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NAVIGATE-PCI-registret: En ny tilgang til at se CT-afledt vejledning før stentplacering for at planlægge effektiv PCI (NAVIGATE-PCI)

11. november 2026 opdateret af: HeartFlow, Inc.

NAVIGATE-PCI-registret: En ny tilgang til CT-afledt vejledning før stentning for at planlægge effektiv PCI

The objective of Heartflow's NAVIGATE-PCI Registry is to collect observational data about the management of patients before and after deployment of Heartflow's PCI Navigator.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Heartflow's NAVIGATE-PCI Registry is a post-market, multi-center, data collection registry assessing confidence in procedure planning, time of procedure, contrast usage during procedure, radiation usage during procedure, invasive imaging (angiographic or other), and resource utilization. Sites will provide retrospective data from patients receiving an elective PCI prior to the deployment of PCI Navigator vs. after deployment and operator training on how to use the information provided by PCI Navigator. Baseline demographic, medical history, procedural, and in-hospital outcome information will be collected following the procedure. No post discharge follow-up data will be collected.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

5000

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

    • California
      • Palo Alto, California, Forenede Stater, 94304
        • Rekruttering
        • Stanford Medical Center
        • Kontakt:
    • Florida
      • Miami, Florida, Forenede Stater, 33136
        • Rekruttering
        • University of Miami
        • Kontakt:
      • Naples, Florida, Forenede Stater, 34102
        • Rekruttering
        • Naples Comprehensive Health
        • Kontakt:
      • Tampa, Florida, Forenede Stater, 33606
        • Rekruttering
        • University of South Florida
        • Kontakt:
    • Georgia
      • Marietta, Georgia, Forenede Stater, 30060
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60657
        • Rekruttering
        • Advocate Illinois Masonic Medical Center
        • Kontakt:
      • Chicago, Illinois, Forenede Stater, 60611
        • Rekruttering
        • Northwestern Memorial Hospital
        • Kontakt:
      • Glenview, Illinois, Forenede Stater, 60026
      • Urbana, Illinois, Forenede Stater, 61801
        • Rekruttering
        • Carle Foundation Hospital
        • Kontakt:
    • Kentucky
      • Louisville, Kentucky, Forenede Stater, 40202
    • Michigan
      • Royal Oak, Michigan, Forenede Stater, 48073
        • Rekruttering
        • Corewell Health William Beaumont University Hospital
        • Kontakt:
    • Minnesota
      • Minneapolis, Minnesota, Forenede Stater, 55407
        • Rekruttering
        • Allina Health Minneapolis Heart Institute
        • Kontakt:
      • Saint Cloud, Minnesota, Forenede Stater, 56303
    • New Jersey
      • Camden, New Jersey, Forenede Stater, 08103
        • Rekruttering
        • Virtua Our Lady of Lourdes Hospital
        • Kontakt:
    • New York
      • Roslyn, New York, Forenede Stater, 11576
        • Rekruttering
        • St. Francis Hospital and Heart Center
        • Kontakt:
    • North Carolina
      • Greensboro, North Carolina, Forenede Stater, 27401
    • Oregon
      • Portland, Oregon, Forenede Stater, 97239
        • Rekruttering
        • Oregon Health & Science University
        • Kontakt:
    • Pennsylvania
      • Pittsburgh, Pennsylvania, Forenede Stater, 15212
        • Rekruttering
        • Allegheny General Hospital
        • Kontakt:
      • Wynnewood, Pennsylvania, Forenede Stater, 19096
        • Rekruttering
        • Lankenau Medical Center
        • Kontakt:
      • York, Pennsylvania, Forenede Stater, 17403
        • Rekruttering
        • WellSpan York Hospital
        • Kontakt:
    • South Carolina
      • Columbia, South Carolina, Forenede Stater, 29203
        • Rekruttering
        • Prisma Health Richland Hospital
        • Kontakt:
    • Virginia
      • Charlottesville, Virginia, Forenede Stater, 22908
        • Rekruttering
        • UVA Health University Medical Center
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

Deidentified data will be collected for all patients included in the registry who had a CCTA with acceptable image quality prior to elective PCI and are included by the site in the registry. Patients with prior CABG or patients with intervention planned in a previously stented vessel territory are excluded.

Beskrivelse

Inclusion Criteria (all must be present):

  1. CCTA completed ≤90 days prior to elective PCI with acceptable image quality according to Heartflow's image quality requirements
  2. Referred for elective PCI
  3. Clinically stable without symptoms suggestive of acute coronary syndrome (ACS) at the time of the intervention

Exclusion Criteria (all must be present):

  1. ED presentation (at the time of the referral for PCI)
  2. Previous coronary artery bypass graft (CABG)
  3. Planned intervention in a previously stented vessel territory
  4. Acute chest pain (in patients who have not been ruled out for ACS)
  5. Participating in a conflicting study being undertaken during the PCI

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Observationsmodeller: COHORT
  • Tidsperspektiver: CROSS_SECTIONAL

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Group 1: No PCI Navigator

This group includes consecutive patients who have undergone a CCTA a maximum of 90 days prior to an elective PCI at the study site; the CCTA is not required to have been used in procedural planning but must have acceptable image quality according to Heartflow's image quality requirements

Group 2: Intraprocedural PCI Planning

This group includes patients who had a CCTA and a referral for elective PCI following the introduction of the PCI Navigator at the study site. The PCI should be performed no more than 90 days following the CCTA. Interventionalists will document their procedural plan after initial invasive angiographic images are reviewed but before reviewing the information provided by the PCI Navigator, and then again after reviewing the information provided by the PCI Navigator. Usage of invasive imaging following review of the PCI Navigator is at the discretion of the interventionalist.

Heartflow PCI Navigator is the only integrated, AI-driven PCI planning tool that gives interventional cardiologists a patient-specific 3D model, detailing anatomy, plaque composition, and lesion-specific physiology, all aligned to optimize potential stent placement. PCI Navigator delivers a streamlined view of essential information for cath lab decision-making by integrating all relevant measurements, including IVUS-like and FFR-like pullback visualizations, into one seamless experience, which typically requires significant time and effort to obtain in the cath lab.

Group 3: Preprocedural Planning

This group includes patients who had a CCTA and a referral for elective PCI following the introduction of the PCI Navigator at the study site. The PCI should be performed no more than 90 days following the CCTA. Interventionalists will document their procedural plan before reviewing the information provided by the PCI Navigator and prior to initial invasive angiographic imaging, and then again after reviewing the information provided by the PCI Navigator. Usage of angiographic and other invasive imaging following review of the PCI Navigator is at the discretion of the interventionalist.

Heartflow PCI Navigator is the only integrated, AI-driven PCI planning tool that gives interventional cardiologists a patient-specific 3D model, detailing anatomy, plaque composition, and lesion-specific physiology, all aligned to optimize potential stent placement. PCI Navigator delivers a streamlined view of essential information for cath lab decision-making by integrating all relevant measurements, including IVUS-like and FFR-like pullback visualizations, into one seamless experience, which typically requires significant time and effort to obtain in the cath lab.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Primary Endpoint
Tidsramme: 90 Days

The primary endpoint will be assessed only in Group 2 and is a change in procedural plan following review of the information provided by PCI Navigator compared to procedural plan with angiographic imaging alone.

The primary endpoint will be measured by calculating the percentage of patients in whom a change of plan was documented following review of the PCI Navigator tool compared to the plan documented prior to using the tool.

90 Days

Sekundære resultatmål

Resultatmål
Tidsramme
Ændringer i tillid med og uden PCI Navigator (vurderet i Gruppe 2 og 3 som to separate analyser)
Tidsramme: 90 dage for Gruppe 2, 18 måneder for Gruppe 3
90 dage for Gruppe 2, 18 måneder for Gruppe 3
Ændring i proceduretid med og uden PCI Navigator
Tidsramme: 90 dage
90 dage
Ændring i kontrastforbrug med og uden PCI Navigator
Tidsramme: 90 dage
90 dage
Ændring i strålebrugen under PCI med og uden PCI Navigator
Tidsramme: 90 dage
90 dage
Ændring i invasiv billeddannelse (angiografisk eller anden) med og uden PCI Navigator
Tidsramme: 90 dage
90 dage
Ændring i ressourceforbrug med og uden PCI Navigator
Tidsramme: 90 dage
90 dage

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Exploratory and Safety Endpoint
Tidsramme: 5 years

Perform all endpoint analyses with a comparison of male vs. female as an added variable

5 years
Exploratory and Safety Endpoint
Tidsramme: 5 years

Procedural complications and in-hospital outcomes

5 years

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Ziad Ali, MD, DPhil, St. Francis Hospital & Heart Center Columbia University
  • Ledende efterforsker: Todd C. Villines, MD, University of Virginia

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

11. marts 2026

Primær færdiggørelse (Faktiske)

23. august 2026

Studieafslutning (Anslået)

31. december 2032

Datoer for studieregistrering

Først indsendt

11. marts 2026

Først indsendt, der opfyldte QC-kriterier

16. marts 2026

Først opslået (Faktiske)

18. marts 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

11. november 2026

Sidst verificeret

1. november 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • CP-911-001

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .