UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000051520
Receipt number R000058771
Scientific Title Clinical Outcomes of Japanese Patients with Coronary Artery Disease Assessed by Coronary Microvascular Function and Fractional Flow Reserve in the Multicenter Registry
Date of disclosure of the study information 2023/07/17
Last modified on 2023/07/17 18:49:56

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Basic information

Public title

Clinical Outcomes of Japanese Patients with Coronary Artery Disease Assessed by Coronary Microvascular Function and Fractional Flow Reserve in the Multicenter Registry

Acronym

J-ADVANCE Registry

Scientific Title

Clinical Outcomes of Japanese Patients with Coronary Artery Disease Assessed by Coronary Microvascular Function and Fractional Flow Reserve in the Multicenter Registry

Scientific Title:Acronym

J-ADVANCE Registry

Region

Japan


Condition

Condition

Coronary artery disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

By measuring FFR and coronary microvascular function(CFR and IMR), the present study aims to investigate the incidence and clinical impact of (1) coronary microvascular dysfunction with epicardial coronary artery disease and (2) INOCA (ischemia with non-obstructive coronary artery disease) in real-world practice in Japan.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

CAD arm: 1-year POCE (patient-oriented composite endpoints; a composite of all-cause death, any myocardial infarction, and any revascularization)
INOCA arm: 1-year MACE (major adverse cardiovascular events; a composite of cardiac death, any myocardial infarction, any revascularization, hospitalization due to unstable angina)

Key secondary outcomes

At enrollment
1) Normal values of CFR and IMR in each coronary artery (LAD, LCX, and RCA)
2) Relationship between FFR, angio-based FFR, and coronary microvascular function (CFR and IMR)
3) Frequency of discordant cases between RFR and coronary microvascular function (CFR and IMR) and their associated factors

At 1-year follow-up
4) Improvement in clinical symptoms assessed by the Seattle Angina Questionnaire-7.
5) POCE
6) MACE
7) Heart failure requiring hospitalization
8) Stroke requiring hospitalization

At 3-year follow-up
9) POCE
10) MACE
11) Heart failure requiring hospitalization
12) Stroke requiring hospitalization


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) Patients willing to provide written informed consent
2) Patients over 20 years old
3) Patients undergoing coronary angiography due to clinically suspected coronary artery disease
4) Patients performing FFR and microvascular function (CFR and IMR) measurement with >=50% stenosis by visual estimation on coronary angiography (CAD arm)
5) Patients performing ACH provocation test and FFR and microvascular function (CFR and IMR) measurement with <50% stenosis by visual estimation on coronary angiography (INOCA arm)

Key exclusion criteria

1) Culprit lesions in patients with acute coronary syndrome
2) Graft lesions
3) Patients with congestive heart failure
4) Severe coronary stenosis lesions (>=90% stenosis by visual estimation)
5) Patients with a previous history of PCI and CABG (only INOCA arm)
6) Patients deemed inappropriate for inclusion by the principal investigators

Target sample size

1650


Research contact person

Name of lead principal investigator

1st name Nobuhiro
Middle name
Last name Tanaka

Organization

Tokyo Medical University Hachiouji Medical Center

Division name

Cardiology

Zip code

193-0998

Address

Tatemachi1163, Hachiouji , Tokyo

TEL

042-665-5611

Email

n-tanaka@tokyo-med.ac.jp


Public contact

Name of contact person

1st name Shoichi
Middle name
Last name Kuramitsu

Organization

Sapporo Cardio Vascular Clinic

Division name

Cardiovascular Medicine

Zip code

007-0849

Address

North 49, East 16-1, Higashi Ward, Sapporo

TEL

0117847847

Homepage URL


Email

kuramitsu@heart-kizuna.com


Sponsor or person

Institute

Tokyo Medical University Hachioji Medical Center

Institute

Department

Personal name

Nobuhiro Tanaka


Funding Source

Organization

self-funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Medical University

Address

6-1-1 Shinjuku, Shinjuku-ku, Tokyo 160-8402

Tel

03-3351-6141

Email

j.advance.registry.2022@gmail.com


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

2023 Year 07 Month 17 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


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

2023 Year 03 Month 09 Day

Date of IRB

2023 Year 05 Month 12 Day

Anticipated trial start date

2023 Year 07 Month 18 Day

Last follow-up date

2030 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2023 Year 07 Month 04 Day

Last modified on

2023 Year 07 Month 17 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000058771


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name