Study of the Natural History of FFR Guided Percutaneous Coronary Intervention (IRIS FFR)
A Multicenter, Prospective Cohort to Evaluate the Natural History of FFR Guided Percutaneous Coronary Intervention
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Seung-Jung Park, MD, PhD
- Email: sjpark@amc.seoul.kr
Study Contact Backup
- Name: Jung-min Ahn, MD
- Email: drjmahn@gmail.com
Study Locations
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Anyang, South Korea
- Recruiting
- Hallym University Sacred Heart Hospital
-
Contact:
- Hyun-sook Kim, MD
-
Principal Investigator:
- Hyun-sook Kim, MD
-
Bucheon-si, South Korea
- Recruiting
- Soon Chun Hyang University Hospital Bucheon
-
Contact:
- Nae-hee Lee, MD
-
Principal Investigator:
- Nae-hee Lee, MD
-
Cheongju-si, South Korea
- Recruiting
- Chungbuk National University Hospital
-
Contact:
- Sang-yeub Lee, MD
-
Principal Investigator:
- Sang-yeub Lee, MD
-
Chuncheon, South Korea
- Recruiting
- Gangwon National Univ. Hospital
-
Principal Investigator:
- Bong-ki Kim, MD
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Contact:
- Bong-ki Lee, MD
-
Daegu, South Korea
- Recruiting
- Keimyung University Dongsan Medical Center
-
Contact:
- Chang-wook Nam, MD
-
Principal Investigator:
- Chang-wook Nam, MD
-
Daegu, South Korea
- Recruiting
- Kyungpook National University Hospital
-
Contact:
- Hun-sik Park, MD
-
Principal Investigator:
- Hun-sik Park, MD
-
Daegu, South Korea
- Recruiting
- Yeungnam University Medical Center
-
Contact:
- Jong-seon Park, MD
-
Principal Investigator:
- Jong-seon Park, MD
-
Daegu, South Korea
- Recruiting
- Daegu Catholic University Center
-
Principal Investigator:
- Jin-bae Lee, MD
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Contact:
- Jin-bae Lee, MD
-
Daejeon, South Korea
- Recruiting
- Chungnam national university hospital
-
Contact:
- Si-wan Choi, MD
-
Principal Investigator:
- Si-wan Choi, MD
-
Daejeon, South Korea
- Recruiting
- The Catholic University of Korea, Deajeon St.Mary's hospital
-
Contact:
- Sung-ho Her, MD
-
Principal Investigator:
- Sung-ho Her, MD
-
Gangneung, South Korea
- Recruiting
- GangNeung Asan Hospital
-
Contact:
- Sang-sig Jung, MD
-
Principal Investigator:
- Sang-sig Jung, MD
-
Gwangju, South Korea
- Recruiting
- Chonnam National University Hospital
-
Contact:
- Young-jun Hong, MD
-
Principal Investigator:
- Young-jun Hong, MD
-
Ilsan, South Korea
- Recruiting
- Inje University Ilsan Paik Hospital
-
Contact:
- Joon-hyung Doh, MD
-
Principal Investigator:
- Joon-hyung Doh, MD
-
Pusan, South Korea
- Recruiting
- Dong-A Medical Center
-
Contact:
- Kyung-il Park, MD
-
Principal Investigator:
- Kyung-il Park, MD
-
Pusan, South Korea
- Recruiting
- Pusan National University Hospital
-
Contact:
- Taeg-jong Hong, MD
-
Principal Investigator:
- Taeg-jong Hong, MD
-
Seongnam, South Korea
- Recruiting
- Seoul university Bundang hospital
-
Contact:
- In-ho Chae, MD
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Principal Investigator:
- In-ho Chae, MD
-
Seoul, South Korea
- Recruiting
- Seoul National University Hospital
-
Contact:
- Bon-kwon Koo, MD
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Principal Investigator:
- Bon-kwon Koo, MD
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Seoul, South Korea
- Recruiting
- Asan Medical Center
-
Contact:
- Seung-jung Park, MD
- Email: sjpark@amc.seoul.kr
-
Principal Investigator:
- Seung-jung Park, MD
-
Seoul, South Korea
- Recruiting
- Korea University Guro Hospital
-
Contact:
- Seung-un Na, MD
-
Principal Investigator:
- Seung-un Na, MD
-
Seoul, South Korea
- Recruiting
- Korea University Anam Hospital
-
Contact:
- Do-sun Lim, MD
-
Principal Investigator:
- Do-sun Lim, MD
-
Seoul, South Korea
- Recruiting
- Seoul National University Boramae Medical Center
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Contact:
- Woo-young Chung, MD
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Principal Investigator:
- Woo-young Chung, MD
-
Seoul, South Korea
- Recruiting
- Gangnam Severance Hospital
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Contact:
- Byoung-kwon Lee, MD
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Principal Investigator:
- Byoung-kwon Lee, MD
-
Seoul, South Korea
- Recruiting
- Hallym University Kangdong Sacred Heart Hospital
-
Contact:
- Kyoo-rok Han, MD
-
Principal Investigator:
- Kyoo-rok Han, MD
-
Seoul, South Korea
- Recruiting
- Kyung-Hee University Hospital at Kangdong
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Contact:
- Jong-jin Kim, MD
-
Principal Investigator:
- Jong-jin Kim, MD
-
Seoul, South Korea
- Recruiting
- The Catholic University of Korea, Seoul St.Mary's Hospital
-
Contact:
- Ki-bae Seung, MD
-
Principal Investigator:
- Ki-bae Seung, MD
-
Seoul, South Korea
- Recruiting
- The Catholic University of Korea, Yeouido St. Mary's Hospital
-
Contact:
- Chul-soo Park, MD
-
Principal Investigator:
- Chul-soo Park, MD
-
Ulsan, South Korea
- Recruiting
- Ulsan University Hospital
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Contact:
- Eun-seok Shin, MD
-
Principal Investigator:
- Eun-seok Shin, MD
-
Wŏnju, South Korea
- Recruiting
- Wonju Severance Christian Hospital
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Contact:
- Jung-han Yoon, MD
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Principal Investigator:
- Jung-han Yoon, MD
-
Yangsan, South Korea
- Recruiting
- Pusan National University Yangsan Hospital
-
Contact:
- Jun-hong Kim, MD
-
Principal Investigator:
- Jun-hong Kim, MD
-
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 35 years and older
- FFR measurement on one and more coronary artery stenosis
- Willing and able to provide informed, written consent
Exclusion Criteria:
- Stenosis with TIMI<3 flow
- Graft vessel
- Ejection fraction < 30%
- Angiographic evidence of extreme tortuosity or calcified coronary vessels
- Suspected coronary spasm even after sufficient nitrate injected
- Life expectancy <2 year
- Planned cardiac surgery or planned major non cardiac surgery
- Woman who are breastfeeding, pregnant or planning to become pregnant during the course of the study
Imaging study specific exclusion criteria
- visually-estimated angiographic reference segment diameter of <2.75mm or >4.0mm
- Inappropriate for IVUS/VH/OCT procedures : inability for imaging wire or catheter to pass through the tight stenosis, severe calcification, angulation
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
|
FFR
Patients who had FFR measurement
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Target vessel failure
Time Frame: 2 year after index FFR measurement
|
2 year after index FFR measurement
|
|
composite Cardiac Death,Non Fatal Myocardial Infarction, Target Vessel Revascularization, and Indeterminate events
Time Frame: at 2 year after index FFR measurement
|
at 2 year after index FFR measurement
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Death (all cause and cardiac)
Time Frame: at 2 year after index FFR measurement
|
at 2 year after index FFR measurement
|
|
MI
Time Frame: at 2 year after index FFR measurement
|
at 2 year after index FFR measurement
|
|
Target vessel revascularization
Time Frame: at 2 year after index FFR measurement
|
at 2 year after index FFR measurement
|
|
Target lesion revascularization
Time Frame: at 2 year after index FFR measurement
|
at 2 year after index FFR measurement
|
|
Any re-hospitalization with a cardiac cause
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
cardiac death and myocardial infarction
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
stented lesion related event including death, myocardial infarction, repeat revascularization
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
stroke
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
stent thrombosis
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
anginal status
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
number of anti-anginal medication prescribed
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
complication of FFR measurement
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
clinical predictors of events
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
change in plaque composition (%necrotic core volume) in target segment
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
change in plaque type assessed by VH(Virtual Histology) and OCT(Optical coherence tomography)
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
change in total atheroma volume and percent atheroma volume
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
change in IVUS-measured MLA
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
|
change in FFR
Time Frame: 2 year follow-up after index FFR measurement
|
2 year follow-up after index FFR measurement
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Seung-Jung Park, MD,PhD, Asan Medical Center
Publications and helpful links
General Publications
- Ahn JM, Park DW, Kim SO, Kang DY, Lee CH, Lee PH, Lee SW, Park SW, Park SJ. Prognostic Value of Resting Distal-to-Aortic Coronary Pressure in Clinical Practice. Circ Cardiovasc Interv. 2020 May;13(5):e007868. doi: 10.1161/CIRCINTERVENTIONS.118.007868. Epub 2020 Apr 29.
- Kang DY, Ahn JM, Kim YW, Moon JY, Lee JS, Koo BK, Lee PH, Park DW, Kang SJ, Lee SW, Kim YH, Park SW, Park SJ. Impact of Coronary Lesion Geometry on Fractional Flow Reserve: Data From Interventional Cardiology Research In-Cooperation Society-Fractional Flow Reserve and Intravascular Ultrasound Registry. Circ Cardiovasc Imaging. 2018 Jun;11(6):e007087. doi: 10.1161/CIRCIMAGING.117.007087.
- Kang DY, Ahn JM, Lee CH, Lee PH, Park DW, Kang SJ, Lee SW, Kim YH, Lee CW, Park SW, Park SJ. Deferred vs. performed revascularization for coronary stenosis with grey-zone fractional flow reserve values: data from the IRIS-FFR registry. Eur Heart J. 2018 May 7;39(18):1610-1619. doi: 10.1093/eurheartj/ehy079.
- Lee JM, Hwang D, Park J, Zhang J, Tong Y, Kim CH, Bang JI, Suh M, Paeng JC, Cheon GJ, Koo BK. Exploring Coronary Circulatory Response to Stenosis and Its Association With Invasive Physiologic Indexes Using Absolute Myocardial Blood Flow and Coronary Pressure. Circulation. 2017 Nov 7;136(19):1798-1808. doi: 10.1161/CIRCULATIONAHA.117.029911. Epub 2017 Aug 29.
- Ahn JM, Park DW, Shin ES, Koo BK, Nam CW, Doh JH, Kim JH, Chae IH, Yoon JH, Her SH, Seung KB, Chung WY, Yoo SY, Lee JB, Choi SW, Park K, Hong TJ, Lee SY, Han M, Lee PH, Kang SJ, Lee SW, Kim YH, Lee CW, Park SW, Park SJ; IRIS-FFR Investigatorsdagger. Fractional Flow Reserve and Cardiac Events in Coronary Artery Disease: Data From a Prospective IRIS-FFR Registry (Interventional Cardiology Research Incooperation Society Fractional Flow Reserve). Circulation. 2017 Jun 6;135(23):2241-2251. doi: 10.1161/CIRCULATIONAHA.116.024433. Epub 2017 Mar 29.
- Lee JM, Kim CH, Koo BK, Hwang D, Park J, Zhang J, Tong Y, Jeon KH, Bang JI, Suh M, Paeng JC, Cheon GJ, Na SH, Ahn JM, Park SJ, Kim HS. Integrated Myocardial Perfusion Imaging Diagnostics Improve Detection of Functionally Significant Coronary Artery Stenosis by 13N-ammonia Positron Emission Tomography. Circ Cardiovasc Imaging. 2016 Sep;9(9):e004768. doi: 10.1161/CIRCIMAGING.116.004768.
- Kang SJ, Ahn JM, Han S, Lee JY, Kim WJ, Park DW, Lee SW, Kim YH, Lee CW, Park SW, Mintz GS, Park SJ. Sex differences in the visual-functional mismatch between coronary angiography or intravascular ultrasound versus fractional flow reserve. JACC Cardiovasc Interv. 2013 Jun;6(6):562-8. doi: 10.1016/j.jcin.2013.02.016.
- Park SJ, Kang SJ, Ahn JM, Shim EB, Kim YT, Yun SC, Song H, Lee JY, Kim WJ, Park DW, Lee SW, Kim YH, Lee CW, Mintz GS, Park SW. Visual-functional mismatch between coronary angiography and fractional flow reserve. JACC Cardiovasc Interv. 2012 Oct;5(10):1029-36. doi: 10.1016/j.jcin.2012.07.007.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CVRF2010-09
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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