UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000047773
Receipt number R000054369
Scientific Title Analysis of the effect of the percutaneous coronary intervention on cardiopulmonary exercise test in patients with effort angina
Date of disclosure of the study information 2022/06/20
Last modified on 2023/05/17 17:20:02

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Basic information

Public title

Analysis of the effect of the percutaneous coronary intervention (catheter-based therapy) on cardiopulmonary exercise test in patients with effort angina

Acronym

Analysis of the percutaneous coronary intervention on cardiopulmonary exercise test

Scientific Title

Analysis of the effect of the percutaneous coronary intervention on cardiopulmonary exercise test in patients with effort angina

Scientific Title:Acronym

Analysis of the percutaneous coronary intervention on cardiopulmonary exercise test

Region

Japan


Condition

Condition

Effort angina

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to assess whether cardiopulmonary exercise tests contribute to the early diagnosis of myocardial ischemia and evaluate the effect of the percutaneous coronary intervention on the results of cardiopulmonary exercise tests.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary endpoint was defined as the changes of VO2/WR among the ischemia and control (non-ischemia) groups. The cardiopulmonary tests were scheduled before and within 3 months after (within 3 months) of the percutaneous coronary intervention.

Key secondary outcomes

The secondary endpoint was defined as the changes of VO2, VCO2, AT, Peak VO2, T1/2, VO2/HR, R, VE/VO2, VE/VCO2, and VE vs. VCO2 slope among the ischemia and control (non-ischemia) groups. The cardiopulmonary tests were scheduled before and after (within 3 months) of the percutaneous coronary intervention.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

NO

Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Maneuver

Interventions/Control_1

Cardiopulmonary exercise tests are scheduled as non-invasive evaluations for patients whose effort angina is suspected. The method of exercise load is a warm-up of 4 minutes at rest and 4 minutes of 10W, followed by a linear ramp load with a bicycle ergometer that gradually increases at 20W per minute. Ischemia is judged based on ST-segment changes on the stress electrocardiogram performed at the same time. For ischemic-positive patients, the degree of anatomical stenosis is evaluated by coronary CT, stress myocardial perfusion imaging, and coronary angiography to confirm the presence or absence of significant stenosis. Moderate stenotic lesions were evaluated functional ischemia with fractional flow reserve (FFR), resting index, FFR angiography). For patients who are indicated for revascularization and who could undergo complete revascularization by percutaneous coronary intervention, second cardiopulmonary exercise tests are performed within 1 month (ischemic group).

Interventions/Control_2

The control group consists of patients whose ischemia was negative in the first cardiopulmonary exercise test. The second tests are performed in 1 to 3 months.

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

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients suspected of exertional angina by medical interview, 12-leads electrocardiogram, chest X-ray, transthoracic echocardiography.

Key exclusion criteria

Cases with residual lesions, coronary artery bypass surgery, and heart failure symptom of NYHA functional classification II or higher are excluded. In addition, cases with moderate or higher valvular disease, cardiomyopathy, chronic atrial fibrillation or flatter, permanent pacemaker or implantable defibrillator, and lung disease are excluded.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Akiko
Middle name
Last name Otake

Organization

Sakakibara Heart Institute

Division name

Inspection department

Zip code

1830003

Address

3-16-1, Asahi-cho, Fuchu-shi, Tokyo

TEL

042-314-3111

Email

th2011tf@gmail.com


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Hiruma

Organization

Sakakibara Heart Institute

Division name

Department of cardiology

Zip code

1830003

Address

3-16-1, Asahi-cho, Fuchu-shi, Tokyo

TEL

042-314-3111

Homepage URL


Email

th2011tf@gmail.com


Sponsor or person

Institute

Sakakibara Heart Institute, Department of Cardiology

Institute

Department

Personal name



Funding Source

Organization

Sakakibara Heart Institute

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

Sakakibara Heart Institute

Address

3-16-1, Asahi-cho, Fuchu-shi, Tokyo

Tel

042-314-3111

Email

thiruma@shi.heart.or.jp


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

2022 Year 06 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

2

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

Enrolling by invitation

Date of protocol fixation

2022 Year 05 Month 06 Day

Date of IRB

2022 Year 05 Month 31 Day

Anticipated trial start date

2022 Year 06 Month 01 Day

Last follow-up date

2027 Year 06 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 05 Month 16 Day

Last modified on

2023 Year 05 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054369


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name