Equity in Modifying Plaque Of WomEn With UndeRtreated Calcified Coronary Artery Disease (EMPOWER CAD)
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: Randee Randoll
- Phone Number: +1.408.577.7856
- Email: rrandoll@shockwavemedical.com
Study Locations
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Massy, France, 91300
- Institut Cardiovasculaire Paris Sud Hôpital Privé Jacques Cartier
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Antibes
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Antibes, Antibes, France, 06606
- Centre Hospitalier d'Antibes
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BP 27617
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Toulouse, BP 27617, France, 31076 Cedex 3
- Clinique Pasteur
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Paris
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Paris, Paris, France, 75013
- AP-HP Hopital Pitie-Salpetriere
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Leipzig, Germany
- Heart and Lung Center Leipzig
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Langenbeckstr. 1
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Mainz, Langenbeckstr. 1, Germany, 55131
- Universitaetsmedizin der Johannes Gutenberg - Universitaet Mainz
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Nordallee 1
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Trier, Nordallee 1, Germany, 54292
- Krankenhaus der Barmherzigen Brüder Trier
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Barcelona, Spain
- Hospital Del Mar
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Córdoba, Spain
- Hospital Universitario Reina Sofia
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Madrid, Spain
- Hospital Clinico San Carlos
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A Coruña
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Santiago de Compostela, A Coruña, Spain
- Hospital Clínico de Santiago
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Clydebank, United Kingdom, G81 4HX
- Golden Jubilee National Hospital
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Liverpool, United Kingdom, L14 3PE
- Liverpool Heart and Chest Hospital
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London, United Kingdom, SW17 0QT
- St. George's Hospital
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London, United Kingdom, W12 0HS,
- Hammersmith Hospital
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California
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Loma Linda, California, United States, 92354
- Loma Linda University Health
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Los Angeles, California, United States, 90017
- Good Samaritan Hospital
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San Francisco, California, United States, 94118
- Kaiser Permanente - San Francisco Medical Center
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Stanford, California, United States, 94305
- Stanford University
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Colorado
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Littleton, Colorado, United States, 80120
- South Denver Cardiology Associates, P.C
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Connecticut
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New Haven, Connecticut, United States, 06510
- Yale New Haven Hospital
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Florida
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Clearwater, Florida, United States, 33756
- Morton Plant Hospital
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Tallahassee, Florida, United States, 32308
- Tallahassee Research Institute
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Georgia
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Atlanta, Georgia, United States, 30342
- Northside Hospital
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Atlanta, Georgia, United States, 30309
- Piedmont Heart Institute
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Atlanta, Georgia, United States, 30308
- Emory Hospital
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Illinois
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Evanston, Illinois, United States, 60208
- Northwestern University
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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Louisiana
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New Orleans, Louisiana, United States, 70112
- Tulane University Center for Clinical Research
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Massachusetts
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Boston, Massachusetts, United States, 02115
- Brigham and Women's Hospital
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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New Hampshire
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Manchester, New Hampshire, United States, 03102
- New England Heart and Vascular Institute
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New York
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Brooklyn, New York, United States, 11220
- NYU Langone Health
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New York, New York, United States, 10032
- Columbia University Medical Center
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New York, New York, United States, 10016
- NYU Langone Health
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Roslyn, New York, United States, 11576
- St. Francis Hospital
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The Bronx, New York, United States, 10467
- Montefiore Medical Center
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Ohio
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Cincinnati, Ohio, United States, 45219
- The Lindner Center for Research and Education at The Christ Hospital CRA: Timothy
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Pennsylvania
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York, Pennsylvania, United States, 17403
- WellSpan York Hospital
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Rhode Island
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Providence, Rhode Island, United States, 02903
- Rhode Island Hospital
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South Carolina
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Charleston, South Carolina, United States, 29425
- MUSC Health University Medical Center
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Tennessee
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Nashville, Tennessee, United States, 37232
- Vanderbilt University Medical Center
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Nashville, Tennessee, United States, 37203
- Centennial Heart
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Texas
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McAllen, Texas, United States, 78503
- DHR Health Heart Institute
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Plano, Texas, United States, 75093
- Baylor Scott & White Research Institute
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San Antonio, Texas, United States, 78229
- University of Texas Health Science Center at San Antonio
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Virginia
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Falls Church, Virginia, United States, 22042
- Inova Fairfax Medical Campus
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Washington
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Bellevue, Washington, United States, 98004
- Overlake Medical Center
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Seattle, Washington, United States, 98195
- University of Washington Medical Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- The subject is a non-pregnant female ≥18 years of age
- The subject meets indications for PCI and stent
- The subject is scheduled to undergo PCI with coronary IVL and stenting per standard of care for non-stented lesion
- The subject is willing to comply with protocol-specified follow-up evaluations
- The subject, or legally authorized representative, has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent, approved by the appropriate Institutional Review Board (IRB) or Ethics Committee (EC)
Exclusion Criteria:
- Subjects with known mental or physical illness or known history of substance abuse that may cause non-compliance with the protocol, confound the data interpretation, or is associated with a life expectancy of less than one year
- Subjects presenting with cardiogenic shock at the time of the index procedure
- Serious angiographic complication in the target vessel prior to treatment with coronary IVL including-severe dissection (Type D to F), perforation, abrupt closure, persistent slow-flow or persistent no reflow
- Subject unable to tolerate anticoagulation/antiplatelet therapy per guidelines
- Subject is enrolled in any study of an investigational device or drug that may interfere with study results
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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Female subjects referred for percutaneous coronary intervention
Female subjects referred for percutaneous coronary intervention (PCI) with coronary IVL and stenting per standard of care.
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Coronary Intravascular Lithotripsy (IVL)
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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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Primary Effectiveness Endpoint: Procedural Success
Time Frame: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Procedural Success defined as stent delivery with a residual in-stent stenosis ≤30% in all target lesions (core laboratory assessed) and without in-hospital TLF (CEC adjudicated).
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12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Primary Safety Endpoint: Number of Participants With Target Lesion Failure (TLF)
Time Frame: within 30 days of index procedure
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Target lesion failure (TLF) at 30 days defined as a composite of cardiac death, myocardial infarction (per SCAI definition for peri-procedural MI; per 4th Universal Definition for spontaneous MI beyond discharge) attributable to target vessel (TV-MI), or ischemia-driven target lesion revascularization (ID-TLR).
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within 30 days of index procedure
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Angiographic Success (≤30% Residual Stenosis)
Time Frame: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Angiographic Success defined as stent delivery with ≤30% residual stenosis and without serious angiographic complications.
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12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Procedural Success
Time Frame: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Procedural Success defined as stent delivery with a residual stenosis <50% in all target lesions (core laboratory assessed) and without in-hospital TLF.
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12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Angiographic Success (< 50% Residual Stenosis)
Time Frame: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Angiographic Success defined as stent delivery with < 50% residual stenosis and without serious angiographic complications.
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12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Serious Angiographic Complications
Time Frame: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Serious angiographic complications defined as severe dissection (Type D to F), perforation, abrupt closure, and persistent slow flow or persistent no reflow.
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12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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Target Lesion Failure (TLF)-1 Year
Time Frame: 1 year post procedure
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TFL is defined as a composite of:
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1 year post procedure
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Target Lesion Failure (TLF)- 2 Year
Time Frame: 2 years post procedure
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TFL is defined as a composite of:
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2 years post procedure
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Target Lesion Failure (TLF)- 3 Year
Time Frame: 3 years post procedure
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TFL is defined as a composite of:
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3 years post procedure
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Major Adverse Cardiac Events (MACE)- 30 Days
Time Frame: within 30 days of index procedure
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Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization.
All MACE were adjudicated by an independent CEC.
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within 30 days of index procedure
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Major Adverse Cardiac Events (MACE)- 1 Year
Time Frame: 1 year post procedure
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Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization.
All MACE were adjudicated by an independent CEC.
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1 year post procedure
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Major Adverse Cardiac Events (MACE)- 2 Year
Time Frame: 2 years post procedure
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Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization.
All MACE were adjudicated by an independent CEC.
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2 years post procedure
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Major Adverse Cardiac Events (MACE)- 3 Year
Time Frame: 3 years post procedure
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Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization.
All MACE were adjudicated by an independent CEC.
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3 years post procedure
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All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- Discharge
Time Frame: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure.
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All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable) in-hospital
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12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure.
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All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 30 Days
Time Frame: within 30 days of index procedure
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All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)- 30 days
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within 30 days of index procedure
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All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 1 Year
Time Frame: 1 year post procedure
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All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)
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1 year post procedure
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All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 2 Year
Time Frame: 2 years post procedure
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All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)
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2 years post procedure
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All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 3 Year
Time Frame: 3 years post procedure
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All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)
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3 years post procedure
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MI (Myocardial Infarction)- Discharge
Time Frame: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.
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12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure
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MI (Myocardial Infarction)- 30 Day
Time Frame: within 30 days of index procedure
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MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.
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within 30 days of index procedure
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MI (Myocardial Infarction)- 1 Year
Time Frame: 1 year post procedure
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MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.
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1 year post procedure
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MI (Myocardial Infarction)- 2 Year
Time Frame: 2 years post procedure
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MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.
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2 years post procedure
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MI (Myocardial Infarction)- 3 Year
Time Frame: 3 years post procedure
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MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.
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3 years post procedure
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Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 30 Days
Time Frame: From baseline to within 30 days of index procedure
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Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7).
Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.
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From baseline to within 30 days of index procedure
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Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 1 Year
Time Frame: From baseline to within 1 year of index procedure
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Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7).
Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.
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From baseline to within 1 year of index procedure
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Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 2 Years
Time Frame: From baseline to within 2 years of index procedure
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Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7).
Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.
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From baseline to within 2 years of index procedure
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Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 3 Years
Time Frame: From baseline to within 3 years of index procedure
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Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7).
Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.
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From baseline to within 3 years of index procedure
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Quality of Life Assessed by EQ-5D-5L- Baseline to 30 Days
Time Frame: From baseline to within 30 days of index procedure
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Quality of life assessed by EQ-5D-5L as a change from baseline.
Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.
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From baseline to within 30 days of index procedure
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Quality of Life Assessed by EQ-5D-5L- Baseline to 1 Year
Time Frame: From baseline to within 1 year of index procedure
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Quality of life assessed by EQ-5D-5L as a change from baseline.
Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.
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From baseline to within 1 year of index procedure
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Quality of Life Assessed by EQ-5D-5L- Baseline to 2 Year
Time Frame: From baseline to within 2 years of index procedure
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Quality of life assessed by EQ-5D-5L as a change from baseline.
Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.
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From baseline to within 2 years of index procedure
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Quality of Life Assessed by EQ-5D-5L- Baseline to 3 Year
Time Frame: From baseline to within 3 years of index procedure
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Quality of life assessed by EQ-5D-5L as a change from baseline.
Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.
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From baseline to within 3 years of index procedure
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Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 30 Day
Time Frame: From baseline to within 30 days of index procedure
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Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline.
Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period).
Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).
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From baseline to within 30 days of index procedure
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Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 1 Year
Time Frame: From baseline to within 1 year of index procedure
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Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline.
Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period).
Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).
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From baseline to within 1 year of index procedure
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Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 2 Year
Time Frame: From baseline to within 2 years of index procedure
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Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline.
Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period).
Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).
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From baseline to within 2 years of index procedure
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Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 3 Year
Time Frame: From baseline to within 3 years of index procedure
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Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline.
Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period).
Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).
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From baseline to within 3 years of index procedure
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Collaborators and Investigators
Sponsor
Sponsor
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
Other Study ID Numbers
Other Study ID Numbers
- CP 67712
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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