Influence of Vessel Wall Calcification on Early Stent Strut Healing (CaOCT)
Influence of Vessel Wall Calcification on Early Stent Strut Healing (CaOCT Study)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: BRUNO GARCIA DEL BLANCO, MD, PhD
- Phone Number: 0034932746155
- Email: brunogb51@gmail.com
Study Contact Backup
- Name: FUNDACION EPIC
- Phone Number: 00987876135
- Email: iepic@fundacionepic.org
Study Locations
-
-
-
Barcelona, Spain, 08035
- Recruiting
- Hospital Universitari Vall Hebron
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Patients who meet all the following conditions will be included:
- Patients aged ≥ 18 years old and;
- Patients with clinical indication for stent implantation and;
- Patients with OCT evaluation that shows the presence of calcified tissue underlying the lumen surface, fulfilling the definition of superficial calcium (The distance from the abluminal point of the calcium to the luminal surface is less than 500 μm, in a perpendicular axis to the vessel luminal surface. When referred to the stent struts it will be assumed that such distance of less than 500 μm will be measured between the centre of the abluminal surface of the strut and the abluminal point of the calcium, in the same perpendicular axis).and;
- Patients with good quality baseline OCT evaluation as judged by the investigators and;
- Patients who have been briefed on the study characteristics and have given their prior written informed consent.
Exclusion Criteria:
- Patients who meet, at least, 1 of the following conditions will be excluded:
- Patients with current ST-elevation Myocardial Infarction (STEMI).
- Patients with non-native lesion: stent restenosis, segment previously treated with drug eluting balloon, arterial or saphenous vein grafts.
Patients with contraindication for the 1-month follow-up angiography and OCT:
- Glomerular Filtration Rate (GFR)< 30 ml/min/1.72m2
- Contrast allergy
- Baseline post-stent control OCT failure, due to tortuosity or any other reason.
- Patient not candidate for a follow up angiography, due to frailty, non-cardiac disease or whatever other condition considered by the local team.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Coronary Artery Disease (CAD)
|
Patients with Xience Skypoint stent implanted after OCT assesment of calcification
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean strut coverage thickness of stent
Time Frame: 1 month
|
Mean strut coverage thickness (μ) of the stent struts located over superficial calcium will be compared to the mean strut coverage thickness of the struts in the calcium free frames by Optical Coherence Tomography (OCT).
|
1 month
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Proportion of covered struts
Time Frame: 1 month
|
proportion of covered struts (%) lying over superficial calcium compared to the proportion of covered struts in calcium free frames
|
1 month
|
|
Proportion of uncovered struts
Time Frame: 1 month
|
Proportion of uncovered struts by OCT at 1 month comparing calcified and non-calcified struts by OCT
|
1 month
|
|
Proportion of acute post PCI malapposition struts
Time Frame: 1 month
|
Proportion of acute post PCI malapposition comparing calcified and non-calcified struts by OCT
|
1 month
|
|
Proportion of malapposed struts
Time Frame: 1 month
|
Proportion of malapposed struts comparing calcified and non-calcified struts by OCT at 1 month
|
1 month
|
|
Proportion of the resolution of the baseline malapposition struts
Time Frame: 1 month
|
Proportion of the resolution of the baseline malapposition struts according to the presence of underlying superficial calcium by OCT at 1 month
|
1 month
|
|
Degree of endothelialization
Time Frame: 1 month
|
Difference in mean struck coverage thickness between calcified lesion and no calcified lesion
|
1 month
|
|
Major adverse cardiovascular events (MACE)
Time Frame: 6 months
|
Major adverse cardiovascular events (MACE) defined as a composite of all-cause mortality, cardiac death, myocardial infarction, or target vessel revascularization at 6 months
|
6 months
|
|
All Death
Time Frame: 6 months
|
Freedom from all Death
|
6 months
|
|
Cardiac Death
Time Frame: 6 months
|
Freedom from Cardiac Death
|
6 months
|
|
Myocardial Infarction
Time Frame: 6 months
|
Freedom from Myocardial Infarction
|
6 months
|
|
Target Vessel Revascularization
Time Frame: 6 months
|
Freedom from Target Vessel Revascularization
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Mosseri M, Satler LF, Pichard AD, Waksman R. Impact of vessel calcification on outcomes after coronary stenting. Cardiovasc Revasc Med. 2005 Oct-Dec;6(4):147-53. doi: 10.1016/j.carrev.2005.08.008.
- Genereux P, Madhavan MV, Mintz GS, Maehara A, Palmerini T, Lasalle L, Xu K, McAndrew T, Kirtane A, Lansky AJ, Brener SJ, Mehran R, Stone GW. Ischemic outcomes after coronary intervention of calcified vessels in acute coronary syndromes. Pooled analysis from the HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) and ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) TRIALS. J Am Coll Cardiol. 2014 May 13;63(18):1845-54. doi: 10.1016/j.jacc.2014.01.034. Epub 2014 Feb 19.
- Madhavan MV, Tarigopula M, Mintz GS, Maehara A, Stone GW, Genereux P. Coronary artery calcification: pathogenesis and prognostic implications. J Am Coll Cardiol. 2014 May 6;63(17):1703-14. doi: 10.1016/j.jacc.2014.01.017. Epub 2014 Feb 12.
- Otaegui Irurueta I, Gonzalez Sucarrats S, Barron Molina JL, Perez de Prado A, Massotti M, Carmona Ramirez MA, Marti G, Bellera N, Serra B, Serra V, Domingo E, Lopez-Benito M, Sabate M, Ferreira Gonzalez I, Garcia Del Blanco B. Can an ultrathin strut stent design and a polymer free, proendothelializing probucol matrix coating improve early strut healing? The FRIENDLY-OCT trial. An intra-patient randomized study with OCT, evaluating early strut coverage of a novel probucol coated polymer-free and ultra-thin strut sirolimus-eluting stent compared to a biodegradable polymer sirolimus-eluting stent. Int J Cardiol. 2022 Aug 1;360:13-20. doi: 10.1016/j.ijcard.2022.04.043. Epub 2022 Apr 25.
- Lindsay AC, Paulo M, Kadriye K, Tejeiro R, Alegria-Barrero E, Chan PH, Foin N, Syrseloudis D, Di Mario C. Predictors of stent strut malapposition in calcified vessels using frequency-domain optical coherence tomography. J Invasive Cardiol. 2013 Sep;25(9):429-34.
- Honda Y, Toyama T, Miyaishi Y, Kan H, Kawaguchi R, Adachi H, Hoshizaki H, Oshima S. Coronary artery calcification as a new predictor of non-target lesion revascularization during the chronic phase after successful percutaneous coronary intervention. Cardiovasc Interv Ther. 2014 Oct;29(4):315-23. doi: 10.1007/s12928-014-0274-4. Epub 2014 Jun 7.
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 (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
- EPIC41-CaOCT
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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