Trial Outcomes & Findings for Evaluation of Coronary Luminal Diameter Enlargement With Emerge™ 1.20 mm PTCA Dilatation Catheter (NCT NCT01635881)

NCT ID: NCT01635881

Last Updated: 2013-11-06

Results Overview

Device procedural success consisting of the following: 1. Successful delivery, inflation, deflation and withdrawal of the study balloon. 2. No evidence of vessel perforation, flow limiting dissection (grade C or higher) or reduction in TIMI flow from baseline related to the study balloon. 3. Final TIMI flow grade of 3 at the conclusion of the percutaneous coronary intervention procedure

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

60 participants

Primary outcome timeframe

Peri-procedural

Results posted on

2013-11-06

Participant Flow

Recruitment of subjects for EMERGE study started on July 09, 2012 and completed on December 14, 2012. Subjects were recruited at 3 investigational centers.

Participant milestones

Participant milestones
Measure
Emerge
Single arm with investigational Emerge™ 1.20 mm percutaneous transluminal coronary angioplasty (PTCA) Dilatation Catheter
Overall Study
STARTED
60
Overall Study
COMPLETED
60
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of Coronary Luminal Diameter Enlargement With Emerge™ 1.20 mm PTCA Dilatation Catheter

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Emerge
n=60 Participants
Single arm with investigational Emerge™ 1.20 mm PTCA Dilatation Catheter
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
41 Participants
n=5 Participants
Age, Categorical
>=65 years
19 Participants
n=5 Participants
Age Continuous
60.9 years
STANDARD_DEVIATION 10.5 • n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
43 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska native
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Black, or African American
3 Participants
n=5 Participants
Race/Ethnicity, Customized
White
57 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Region of Enrollment
United States
60 participants
n=5 Participants
Cardiac History
Previous Percutaneous Coronary Intervention
37 Participants
n=5 Participants
Cardiac History
Previous Coronary Artery Bypass Graft
11 Participants
n=5 Participants
Cardiac History
Previous Myocardial Infarction
14 Participants
n=5 Participants
Cardiac History
Congestive Heart Failure
2 Participants
n=5 Participants
Cardiac History
Stable Angina
24 Participants
n=5 Participants
Cardiac History
Unstable Angina
25 Participants
n=5 Participants
Cardiac History
Silent Ischemia
7 Participants
n=5 Participants
Cardiac Risk Factors
Smoking, Ever
36 Participants
n=5 Participants
Cardiac Risk Factors
Medically Treated Diabetes
21 Participants
n=5 Participants
Cardiac Risk Factors
Hyperlipidemia Requiring Medication
51 Participants
n=5 Participants
Cardiac Risk Factors
Hypertension Requiring Medication
56 Participants
n=5 Participants
Cardiac Risk Factors
Family History of Coronary Artery Disease
37 Participants
n=5 Participants
Lesion Characteristic: Target Lesion Vessel
Left Anterior Descending Artery
26 Lesions
n=5 Participants
Lesion Characteristic: Target Lesion Vessel
Circumflex Artery
14 Lesions
n=5 Participants
Lesion Characteristic: Target Lesion Vessel
Right Coronary Artery
21 Lesions
n=5 Participants
Lesion Characteristic: Target Lesion Vessel
Left Main Coronary Artery
1 Lesions
n=5 Participants
Lesion Characteristic: Target Lesion Vessel
Graft
2 Lesions
n=5 Participants
Lesion Characteristic: Lesion Location
Ostial
11 Lesions
n=5 Participants
Lesion Characteristic: Lesion Location
Proximal
16 Lesions
n=5 Participants
Lesion Characteristic: Lesion Location
Mid
32 Lesions
n=5 Participants
Lesion Characteristic: Lesion Location
Distal
8 Lesions
n=5 Participants
Lesion Characteristic: Lesion Length
Less than 18 mm
51 Lesions
n=5 Participants
Lesion Characteristic: Lesion Length
From 18 and less than 26 mm
11 Lesions
n=5 Participants
Lesion Characteristic: Lesion Length
Greater or equal to 26 mm
5 Lesions
n=5 Participants
Lesion Characteristics
Thrombus
0 Lesions
n=5 Participants
Lesion Characteristics
Tortuosity, Any
9 Lesions
n=5 Participants
Lesion Characteristics
Calcification, Any
30 Lesions
n=5 Participants
Lesion Characteristics
Ulcerated
0 Lesions
n=5 Participants
Lesion Characteristics
Aneurysm
3 Lesions
n=5 Participants
Lesion Characteristics
Intimal Flap
0 Lesions
n=5 Participants
Lesion Characteristics
Total Occlusion
7 Lesions
n=5 Participants
Lesion Characteristics
Eccentric Lesion
40 Lesions
n=5 Participants
Lesion Characteristic: Pre-Procedure Thrombolysis in Myocardial Infarction (TIMI) Flow
0 (no perfusion)
5 Lesions
n=5 Participants
Lesion Characteristic: Pre-Procedure Thrombolysis in Myocardial Infarction (TIMI) Flow
1 (penetration with minimal perfusion)
2 Lesions
n=5 Participants
Lesion Characteristic: Pre-Procedure Thrombolysis in Myocardial Infarction (TIMI) Flow
2 (partial perfusion)
1 Lesions
n=5 Participants
Lesion Characteristic: Pre-Procedure Thrombolysis in Myocardial Infarction (TIMI) Flow
3 (complete perfusion)
59 Lesions
n=5 Participants
Lesion Characteristics
Reference Vessel Diameter
2.6 Millimeters
STANDARD_DEVIATION 0.5 • n=5 Participants
Lesion Characteristics
Minimum Lumen Diameter
0.7 Millimeters
STANDARD_DEVIATION 0.4 • n=5 Participants
Lesion Characteristics
Lesion Length
15.5 Millimeters
STANDARD_DEVIATION 14.7 • n=5 Participants
Lesion Characteristic: Percent Diameter Stenosis
73.0 Percent Diameter Stenosis
STANDARD_DEVIATION 12.6 • n=5 Participants

PRIMARY outcome

Timeframe: Peri-procedural

Population: Analysis population consists of intent-to-treat subject population.

Device procedural success consisting of the following: 1. Successful delivery, inflation, deflation and withdrawal of the study balloon. 2. No evidence of vessel perforation, flow limiting dissection (grade C or higher) or reduction in TIMI flow from baseline related to the study balloon. 3. Final TIMI flow grade of 3 at the conclusion of the percutaneous coronary intervention procedure

Outcome measures

Outcome measures
Measure
Emerge
n=60 Participants
Single arm with investigational Emerge™ 1.20 mm PTCA Dilatation Catheter
Device Procedural Success
98.3 percentage of participants
Interval 91.1 to 100.0

SECONDARY outcome

Timeframe: Participants will be followed for the duration of hospital stay (an expected average of 24 hours)

Population: Analysis population consists of intent-to-treat subject population.

In-hospital MACE: 1. All death (cardiac and non-cardiac) 2. Myocardial infarction (MI) 3. Target Vessel Revascularization (TVR) 4. In-hospital Stent Thrombosis (ST) within the target vessel 5. Clinically significant arrhythmias (requiring intervention)

Outcome measures

Outcome measures
Measure
Emerge
n=60 Participants
Single arm with investigational Emerge™ 1.20 mm PTCA Dilatation Catheter
In-hospital Major Adverse Cardiac Events (MACE)
6.7 percentage of participants
Interval 1.8 to 16.2

Adverse Events

Emerge

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Emerge
n=60 participants at risk
Single arm with investigational Emerge™ 1.20 mm PTCA Dilatation Catheter
Blood and lymphatic system disorders
Anaemia
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Gastrointestinal disorders
Haematochrezia
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Gastrointestinal disorders
Melaena
3.3%
2/60 • Number of events 2 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Injury, poisoning and procedural complications
Vascular pseudoaneurysm
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.

Other adverse events

Other adverse events
Measure
Emerge
n=60 participants at risk
Single arm with investigational Emerge™ 1.20 mm PTCA Dilatation Catheter
Cardiac disorders
Myocardial infarction
5.0%
3/60 • Number of events 3 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Investigations
Blood creatinine abnormal
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Investigations
Cardiac enzymes increased
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Investigations
Urine analysis abnormal
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Nervous system disorders
Paraesthesia
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.
Nervous system disorders
Syncope
1.7%
1/60 • Number of events 1 • Serious and non-serious adverse events were collected from the point of subject enrollment through study completion at hospital discharge.

Additional Information

Andrey Nersesov, Clinical Trial Manager

Boston Scientific

Phone: 1-508-683-4988

Results disclosure agreements

  • Principal investigator is a sponsor employee Institution and Investigator shall have the right to publish the results, provided that before publishing, Institution and Investigator shall submit copies of any proposed publication or presentation to Sponsor for review at least sixty (60) days in advance of submission for publication or presentation to a publisher or other third party. Sponsor reserves the right to delete any confidential information or other proprietary information of Sponsor from the proposed publication or presentation.
  • Publication restrictions are in place

Restriction type: OTHER