CClinicalTrials.gg
CompletedNCT04255043ULTIMATE-IIIUpdated Nov 15, 2024

Intravascular Ultrasound Versus Angiography Guided Drug-coated Balloon

An interventional study of IVUS guidance and Angiography guidance in Coronary Artery Disease, sponsored by Nanjing First Hospital, Nanjing Medical University. Completed at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by Nanjing First Hospital, Nanjing Medical University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
260
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Drug-coated balloon (DCB) is an alternative choice for denovo lesions in coronary artery disease patients with high bleeding risk. Intravascular ultrasound (IVUS) can provide more details of coronary anatomy and stent implantation, overcoming a number of limitations of coronary angiography. However, the benefit of IVUS-guided DCB treatment has not been investigated. This study is designed to compare IVUS-guided and Angiography-guided DCB treatment for coronary denovo lesions in patients with high bleeding risk.

Read the detailed description

This is a prospective, multicenter, randomized controlled trial that aims to enroll 260 patients with high bleeding risk.

All patients with coronary denovo lesions suitable for DCB treatment will undergo 1:1 randomization to either IVUS guidance or Angiography guidance using the Central Randomization System.

All subjects will be screened according to the predefined inclusion and exclusion criteria per protocol. Data and images will be collected during the index procedure, and at the predefined 7-month coronary angiography follow-up visit.

02

Conditions studied

  • Coronary Artery Disease
03

In context

Coronary Artery Disease

5,598 studies on the registry are indexed under Coronary Artery Disease; 957 are open to participants now.

This study's enrollment of 260 is above the median of 124 across 3,436 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Nanjing First Hospital, Nanjing Medical University is the lead sponsor of 213 studies on the registry; 106 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

Inclusion criteria

  1. De novo lesions, suitable for DCB treatment.
  2. Patients with high bleeding risk.

Exclusion criteria

Exclusion Criteria:

  1. Target lesion length > 15mm.
  2. Severe calcified lesions.
  3. Left main disease.
  4. Ostial lesions.
  5. Three-vessel disease.
  6. Acute myocardial infarction within 48 hours.
  7. Target vessel received stent implantation.
  8. Hemodynamic instability.
05

Study design

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

Study arms

  • Experimental
    IVUS-guided DCB

    In the IVUS guidance group, IVUS assessment will be used before procedure, post-procedure, and at the follow-up.

    Device: IVUS guidance

  • Active comparator
    Angiography-guided DCB

    In the Angiography guidance group, DCB treatment will be guided by routine coronary angiography.

    Device: Angiography guidance

Interventions

  • DeviceIVUS guidance

    IVUS (Boston Scientific®) guidance + DCB (Sequent® Please) treatment

  • DeviceAngiography guidance

    DCB (Sequent® Please) treatment

06

What researchers measure

Primary outcomes

  1. late lumen loss (LLL) at 7 months after procedure

    LLL is defined as the difference between postprocedural minimal lumen diameter (MLD) minus MLD at the time of angiographic follow-up

    Time frame: 7 months

Secondary outcomes

  1. Target vessel failure (TVF) at 6 months

    TVF is defined as the composite of cardiac death, target-vessel myocardial infarction and ischemia-driven target-vessel revascularization.

    Time frame: 6 months

  2. bleeding at 6 months

    bleeding

    Time frame: 6 months

07

Study locations

1 site
  • Nanjing First Hospital
    Nanjing, Jiangsu, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04255043
Lead sponsor
Nanjing First Hospital, Nanjing Medical University
Responsible party
Junjie Zhang (Vice chief of the department of cardiology, Nanjing First Hospital, Nanjing Medical University) — Principal investigator
First posted
Feb 5, 2020
Start date
Feb 3, 2020
Primary completion
Dec 30, 2023
Completion
Dec 30, 2023
Last update
Nov 15, 2024

Study contacts

Shao-Liang Chen, MD
study chair · Nanjing First Hospital, Nanjing Medical University

Oversight

Data monitoring committee
Yes
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 2024. You cannot join it, but the record below documents what was studied.

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