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Идёт набор NCT05230446

PRospective Evaluation of Complete Revascularization in Patients With multiveSsel Disease Excluding chroNic Total Occlusions

Без фазы С лечением Multi Vessel Coronary Artery Disease Non-ST Elevation Myocardial Infarction Unstable Angina Stable Angina

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: PCI with OCT guidance.
Кому может быть актуально
Состояния в реестре: Multi Vessel Coronary Artery Disease, Non-ST Elevation Myocardial Infarction, Unstable Angina, Stable Angina. Базовые параметры: 18 лет — 85 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Нидерланды
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

This prospective, multicenter, non-randomized, single arm, objective performance goal (OPG) study is designed to evaluate clinical outcomes after complete revascularization by PCI and imaging guidance (OCT) in patients with multivessel coronary artery disease including left anterior descending (LAD) presenting with stable angina, or documented silent ischemia, or non-ST segment elevation acute coronary syndrome (NSTE-ACS).

Подробное описание

The PRESENT is an investigator-initiated, prospective, multicenter, non-randomized, single arm, OPG study. The objective performance goal is based on past results of CABG namely a rate of 7% MACCE at 1-year follow-up. All patients with multivessel disease without chronic total occlusion (CTO) and accepted for PCI are eligible for inclusion

Primary endpoint The primary clinical endpoint of this study is a composite of death from any cause, stroke, myocardial infarction, or unplanned ischemia driven repeat revascularization at 1-year post index procedure.

Secondary endpoint

* Composite of death from any cause, stroke, myocardial infarction, or repeat revascularization at 30 days, 2, and 5 years post intervention. * All-cause mortality at 30 days, 1, 2, and 5 years * Myocardial Infarction at 30 days, 1, 2, and 5 years * Any revascularization at 30 days, 1, 2, and 5 years * Stroke at 30 days, 1, 2, and 5 years * Major bleeding at 30 days and 12 months * Need for renal replacement therapy at 30 days

Вмешательства

  • Устройство PCI with OCT guidance
    Procedure will be optimize using pre-and post-stent OCT imaging, to improve the accuracy of stent placement and reduce geographic miss, but also to prevent malapposition of the stent and to discover dissections.

Первичные конечные точки

  • MACCE- 1 year [Срок оценки: 1 year]
Вторичные конечные точки (7)
  • MACCE [Срок оценки: 30 days, 2, and 5 years post intervention]
  • All-cause mortality [Срок оценки: 30 days, 1, 2, and 5 years]
  • Myocardial Infarction [Срок оценки: 30 days, 1, 2, and 5 years]
  • Any revascularization [Срок оценки: 30 days, 1, 2, and 5 years]
  • Stroke [Срок оценки: 30 days, 1, 2, and 5 years]
  • Major bleeding [Срок оценки: 30 days and 12 months]
  • Renal replacement therapy [Срок оценки: 30 days]

Критерии участия

Критерии включения

  • Age ≥ 18 years, ≤85 years
  • The patient is an acceptable candidate for treatment with a drug eluting stent in accordance with the applicable guidelines on percutaneous coronary interventions, manufacturer's Instructions for Use and the Declaration of Helsinki
  • Patient indication, lesion length and vessel diameter of the target lesion(s) are according to the 'Instructions for Use' that comes with every Resolute Onyx (Zotarolimus-Eluting stent) system.
  • The patient is willing and able to cooperate with study procedures and required follow up visits
  • The subject or legal representative has been informed of the nature of the study and agrees to its provisions and has provided an EC approved written informed consent, including data privacy authorization

Критерии исключения

  • Age <18 years and > 85 years.
  • Single coronary vessel disease.
  • No left anterior descending lesion.
  • Patients in cardiogenic shock.
  • Patients with STEMI.
  • Presence of a chronic total occlusion (CTO) defined as coronary lesion with Thrombolysis in Myocardial Infarction (TIMI) flow grade 0 on initial angiography present for more than or equal to 3 months.
  • Left main coronary artery disease
  • Patients who cannot give informed consent or have a life expectancy of less than 12 months.
  • Absolute contraindications or allergy that cannot be pre-medicated, to iodinated contrast or to any of the study medications, including both aspirin and P2Y12 inhibitors.
  • Patients with an extreme LAD tortuosity imparing OCT catheter advancement
  • Enrollment in another study with another investigational device or drug trial that has not reached the primary endpoint. The patient may only be enrolled once in the PRESENT study.
  • Previous coronary artery bypass grafting (CABG).
  • Patient requiring additional cardiac surgery within 6 months.
  • Women of childbearing potential who do not have a negative pregnancy test result within 7 days before the procedure, women who are known to be pregnant, or who are breastfeeding.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Не применимо
Модель
Одна группа
Маскирование
Открытое
Основная цель
Лечение

Центры проведения

Нидерланды · 1 центр
  • Erasmus Medical Center — Rotterdam

Идентификаторы

NCT: NCT05230446 · NL76556.078.21

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗