CorPath GRX STEMI Study (TREAT GRX)
An Evaluation of Performance of the CorPath® GRX System in Robotic-PCI During Acute STEMI
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Tina Ridgeway, BS, RN
- Phone Number: 757-810-5166
- Email: tina.ridgeway@corindus.com
Study Contact Backup
- Name: John Van Vleet, MS
- Phone Number: (480) 819-7971
- Email: john.vanvleet@corindus.com
Study Locations
-
-
Georgia
-
Marietta, Georgia, United States, 30060
- Wellstar Kennestone Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≥18 and ≤ 80 years
- Patients with STEMI<12 h of symptom onset
- Patient deemed appropriate for robotic-assisted PCI
- The subject has been informed of the nature of the study, agrees to its provisions, and has provided written consent
Exclusion Criteria:
Cardiogenic shock
- Cardiac arrest
- Need for manual or mechanical thrombectomy
- Failure/inability/unwillingness to provide informed consent
- The Investigator determines that the subject or the coronary anatomy is not suitable for robotic-assisted primary PCI treatment
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 |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
STEMI patients with clinical indication for primary PCI
Subjects with a clinical indication of STEMI.
|
Robotic-PCI for acute ST elevation myocardial infarction (STEMI).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time from Catheterization Lab Arrival to Device Activation (CLADA) by CorPath GRX System.
Time Frame: Procedure
|
Time measured from arrival to Cath Lab to device activation by CorPath GRX System.
|
Procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Freedom from MACE events
Time Frame: 72-hours
|
Completion of the STEMI procedure without in-hospital major adverse cardiovascular event MACE).
MACE is defined as cardiac death, clinically driven target vessel revascularization (TVR) by repeat PCI, surgical bypass for any segment of the target vessel or stent thrombosis.
|
72-hours
|
|
First Medical Contact (FMC) to device activation time
Time Frame: Procedure
|
Time at which first patient evaluation.
|
Procedure
|
|
Access to device activation
Time Frame: Procedure
|
Time measured from access sheath insertion to device activation by CorPath GRX System.
|
Procedure
|
|
Access to wire time
Time Frame: Procedure
|
Defined as time measured from sheath insertion to crossing the lesion with the coronary guidewire.
|
Procedure
|
|
Overall procedure time
Time Frame: Procedure
|
Defined as the time measured from sheath insertion to removal of the last device used to treat the culprit lesion.
|
Procedure
|
|
Fluoroscopy time
Time Frame: Procedure
|
Total fluoroscopy time (min.)
utilized during the procedure as recorded by the Imaging System.
|
Procedure
|
|
Patient radiation exposure
Time Frame: Procedure
|
DAP (dose-area-product) and AK (air kerma) as recorded during the procedure.
|
Procedure
|
|
Contrast fluid volume
Time Frame: Procedure
|
Total contrast volume (mL/cc) used during the procedure.
|
Procedure
|
|
Conversion to manual (Binary)
Time Frame: Procedure
|
Conversion from robotic technique to manual technique due to inability to successfully wire lesion or deliver first device.
|
Procedure
|
|
Technical success
Time Frame: Procedure
|
Completion of the PCI procedure entirely robotically or with partial manual assistance.
|
Procedure
|
|
Serious adverse events
Time Frame: 72-hours
|
All Serious Adverse Events (SAEs) from the start of the CorPath GRX procedure until the end of the study will be summarized.
|
72-hours
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Salvatore F Mannino, DO, MA, Wellstar Health System
Publications and helpful links
General Publications
- Hirshfeld JW Jr, Balter S, Brinker JA, Kern MJ, Klein LW, Lindsay BD, Tommaso CL, Tracy CM, Wagner LK, Creager MA, Elnicki M, Lorell BH, Rodgers GP, Weitz HH; American College of Cardiology Foundation; American Heart Association/; HRS; SCAI; American College of Physicians Task Force on Clinical Competence and Training. ACCF/AHA/HRS/SCAI clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. Circulation. 2005 Feb 1;111(4):511-32. doi: 10.1161/01.CIR.0000157946.29224.5D. No abstract available.
- Klein LW, Miller DL, Balter S, Laskey W, Haines D, Norbash A, Mauro MA, Goldstein JA; Joint Inter-Society Task Force on Occupational Hazards in the Interventional Laboratory. Occupational health hazards in the interventional laboratory: time for a safer environment. Catheter Cardiovasc Interv. 2009 Feb 15;73(3):432-8. doi: 10.1002/ccd.21801.
- Miller DL, Schueler BA, Balter S; National Council on Radiation Protection and Measurements; International Commission on Radiological Protection. New recommendations for occupational radiation protection. J Am Coll Radiol. 2012 May;9(5):366-8. doi: 10.1016/j.jacr.2012.02.006. No abstract available.
- Ciraj-Bjelac O, Rehani MM, Sim KH, Liew HB, Vano E, Kleiman NJ. Risk for radiation-induced cataract for staff in interventional cardiology: is there reason for concern? Catheter Cardiovasc Interv. 2010 Nov 15;76(6):826-34. doi: 10.1002/ccd.22670.
- Vano E, Kleiman NJ, Duran A, Romano-Miller M, Rehani MM. Radiation-associated lens opacities in catheterization personnel: results of a survey and direct assessments. J Vasc Interv Radiol. 2013 Feb;24(2):197-204. doi: 10.1016/j.jvir.2012.10.016. Epub 2013 Jan 28.
- Mahmud E, Naghi J, Ang L, Harrison J, Behnamfar O, Pourdjabbar A, Reeves R, Patel M. Demonstration of the Safety and Feasibility of Robotically Assisted Percutaneous Coronary Intervention in Complex Coronary Lesions: Results of the CORA-PCI Study (Complex Robotically Assisted Percutaneous Coronary Intervention). JACC Cardiovasc Interv. 2017 Jul 10;10(13):1320-1327. doi: 10.1016/j.jcin.2017.03.050.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- 104-09062
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
product manufactured in and exported from the U.S.
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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