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CompletedNCT03342521ODIPPUpdated Apr 22, 2019

OFDI-Quantified Intracoronary Thrombus, Antiplatelet Pretreatment Effect and Myocardial Reperfusion

An observational study in Myocardial Infarction and Thrombosis, Coronary, sponsored by University Hospital, Caen. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-04-22.

Sponsored by University Hospital, Caen · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
63
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 168 studies in Myocardial Infarction with a site in France — 22 open to participants now, 31 under way, 7 of them phase 3. Myocardial Infarction · France.

Enrollment
47th of 54
63 · median 756
Started
2017
with 9 others
Observational
54 of 168
9 open now
Registered
102nd of 168
by date
Lead sponsor
5 of 168
University Hospital, Caen

Among the 168 studies in Myocardial Infarction with a site in France, this one is the 47th largest by enrollment of the 54 observational ones that give a count, is one of 10 that started in 2017, is one of 54 observational ones, and was the 102nd registered.

Myocardial Infarction

2,270 studies on the registry are indexed under Myocardial Infarction; 371 are open to participants now.

Browse Myocardial Infarction studies →

Open to participants now

22 of the 168 studies in Myocardial Infarction with a site in France are open now. Recruiting first, the newest first:

17 more — sign in →

All 22 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 255 Myocardial Infarction studies recruiting now, 172 (67%) set no upper age limit and 26 (10%) stop at 75 or younger; 16 take children under 18; 27 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The management of ST-elevation myocardial infarction in the acute phase requires an optimal antiaggregation combining aspirin and a P2Y12 inhibitor (clopidogrel, prasugrel or ticagrelor). Primary percutaneous coronary intervention must be performed within 2 hours of first medical contact. However, even with the new P2Y12 inhibitors, effective platelet inhibition which is required to inhibit the progression of intracoronary thrombus, is present only in half of the patients at 2 hours.

Optical coherence tomography (OCT) is the reference method for visualizing and quantifying intracoronary thrombus. The post-stenting intracoronary residual mass evaluated in OCT was associated with altered myocardial reperfusion indices, which were themselves associated with the prognosis of the patient. However, the determinants of this post-stenting residual mass -mostly thrombotic- remain unknown.

Measurement of platelet reactivity (expressed as P2Y12 Reaction Unit and Aspirin Reaction Unit) by simple turbidimetric tests (VerifyNow) is available in the cathlab. Enhanced platelet reactivity is reported in patients with acute coronary syndrome and represents a high-risk situation for recurrent coronary events in this setting.

The study aims to:

  1. to evaluate the relationship between the post-stenting residual intracoronary mass evaluated in OCT and the platelet response at the time of the PCI evaluated by Verify Now
  2. to confirm the impact of the residual mass measured by OCT on the EKG and angiographic myocardial reperfusion indices
  3. identify patients with high thrombotic risk who may require more intensive antithrombotic therapy
  4. identify simple biological markers associated with the residual mass measured by OCT
03

Conditions studied

  • Myocardial Infarction
  • Thrombosis, Coronary

Keywords

  • myocardial infarction
  • optical coherence tomography
  • intracoronary thrombus
  • VerifyNow
04

Who can participate

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

Study population

patients admitted in our hospital for primary PCI for ST-elevation myocardial infarction treated with successful stenting who had OCT and VerifyNow in the acute phase

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

  • primary PCI with successful stenting for ST-elevation myocardial infarction
  • pretreated with ticagrelor, aspirin and enoxaparin
  • OCT and verifyNow performed in the acute phase

Exclusion criteria

Exclusion Criteria:

  • stent thrombosis
  • known coagulation disorder
  • clinical instability
  • pregnancy
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
63 participants (actual)
Patient registry
No

Interventions

  • Diagnostic testoptical coherence tomography and VerifyNow

    optical coherence tomography Imaging P2Y12 and Aspirin reaction units quantification by the VerifyNow

06

What researchers measure

Primary outcomes

  1. the volume of residual intrastent mass measured by OCT

    volume of the residual mass in mm3

    Time frame: day 0

  2. the platelet reactivity assessed by VerifyNow

    P2Y12 and aspirin reaction units, assessed by VerifyNow

    Time frame: day 0

Secondary outcomes

  1. regression of EKG ST-segment elevation

    regression of ST-segment elevation \>50% after angioplasty

    Time frame: day 0

  2. Corrected Timi Frame count

    TIMI frame count (number) assessed after angioplasty

    Time frame: day 0

  3. Myocardial blush grade

    Blush grade (from 0= no blush; 1=minimal; 2=moderate to 3= normal blush) assessed on angiography after angioplasty

    Time frame: day 0

  4. angiographic pre-stenting thrombus grade

    angiographic thrombus grade score (from 0=no thrombus to 5=occlusive thrombus)

    Time frame: day 0

  5. troponin

    biological marker (µg/L)

    Time frame: day 0

  6. fibrinogen

    biological marker (in g/L)

    Time frame: day 0

  7. albumin

    biological marker (in g/L)

    Time frame: day 0

07

Study locations

1 site
  • CAEN University Hospital
    Caen, 14000, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Dec 2018, 14 months.

Of 296 non-industry observational studies under Myocardial Infarction, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 140. This study's 14 months is below that.

Counting every sponsor, half of 333 studies reached it within 48 months; a quarter within 17 and three quarters within 114.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 19, 2017
First posted
Nov 17, 2017
StartActual
Oct 13, 2017
Primary completionActual
Dec 31, 2018
CompletionActual
Dec 31, 2018
Last update
Apr 22, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 22, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03342521
Responsible party
Sponsor
First posted
Nov 17, 2017
Start date
Oct 13, 2017
Primary completion
Dec 31, 2018
Completion
Dec 31, 2018
Last update
Apr 22, 2019

Study contacts

vincent ROULE, MD
principal investigator · University Hospital, Caen

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

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