- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05800002
IVUS-guided DES Implantation in Coronary Calcification (ULTIMATE IV)
April 12, 2023 updated by: Junjie Zhang, Nanjing First Hospital, Nanjing Medical University
Intravascular Ultrasound Versus Angiography Guided Drug-eluting Stent Implantation for Patients With Coronary Severe Calcification: a Prospective, Multicenter, Randomized Controlled Trial
Coronary calcified lesion is associated with a poor clinical outcome.
Intravascular ultrasound (IVUS) provides anatomic information in detail about reference vessel dimensions and lesion characteristics including severity of diameter stenosis, lesion length, and morphology.
Both randomized and observational studies have reported the clinical benefits of IVUS guidance for patients with chronic total occlusion (CTO), long lesions, acute coronary syndrome (ACS) with complex bifurcation lesions.
Our previous ULTIMATE trial has demonstrated that IVUS-guided drug-eluting stent (DES) implantation significantly improved clinical outcome in all-comers, particularly for patients who had an IVUS-defined optimal procedure, compared with angiography guidance.
However, the benefit of IVUS guidance in coronary severe calcification still remains unknown in the modern DES era.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
864
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Jun-Jie Zhang, MD
- Phone Number: 025-52271350
- Email: jameszll@163.com
Study Locations
-
-
Jiangsu
-
Nanjing, Jiangsu, China
- Recruiting
- Nanjing First Hospital
-
Contact:
- Shaoliang Chen, MD
- Phone Number: 13605157029
- Email: chmengx@126.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Silent ischemia, stable or unstable angina, non-ST-segment elevation myocardial infarction > 48 hours, or ST-segment elevation myocardial infarction > 7 days;
- De novo coronary lesion eligible for drug-eluting stent implantation;
- Target lesion with severe calcification;
Exclusion Criteria:
- Age less than 18-year-old;
- Comorbidity with a life expectancy <12 months;
- Intolerant of antithrombotic therapy;
- Significant anemia, thrombocytopenia, or leucopenia;
- History of major hemorrhage (intracranial, gastrointestinal, and so on);
- Chronic total occlusion lesion not recanalized;
- Scheduled major surgery in the next 12 months;
- Left ventricular ejection fraction < 25%;
- Uremia dependent on dialysis treatment;
- Previous drug-eluting stent implantation in target vessel;
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intravascular ultrasound guidance
|
Pretreatment strategy, stent size, stent landing zone and post-dilation balloon size are depended on intravascular ultrasound.
|
Active Comparator: Angiography guidance
|
Pretreatment strategy, stent size, stent landing zone and post-dilation balloon size are depended on angiography.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the rate of target-vessel failure at 12 months
Time Frame: 12 months after indexed procedure
|
the composite of cardiovascular death, target-vessel myocardial infarction, and clinically driven target-vessel revascularization
|
12 months after indexed procedure
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Shao-Liang Chen, MD, The First Affiliated Hospital with Nanjing Medical University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 7, 2023
Primary Completion (Anticipated)
March 30, 2026
Study Completion (Anticipated)
March 30, 2033
Study Registration Dates
First Submitted
March 23, 2023
First Submitted That Met QC Criteria
March 23, 2023
First Posted (Actual)
April 5, 2023
Study Record Updates
Last Update Posted (Actual)
April 14, 2023
Last Update Submitted That Met QC Criteria
April 12, 2023
Last Verified
April 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KY20230310-10
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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