- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04317846
Transradial Evaluation Study of Diameter Increase After Vasodilatory Drugs Administration. (TRIESTE)
TransRadIal Evaluation STudy of diamEter Increase After Vasodilatory Drugs Administration: The TRIESTE Randomized Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Multicenter, randomised controlled trial, designed to evaluate the noninferiority of the intravenous administration of vasodilatory drugs in comparison with the actual gold standard intra-arterial radial route, in terms of radial artery diameter increase.
All consecutive patients with stable ischemic disease or stable acute coronary syndrome (NSTEMI - Non-ST elevation myocardial infarction) for whom a coronary procedure is planned will be included in the study. Three groups will be constituted. For all groups, the diameters of both radial arteries will be measured thrice by echo-Doppler: 5 minutes before sheath insertion, immediately before sheath insertion and 5 minutes after sheath insertion. Pain evaluation will be performed after injection of the vasodilatory drugs/placebo in the radial artery:
- Group 1 (control group): intra-radial administration of the vasodilatory drugs after sheath insertion (verapamil 2.5 mg + isosorbide dinitrate 0.5 mg)
- Group 2 (intravenous-post): intra-venous administration of the vasodilatory drugs after sheath insertion (verapamil 2.5 mg + isosorbide dinitrate 0.5 mg)
- Group 3 (intravenous-pre): intra-venous administration of the vasodilatory drugs 5 minutes before sheath insertion (verapamil 2.5 mg + isosorbide dinitrate 0.5 mg)
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Vladimir Rubimbura, MD
- Phone Number: 0041795565806
- Email: vladimir.rubimbura@chuv.ch
Study Locations
-
-
Vaud
-
Lausanne, Vaud, Switzerland, 1011
- Recruiting
- Rubimbura Vladimir
-
Contact:
- Vladimir Rubimbura, MD
- Email: vladimir.rubimbura@chuv.ch
-
Principal Investigator:
- Vladimir Rubimbura, MD
-
Sub-Investigator:
- Stephane Fournier, MD
-
Sub-Investigator:
- Julien Adjedj, MD, PhD
-
Sub-Investigator:
- Marion Dupré, MD
-
Sub-Investigator:
- Mattia Pagnoni, MD
-
Sub-Investigator:
- David Meier, MD
-
Sub-Investigator:
- Christan Roguelov, MD
-
Sub-Investigator:
- Catalina Trana, MD
-
Sub-Investigator:
- Grégoire Girod, MD
-
Sub-Investigator:
- Dimitri Arangalage, MD
-
Sub-Investigator:
- Eric Eeckhout, MD, PhD
-
Sub-Investigator:
- Olivier Muller, MD, PhD
-
Morges, Vaud, Switzerland, 1110
- Enrolling by invitation
- Morges Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Clinical indication for a coronary angiogram by radial route
- Age ≥18 years old
- Chronic coronary disease or stable acute coronary syndrome (NSTEMI, Non-ST Elevation Myocardial Infarction)
Exclusion criteria:
- ST-Elevation Myocardial infarction
- Severe aortic stenosis (aortic valve area <0.8 cm2 or mean gradient > 40 mmHg)
- Severe left ventricular dysfunction (left ventricular ejection fraction < 30%).
- Heart failure, hemodynamic instability or severe hypotension (systolic arterial pressure < 90 mm Hg or heart rate < 45 bpm).
- Atrioventricular disturbances (atrioventricular block 2° or 3°).
- Contraindications to the class of drugs used in the trial, e.g. known hypersensitivity or allergy to class of drugs or the investigational
- Women who are pregnant or breast feeding, Lack of safe contraception, defined as: Female participants of childbearing potential, not using and not willing to continue using a medically reliable method of contraception for the entire study duration, such as oral, injectable, or implantable contraceptives, or intrauterine contraceptive devices, or who are not using any other method considered sufficiently reliable by the investigator in individual cases.
- Other clinically significant concomitant disease states (e.g., renal failure, hepatic dysfunction, cardiovascular disease, etc.),
- Psychological disorders, dementia, etc. of the participant.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Intra-radial group
intra-radial administration of the vasodilatory drugs after sheath insertion (verapamil 2.5 mg + isosorbide dinitrate 0.5 mg)
|
Administration of the vasodilatory drugs in a different pattern than intra-arterially
|
Experimental: Intravenous-post group
intra-venous administration of the vasodilatory drugs after sheath insertion (verapamil 2.5 mg + isosorbide dinitrate 0.5 mg)
|
Administration of the vasodilatory drugs in a different pattern than intra-arterially
|
Experimental: Intravenous-pre group
intra-venous administration of the vasodilatory drugs 5 minutes before sheath insertion (verapamil 2.5 mg + isosorbide dinitrate 0.5 mg)
|
Administration of the vasodilatory drugs in a different pattern than intra-arterially
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximal radial artery diameter dilation, measured by echo-doppler, after administration of vasodilatory drugs by intravenous or intra-radial route.
Time Frame: 5 minutes after vasodilatory drugs administration
|
Radial artery diameter
|
5 minutes after vasodilatory drugs administration
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain evaluation after vasodilatory drugs administration using the intravenous versus intra-radial route
Time Frame: Procedure (During vasodilatory drugs administration)
|
Scale from 0 to 10, lower values corresponding to lower pain and higher values to intense pain.
|
Procedure (During vasodilatory drugs administration)
|
Hemodynamic changes after vasodilatory drugs administration using the intravenous versus intra-radial route
Time Frame: 5 minutes after vasodilatory drugs administration
|
Measure of arterial pressure
|
5 minutes after vasodilatory drugs administration
|
Heart rate change after vasodilatory drugs administration using the intravenous versus intra-radial route
Time Frame: 5 minutes after vasodilatory drugs administration
|
Measure of heart rate.
|
5 minutes after vasodilatory drugs administration
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Vladimir Rubimbura, MD, MD
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Trieste-study
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.
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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