Multisensor Wireless Pressure Microcatheter For Microvascular Function Assessment In ANOCA/INOCA Patients: A Prospective, Multicenter, Single-Group Target Value Study
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Ming Cui
- Phone Number: 010-82266699
- Email: mingcui@bjmu.edu.cn
Study Contact Backup
- Name: Ruitao Zhang
- Phone Number: 010-82266699
- Email: clinicboy@126.com
Study Locations
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Beijing, China
- Recruiting
- Peking University Third Hospital
-
Contact:
- Ming Cui
- Phone Number: 010-82266699
- Email: mingcui@bjmu.edu.cn
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Contact:
- Ruitao Zhang
- Phone Number: 010-82266699
- Email: clinicboy@126.com
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Beijing, China
- Recruiting
- Beijing Anzhen Hospital.Capital Medical University
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Contact:
- Lei Xu
- Phone Number: 010-64412431
- Email: leixu2001@aliyun.com
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Contact:
- Kairui Bo
- Phone Number: 010-64412431
- Email: bo20200@126.com
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100102
- Not yet recruiting
- Wang Jing Hospital Of CACMS(China Academy of Chinese Medical Sciences)
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Contact:
- Xiaojie chen
- Phone Number: 010-84739047
- Email: 13810245800@163.com
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Hebei
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Cangzhou, Hebei, China
- Not yet recruiting
- Cangzhou Central Hospital
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Contact:
- Jun Zhang
- Phone Number: 0317-2075736
- Email: dr_zhangj@sina.com
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Sichuan
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Chengdu, Sichuan, China
- Not yet recruiting
- Chengdu second people's hospital
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Contact:
- Jianxiong Liu
- Phone Number: 028-67830010
- Email: steven.ljx@vip.163.com
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≥ 18 years, gender not limited;
- Symptoms of angina pectoris, or objective evidence of myocardial ischemia (e.g., electrocardiogram, myocardial injury markers, etc.);
- Visual assessment of coronary angiography shows diameter stenosis < 50% and FFR > 0.8 (or cRR > 0.89);
- Microvascular function assessment is planned;
- Agree to participate in this clinical study and voluntarily sign the informed consent form.
Exclusion Criteria:
- Acute myocardial infarction, PCI, CABG, or valvular surgery following angiography within the past 30 days;
- Severe valvular disease requiring surgical or interventional treatment;
- Chest pain with known non-ischemic causes (e.g., pericarditis, pulmonary hypertension, esophageal spasm);
- Contraindications to CMR (e.g., certain types of pacemakers or defibrillators, severe claustrophobia);
- Clear contraindications to adenosine and ATP use (e.g., second- or third-degree atrioventricular block, sick sinus syndrome, severe asthma, systolic blood pressure below 90 mmHg);
- Renal insufficiency (eGFR ≤ 45 mL/min/1.73 m2) or currently undergoing dialysis;
- Severe heart failure or LVEF ≤ 35%;
- Severe organ disease or life expectancy less than 2 years;
- Known to be participating in other drug or device clinical trials that have not yet met the primary endpoint;
- Other investigators deem the candidate unsuitable for this clinical trial.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sensitivity and specificity of multi-sensor wireless pressure microcatheter for calculating Coronary Flow Reserve (CFR) in diagnosing Coronary Microvascular Dysfunction (CMD)
Time Frame: Intraoperative period (day 0) and post-operative (days 1-7)
|
Using study participants as the unit of study, and with Myocardial Perfusion Reserve (MPR) calculated by Cardiac Magnetic Resonance (CMR) quantitative myocardial perfusion imaging as the reference (MPR<2.2 is positive, MPR≥2.2 is negative), the sensitivity and specificity of CFR calculated by multi-sensor wireless pressure microcatheter for diagnosing CMD (CFR<2.5 is positive, CFR≥2.5 is negative) were evaluated.
|
Intraoperative period (day 0) and post-operative (days 1-7)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Multi-sensor wireless pressure microcatheter calculation of CFR for diagnosing CMD: accuracy, positive predictive value, negative predictive value, Receiver Operating Characteristic Curve (ROC), and Area Under the Curve(AUC)
Time Frame: Intraoperative period (day 0) and post-operative (days 1-7)
|
Using study participants as the unit of study, and with MPR calculated by CMR quantitative myocardial perfusion imaging as a reference (MPR<2.2 as positive, MPR≥2.2 as negative), the accuracy, positive predictive value, negative predictive value, ROC, and AUC of CFR calculated by multi-sensor wireless pressure microcatheter for diagnosing CMD (CFR<2.5 as positive, CFR≥2.5 as negative) were evaluated.
|
Intraoperative period (day 0) and post-operative (days 1-7)
|
|
Pearson correlation analysis and Bland-Altman bias analysis of CFR calculated by multi-sensor wireless pressure microcatheter and MPR calculated by CMR quantitative myocardial perfusion imaging.
Time Frame: Intraoperative period (day 0) and post-operative (days 1-7)
|
Using blood vessels as the research unit, Pearson correlation analysis and Bland-Altman bias analysis were performed on the CFR calculated by multi-sensor wireless pressure microcatheter and the MPR calculated by CMR quantitative myocardial perfusion imaging.
|
Intraoperative period (day 0) and post-operative (days 1-7)
|
|
Pearson correlation analysis of multi-sensor wireless pressure microcatheter measurements of Tmn,rest and Tmn,hyper with CMR quantitative myocardial perfusion imaging measurements of MBFrest and MBFhyper.
Time Frame: Intraoperative period (day 0) and post-operative (days 1-7)
|
Using blood vessels as the unit of study, Pearson correlation analysis was performed on the Mean Transit Time in the resting state (Tmn,rest) and the Mean Transit Time in the hyperemia state (Tmn,hyper) measured by multi-sensor wireless pressure microcatheter,Myocardial Blood Flow in the resting state (MBFrest) and Myocardial Blood Flow in the hyperemia state (MBFhyper) by CMR quantitative myocardial perfusion imaging,respectively.
|
Intraoperative period (day 0) and post-operative (days 1-7)
|
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Multi-sensor wireless pressure microcatheter calculation of Index of Microcirculatory Resistance (IMR) for diagnosing CMD: accuracy, sensitivity, specificity, positive predictive value, negative predictive value, ROC, and AUC.
Time Frame: Intraoperative period (day 0) and post-operative (days 1-7)
|
Using study participants as the unit of study, and with MPR calculated by CMR quantitative myocardial perfusion imaging as a reference (MPR<2.2 as positive, MPR≥2.2 as negative), the accuracy, sensitivity, specificity, positive predictive value, negative predictive value, ROC, and AUC of IMR calculated by multi-sensor wireless pressure microcatheter for the diagnosis of CMD (IMR<25 as negative, IMR≥25 as positive) were evaluated.
|
Intraoperative period (day 0) and post-operative (days 1-7)
|
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Multi-sensor wireless pressure microcatheter calculation of Microvascular Resistance Reserve (MRR) for diagnosing CMD: accuracy, sensitivity, specificity, positive predictive value, negative predictive value, ROC, and AUC.
Time Frame: Intraoperative period (day 0) and post-operative (days 1-7)
|
Using study participants as the unit of study, and with MPR calculated by CMR quantitative myocardial perfusion imaging as a reference (MPR<2.2 is positive, MPR≥2.2 is negative), the accuracy, sensitivity, specificity, positive predictive value, negative predictive value, ROC, and AUC of MRR calculated by multi-sensor wireless pressure microcatheter for the diagnosis of CMD (MRR<2.1 is positive, MRR≥2.1 is negative) were evaluated.
|
Intraoperative period (day 0) and post-operative (days 1-7)
|
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
Keywords
Other Study ID Numbers
Other Study ID Numbers
- M20251062
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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