Comparison of Hyperemic Efficacy Between Nicorandil and Adenosine for Fractional Flow Reserve (FFR) Measurement

NCT ID: NCT01331902

Last Updated: 2011-04-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2011-09-30

Brief Summary

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The purpose of this study is to evaluate the efficacy of nicorandil in the achievement of maximal coronary hyperemia compared with adenosine.

Detailed Description

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Conditions

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Coronary Artery Disease Myocardial Ischemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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Adenosine Followed by Nicorandil

Group Type EXPERIMENTAL

Maximal Hyperemia with Adenosine Followed by Nicorandil

Intervention Type OTHER

Firstly FFR was measured with intravenous adenosine infusion (140 μg•min-1•kg-1) via femoral vein or antecubital vein. Secondly with intracoronary adenosine bolus injection (80μg, 40μg to LCA and RCA, respectively). Lastly with intracoronary nicorandil bolus injection (1mg followed by 2mg).

Nicorandil Followed by Adenosine

Group Type EXPERIMENTAL

Maximal Hyperemia with Nicorandil Followed by Adenosine

Intervention Type OTHER

Firstly FFR was measured with intracoronary nicorandil bolus injection (1mg followed by 2mg). Secondly with intravenous adenosine infusion (140 μg•min-1•kg-1) via femoral vein or antecubital vein. Lastly with intracoronary adenosine bolus injection (80μg, 40μg to LCA and RCA, respectively).

Interventions

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Maximal Hyperemia with Adenosine Followed by Nicorandil

Firstly FFR was measured with intravenous adenosine infusion (140 μg•min-1•kg-1) via femoral vein or antecubital vein. Secondly with intracoronary adenosine bolus injection (80μg, 40μg to LCA and RCA, respectively). Lastly with intracoronary nicorandil bolus injection (1mg followed by 2mg).

Intervention Type OTHER

Maximal Hyperemia with Nicorandil Followed by Adenosine

Firstly FFR was measured with intracoronary nicorandil bolus injection (1mg followed by 2mg). Secondly with intravenous adenosine infusion (140 μg•min-1•kg-1) via femoral vein or antecubital vein. Lastly with intracoronary adenosine bolus injection (80μg, 40μg to LCA and RCA, respectively).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* non -infarct related, patients with moderate coronary artery stenosis
* normal left ventricular ejection fraction on echocardiogram

Exclusion Criteria

* infarct-related arteries or clinically unstable state
* collateral blood flow to the target vessel is shown
* atrioventricular block on electrocardiogram
* reduced left ventricular ejection fraction (\<50%) or left ventricular hypertrophy on echocardiogram
* contraindication of adenosine
* bronchial asthma
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Boramae Hospital

OTHER

Sponsor Role collaborator

Inje University Ilsan Paik Hospital

OTHER

Sponsor Role collaborator

Keimyung University Dongsan Medical Center

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Cardiovascular Center, Seoul National University Hospital

Principal Investigators

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Bon-Kwon Koo, MD. PhD

Role: STUDY_CHAIR

Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital

Locations

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Cardiovascular Center, Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Ho-Jun Jang, MD

Role: CONTACT

82-2-2072-3757

Bon-Kwan Koo, MD.PhD

Role: CONTACT

82-2-2072-2062

Facility Contacts

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Ho-Jun Jang, MD

Role: primary

82-2-2072-3757

Bon-Kwon Koo, MD.PhD

Role: backup

82-2-2072-2062

References

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Jang HJ, Koo BK, Lee HS, Park JB, Kim JH, Seo MK, Yang HM, Park KW, Nam CW, Doh JH, Kim HS. Safety and efficacy of a novel hyperaemic agent, intracoronary nicorandil, for invasive physiological assessments in the cardiac catheterization laboratory. Eur Heart J. 2013 Jul;34(27):2055-62. doi: 10.1093/eurheartj/eht040. Epub 2013 Feb 8.

Reference Type DERIVED
PMID: 23396491 (View on PubMed)

Other Identifiers

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H-1101-069-348

Identifier Type: -

Identifier Source: org_study_id

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