disease defined as an eGFR < 30 ml/min. - Pregnancy - Estimated life expectancy < 3 year - Contraindications to PCI |
Country | Name | City | State |
---|---|---|---|
Belgium | University Hospital | Antwerp | Edegem |
Belgium | Ziekenhuis Netwerk Antwerpen (ZNA) Middelheim | Antwerpen | |
Belgium | Ziekenhuis Oost-Limburg | Genk | |
Belgium | UZ Leuven | Leuven | |
Germany | Universitäts Herzzentrum | Bad Krozingen | |
Netherlands | Academic Medical Center | Amsterdam | |
Netherlands | Universitair Medische Centra | Amsterdam | |
Netherlands | Amphia Ziekenhuis | Breda | |
Netherlands | Catharina Ziekenhuis | Eindhoven | |
Netherlands | Medisch Centrum Leeuwarden | Leeuwarden | |
Netherlands | Sint Antonius Ziekenhuis | Nieuwegein | |
Netherlands | Radboud Universitair Medisch Centrum (Radboud UMC) | Nijmegen | |
Netherlands | Universitair Medisch Centrum | Utrecht | |
Poland | Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy | Warsaw | |
United Kingdom | Basildon & Thurrock University Hospitals (Essex CTC) | Basildon | |
United Kingdom | Health and Social Care Trust | Belfast | |
United Kingdom | The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust | Bournemouth | |
United Kingdom | UH Bristol NHS Trust, Bristol Heart Institute | Bristol | |
United Kingdom | Golden Jubilee National Hospital | Glasgow | |
United Kingdom | St George's University Hospitals NHS Foundation Trust | London | |
United Kingdom | Manchester University NHS Foundation Trust, Wythenshawe Hospital | Manchester |
Lead Sponsor | Collaborator |
---|---|
VU University Medical Center |
Belgium, Germany, Netherlands, Poland, United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Amount and type of Major Adverse Cardiac Events | The total number and specification of major adverse cardiac events (all-cause mortality, non-fatal myocardial infarction, or clinically driven target lesion revascularization). | 3 year follow up | |
Secondary | Amount and type of Major Adverse Cardiac Events | The total number and specification of major adverse cardiac events (all-cause mortality, non-fatal myocardial infarction, or clinically driven target lesion revascularization). | 1 and 5 year follow-up | |
Secondary | Amount of patients that have passed away | Mortality score, all-cause mortality | 1, 3 and 5 year follow-up | |
Secondary | Number of non-fatal myocardial infarctions | Any non-fatal myocardial infarction noticed | 1, 3 and 5 year follow-up | |
Secondary | Number of clinically driven target lesion revascularizations | Any clinically driven target lesion revascularization noticed | 1, 3 and 5 year follow-up | |
Secondary | Number of target vessel revascularizations | Any target vessel revascularization noticed. | 1, 3 and 5 year follow-up | |
Secondary | Number of target vessel failure. | Any target vessel failure noticed | 1, 3 and 5 year follow-up | |
Secondary | Number of non-fatal myocardial infarctions. | Any non-fatal myocardial infarction noticed. | >48 hours after PCI | |
Secondary | Number of PCI-related myocardial infarctions. | Any PCI-related myocardial infarction noticed. | 1, 3 and 5 year follow-up | |
Secondary | Specific angiographic outcome | Any of the following outcomes: Late lumen loss In-stent binary restenosis (=50%) In-stent re-occlusion Difference in in-stent diameter stenosis between index procedure at inclusion, and at 3-year follow-up |
3-year follow up | |
Secondary | Quality of life assessed by SAQ | The Seattle Angina Questionnaire is a self-assessment questionnaire where patients' physical limitations caused by angina are quantified, as well as the frequency of and changes in their symptoms, their satisfaction with treatment and how they perceive their Quality of Life. Each scale is transformed to a 0-100 scale. the higher the score, the better the patients functions/the higher the Quality of Life. | 1, 3 and 5 year follow-up | |
Secondary | Quality of life assessed by CCS | Canadian Cardiovascular Society (CCS) Grading Scale measures whether patient have angina pectoris complaints, and to what extent patients experienced this. It uses a scale of 1-4 where 1 means angina pectoris (chest pain) only occurs with streneous, rapid or prolonged exertion, and 4 means angina is present during little physical effort or even during rest. | 1, 3 and 5 year follow-up | |
Secondary | Quality of life assessed by RDS | Rose dyspnea scale questionnaire (RDS) measures dyspnea complaints, or shortness of breath. It consists of 4 questions about dysnpea complaints in the everyday life of patients. For every patient, a score is compiled of the highest limitation in daily life, resulting in a score of 0-4, where 0 means no dyspnea complaints and 4 means the patient has complaints during no or minimal physical effort. The scores from these questionnaires will be combined by summing the total scores. |
1, 3 and 5 year follow-up | |
Secondary | Composite score of quality of life | Composite of all quality of life questionnaires, where all outcomes are summed to provide a total score | 3-year follow-up |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT06030596 -
SPECT Myocardial Blood Flow Quantification for Diagnosis of Ischemic Heart Disease Determined by Fraction Flow Reserve
|
||
Completed |
NCT04080700 -
Korean Prospective Registry for Evaluating the Safety and Efficacy of Distal Radial Approach (KODRA)
|
||
Recruiting |
NCT03810599 -
Patient-reported Outcomes in the Bergen Early Cardiac Rehabilitation Study
|
N/A | |
Recruiting |
NCT06002932 -
Comparison of PROVISIONal 1-stent Strategy With DEB Versus Planned 2-stent Strategy in Coronary Bifurcation Lesions.
|
N/A | |
Not yet recruiting |
NCT06032572 -
Evaluation of the Safety and Effectiveness of the VRS100 System in PCI (ESSENCE)
|
N/A | |
Recruiting |
NCT05308719 -
Nasal Oxygen Therapy After Cardiac Surgery
|
N/A | |
Recruiting |
NCT04242134 -
Drug-coating Balloon Angioplasties for True Coronary Bifurcation Lesions
|
N/A | |
Completed |
NCT04556994 -
Phase 1 Cardiac Rehabilitation With and Without Lower Limb Paddling Effects in Post CABG Patients.
|
N/A | |
Recruiting |
NCT05846893 -
Drug-Coated Balloon vs. Drug-Eluting Stent for Clinical Outcomes in Patients With Large Coronary Artery Disease
|
N/A | |
Recruiting |
NCT06027788 -
CTSN Embolic Protection Trial
|
N/A | |
Recruiting |
NCT05023629 -
STunning After Balloon Occlusion
|
N/A | |
Completed |
NCT04941560 -
Assessing the Association Between Multi-dimension Facial Characteristics and Coronary Artery Diseases
|
||
Completed |
NCT04006288 -
Switching From DAPT to Dual Pathway Inhibition With Low-dose Rivaroxaban in Adjunct to Aspirin in Patients With Coronary Artery Disease
|
Phase 4 | |
Completed |
NCT01860274 -
Meshed Vein Graft Patency Trial - VEST
|
N/A | |
Recruiting |
NCT06174090 -
The Effect of Video Education on Pain, Anxiety and Knowledge Levels of Coronary Bypass Graft Surgery Patients
|
N/A | |
Terminated |
NCT03959072 -
Cardiac Cath Lab Staff Radiation Exposure
|
||
Completed |
NCT03968809 -
Role of Cardioflux in Predicting Coronary Artery Disease (CAD) Outcomes
|
||
Recruiting |
NCT05065073 -
Iso-Osmolar vs. Low-Osmolar Contrast Agents for Optical Coherence Tomography
|
Phase 4 | |
Recruiting |
NCT04566497 -
Assessment of Adverse Outcome in Asymptomatic Patients With Prior Coronary Revascularization Who Have a Systematic Stress Testing Strategy Or a Non-testing Strategy During Long-term Follow-up.
|
N/A | |
Completed |
NCT05096442 -
Compare the Safety and Efficacy of Genoss® DCB and SeQuent® Please NEO in Coronary De Novo Lesions
|
N/A |