The Does Optical Coherence Tomography Optimize Revascularization (DOCTOR) Recross Study

NCT ID: NCT02234804

Last Updated: 2015-10-06

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-07-31

Study Completion Date

2017-02-28

Brief Summary

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Prospective, controlled, double randomized, non-blinded, multicenter, investigator initiated, academic superiority trial comparing optical coherence tomography (OCT) guided vs. angiography guided wire recrossing in jailed side branches (SB) (1. randomization 1:1)(superiority) and comparing Medtronic Resolute Integrity and Xience Prime for stent strut apposition in the SB ostium (2. randomization 1:1) (superiority). Acute primary endpoint and 30 days clinical follow-up.

Hypothesis: OCT guided wire recrossing in bifurcation stenting results in less malapposed struts in the segment facing the SB ostium.

Secondary hypothesis: Treatment by Medtronic Resolute Integrity stent results in less malapposed struts at the bifurcation segment compared to treatment by the Abbott Xience Prime stent.

Detailed Description

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Purpose:

To assess the ability of OCT to guide wire recrossing and reduce stent strut malapposition after kissing balloon dilatation.

To compare stent strut apposition after treatment by two different stent designs using both guiding strategies of wire recrossing.

Conditions

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Coronary Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Medtronic Resolute Integrity stent

Comparing Medtronic Resolute Integrity and Xience Prime for stent strut apposition in the SB ostium

Group Type EXPERIMENTAL

Angiography

Intervention Type PROCEDURE

OCT

Intervention Type PROCEDURE

OCT

OCT to guide wire recrossing and reduce stent strut malapposition after kissing balloon dilatation.

Group Type EXPERIMENTAL

Xience Prime Stent

Intervention Type DEVICE

Medtronic Resolute Integrity stent

Intervention Type DEVICE

Angiography

Angiography to guide wire recrossing and reduce stent strut malapposition after kissing balloon dilatation.

Group Type ACTIVE_COMPARATOR

Xience Prime Stent

Intervention Type DEVICE

Medtronic Resolute Integrity stent

Intervention Type DEVICE

Xience Prime stent

Comparing Medtronic Resolute Integrity and Xience Prime for stent strut apposition in the SB ostium

Group Type ACTIVE_COMPARATOR

Angiography

Intervention Type PROCEDURE

OCT

Intervention Type PROCEDURE

Interventions

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Xience Prime Stent

Intervention Type DEVICE

Medtronic Resolute Integrity stent

Intervention Type DEVICE

Angiography

Intervention Type PROCEDURE

OCT

Intervention Type PROCEDURE

Other Intervention Names

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Stent Stent CAG

Eligibility Criteria

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Inclusion Criteria

* Stable or unstable angina pectoris or silent angina pectoris.
* De novo coronary bifurcation lesions at "LAD/diagonal", "Cx/obtuse marginal", "right coronary artery (RCA)- posterior descending artery (PDA)/posterolateral branch" or "left main (LM)/Cx/LAD".
* All Medina classes except Medina 0.0.1.
* Diameter of side branch ≥2.5 mm.
* Diameter stenosis \>50% by operator's visual assessment
* Signed informed consent

Exclusion Criteria

* ST-elevation infarction within 48 hours.
* Side branch lesion length \>5 mm.
* Expected survival \< 1 year
* Severe heart failure (NYHA≥III)
* S-creatinine \>120 µmol/l.
* Allergy to Contrast media, Aspirin, Clopidogrel, Ticagrelor, Ticlopidine, Everolimus or Zotarolimus.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbott Medical Devices

INDUSTRY

Sponsor Role collaborator

Medtronic

INDUSTRY

Sponsor Role collaborator

Aarhus University Hospital Skejby

OTHER

Sponsor Role lead

Responsible Party

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Niels Ramsing Holm

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Niels R Holm, MD

Role: PRINCIPAL_INVESTIGATOR

Aarhus University Hospital Skejby

Locations

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University Hospitals Leuven

Leuven, , Belgium

Site Status RECRUITING

Aarhus University Hspital

Aarhus N, , Denmark

Site Status RECRUITING

Royal Brompton Hospital

London, , United Kingdom

Site Status RECRUITING

Countries

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Belgium Denmark United Kingdom

Central Contacts

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Niels R Holm, MD

Role: CONTACT

+45 7845 0000 ext. 52254

Evald H Christiansen, MD

Role: CONTACT

+45 7845 0000 ext. 52028

Facility Contacts

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Tom Adriaenssens, MD

Role: primary

Niels R Holm, MD

Role: primary

+45 7845 0000 ext. 52254

Evald H Christiansen, MD

Role: backup

+45 7845 0000 ext. 52028

Carlo DiMario, MD

Role: primary

Other Identifiers

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1-10-72-111-13

Identifier Type: -

Identifier Source: org_study_id

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