ClinicalTrials.gg
Status unknownNCT03237169PREDICTUpdated May 11, 2018

Performance of a New REsting Pressure Index During Invasive Angiography Compared To Adenosine Hyperemic FFR

An observational study in Fractional Flow Reserve, Myocardial and Coronary Artery Disease, sponsored by Centro Hospitalar Lisboa Ocidental. Status unknown at 6 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-11.

Sponsored by Centro Hospitalar Lisboa Ocidental · Observational

The sponsor has not verified this record recently (last verified May 2018), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
01

Study summary

To test the feasibility and diagnostic accuracy of a new automated pressure derived resting index (Pd/Pamin), using FFR as gold standard, in de novo coronary lesions in which invasive physiological evaluation is warranted.

Read the detailed description

Coronary lesions with a potential indication for percutaneous coronary intervention or warranting invasive physiological interrogation (in the opinion of the investigator) will undergo PressureWire™ assessment under 2 conditions: rest and adenosine hyperemia. The measurements at rest (standard Pd/Pa and Pd/Pamin) will be repeated to assess test/retest repeatability. Subsequent treatment decisions will be made by the operator according to the standard practice based on the adenosine FFR value together with all other clinical information.

02

Conditions studied

  • Fractional Flow Reserve, Myocardial
  • Coronary Artery Disease
03

In context

Coronary Artery Disease

4,857 studies on the registry are indexed under Coronary Artery Disease; 890 are open to participants now.

This study's planned enrollment of 100 is below the median of 320 across 1,687 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Centro Hospitalar Lisboa Ocidental is the lead sponsor of 9 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Consecutive subjects scheduled for coronary angiography or PCI in whom operator decides to perform FFR will be approached for enrollment. Being a first-in-man study of a novel pressure index intended for future validation and use in a clinical setting, a full assessment of its range throughout the entire spectrum of lesion severity is warranted. As such, the protocol will allow for the inclusion of both less severe as well as of critical (>90%) lesions. Patients with either single or multiple vessel disease will be included.

Data on additional lesions may or may not be collected but will not be used in the study. Vessels with sequential stenosis and tandem lesions will be evaluated and treated according to routine clinical practice, but not included in the study data collected.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients undergoing FFR assessment for standard clinical indications, according to individual operator decision.
  2. Age ≥ 18 years.
  3. Provided signed written for data collection the collection.
  4. De novo coronary artery disease in target vessel.
  5. Single or multiple vessel disease.
  6. Patient eligible for elective or ad hoc PCI (or CABG), if revascularization is deemed indicated, in the setting of stable coronary artery disease or non-culprit lesions of non-ST elevation acute coronary syndromes (only in deferred procedures).
  7. Stenosis deemed amenable for both evaluation with a pressure wire and for potential revascularization.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with restenosis in the target vessel.
  2. Known severe renal insufficiency (examples being but not limited to \<30 ml/kg/min, serum creatinine ≥ 2.5 mg/dL or on dialysis).
  3. Aorto-ostial lesion location within 3 mm of the aorta junction (both right and left).
  4. Vessel(s) and lesion(s) not amenable for evaluation with a PressureWire™ and/or revascularization.
  5. Tandem lesions
  6. Moderate lesions in patients with multivessel disease in whom at least one lesion in another major epicardic vessel is severe (to minimize lesion interaction), unless the severe lesion is treated first (see above).
  7. \<50%
  8. Known severe left ventricular hypertrophy
  9. Atrial fibrillation or any other significant arrhythmia (including an heart rate \<50/min on sinus rhythm)
  10. Systolic blood pressure \<90 mmHg.
  11. Any other medical condition that in the opinion of the investigator will interfere with patient safety or study results
  12. Currently participating in another clinical study that interferes with study results.
  13. Pregnant or nursing females
  14. Planned or prior heart transplantation or listed for heart transplant.
  15. Any condition that precludes the subject from undergoing PCI or any of the protocol mandated procedures, for example subjects with a prior history heparin induced thrombocytopenia, known intolerance to adenosine or with a for dual anti- therapy.
  16. Patients with severe valvular disease
  17. Patients with severe pulmonary disease
  18. Culprit lesions in ACS patients are not to be included nor non-culprit lesions in patients with a recent STEMI undergoing staged procedures.
  19. Patients with a CTO, regardless of the presence and the extent of angiographic collaterals from the target vessel.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Prospective cohort

    Prospective cohort of patients with stable or stabilized coronary artery disease and de novo coronary lesions, in whom functional evaluation is performed, according do standard clinical indications.

06

What researchers measure

Primary outcomes

  1. Diagnostic accuracy of Pd/Pamin vs FFR

    Agreement will be tested using the established FFR 0.8 threshold as the binary reference standard.

    Time frame: baseline

Secondary outcomes

  1. Discriminative power of Pd/Pamin and the best cut-off, taking FFR as gold

    ROC analysis using FFR as reference

    Time frame: baseline

  2. Feasibility of Pd/Pamin measurements

    Description of how often can Pd/Pamin can be measured accurately

    Time frame: Baseline

07

Study locations

6 of 6 sites recruiting
  • St. Francis Hospital The Heart Center
    New York, New York 11576, United States
    Recruiting
    • Allen Jeremias, MD · Contact516-390-9640
  • Department of Cardiology, University Hospital
    Lille, France
    Recruiting
    • Eric VanBelle, MD · Contact
  • Institute of Cardiology, Catholic University of the Sacred Heart
    Rome, Italy
    Recruiting
    • Antonio M Leone, MD · Contact
  • Hospital Prof. Doutor Fernando da Fonseca
    Amadora, 2720-276, Portugal
    Recruiting
    • Sergio B Batista, MD · Contact
  • Centro Hospitalar de Lisboa Ocidental - Hospital de Santa Cruz
    Carnaxide, 2790-134, Portugal
    Recruiting
    • Luis Raposo, MD · Contact
  • Centro Hospitalar de Lisboa Central (CHLC) - Hospital de Santa Marta
    Lisboa, Portugal
    Recruiting
    • Ruben Ramos, MD · Contact
08

References and documents

Publications

  • Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH; American College of Cardiology Foundation; American Heart Association Task Force on Practice Guidelines; Society for Cardiovascular Angiography and Interventions. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol. 2011 Dec 6;58(24):e44-122. doi: 10.1016/j.jacc.2011.08.007. Epub 2011 Nov 7. No abstract available. PubMed 22070834 ↗
  • Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS); European Association for Percutaneous Cardiovascular Interventions (EAPCI); Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, Garg S, Huber K, James S, Knuuti J, Lopez-Sendon J, Marco J, Menicanti L, Ostojic M, Piepoli MF, Pirlet C, Pomar JL, Reifart N, Ribichini FL, Schalij MJ, Sergeant P, Serruys PW, Silber S, Sousa Uva M, Taggart D. Guidelines on myocardial revascularization. Eur Heart J. 2010 Oct;31(20):2501-55. doi: 10.1093/eurheartj/ehq277. Epub 2010 Aug 29. No abstract available. PubMed 20802248 ↗
  • Mamas MA, Horner S, Welch E, Ashworth A, Millington S, Fraser D, Fath-Ordoubadi F, Neyses L, El-Omar M. Resting Pd/Pa measured with intracoronary pressure wire strongly predicts fractional flow reserve. J Invasive Cardiol. 2010 Jun;22(6):260-5. PubMed 20516504 ↗
  • Sen S, Escaned J, Malik IS, Mikhail GW, Foale RA, Mila R, Tarkin J, Petraco R, Broyd C, Jabbour R, Sethi A, Baker CS, Bellamy M, Al-Bustami M, Hackett D, Khan M, Lefroy D, Parker KH, Hughes AD, Francis DP, Di Mario C, Mayet J, Davies JE. Development and validation of a new adenosine-independent index of stenosis severity from coronary wave-intensity analysis: results of the ADVISE (ADenosine Vasodilator Independent Stenosis Evaluation) study. J Am Coll Cardiol. 2012 Apr 10;59(15):1392-402. doi: 10.1016/j.jacc.2011.11.003. Epub 2011 Dec 7. PubMed 22154731 ↗
  • Ganz P, Abben R, Friedman PL, Garnic JD, Barry WH, Levin DC. Usefulness of transstenotic coronary pressure gradient measurements during diagnostic catheterization. Am J Cardiol. 1985 Apr 1;55(8):910-4. doi: 10.1016/0002-9149(85)90716-7. PubMed 3157307 ↗
  • Gruntzig AR, Senning A, Siegenthaler WE. Nonoperative dilatation of coronary-artery stenosis: percutaneous transluminal coronary angioplasty. N Engl J Med. 1979 Jul 12;301(2):61-8. doi: 10.1056/NEJM197907123010201. PubMed 449946 ↗
  • Berry C, van 't Veer M, Witt N, Kala P, Bocek O, Pyxaras SA, McClure JD, Fearon WF, Barbato E, Tonino PA, De Bruyne B, Pijls NH, Oldroyd KG. VERIFY (VERification of Instantaneous Wave-Free Ratio and Fractional Flow Reserve for the Assessment of Coronary Artery Stenosis Severity in EverydaY Practice): a multicenter study in consecutive patients. J Am Coll Cardiol. 2013 Apr 2;61(13):1421-7. doi: 10.1016/j.jacc.2012.09.065. Epub 2013 Feb 6. PubMed 23395076 ↗
  • Ganz P, Harrington DP, Gaspar J, Barry WH. Phasic pressure gradients across coronary and renal artery stenoses in humans. Am Heart J. 1983 Dec;106(6):1399-406. doi: 10.1016/0002-8703(83)90052-2. PubMed 6650363 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03237169
Lead sponsor
Centro Hospitalar Lisboa Ocidental
Collaborators
Abbott Medical Devices, Cardiovascular Research Foundation, New York
Responsible party
Luis Raposo (Principal Investigator, Centro Hospitalar Lisboa Ocidental) — Principal investigator
First posted
Aug 2, 2017
Start date
Oct 28, 2016
Primary completion
Sep 2018 (estimated)
Completion
Sep 2018 (estimated)
Last update
May 11, 2018

Study contacts

Luis Raposo, MD
Contact
lfor.md@gmail.com
+351962933777
Luis Raposo, MD
principal investigator · Centro Hospitalar de Lisboa Ocidental
Sergio Bravo Baptista, MD, PhD
study chair · Hospital Fernando da Fonseca

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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