Coronary Aspiration Catheter Clinical Trial
A Prospective, Multicenter, Randomized Controlled, Noninferiority Clinical Trial Evaluating the Efficacy and Safety of an Aspiration Catheter in Patients Undergoing PCI for Acute ST-Segment Elevation Myocardial Infarction (STEMI)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ge Junpo, Ph.D
- Phone Number: 021-31587851
- Email: ge.junbo@zs-hospital.sh.cn
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 200000
- Recruiting
- Zhongshan Hospital, Fudan University
-
Contact:
- Ge Junbo, Ph.D
- Phone Number: 021-31587871
- Email: ge.junbo@zs-hospital.sh.cn
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- General inclusion criteria
- Age 18-80 years old (inclusive);
- Clinical diagnosis of acute ST-segment elevation myocardial infarction (STEMI) within 24 hours of the onset of the disease (where ST-segment elevation is defined as ST-segment elevation of ≥1mm or 0.1mV in 2 or more consecutive leads of the 12-lead ECG);
- Voluntary participation and signed written informed consent. Imaging Inclusion Criteria
- DSA image showed that the target lesion was in situ coronary artery lesion;
- Target vessel TIMI thrombus load classification ≥ grade 3 and TIMI flow classification ≤ grade 1;
Exclusion Criteria:
- General exclusion criteria
- previous PCI intervention or coronary artery bypass grafting (CABG) in the target vessel;
- Comorbid cardiogenic shock;
- severe renal failure or ongoing dialysis;
- severe coagulation abnormalities (e.g., hypercoagulability due to blood disorders);
- Failure of preoperative thrombolysis requiring remedial PCI;
- Serious bleeding events requiring transfusion therapy within 30 days prior to surgery;
- Ischemic stroke within 3 months prior to surgery;
- Known allergy to anticoagulant and antiplatelet agents or contrast media;
- female subjects who are known to be pregnant or lactating;
- Participation or planned participation in other clinical studies of drugs or devices;
other conditions that the investigator evaluates to be unsuitable for participation in this trial.
Imaging exclusion criteria
- Prognostic aspiration catheter needs to pass through the original stent mesh to reach the thrombus aspiration site;
- severe calcification or tortuosity of the target vessel or extreme angulation that would interfere with the passage of the suction catheter;
- the presence of an unprotected left main lesion (more than 50% narrowing of the lumen diameter);
- the presence of severe triple coronary artery lesions requiring revascularization.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Test Group
Thrombus aspiration therapy using the test device
|
Thrombus aspiration using Aspiration Catheter
|
|
Experimental: Control Group
Thrombus aspiration therapy using the control device
|
Thrombus aspiration using Export Advance Aspiration Catheter
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The rate of TIMI flow grad 3 after PCI
Time Frame: Immediately after procedure
|
Defined as the percentage of subjects with TIMI flow graded 3 after PCI.
|
Immediately after procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
TIMI flow after PCI
Time Frame: Immediately after procedure
|
Target vessel TIMI (Thrombolysis In Myocardial Infarction) flow grad after PCI, after completion of of coronary thrombus using the test device or control device to complete thrombus aspiration
|
Immediately after procedure
|
|
MBG
Time Frame: Immediately after procedure
|
MBG (Myocardial Blush Grade) after coronary thrombus aspiration using either the test device or the control device.
There are 4 levels of MBG.
Grades range from 0 and up to 3, with higher grades being better.
|
Immediately after procedure
|
|
TIMI Thrombus Grade
Time Frame: Immediately after procedure
|
TIMI Thrombus Grade after coronary thrombus aspiration using either the test device or the control device.
There are 6 levels of MBG.
Grades range from 0 and up to 5, with higher grades being worse.
|
Immediately after procedure
|
|
STR(ST-segment resolution) at 90 minutes
Time Frame: Day 0
|
The index of change in the highest level of ST-segment elevation relative to the highest level of preoperative ST-segment elevation was assessed on the basis of electrocardiographic at 90 min ± 30 min after PCI.
|
Day 0
|
|
Thrombus aspiration time and number of aspirations
Time Frame: Immediately after procedure
|
Record and compare the total thrombus aspiration time and number of aspirations in both groups.
|
Immediately after procedure
|
|
Device technical success rate
Time Frame: Immediately after procedure
|
The test device or control device is able to successfully pass through all target lesions, complete thrombus aspiration, and successfully withdraw without complications relate to the procedure during thrombus aspiration, and TIMI flow grade 3 in the immediately after PCI.
|
Immediately after procedure
|
|
MACE
Time Frame: 30-day follow-up after procedure
|
MACE includes cardiovascular death, recurrent myocardial infarction, all strokes, and target vessel revascularization (TVR)
|
30-day follow-up after procedure
|
|
AE and SAE
Time Frame: 30-day follow-up after procedure
|
Incidence of all adverse events, serious adverse events in both groups
|
30-day follow-up after procedure
|
Collaborators and Investigators
Sponsor
Sponsor
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
- D23
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
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