Scoreflex NC - Scoring PTCA Catheter

NCT ID: NCT03763747

Last Updated: 2021-08-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-27

Study Completion Date

2019-12-27

Brief Summary

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A prospective, open label, multi-center, single arm, observational study designed to evaluate the acute safety and device procedural success of the Scoreflex NC Scoring Percutaneous Transluminal Coronary Angioplasty (PTCA) catheters in subjects with stenotic coronary arteries during percutaneous coronary intervention.

Two-hundred (200) subjects will be treated at up to 15 U.S. sites with the Scoreflex NC Scoring PTCA catheter during their index procedure. All subjects will be screened according to the protocol inclusion and exclusion criteria and will be followed through hospital discharge.

Detailed Description

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Conditions

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Coronary Artery Disease Coronary Disease Myocardial Ischemia Heart Diseases Arteriosclerosis Cardiovascular Diseases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Scoreflex NC Scoring PTCA Catheter

Single arm with investigational Scoreflex NC Scoring PTCA catheters

Group Type EXPERIMENTAL

Scoreflex NC Scoring PTCA catheter

Intervention Type DEVICE

To dilate coronary arteries during the subject's index procedure with Scoreflex NC Scoring PTCA catheters

Interventions

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Scoreflex NC Scoring PTCA catheter

To dilate coronary arteries during the subject's index procedure with Scoreflex NC Scoring PTCA catheters

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Subject is ≥ 18 years of age.
2. Subject or a legally authorized representative must provide written informed consent prior to any study related procedures.
3. Subject must agree not to participate in any other clinical study during hospitalization for the index procedure that would interfere with the endpoints of this study.
4. Subjects must have a single or double vessel coronary artery disease (CAD) and clinical evidence of ischemic heart disease, such as CAD, stable / unstable angina or silent ischemia.

5. Subject must have de novo or restenotic lesion(s) in native coronary arteries, including in-stent restenosis suitable for percutaneous coronary intervention.
6. A maximum of two lesions, including at least one target lesion, in up to two coronary arteries.
7. Target lesion must have a reference vessel diameter (RVD) between 1.75 and 4.0 mm by visual estimation.
8. Target lesion(s) must have a diameter stenosis of ≥70% by visual estimation and may include chronic total occlusions (CTO).
9. The non-target lesion must be located in different coronary artery from the Target lesion.
10. Treatment of non-target lesion, if any, must be completed prior to treatment of target lesion and must be deemed a clinical angiographic success as visually assessed by the physician.

Exclusion Criteria

1. Subject with a known hypersensitivity or contraindication to aspirin, heparin, bivalirudin, anti-platelet medications, or sensitivity to contrast media which cannot be adequately pre-medicated.
2. Subject with known diagnosis of STEMI or NSTEMI at index presentation or within 7 days of study screening.
3. Subject with known pregnancy or is nursing. Women of child-bearing potential should have a documented negative pregnancy test within 7 days before index procedure.
4. Planned or actual target lesion treatment with an unapproved device, atherectomy, laser, cutting balloon or thrombectomy during the index procedure.
5. A serum creatinine level \> 2.0 mg/dl within 7 days prior to index procedure.
6. Cerebrovascular accident (CVA) within the past 6 months.
7. Active peptic ulcer or active gastrointestinal (GI) bleeding within the past 6 months.
8. Subject has a known left ventricular ejection fraction (LVEF) \<30% (LVEF may be obtained at the time of the index procedure if the value is unknown, if necessary)
9. Target lesion located within an arterial or saphenous vein graft or graft anastomosis

10. More than two lesions requiring treatment.
11. Target lesion longer than 30 mm by visual estimation.
12. Extreme angulation (90º or greater) proximal to or within the target lesion.
13. Previous percutaneous intervention of lesions in a target vessel (including side branches) conducted within 9 months before the study procedure and located within 10 mm from the current target lesion.
14. Target lesion demonstrating severe dissection prior to planned deployment of the Scoreflex NC device
15. Unprotected left main coronary artery disease. (Greater than 50% diameter stenosis)
16. Coronary artery spasm of the target vessel in the absence of a significant stenosis.
17. Target lesion with angiographic presence of probable or definite thrombus.
18. Target lesion involves a bifurcation requiring treatment with more than one stent or pre-dilatation of a side branch \>2.0 mm in diameter.
19. Non-target lesion to be treated during the index procedure meets any of the following criteria:

* Located within a bypass graft (venous or arterial)
* Left main location
* Chronic total occlusion
* Involves a bifurcation (e.g., bifurcations requiring treatment with more than 1 stent)
* Treatment not deemed a clinical angiographic success
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ClinLogix. LLC

INDUSTRY

Sponsor Role collaborator

OrbusNeich

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Kandzari, MD

Role: PRINCIPAL_INVESTIGATOR

Piedmont Heart Institute

Locations

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The Cardiac and Vascular Institute Research Foundation

Gainesville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Piedmont Heart Institute

Atlanta, Georgia, United States

Site Status

Atlanta VA Healthcare System

Decatur, Georgia, United States

Site Status

Delmarva Heart Research Foundation Inc./Peninsula Regional Medical Center

Salisbury, Maryland, United States

Site Status

CentraCare Heart and Vascular Center

Saint Cloud, Minnesota, United States

Site Status

Cardiology Associates Research, LLC

Tupelo, Mississippi, United States

Site Status

Deborah Heart and Lung Center

Browns Mills, New Jersey, United States

Site Status

The Lindner Research Center/The Christ Hospital Heart and Vascular

Cincinnati, Ohio, United States

Site Status

Countries

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United States

References

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Kandzari D, Hearne S, Kumar G, Sachdeva R, Adams G, Blossom B, Dahle T, Sanghvi K, Cohen MG, Imperi G, Riley R, Almonacid AP. Procedural Effectiveness With a Focused Force Scoring Angioplasty Catheter: Procedural and Clinical Outcomes From the Scoreflex NC Trial. Cardiovasc Revasc Med. 2022 Feb;35:85-90. doi: 10.1016/j.carrev.2021.03.013. Epub 2021 Mar 20.

Reference Type RESULT
PMID: 33781677 (View on PubMed)

Louvard Y, Medina A. Definitions and classifications of bifurcation lesions and treatment. EuroIntervention. 2015;11 Suppl V:V23-6. doi: 10.4244/EIJV11SVA5.

Reference Type RESULT
PMID: 25983165 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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VP-0730

Identifier Type: -

Identifier Source: org_study_id

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