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Equity in Modifying Plaque Of WomEn With UndeRtreated Calcified Coronary Artery Disease

Active, not recruiting
Conditions
Coronary Artery Disease
Registration Number
NCT05755711
Lead Sponsor
Shockwave Medical, Inc.
Brief Summary

Post-market, prospective, multi-center, single-arm observational study to generate real-world clinical evidence associated with coronary IVL in a population of female subjects with calcified coronary artery disease.

Detailed Description

Subject population: up to 400 female subjects referred for percutaneous coronary intervention (PCI) with coronary IVL and stenting per standard of care at up to 50 global sites in the US, UK and Europe. Subjects will have clinical follow-up prior to discharge from the index intervention and at 30 days, 1, 2 and 3 years.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
399
Inclusion Criteria
  1. The subject is a non-pregnant female ≥18 years of age
  2. The subject meets indications for PCI and stent
  3. The subject is scheduled to undergo PCI with coronary IVL and stenting per standard of care for non-stented lesion
  4. The subject is willing to comply with protocol-specified follow-up evaluations
  5. The subject, or legally authorized representative, has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent, approved by the appropriate Institutional Review Board (IRB) or Ethics Committee (EC)
Exclusion Criteria
  1. Subjects with known mental or physical illness or known history of substance abuse that may cause non-compliance with the protocol, confound the data interpretation, or is associated with a life expectancy of less than one year
  2. Subjects presenting with cardiogenic shock at the time of the index procedure
  3. Serious angiographic complication in the target vessel prior to treatment with coronary IVL including-severe dissection (Type D to F), perforation, abrupt closure, persistent slow-flow or persistent no reflow
  4. Subject unable to tolerate anticoagulation/antiplatelet therapy per guidelines
  5. Subject is enrolled in any study of an investigational device or drug that may interfere with study results

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary Safety Endpoint30 days

Target lesion failure (TLF) at 30 days defined as a composite of cardiac death, myocardial infarction (per SCAI definition for peri-procedural MI; per 4th Universal Definition for spontaneous MI beyond discharge) attributable to target vessel (TV-MI), or ischemia-driven target lesion revascularization (ID-TLR).

Primary Effectiveness Endpoint12-24 hours post procedure or at discharge, whichever is earlier, but at least 6 hours post procedure

Procedural Success defined as stent delivery with a residual in-stent stenosis ≤30% in all target lesions (core laboratory assessed) and without in-hospital TLF (CEC adjudicated).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (48)

Loma Linda University Health

🇺🇸

Loma Linda, California, United States

Good Samaritan Hospital

🇺🇸

Los Angeles, California, United States

Kaiser Permanente - San Francisco Medical Center

🇺🇸

San Francisco, California, United States

Stanford University

🇺🇸

Stanford, California, United States

South Denver Cardiology Associates, P.C

🇺🇸

Littleton, Colorado, United States

Yale New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

Morton Plant Hospital

🇺🇸

Clearwater, Florida, United States

Tallahassee Research Institute

🇺🇸

Tallahassee, Florida, United States

Emory Hospital

🇺🇸

Atlanta, Georgia, United States

Piedmont Heart Institute

🇺🇸

Atlanta, Georgia, United States

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Loma Linda University Health
🇺🇸Loma Linda, California, United States

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