ClinicalTrials.gg
Active, not recruitingNCT03497637LIPSIASTRATEGYUpdated Oct 29, 2026

Comparison of Vessel-FFR Versus FFR in Intermediate Coronary Stenoses

An interventional study of Measurement of FFR and Measurement of vFFR in Coronary Artery Disease and Coronary Artery Stenoses, sponsored by Helios Health Institute GmbH. Active, not recruiting at 8 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Helios Health Institute GmbH · Not applicable, Interventional, and Treatment

Updated Oct 29, 2026Now Active, not recruitingStart date moved+8 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
1,054
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 365 studies in Coronary Artery Disease with a site in Germany — 46 open to participants now, 71 under way, 3 of them phase 3. Coronary Artery Disease · Germany.

Enrollment
58th of 248
1,054 · median 265
Started
2020
with 18 others
No phase
128 of 365
18 open now
Primary completion
2026-02
later than 22 of 70 live
Registered
255th of 365
by date

Among the 365 studies in Coronary Artery Disease with a site in Germany, this one is the 58th largest by enrollment of the 248 interventional ones that give a count, is one of 19 that started in 2020, is one of 128 with no phase, reaches primary completion later than 22 of the 70 other live ones, and was the 255th registered.

Coronary Artery Disease

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

This study's enrollment of 1,054 is above the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Open to participants now

46 of the 365 studies in Coronary Artery Disease with a site in Germany are open now.

All 46 open studies →

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

Who these studies take

Of the 588 Coronary Artery Disease studies recruiting now, 402 (68%) set no upper age limit and 68 (12%) stop at 75 or younger; 38 take children under 18; 47 take healthy volunteers.

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

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 365 studies in Coronary Artery Disease with a site in Germany, or all of them as a file.
02

Study summary

This is a prospective, randomized, controlled, multicenter, open-label study designed to assess whether vFFR is non-inferior to FFR in assessment of intermediate coronary stenosis in terms of the occurrence of MACE during 12 months after randomization.

Read the detailed description

Coronary angiography is insensitive to assess the physiologic significance of a coronary stenosis. Therefore, clinical guidelines support the use of pressure-derived fractional flow reserve (FFR) to assess the hemodynamic significance of coronary stenosis. Nevertheless, the penetration of FFR in clinical routine continues to be limited by its requirement for pharmacological vasodilation, prolonged procedure time and adverse systemic effects from adenosine.

Vessel-FFR (vFFR) is a novel method for evaluating the functional significance of coronary stenosis by calculation of the pressure drop in the vessel based on computation of two angiographic projections. The vFFR values at each point along the vessel are color-coded and superimposed on the 3D epicardial model and cut-off values of ≤0.80 identical to standard invasive FFR apply.

These developments may translate towards more physiology guided intervention bearing the potential to improve clinical outcomes in patients with stable CAD. The ability to derive FFR values from routinely performed coronary angiograms, without the practical drawbacks that limit invasive techniques, could have an important impact on daily clinical practice.

03

Conditions studied

  • Coronary Artery Disease
  • Coronary Artery Stenoses
04

Who can participate

The criteria were revised on the registry on Oct 29, 2026. See what changed

Ages eligible
18 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

  • Age >18 years
  • Willing to participate and able to understand, read and sign the document before the planned procedure
  • Eligible for coronary angiography and/or PCI
  • Coronary artery disease in one or more native major epicardial vessels or their branches by coronary angiogram with visually assessed de novo coronary stenosis in which the physiological severity of the lesion is in question (typically 40-90% diameter stenosis).
  • Stable angina or acute coronary syndrome (non-culprit vessels only and outside of primary intervention during acute STEMI or NSTE-ACS)

Exclusion criteria

Exclusion Criteria:

  • Previous CABG with patent grafts to the interrogated vessel
  • Tandem stenoses separated by more than 10 mm that require separate pressure guide wire interrogation or PCI (not to be interrogated or treated as a single stenosis)
  • Total coronary occlusions
  • Hemodynamic instability (Killip class III-IV)
  • Heavily calcified or tortuous vessels
  • Terminal disease with of less than 12 months
  • STEMI within 24 hours of procedure
  • Severe valvular heart disease requiring intervention/surgery
  • ACS patients with difficulty in assessing the culprit lesion
  • Significant to adenosine administration (e.g. Asthma bronchiale)
  • Pregnancy
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.

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,054 participants (actual)

Study arms

  • Active comparator
    vFFR-guided PCI

    Patients undergo percutaneous coronary intervention (PCI) guided by vessel fractional flow reserve (vFFR). vFFR is computed using 3D angiographic reconstruction software to assess the hemodynamic significance of coronary stenoses without the use of an invasive pressure wire or hyperemic agents.

    Diagnostic Test: Measurement of vFFR

  • Active comparator
    FFR-guided PCI

    Patients undergo percutaneous coronary intervention (PCI) guided by standard invasive fractional flow reserve (FFR). FFR is measured using an intracoronary pressure wire under maximal hyperemia to assess the hemodynamic significance of coronary stenoses.

    Diagnostic Test: Measurement of FFR

Interventions

  • Diagnostic testMeasurement of FFR

    Invasive measurement of fractional flow reserve (FFR) using a pressure wire during maximal hyperemia (typically induced by adenosine) to guide revascularization decisions.

  • Diagnostic testMeasurement of vFFR

    Computation of vessel fractional flow reserve (vFFR) from coronary angiograms using 3D quantitative coronary angiography (3D-QCA) software to guide revascularization decisions.

06

What researchers measure

Primary outcomes

  1. Major Adverse Cardiac Event (MACE) rate

    composite of cardiac death, non-fatal myocardial infarction or unplanned revascularization

    Time frame: 1 year

Secondary outcomes

  1. MACE during long-term follow-up

    Time frame: 2 and 5 years

  2. Each component of the primary endpoint assessed by structured telephone interview and verification by hospital reports

    Time frame: 1, 2 and 5 years

  3. Repeat revascularization (PCI or CABG) assessed by structured telephone interview and verification by hospital reports in case of event

    Time frame: 1, 2 and 5 years

  4. All-cause mortality

    Time frame: 1, 2 and 5 years

  5. Cross-over rate from the one strategy to the other

    Time frame: at intervention

  6. Number of analyzable lesions in both treatment arms

    Time frame: at intervention

07

Study locations

8 sites
08

References and documents

Publications

  • Majunke N, Desch S, Kister T, Buske M, Poss J, Feistritzer HJ, Erbs S, Hosler N, Wolff J, Schneider S, Ouarrak T, Woitek F, Lenk K, Nef H, Dorr O, Sossalla S, Achenbach S, Marwan M, Barlagiannis D, Haude M, Mahabadi AA, Rassaf T, Thiele H. Non-invasive vessel fractional flow reserve versus fractional flow reserve guidance to revascularize intermediate coronary stenosis (LIPSIA-STRATEGY) trial: study protocol for a randomized controlled trial. Trials. 2026 Apr 1;27(1):287. doi: 10.1186/s13063-026-09652-0. PubMed 41923139 ↗

Individual participant data

Plan to share: Yes — Deidentified individual participant data collected during the LIPSIA-STRATEGY trial, together with a data dictionary, will be made available upon reasonable scientific request, subject to approval by the trial Steering Committee and applicable legal requirements.

Time frame: Data will be available upon publication of the primary trial results. The duration of availability will be determined in accordance with applicable legal and institutional requirements.

Access criteria: Researchers may submit a scientifically justified request to the corresponding authors, including a full study protocol and statistical analysis plan for the proposed research. Requests will be reviewed by the trial Steering Committee, and access will be granted subject to scientific approval and applicable legal requirements.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 Jun 2020 to primary completion in Feb 2026, 67 months.

Of 753 non-industry interventional studies with no phase under Coronary Artery Disease, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 53. This study's 67 months is above that.

Counting every sponsor, half of 930 studies reached it within 30 months; a quarter within 15 and three quarters within 50.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 29, 2026: start Oct 2020 → Jun 2020, primary completion May 2026 → Feb 2026 and completion Nov 2026 → Nov 2029.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Apr 6, 2018
First posted
Apr 13, 2018
StartActual
Jun 20, 2020was Oct 2020
Primary completionActual
Feb 12, 2026was May 2026
CompletionEst.
Nov 5, 2029was Nov 2026
Last update
Oct 29, 2026
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.
Status
Recruiting→Active, not recruiting
changed Oct 29, 2026
Sites
1 site added, 1 site removed
Show site
  • University Clinic Giessen and Marburg · Giessen, Germany
Show 1 removed
  • University Clinic Giessen and Marburg · Gießen, Germany
Oct 29, 2026
Start date
Oct 23, 2020→Jun 20, 2020
Oct 29, 2026
Primary completion
May 1, 2026→Feb 12, 2026 (actual)
Oct 29, 2026
Study completion
Nov 1, 2026→Nov 5, 2029
Oct 29, 2026
Eligibility
1 inclusion criterion edited, 1 removed; 3 exclusion criteria edited
What changed in the criteria
Inclusion criteria
  • EditedCoronary artery disease in one or more native major epicardial vessels or their branches by coronary angiogram with visually assessed de novo coronary stenosis in which the physiological severity of the lesion is in question (typically 40-8090% diameter stenosis).
  • RemovedParticipation in another interventional study
Exclusion criteria
  • EditedSTEMI within 4824 hours of procedure
  • EditedSevere valvular heart disease requiring intervention/surgery
  • EditedACS patients with difficulty in assessing which the culprit lesion is
Oct 29, 2026
Interventions
Added Diagnostic test: Measurement of FFR·Diagnostic test: Measurement of vFFR; removed Diagnostic test: measurement of FFR·Diagnostic test: measurement of Pd/Pa. Arms added: vFFR-guided PCI·FFR-guided PCI; arms removed: Pd/Pa guided Therapy·FFR guided therapy
Oct 29, 2026
Publications
1 publication citing this study linked from PubMed, e.g. PubMed 41923139 ↗
Oct 29, 2026
Sponsor
Collaborators added: Leipzig Heart Science gGmbH
Oct 29, 2026
Show all 1 update
  1. Oct 29, 2026
    Recruiting→Active, not recruiting
    Publications 1 publication citing this study linked from PubMed, e.g. PubMed 41923139 ↗
    1 site added, 1 site removed
    Show site
    • University Clinic Giessen and Marburg · Giessen, Germany
    Show 1 removed
    • University Clinic Giessen and Marburg · Gießen, Germany
    Start date Oct 23, 2020→Jun 20, 2020
    Primary completion May 1, 2026→Feb 12, 2026 (now actual)
    Study completion Nov 1, 2026→Nov 5, 2029
    Eligibility 1 inclusion criterion edited, 1 removed; 3 exclusion criteria edited
    What changed in the criteria
    Inclusion criteria
    • EditedCoronary artery disease in one or more native major epicardial vessels or their branches by coronary angiogram with visually assessed de novo coronary stenosis in which the physiological severity of the lesion is in question (typically 40-8090% diameter stenosis).
    • RemovedParticipation in another interventional study
    Exclusion criteria
    • EditedSTEMI within 4824 hours of procedure
    • EditedSevere valvular heart disease requiring intervention/surgery
    • EditedACS patients with difficulty in assessing which the culprit lesion is
    Interventions Added Diagnostic test: Measurement of FFR·Diagnostic test: Measurement of vFFR; removed Diagnostic test: measurement of FFR·Diagnostic test: measurement of Pd/Pa. Arms added: vFFR-guided PCI·FFR-guided PCI; arms removed: Pd/Pa guided Therapy·FFR guided therapy
    Sponsor Collaborators added: Leipzig Heart Science gGmbH
    + 5 other changes: verification date, description, contact details, data sharing statement and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03497637
Lead sponsor
Helios Health Institute GmbH
Collaborators
Heart Center Leipzig - University Hospital, Leipzig Heart Science gGmbH
Responsible party
Sponsor
First posted
Apr 13, 2018
Start date
Jun 20, 2020
Primary completion
Feb 12, 2026
Completion
Nov 5, 2029 (estimated)
Last update
Oct 29, 2026

Study contacts

Holger Thiele, MD
principal investigator · Heart Center Leipzig - University Hospital

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 active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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