Effect of Ultimaster Stents Treated to the Most Dilated Coronary Vessels

NCT ID: NCT04931784

Last Updated: 2021-06-18

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

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-01

Study Completion Date

2024-07-31

Brief Summary

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In patients with vasospasm or with negative remodeling, various vasodilator drugs used during coronary angiography can dilate the diameter of the reference vessel to measure the exact vessel size. In particular, nitrates are well known to induce pharmacological vasodilatory effects through vascular smooth muscle relaxation In actual clinical practice, it has been reported that when oral or spray-type nitrate preparations are administered to coronary artery stenosis lesions, the diameter of the reference vessel expands by about 10% compared to the existing vessel diameter. This may enable larger stenting in coronary artery stenosis lesions. Although many patients with vascular stenosis are accompanied by vasospasm and voice remodeling, in actual clinical practice, administration of vasodilators is only used in a small number of patients at the discretion of the surgeon. Nitrate vasodilators administered during coronary angiography are low-dose and short-acting drugs, and although a small number of patients may experience side effects such as short-term lowering of blood pressure, no serious side effects are reported .

On this background, this study is to evaluate whether there is a difference in the diameter of the Ultimaster® stent treated with the conventional method compared to the maximally dilated coronary artery, and to evaluate the stability and effectiveness after the procedure.

Detailed Description

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Conditions

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Vasodilation Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Nitrate Group

with administration of intra-coronary nitrate before percutaneous coronary intervention

Group Type ACTIVE_COMPARATOR

Nitrate

Intervention Type DRUG

Administration of intra-coronary nitrate before percutaneous coronary intervention

Control Group

without administration of intra-coronary nitrate before percutaneous coronary intervention

Group Type PLACEBO_COMPARATOR

Nitrate

Intervention Type DRUG

Administration of intra-coronary nitrate before percutaneous coronary intervention

Interventions

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Nitrate

Administration of intra-coronary nitrate before percutaneous coronary intervention

Intervention Type DRUG

Other Intervention Names

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No intervention

Eligibility Criteria

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Inclusion Criteria

* Over 19 years old
* evidence of coronary artery disease including asymptomatic ischemia stable angina acute coronary syndrome (unstable angina, non-ST segment elevation

* myocardial infarction, ST segment elevation myocardial infarction).
* coronary artery diameter 2.25\~3.5mm, stenosis 50% or more
* Those who voluntarily agreed in writing to participate in this clinical study

Exclusion Criteria

* instability or psychogenic shock within 24 hours before percutaneous coronary intervention
* life expectancy no longer than 1 year
* hypersensitivity or contraindications to the following drugs or substances: heparin, aspirin, clopidogrel
* patients whom researchers think unsuitable for participation in this study
Minimum Eligible Age

19 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Terumo Corporation

INDUSTRY

Sponsor Role collaborator

Inha University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sang-Don Park

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Sang-Don Park, Ph.D

Role: CONTACT

821033356991

References

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Yoon GS, Choi SH, Kwon SW, Park SD, Woo SI. A prospective double-blinded randomized study on drug-eluting stent implantation into nitrate-induced maximally dilated vessels in patients with coronary artery disease. Trials. 2023 Jul 18;24(1):460. doi: 10.1186/s13063-023-07497-5.

Reference Type DERIVED
PMID: 37464355 (View on PubMed)

Other Identifiers

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INHAUH 2018-03-009

Identifier Type: -

Identifier Source: org_study_id

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