UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000012104
Receipt number R000014143
Scientific Title Japan study of Distal Evaluation of Functional significance of Intra-arterial stenosis Narrowing Effect.
Date of disclosure of the study information 2013/10/22
Last modified on 2016/08/25 16:36:24

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Basic information

Public title

Japan study of Distal Evaluation of Functional significance of Intra-arterial stenosis Narrowing Effect.

Acronym

Japan study of Distal Evaluation of Functional significance of Intra-arterial stenosis Narrowing Effect.

Scientific Title

Japan study of Distal Evaluation of Functional significance of Intra-arterial stenosis Narrowing Effect.

Scientific Title:Acronym

Japan study of Distal Evaluation of Functional significance of Intra-arterial stenosis Narrowing Effect.

Region

Japan


Condition

Condition

Coronary Artery Disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate whether iFR/FFR guided treatment strategy makes the postulated treatment strategy by CAG guide change and to analyze the cost-effectiveness of its dual diagnosis.

To investigate difference between SYNTAX score evaluated CAG and functional SYNTAX score evaluated physiological assessment of coronary stenosis and its clinical effectiveness.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Primary outcome of medical economy
The cost-effectiveness of iFR/FFR hybrid strategy
2. Primary outcome of physiological assessment
Alteration in treatment protocol
Change in SYNTAX score

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Age>=20 years old.
2. Patient who can understand informed consent of the clinical study and signed the consent.
3. Patient who is adaptable to CAG and/or coronary revascularization
4. Patient who has evaluated stenotic lesion (stenosis>50% in visual judgment) by CAG at main epicardial vessel and its branch or who suspected to have it.

Key exclusion criteria

1. Patient with known contraindications to ATP and/or papaverine hydrochloride
2. Target vessel diameter<=2.0mm
3. Lesion with CTO (registration allowed if other branch has stenosis more than 50% in visual judgment)
4. Patient with temporary/permanent artificial pacemaker implantation, left bundle branch block, second-degree and third-degree atrioventricular block.
5. AMI patient
6. Patient who is disqualified for FFR and coronary revascularization by the investigator.
7. Lesion is disqualified for PCI by the investigator.
8. Patient who has critical valvular disease of heart. (moderate or severe AS/AR/MS/MR)
9. Patient with a prior CABG on target vessel.
10. Patient with severe renal dysfunction. (serum creatinine>=2.0mg/dl)
11. Patient on hemodialysis.
12. Body weight>=200kg
13. Patient who needs ventricular assist device to ensure hemodynamic stability (heart rate<50/min, SBP<90mmHg)
14. Patient who expects to live less than 2 years at the registration
15. Patient with contraindications to an antithrombotic therapy or an anticoagulant therapy.
16. Patient who is poor compliance with drug treatment.
17. Patient who is allergic to contrast agent.
18. LVEF>=30%
19. Patient who has the history of PCI with DES in recent 3 months before registration.
20. Patient who has the history of PCI with BMS or POBA in recent 1 year before registration.
21. Patient who has possibility of pregnancy, under breast-feeding and positive pregnancy test in 14days prior to the PCI.
22. Patients with inadequacy to join this clinical study.
23. Patient who has been enrolled any other clinical study.

Target sample size

500


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masato Nakamura

Organization

Toho University Ohashi Medical Center

Division name

Division of Cardiovascular Medicine

Zip code


Address

2-17-6, Ohashi Meguro-ku, Tokyo 153-8515

TEL

+81-3-3468-1251

Email

masato@oha.toho-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hiroki Takayama

Organization

J-DEFINE support center

Division name

Soiken Inc.

Zip code


Address

NFB Ogawa-cho Bldg 4F, 1-3-1, Kanda Ogawa-cho, Chiyoda-ku, Tokyo 101-0052

TEL

03-3295-1376

Homepage URL


Email

info@j-define.org


Sponsor or person

Institute

NPO Associations for Establishment of Evidence in Interventions

Institute

Department

Personal name



Funding Source

Organization

NPO Associations for Establishment of Evidence in Interventions

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2013 Year 10 Month 22 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2013 Year 10 Month 17 Day

Date of IRB


Anticipated trial start date

2013 Year 10 Month 28 Day

Last follow-up date

2016 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

nonrandomized, open-label, prospective, and multi-center observational study


Management information

Registered date

2013 Year 10 Month 22 Day

Last modified on

2016 Year 08 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014143


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name