Coronary Artery Disease Clinical Trial
Official title:
Safety and Efficacy of Drug-Coated Balloon Angioplasty for the Treatment of Chronic Total Occlusions
Verified date | February 2021 |
Source | Beijing Anzhen Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to investigate the safety and efficacy of drug-coated balloon angioplasty for the treatment of chronic total occlusions patients with chronic total occlusion (CTO) lesion.
Status | Enrolling by invitation |
Enrollment | 200 |
Est. completion date | January 2023 |
Est. primary completion date | December 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria - Patients between 18 and 80 years of age - Must comply all the evaluations and follow-up protocols - Clinical diagnosis of CTO detected using coronary angiography (at least one other major vessel should have exhibited no less than 75% stenosis) - Patients should present with left ventricular ejection fraction (LVEF) above 35% determined using transthoracic echocardiography - CTO located in an epicardial coronary artery with a reference diameter of = 2.5 mm Exclusion Criteria - Patients have suffered from acute myocardial infarction within the previous 3 months - Lesion located in the left main artery (stenosis =50%) - Clinical diagnosis of rheumatic valvular disease - Clinical diagnosis of severe arrhythmia - With history of revascularization within the CTO artery - Lesions unsuitable for PCI - Severely abnormal hematopoietic systems, such as platelet counts <100 x 109/L or > 700 x 109/ L and white blood cell counts < 3 x 109/L - Patients with active bleeding or bleeding tendencies (active ulcers, short-term ischemic stroke, history of hemorrhagic stroke, intracranial space occupying lesions, recent craniocerebral trauma, and other bleeding or bleeding tendency) - Patients with severe coexisting condition including: severe renal function dysfunction [Glomerular filtration rate (GFR) less than 60 ml/min • 1.73 m2), severe hepatic dysfunction [glutamic-pyruvic transaminase (ALT) or glutamic-oxal acetic transaminase (ALT) elevated more than three times that of the upper limit of the normal reference], severe heart failure (NYHA classification III-IV), acute infectious diseases and immune disorders, tumors, surgery within 3 months, a life expectancy less than 12 months, pregnancy or planning to become pregnant, history of allergy or adverse reactions to aspirin, clopidogrel, ticagrelor, stains, contrast material, anticoagulant, or stents - Patients cannot tolerate dual antiplatelet treatment (DAPT) - Patients are unable to communicate due to cognitive impairment, auditory or visual impairment - Patients are participating in another trial for medication or an apparatus and in which the main endpoint has not been reached, or plan to participate in a clinical trial within 12 months of the intervention |
Country | Name | City | State |
---|---|---|---|
China | Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University | Beijing | Beijing |
Lead Sponsor | Collaborator |
---|---|
Beijing Anzhen Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Comparison of the incidence of adverse cardiac events between two groups in the perioperative period | Outcome measures including acute coronary artery occlusion, acute vascular perforation, acute stent thrombosis, acute myocardial infarction, and cardiac death | 7 days before and after procedure | |
Primary | Comparison of the difference in minimal lumen diameter (MLD) between two groups | Measured by Intravascular ultrasound (IVUS) or optical coherence tomography (OCT) | 12 months | |
Secondary | Comparison of the incidence of major adverse cardiac events(MACEs) between two groups | all-cause mortality, cardiac death, a first or recurrent, non-fatal, acute myocardial infarction, target lesion revascularization (PCI or CABG), stroke, heart failure and cardiac rehospitalization | 12 months | |
Secondary | Comparison of myocardial viability (late gadolinium enhancement, LGE) in the territory supplied by the CTO artery between two groups evaluated via cardiovascular magnetic resonance (CMR) | Myocardial viability in the territory supplied by the CTO artery by comparison of late gadolinium enhancement between two groups. | 12 months |
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