ClinicalTrials.gg
Status unknownNCT03292081MISTIC-1Updated Sep 25, 2017

Comparison Between OFDI and IVUS in PCI Guidance for Biolimus A9 Eluting Stent Implantation

A Phase 2 interventional study of OFDI and IVUS in Coronary Artery Disease, sponsored by Fujita Health University. Status unknown at 1 site in Japan. Open to participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2017-09-25.

Sponsored by Fujita Health University · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2017), so the status shown — last known as Active, not recruiting — may be out of date.

From the registry’s dates

  • Registered 3 years 2 months after the study started (first participant enrolled Jun 2014, registered Aug 2017).
Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
20 Years and older
Sex
All
01

Study summary

The aim of this study is to assess clinical safety and efficacy of percutaneous coronary intervention (PCI) using a newer generation drug-eluting stent (DES) in the context of optical frequency domain imaging (OFDI) guidance or intravascular ultrasound (IVUS) guidance.

Read the detailed description

Intracoronary imaging techniques provide clinically useful information in the setting of PCI, such as lesion severity, tissue characterization, vessel sizing, and stent optimization. Current evidences suggest potential advantage of intracoronary imaging guidance in reducing the risk of major adverse cardiac events after stent implantation over conventional PCI under angiographic guidance alone. IVUS has been clinically used in two decades and it is known as one of the most dominant intracoronary imaging technique. OFDI is a new light-based intracoronary imaging technology which provides higher image resolution and higher-speed pullback compared to those of IVUS. Given the different properties between ultrasound-based IVUS and light-based OFDI, treatment and clinical impact of these two imaging techniques would be different.

02

Conditions studied

  • Coronary Artery Disease

Keywords

  • Intracoronary Imaging
  • Optical Frequency Domain Imaging
  • Intravascular Ultrasound
  • Percutaneous Coronary Intervention
  • Drug Eluting Stent
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 96 is below the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Fujita Health University is the lead sponsor of 7 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patients with stable coronary artery disease who have symptoms or myocardial ischemia proven by non-invasive or invasive stress test.

Exclusion criteria

Exclusion Criteria:

  • Renal insufficiency with estimated (eGFR) \<45 mL/min/1.73m2
  • (LVEF) \<30% or history of congestive heart failure
  • Acute coronary syndrome within 7 days after onset
  • Considered as inappropriate for drug-eluting stent (DES) use or dual antiplatelet therapy for one year after the index procedure
  • within one year
  • Lesion length estimated by quantitative coronary angiography (QCA) >28mm
  • Chronic total occlusion
  • Left main stem lesion
  • Bifurcation requiring side branch balloon dilatation
  • Severely calcified lesion
  • Other conditions by which physicians in charge judged inappropriate to enroll the patients because of safety concern.
Terms in these criteria, in plain language(3)

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
96 participants (estimated)

Study arms

  • Experimental
    OFDI-guided PCI

    Device: OFDI

  • Active comparator
    IVUS-guided PCI

    Device: IVUS

Interventions

  • DeviceOFDI

    PCI under OFDI guidance

    Also known as: LUNAWAVE imaging console, Fastview imaging catheter

  • DeviceIVUS

    PCI under IVUS guidance

    Also known as: VISIWAVE imaging console, ViewIT imaging catheter

06

What researchers measure

Primary outcomes

  1. Minimum lumen area assessed by OFDI

    Time frame: 8 months

Secondary outcomes

  1. Cardiovascular mortality

    Time frame: 8 months

  2. Target vessel myocardial infarction

    Time frame: 8 months

  3. Target lesion revascularization

    Time frame: 8 months

  4. Apposition of stent struts assessed by OFDI

    Time frame: 8 months

  5. Tissue coverage of stent struts assessed by OFDI

    Time frame: 8 months

  6. Quantitative Coronary Angiography (QCA)

    Time frame: 8 months

Other outcomes

  1. Integrated Backscatter IVUS (IB-IVUS)

    Plaque components including lipid pool, fibrosis, dense fibrosis or calcification

    Time frame: 0 month (pre-procedure)

  2. Detectable external elastic lamina (EEL) arc assessed by OFDI

    Time frame: 0 month (pre-procedure)

07

Study locations

1 site
  • Fujita Health University
    Toyoake, 470-1192, Japan
08

References and documents

Publications

  • Muramatsu T, Ozaki Y, Nanasato M, Ishikawa M, Nagasaka R, Ohota M, Hashimoto Y, Yoshiki Y, Takatsu H, Ito K, Kamiya H, Yoshida Y, Murohara T, Izawa H; MISTIC-1 Investigators. Comparison Between Optical Frequency Domain Imaging and Intravascular Ultrasound for Percutaneous Coronary Intervention Guidance in Biolimus A9-Eluting Stent Implantation: A Randomized MISTIC-1 Non-Inferiority Trial. Circ Cardiovasc Interv. 2020 Nov;13(11):e009314. doi: 10.1161/CIRCINTERVENTIONS.120.009314. Epub 2020 Oct 27. PubMed 33106049 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03292081
Lead sponsor
Fujita Health University
Responsible party
Yukio Ozaki (Professor, Department of Cardiology, Fujita Health University) — Principal investigator
First posted
Sep 25, 2017
Start date
Jun 12, 2014
Primary completion
Jul 31, 2016
Completion
Oct 25, 2017 (estimated)
Last update
Sep 25, 2017

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 Sep 2017. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion