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FAME II - Fractional Flow Reserve (FFR) Guided Percutaneous Coronary Intervention (PCI) Plus Optimal Medical Treatment (OMT) Verses OMT

Not Applicable
Completed
Conditions
Coronary Artery Disease
Registration Number
NCT01132495
Lead Sponsor
Abbott Medical Devices
Brief Summary

The overall purpose of the FAME II trial is to compare the clinical outcomes, safety and cost-effectiveness of FFR-guided PCI plus optimal medical treatment (OMT) versus OMT alone in patients with stable coronary artery disease.

Detailed Description

Prospective, multi-center, multi-national, multi-continental, randomized clinical trial.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1170
Inclusion Criteria
  1. Patients with

    • stable angina or,
    • stabilized angina pectoris or,
    • atypical chest pain or no chest pain but with documented silent ischemia
  2. at least one stenosis is present of at least 50% in one major native epicardial coronary artery and supplying viable myocardium

  3. Eligible for PCI

  4. Signed written informed consent

Exclusion Criteria
  1. Patients in whom the preferred treatment is CABG
  2. Patients with left main coronary artery disease requiring revascularization
  3. Patients with a recent STEMI or Non-STEMI
  4. Prior CABG
  5. Contra-indication to dual antiplatelet therapy
  6. LVEF < 30%
  7. Severe LV hypertrophy
  8. Planned need for concomitant cardiac surgery
  9. Extremely tortuous or calcified coronary arteries precluding FFR measurements
  10. A life expectancy of less than 2 years
  11. Age under 21

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Major Adverse Cardiac Event Rate (MACE)24 Month

MACE: A composite of all cause death, documented MI, unplanned hospitalization leading to urgent revascularization.

Secondary Outcome Measures
NameTimeMethod
Overall MACE3 years

Individual components of the primary end point, cardiac death, and nonurgent revascularization

Trial Locations

Locations (29)

VA Palo Alto

🇺🇸

Palo Alto, California, United States

Stanford University Medical Center

🇺🇸

Stanford, California, United States

Emory University

🇺🇸

Atlanta, Georgia, United States

Atlanta VA Medical Center

🇺🇸

Decatur, Georgia, United States

Tulane University

🇺🇸

New Orleans, Louisiana, United States

Northeast Cardiology Associates

🇺🇸

Bangor, Maine, United States

OLV Ziekenhuis

🇧🇪

Aalst, Belgium

Centre Hospitalier de l'Universite de Montreal

🇨🇦

Montreal, Quebec, Canada

Hopital du Sacre-Coeur de Montreal

🇨🇦

Montreal, Quebec, Canada

Masaryk University and University Hospital Brno

🇨🇿

Brno, Czechia

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VA Palo Alto
🇺🇸Palo Alto, California, United States

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