ClinicalTrials.gg
CompletedNCT04298307REPLICAUpdated Jun 15, 2025

Registry of Coronary Lithotripsy in Spain.

An observational study in Cardiovascular Diseases, Arteriosclerosis and Arterial Occlusive Diseases, sponsored by Fundación EPIC. Completed at 26 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-15.

Primary conditionCoronary Artery DiseaseRegistry: Cardiovascular DiseasesReclassifiedWhy we changed it
Registry
Cardiovascular Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Coronary Artery Disease
Why
  1. The study's listed conditions name Coronary Artery Disease, a narrower term within Cardiovascular Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Fundación EPIC · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
426
Ages
18 Years and older
Sex
All
01

Study summary

The REPLICA TRIAL tries to assess the intracoronary lithotripsy safety and efficacy profiles in real-world patients with calcified coronary artery disease.

Read the detailed description

The REPLICA TRIAL tries to assess the intracoronary lithotripsy safety and efficacy profiles in real-world patients with calcified coronary artery disease requiring percutaneous revascularization with stent implantation.

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Conditions studied

  • Cardiovascular Diseases
  • Arteriosclerosis
  • Arterial Occlusive Diseases
  • Vascular Diseases
  • Coronary Artery Disease

Keywords

  • Intracoronary lithotripsy
  • Calcified lesions
  • Percutaneous Coronary Intervention
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In context

Coronary Artery Disease Reclassified

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

This study's enrollment of 426 is above the median of 320 across 1,687 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Fundación EPIC is the lead sponsor of 48 studies on the registry; 19 are open to participants now.

Compared within Coronary Artery Disease, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Cardiovascular Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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Who can participate

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

Study population

Patients will be scheduled to undergo a intracoronary lithotripsy procedure using the Shockwave catheter (Shockwave Medical, Fremont, CA).

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 ≥ 18 years of age.
  • Patients with calcified coronary artery disease requiring percutaneous revascularization with stent implantation who, at the operator's discretion and according to the hospital routine clinical practice, require an ICL with the Shockwave catheter.
  • The patients have been informed of the study characteristics and have given their written .

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate in this study.
  • Patients whose is \< 1 year.
  • Patients with hemodynamic instability with Killip class III or IV.
Terms in these criteria, in plain language(2)

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.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
426 participants (actual)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • Patients with calcified coronary artery disease

    Patients with calcified coronary artery disease require an ICL using the Shockwave catheter.

    Other: Intracoronary lithotripsy (ICL)

Interventions

  • OtherIntracoronary lithotripsy (ICL)

    ICL using the Shockwave catheter.

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What researchers measure

Primary outcomes

  1. Procedural success

    Assessment of procedural success defined as angiographic results (TIMI grade 3 and residual stenosis \< 20% without in-hospital complications ).

    Time frame: Index Procedure

Secondary outcomes

  1. MACE

    Major Cardiovascular Adverse Events (MACE), defined as a composite of cardiac death, target vessel related nonfatal infarction or need for unplanned target vessel revascularization during hospital admission.

    Time frame: Index Procedure

  2. MACE

    Major Cardiovascular Adverse Events (MACE), defined as a composite of cardiac death, target vessel related nonfatal infarction or need for unplanned target vessel revascularization.

    Time frame: 12 months

  3. Residual stenosis

    Assessment of angiographic stenosis during stent implantation

    Time frame: Index Procedure

  4. Death (all cause)

    Death (all cause)

    Time frame: 12 months

  5. Death (cardiovascular)

    Death (cardiovascular)

    Time frame: 12 months

  6. Non-fatal Myocardial Infarction

    Non-fatal Myocardial Infarction

    Time frame: 12 months

  7. Target Vessel Revascularization

    Target Vessel Revascularization

    Time frame: 12 months

  8. Stent thrombosis of target lesion

    Stent thrombosis of target lesion

    Time frame: 12 months

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Study locations

26 sites
  • Hospital Universitario de Cabueñes
    Gijón, Asturias 33394, Spain
  • Hospital Universitario Central de Asturias
    Oviedo, Asturias 33011, Spain
  • Hospital Universitari Germans Trias I Pujol
    Badalona, Barcelona 08916, Spain
  • Hospital Universitari de Bellvitge
    Hospitalet de Llobregat, Barcelona 08907, Spain
  • Hospital Universitario Mutua de Terrassa
    Terrassa, Barcelona 08221, Spain
  • Hospital Universitario Marques de Valdecilla
    Santander, Cantabria 39008, Spain
  • Hospital Clinico Universitario de Santiago de Compostela
    Santiago De Compostela, Coruña 15706, Spain
  • Hospital Universitario A Coruña
    A Coruña, LA Coruña 15006, Spain
  • Hospital Universitario Alvaro Cunqueiro
    Vigo, Pontevedra 36213, Spain
  • Hospital General Universitario de Albacete
    Albacete, 02006, Spain
  • Hospital Universitario de Badajoz
    Badajoz, 06080, Spain
  • Hospital General Universitario de Ciudad Real
    Ciudad Real, 13005, Spain
  • Hospital de León
    León, 24080, Spain
  • Hospital Universitario Lucus Agusti
    Lugo, 27003, Spain
  • Hospital La Luz
    Madrid, 28003, Spain
  • Hospital Universitario La Princesa
    Madrid, 28006, Spain
  • Hospital Clinico San Carlos
    Madrid, 28040, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
  • Hospital Central de La Defensa
    Madrid, 28047, Spain
  • Hospital Universitario Puerta de Hierro
    Majadahonda, 28222, Spain
  • Hospital Universitario de Salamanca
    Salamanca, 37007, Spain
  • Hospital Universitario Donostia
    San Sebastián, 20014, Spain
  • Hospital Universitari Joan Xxiii
    Tarragona, 43005, Spain
  • Hospital Universitario Virgen de La Salud de Toledo
    Toledo, 45004, Spain
  • Hospital Clinico Universitario de Valladolid
    Valladolid, 47003, Spain
  • Hospital Universitario Miquel Servet
    Zaragoza, 50009, Spain
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References and documents

Publications

  • Brinton TJ, Ali ZA, Hill JM, Meredith IT, Maehara A, Illindala U, Lansky A, Gotberg M, Van Mieghem NM, Whitbourn R, Fajadet J, Di Mario C. Feasibility of Shockwave Coronary Intravascular Lithotripsy for the Treatment of Calcified Coronary Stenoses. Circulation. 2019 Feb 5;139(6):834-836. doi: 10.1161/CIRCULATIONAHA.118.036531. No abstract available. PubMed 30715944 ↗
  • Ali ZA, Nef H, Escaned J, Werner N, Banning AP, Hill JM, De Bruyne B, Montorfano M, Lefevre T, Stone GW, Crowley A, Matsumura M, Maehara A, Lansky AJ, Fajadet J, Di Mario C. Safety and Effectiveness of Coronary Intravascular Lithotripsy for Treatment of Severely Calcified Coronary Stenoses: The Disrupt CAD II Study. Circ Cardiovasc Interv. 2019 Oct;12(10):e008434. doi: 10.1161/CIRCINTERVENTIONS.119.008434. Epub 2019 Sep 25. PubMed 31553205 ↗
  • Wong B, El-Jack S, Newcombe R, Glenie T, Armstrong G, Khan A. Shockwave Intravascular Lithotripsy for Calcified Coronary Lesions: First Real-World Experience. J Invasive Cardiol. 2019 Mar;31(3):46-48. doi: 10.25270/jic/19.00048. Epub 2019 Feb 15. PubMed 30765621 ↗
  • Vilalta V, Rodriguez-Leor O, Cid-Alvarez B, et al. Intracoronary Lithotripsy in a High-risk Real-world Population: First Experience in Severely Calcified, Complex Coronary Lesions. REC Interv Cardiol 2019; in press.
  • Bourantas CV, Zhang YJ, Garg S, Iqbal J, Valgimigli M, Windecker S, Mohr FW, Silber S, Vries Td, Onuma Y, Garcia-Garcia HM, Morel MA, Serruys PW. Prognostic implications of coronary calcification in patients with obstructive coronary artery disease treated by percutaneous coronary intervention: a patient-level pooled analysis of 7 contemporary stent trials. Heart. 2014 Aug;100(15):1158-64. doi: 10.1136/heartjnl-2013-305180. Epub 2014 May 20. PubMed 24846971 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04298307
Lead sponsor
Fundación EPIC
Responsible party
Sponsor
First posted
Mar 6, 2020
Start date
May 4, 2020
Primary completion
Jun 1, 2023
Completion
Aug 1, 2023
Last update
Jun 15, 2025

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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