The OCTOBER Trial - European Trial on Optical Coherence Tomography Optimized Bifurcation Event Reduction (OCTOBER) (OCTOBER)
European Trial on Optical Coherence Tomography Optimized Bifurcation Event Reduction - The OCTOBER Trial -
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Coronary bifurcation lesions with stenosis in a large side branch may require complex stent implantation techniques with an elevated risk of suboptimal treatment results. Intra vascular optical coherence tomography (OCT) enables improved procedural control of correctable factors and may lead to optimized implantation results.
It is unknown if routine, systematic use of OCT scans during complex bifurcation stenting improves clinical outcome but present available evidence indicates advantages of OCT guidance that could translate into improved clinical outcome.
Hypothesis: Systematic OCT guided revascularization of patients with bifurcation lesions requiring complex stent implantation provides superior two-year clinical outcome compared to standard revascularization by PCI.
Methods: Investigator initiated and investigator sponsored, randomized (1:1), controlled, prospective, multicenter, superiority trial. Randomization is stratified for 1) Left main or non-Left main artery disease, and 2) up-front planned one-stent technique with kissing balloon inflation, or a two-stent technique.
Systematic OCT guidance is detailed for five complex stent implantation techniques. Standard treatment is angiographic based with optional use of intravascular ultrasound (IVUS).
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Evald H Christiansen, MD, PhD
- Phone Number: 52028 +4578450000
- Email: evald.christiansen@dadlnet.dk
Study Contact Backup
- Name: Niels R Holm, MD
- Phone Number: 52054 +4578450000
- Email: niels.holm@clin.au.dk
Study Locations
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Genk, Belgium, 3600
- Ziekenhuis Oost-Limburg (ZOL) Genk
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Leuven, Belgium, 3000
- Leuven University Hospital
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Aalborg, Denmark, 9100
- Aalborg University Hospital
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Aarhus N, Denmark, 8200
- Aarhus University Hospital Skejby
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Gentofte Municipality, Denmark, 2820
- Gentofte Hospital
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København Ø, Denmark, 2100
- Rigshospitalet
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Odense, Denmark, 5000
- Odense University Hospital
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Roskilde, Denmark, 4000
- Zealand University Hospital, Roskilde Sygehus
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Tallinn, Estonia, 13419
- Estonia Medical Centre
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Tampere, Finland, 33520
- Tampere University Hospital
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Hamburg, Germany, 20246
- Universitäres Herzzentrum Hamburg
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Hamburg, Germany, 22041
- Cardiologicum Hamburg
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Kiel, Germany, 24105
- Universitätsklinikum Schleswig-Holstein Campus Kiel
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State of Berlin
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Berlin, State of Berlin, Germany, 10249
- Vivantes Klinikum im Friedrichshain
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Galway, Ireland, H91YR71
- University Hospital Galway
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Rome, Italy, 00168
- Gemelli General Hospital, Catholic University of the Sacred Heart
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Cona
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Ferrara, Cona, Italy, 44124
- Azienda Ospedaliero-Universitaria di Ferrara
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Riga, Latvia, LV-1002
- Latvia Centre of Cardiology
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Alkmaar, Netherlands, 1815
- Northwest Hospital Alkmaar
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Amsterdam, Netherlands, 1081 HV
- VU University Medical Center (VUMC)
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Nieuwegein, Netherlands, 3435 CM
- St Antonius Ziekenhuis
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Arendal, Norway, 4604
- Hospital of Southern Norway, Arendal
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Bergen, Norway
- Haukeland University Hospital, Bergen
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Oslo, Norway, 0424
- Oslo University Hospital, Rikshospitalet
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Oslo, Norway, 0450
- Oslo University Hospital - Ullevål
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Trondheim, Norway
- Trondheim University Hospital
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Warsaw, Poland, 02-097
- Medical University of Warsaw
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Gothenburg, Sweden, 413 45
- Sahlgrenska University Hospital
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Stockholm, Sweden, 118 83
- Södersjukhuset
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Örebro, Sweden, 70185
- Orebro University Hospital
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Stockholm County
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Huddinge, Stockholm County, Sweden, 14157
- Karolinska University Hospital Huddinge
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Belfast, United Kingdom, BT9 7AB
- Belfast Health and Social Care Trust
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Bournemouth, United Kingdom, BH77DW
- Royal Bournemouth Hospital
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Brighton, United Kingdom, BN2 5BE
- Sussex Cardiac Centre
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Glasgow, United Kingdom, G81 4DY
- Golden Jubilee Hospital
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London, United Kingdom, SW17 0QT
- St George's Hospital
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Manchester, United Kingdom, M239LT
- University Hospital South Manchester, Wythenshawe Hospital
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Swansea, United Kingdom, SA6 6NL
- Morriston Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Stable angina pectoris, unstable angina pectoris, clinically stable non-STEMI.
- Age ≥18 yrs.
- Abel to provide written Informed consent and willing to comply with the specified follow-up contacts.
Angiographic inclusion criteria:
- Native coronary bifurcation de novo lesion
- More than 50% diameter stenosis in the main vessel (MV)
- More than 50% diameter stenosis in the side branch (SB) within 5 mm of the ostium.
- Reference size at least 2.75 mm in the main vessel (MV) and ≥2.5 mm in the SB.
Functional inclusion criteria:
Functional significance of the main vessel lesion or documented ischemia of the main vessel territory or other objective documentation of lesion significance. Objective evidence of ischemia is required for all treated lesions except for lesions with more than 80% diameter stenosis that may be considered significant.
Procedural inclusion criteria:
Indication for two-stent technique or one-stent technique with kissing balloon inflation
Exclusion Criteria:
- STEMI within 72 hours
- Cardiogenic shock
- Prior coronary artery bypass grafting (CABG) or planned CABG
- Renal failure with glomerular filtration rate (GFR) <50 mL/min per 1.73 m2
- Active bleeding or coagulopathy
- Life expectancy < 2 years
- Ejection fraction < 30%
- New York Heart Association (NYHA) class > II
- Relevant allergies (aspirin, clopidogrel, ticagrelor, contrast compounds, everolimus).
Angiographic exclusion criteria:
- Severe tortuosity around target bifurcation
- Chronic total occlusions
- Massive thrombus in Left main coronary artery
- Medina 0.0.1 lesions
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Angiographic guided PCI
Angiographic guided PCI is revascularization by percutaneous coronary intervention (PCI) and optional use of intravascular ultrasound (IVUS).
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Angiographic guided PCI is percutaneous coronary intervention performed by standard angiographic guided techniques
Other Names:
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Experimental: OCT guided PCI
OCT guided PCI is percutaneous coronary intervention (PCI) guided by systematic use of intravascular optical coherence tomography (OCT)
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OCT guided PCI is percutaneous coronary intervention (PCI) guided by intra vascular optical coherence tomography (OCT) scans
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Combined endpoint of major adverse cardiac events (MACE)
Time Frame: 24 months
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Composite of cardiac death, target lesion myocardial infarction, ischaemic driven target lesion revascularization
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24 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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All-cause mortality
Time Frame: 1 month
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Death of any cause including cardiac deaths and non-natural causes of death
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1 month
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All-cause mortality
Time Frame: 12 months
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Death of any cause including cardiac deaths and non-natural causes of death
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12 months
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All-cause mortality
Time Frame: 24 months
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Death of any cause including cardiac deaths and non-natural causes of death
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24 months
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All-cause mortality
Time Frame: 36 months
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Death of any cause including cardiac deaths and non-natural causes of death
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36 months
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All-cause mortality
Time Frame: 48 months
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Death of any cause including cardiac deaths and non-natural causes of death
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48 months
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All-cause mortality
Time Frame: 60 months
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Death of any cause including cardiac deaths and non-natural causes of death
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60 months
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All-cause mortality
Time Frame: 120 months
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Death of any cause including cardiac deaths and non-natural causes of death
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120 months
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Myocardial infarction
Time Frame: 1 month
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Procedure and non-procedure related myocardial infarction
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1 month
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Myocardial infarction
Time Frame: 12 months
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Procedure and non-procedure related myocardial infarction
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12 months
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Myocardial infarction
Time Frame: 24 months
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Procedure and non-procedure related myocardial infarction
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24 months
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Myocardial infarction
Time Frame: 36 months
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Procedure and non-procedure related myocardial infarction
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36 months
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Myocardial infarction
Time Frame: 48 months
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Procedure and non-procedure related myocardial infarction
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48 months
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Myocardial infarction
Time Frame: 60 months
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Procedure and non-procedure related myocardial infarction
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60 months
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Stent Thrombosis
Time Frame: 1 month
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Definite, possible or probable
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1 month
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Stent Thrombosis
Time Frame: 12 months
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Definite, possible or probable
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12 months
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Stent Thrombosis
Time Frame: 24 months
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Definite, possible or probable
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24 months
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Stent Thrombosis
Time Frame: 36 months
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Definite, possible or probable
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36 months
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Stent Thrombosis
Time Frame: 48 months
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Definite, possible or probable
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48 months
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Stent Thrombosis
Time Frame: 60 months
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Definite, possible or probable
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60 months
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Target lesion myocardial infarction
Time Frame: 1 month
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Myocardial infarction related to an index treated lesion
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1 month
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Target lesion myocardial infarction
Time Frame: 12 months
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Myocardial infarction related to an index treated lesion
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12 months
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Target lesion myocardial infarction
Time Frame: 24 months
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Myocardial infarction related to an index treated lesion
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24 months
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Target lesion myocardial infarction
Time Frame: 36 months
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Myocardial infarction related to an index treated lesion
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36 months
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Target lesion myocardial infarction
Time Frame: 48 months
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Myocardial infarction related to an index treated lesion
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48 months
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Target lesion myocardial infarction
Time Frame: 60 months
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Myocardial infarction related to an index treated lesion
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60 months
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Target bifurcation myocardial infarction
Time Frame: 1 month
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Myocardial infarction related to the index bifurcation
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1 month
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Target bifurcation myocardial infarction
Time Frame: 12 months
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Myocardial infarction related to the index bifurcation
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12 months
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Target bifurcation myocardial infarction
Time Frame: 24 months
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Myocardial infarction related to the index bifurcation
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24 months
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Target bifurcation myocardial infarction
Time Frame: 36 months
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Myocardial infarction related to the index bifurcation
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36 months
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Target bifurcation myocardial infarction
Time Frame: 48 months
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Myocardial infarction related to the index bifurcation
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48 months
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Target bifurcation myocardial infarction
Time Frame: 60 months
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Myocardial infarction related to the index bifurcation
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60 months
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CCS angina class
Time Frame: 1 month
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Canadian Cardiovascular Society (CCS) grading of angina pectoris
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1 month
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CCS angina class
Time Frame: 12 months
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Canadian Cardiovascular Society (CCS) grading of angina pectoris
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12 months
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CCS angina class
Time Frame: 24 months
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Canadian Cardiovascular Society (CCS) grading of angina pectoris
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24 months
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CCS angina class
Time Frame: 36 months
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Canadian Cardiovascular Society (CCS) grading of angina pectoris
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36 months
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CCS angina class
Time Frame: 48 months
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Canadian Cardiovascular Society (CCS) grading of angina pectoris
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48 months
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CCS angina class
Time Frame: 60 months
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Canadian Cardiovascular Society (CCS) grading of angina pectoris
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60 months
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Study bifurcation oriented composite endpoint
Time Frame: 1 month
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Composite of cardiac death, target bifurcation myocardial infarction, target bifurcation revascularisation
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1 month
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Study bifurcation oriented composite endpoint
Time Frame: 12 months
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Composite of cardiac death, target bifurcation myocardial infarction, target bifurcation revascularisation
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12 months
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Study bifurcation oriented composite endpoint
Time Frame: 24 months
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Composite of cardiac death, target bifurcation myocardial infarction, target bifurcation revascularisation
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24 months
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Study bifurcation oriented composite endpoint
Time Frame: 36 months
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Composite of cardiac death, target bifurcation myocardial infarction, target bifurcation revascularisation
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36 months
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Study bifurcation oriented composite endpoint
Time Frame: 48 months
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Composite of cardiac death, target bifurcation myocardial infarction, target bifurcation revascularisation
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48 months
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Study bifurcation oriented composite endpoint
Time Frame: 60 months
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Composite of cardiac death, target bifurcation myocardial infarction, target bifurcation revascularisation
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60 months
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Patient oriented composite endpoint
Time Frame: 1 month
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Composite of all-cause mortality, myocardial infarction, any revascularisation, stroke
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1 month
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Patient oriented composite endpoint
Time Frame: 12 months
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Composite of all-cause mortality, myocardial infarction, any revascularisation, stroke
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12 months
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Patient oriented composite endpoint
Time Frame: 24 months
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Composite of all-cause mortality, myocardial infarction, any revascularisation, stroke
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24 months
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Patient oriented composite endpoint
Time Frame: 36 months
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Composite of all-cause mortality, myocardial infarction, any revascularisation, stroke
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36 months
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Patient oriented composite endpoint
Time Frame: 48 months
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Composite of all-cause mortality, myocardial infarction, any revascularisation, stroke
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48 months
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Patient oriented composite endpoint
Time Frame: 60 months
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Composite of all-cause mortality, myocardial infarction, any revascularisation, stroke
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60 months
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Cardiac death
Time Frame: 1 month
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Death due to cardiac causes or if death is not clearly attributable to other non-cardiac causes
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1 month
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Cardiac death
Time Frame: 12 months
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Death due to cardiac causes or if death is not clearly attributable to other non-cardiac causes
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12 months
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Cardiac death
Time Frame: 24 months
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Death due to cardiac causes or if death is not clearly attributable to other non-cardiac causes
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24 months
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Cardiac death
Time Frame: 36 months
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Death due to cardiac causes or if death is not clearly attributable to other non-cardiac causes
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36 months
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Cardiac death
Time Frame: 48 months
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Death due to cardiac causes or if death is not clearly attributable to other non-cardiac causes
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48 months
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Cardiac death
Time Frame: 60 months
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Death due to cardiac causes or if death is not clearly attributable to other non-cardiac causes
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60 months
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Target lesion revascularisation
Time Frame: 1 month
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Coronary artery bypass grafting or PCI of target lesion
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1 month
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Target lesion revascularisation
Time Frame: 12 months
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Coronary artery bypass grafting or PCI of target lesion
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12 months
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Target lesion revascularisation
Time Frame: 24 months
|
Coronary artery bypass grafting or PCI of target lesion
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24 months
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Target lesion revascularisation
Time Frame: 36 months
|
Coronary artery bypass grafting or PCI of target lesion
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36 months
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Target lesion revascularisation
Time Frame: 48 months
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Coronary artery bypass grafting or PCI of target lesion
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48 months
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Target lesion revascularisation
Time Frame: 60 months
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Coronary artery bypass grafting or PCI of target lesion
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60 months
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Target bifurcation revascularisation
Time Frame: 1 month
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Coronary artery bypass grafting or PCI of target bifurcation
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1 month
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Target bifurcation revascularisation
Time Frame: 12 months
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Coronary artery bypass grafting or PCI of target bifurcation
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12 months
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Target bifurcation revascularisation
Time Frame: 24 months
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Coronary artery bypass grafting or PCI of target bifurcation
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24 months
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Target bifurcation revascularisation
Time Frame: 36 months
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Coronary artery bypass grafting or PCI of target bifurcation
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36 months
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Target bifurcation revascularisation
Time Frame: 48 months
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Coronary artery bypass grafting or PCI of target bifurcation
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48 months
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Target bifurcation revascularisation
Time Frame: 60 months
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Coronary artery bypass grafting or PCI of target bifurcation
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60 months
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Target vessel revascularisation
Time Frame: 1 month
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Coronary artery bypass grafting or PCI of target vessel
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1 month
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Target vessel revascularisation
Time Frame: 12 months
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Coronary artery bypass grafting or PCI of target vessel
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12 months
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Target vessel revascularisation
Time Frame: 24 months
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Coronary artery bypass grafting or PCI of target vessel
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24 months
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Target vessel revascularisation
Time Frame: 36 months
|
Coronary artery bypass grafting or PCI of target vessel
|
36 months
|
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Target vessel revascularisation
Time Frame: 48 months
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Coronary artery bypass grafting or PCI of target vessel
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48 months
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Target vessel revascularisation
Time Frame: 60 months
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Coronary artery bypass grafting or PCI of target vessel
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60 months
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Any revascularisation
Time Frame: 1 month
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Any repeat revascularization except staged revascularization planned during the index procedure
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1 month
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Any revascularisation
Time Frame: 12 months
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Any repeat revascularization except staged revascularization planned during the index procedure
|
12 months
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Any revascularisation
Time Frame: 24 months
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Any repeat revascularization except staged revascularization planned during the index procedure
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24 months
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Any revascularisation
Time Frame: 36 months
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Any repeat revascularization except staged revascularization planned during the index procedure
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36 months
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Any revascularisation
Time Frame: 48 months
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Any repeat revascularization except staged revascularization planned during the index procedure
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48 months
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Any revascularisation
Time Frame: 60 months
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Any repeat revascularization except staged revascularization planned during the index procedure
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60 months
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Contrast volume
Time Frame: Baseline, after final baseline procedure
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Contrast volume
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Baseline, after final baseline procedure
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Procedure time
Time Frame: Baseline, after final baseline procedure
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Procedure time
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Baseline, after final baseline procedure
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Fluoroscopy time
Time Frame: Baseline, after final baseline procedure
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Fluoroscopy time
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Baseline, after final baseline procedure
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Number of stents implanted in target lesion
Time Frame: Baseline, after final baseline procedure
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Number of stents implanted in target lesion
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Baseline, after final baseline procedure
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Number of stents implanted in non-target lesion
Time Frame: Baseline, after final baseline procedure
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Number of stents implanted in non-target lesion
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Baseline, after final baseline procedure
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Total stent length in target lesion
Time Frame: Baseline, just after final baseline procedure
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Total stent length in target lesion
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Baseline, just after final baseline procedure
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Total stent length in total
Time Frame: Baseline, just after final baseline procedure
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Total stent length in total
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Baseline, just after final baseline procedure
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Procedural success
Time Frame: Baseline, just after final baseline procedure
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TIMI III flow and less than 30% diameter stenosis in target segments
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Baseline, just after final baseline procedure
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OCT-guiding group: Successful final OCT acquisition in MV
Time Frame: Baseline, just after final baseline procedure
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For OCT-guided enrollments.
Successful final OCT acquisition in main vessel.
Success defined as analyzable stented segment.
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Baseline, just after final baseline procedure
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OCT-guiding group: Successful final OCT acquisition in SB
Time Frame: Baseline, just after final baseline procedure
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For OCT-guided enrollments.
Successful final OCT acquisition in side branch.
Success defined as analyzable stented segment.
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Baseline, just after final baseline procedure
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OCT-guiding group: Successful treatment specific OCT acquisitions
Time Frame: Baseline, after final baseline procedure
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OCT performed succesfully in protocol-defined vessels at all protocol-defined time-points during baseline procedure
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Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter in the stented proximal main vessel segment
Time Frame: Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the stented proximal main vessel segment
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Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter in the stented distal main vessel segment
Time Frame: Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the stented distal main vessel segment
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Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter in the treated side branch vessel segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the treated (stent or balloon) side branch vessel segment
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Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter in the proximal main vessel edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the proximal main vessel edge segment (within 5 mm from the stent)
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Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter in the distal main vessel edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the distal main vessel edge segment (within 5 mm from the stent)
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Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter in the side branch vessel edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the side branch vessel edge segment (within 5 mm from stent or balloon)
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Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter in the stented bifurcation core segment
Time Frame: Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the stented bifurcation core segment
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Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter in the stented distal main vessel ostium segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the stented distal main vessel ostium segment
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Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter in the treated side branch vessel ostium segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in the treated side branch vessel ostium segment
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in the stented proximal main vessel segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the stented proximal main vessel segment
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in the stented distal main vessel segment
Time Frame: Baseline, after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the stented distal main vessel segment
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Baseline, after final baseline procedure
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Post-PCI diameter stenosis in the treated side branch vessel segment
Time Frame: Baseline, after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the treated (stent or balloon) side branch vessel segment
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Baseline, after final baseline procedure
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Post-PCI diameter stenosis in the proximal main vessel edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the proximal main vessel edge segment (within 5 mm from the stent)
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in the distal main vessel edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the distal main vessel edge segment (within 5 mm from the stent)
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in the side branch vessel edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the side branch vessel edge segment (within 5 mm from stent or balloon)
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in the stented bifurcation core segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the stented bifurcation core segment
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in the stented distal main vessel ostium segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the stented distal main vessel ostium segment
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in the treated side branch ostium segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in the treated side branch ostium segment
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Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter in non-bifurcation target stented segment
Time Frame: Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in non-bifurcation target stented segment
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Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter in non-bifurcation target proximal edge segment
Time Frame: Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in non-bifurcation target proximal edge segment (within 5mm fra stent)
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Baseline, after final baseline procedure
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Post-PCI minimal lumen diameter in non-bifurcation target distal edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI minimal lumen diameter by quantitative coronary analysis (QCA) in non-bifurcation target distal edge segment (within 5mm fra stent)
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in non-bifurcation target stented segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in non-bifurcation target stented segment
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in non-bifurcation target proximal edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in non-bifurcation target proximal edge segment
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Baseline, just after final baseline procedure
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Post-PCI diameter stenosis in non-bifurcation target distal edge segment
Time Frame: Baseline, just after final baseline procedure
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Post-PCI diameter stenosis by quantitative coronary analysis (QCA) in non-bifurcation target distal edge segment
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Baseline, just after final baseline procedure
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Evald H Christiansen, MD, PhD, Aarhus University Hospital
Publications and helpful links
General Publications
- Holm NR, Andreasen LN, Walsh S, Kajander OA, Witt N, Eek C, Knaapen P, Koltowski L, Gutierrez-Chico JL, Burzotta F, Kockman J, Ormiston J, Santos-Pardo I, Laanmets P, Mylotte D, Madsen M, Hjort J, Kumsars I, Ramunddal T, Christiansen EH. Rational and design of the European randomized Optical Coherence Tomography Optimized Bifurcation Event Reduction Trial (OCTOBER). Am Heart J. 2018 Nov;205:97-109. doi: 10.1016/j.ahj.2018.08.003. Epub 2018 Aug 16.
- Holm NR, Andreasen LD, Neghabat O, Laanmets P, Kumsars I, Bennett J, Olsen NT, Odenstedt J, Hoffmann P, Dens J, Chowdhary S, O'Kane P, Bulow Rasmussen SH, Heigert M, Havndrup O, Van Kuijk JP, Biscaglia S, Mogensen LJH, Henareh L, Burzotta F, H Eek C, Mylotte D, Llinas MS, Koltowski L, Knaapen P, Calic S, Witt N, Santos-Pardo I, Watkins S, Lonborg J, Kristensen AT, Jensen LO, Calais F, Cockburn J, McNeice A, Kajander OA, Heestermans T, Kische S, Eftekhari A, Spratt JC, Christiansen EH; OCTOBER Trial Group. OCT or Angiography Guidance for PCI in Complex Bifurcation Lesions. N Engl J Med. 2023 Oct 19;389(16):1477-1487. doi: 10.1056/NEJMoa2307770. Epub 2023 Aug 27.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
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 (Actual)
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
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Heart Diseases
- Arteriosclerosis
- Arterial Occlusive Diseases
- Coronary Disease
- Coronary Artery Disease
- Myocardial Ischemia
- Investigative Techniques
- Therapeutics
- Surgical Procedures, Operative
- Angioplasty
- Catheterization
- Endovascular Procedures
- Vascular Surgical Procedures
- Cardiovascular Surgical Procedures
- Minimally Invasive Surgical Procedures
- Myocardial Revascularization
- Cardiac Surgical Procedures
- Percutaneous Coronary Intervention
- Thoracic Surgical Procedures
- Angioplasty, Balloon
- Angioplasty, Balloon, Coronary
Other Study ID Numbers
Other Study ID Numbers
- 1-10-72-161-16
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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