ClinicalTrials.gg
CompletedNCT05447585Updated Aug 10, 2026

Coronary Atherectomy System in Patients With Coronary Calcification (CORECT)

An interventional study of Coronary atherectomy system of Shanghai MicroPort Rhythm and Rotablator Rotational Atherectomy System in Calcification of Coronary Artery, sponsored by Shanghai MicroPort Rhythm MedTech Co., Ltd.. Completed at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by Shanghai MicroPort Rhythm MedTech Co., Ltd. (part of MicroPort Scientific Corporation) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
239
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a prospective and multicenter clinical investigation aiming to evaluate the safety and effectiveness of coronary atherectomy system for the treatment of patients with coronary calcification.

Read the detailed description

This study is divided into two phases. The first phase is the pilot study stage, which is a prospective single group observational test (FIM stage). The second phase is the pivotal study phase, which is a prospective, multicenter, randomized controlled and non inferiority test (RCT phase). It is carried out in about 25 hospitals in China.

  1. Pilot study phase (FIM phase): It is a prospective, multicenter and single-arm observational test. It is expected to recruit 15 subjects in 3 to 5 research centers in China. The primary endpoint is procedural success rate.
  2. Pivotal study phase (RCT phase): It is a prospective, multicenter, randomized controlled and non inferiority trial. 224 subjects are expected to be recruited in 25 research centers in China and randomly divided into two groups according to the ratio of test group: control group = 1:1. The primary endpoint of the RCT phase is the rate of no major adverse cardiovascular events (MACE) at 30 days after baseline.
  3. All subjects with coronary calcified lesions participating in this clinical study must have a calcified lesion length of no more than 40 mm and located in an coronary artery with a diameter of ≥ 2.50 mm but ≤ 4.00 mm.
  4. All subjects receive clinical follow-up during hospitalization and 30 days, 6 months and 12 months after surgery.
  5. Successful enrollment: The atherectomy guidewires pass through the target lesion successfully (through the true lumen), and there are no vascular perforation, dissection, thrombosis and other complications.
02

Conditions studied

  • Calcification of Coronary Artery

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Keywords

  • calcification, coronary artery
03

In context

Calcinosis

91 studies on the registry are indexed under Calcinosis; 19 are open to participants now.

This study's enrollment of 239 is above the median of 70 across 56 interventional studies indexed under Calcinosis.

Browse Calcinosis studies →

Lead sponsor

Shanghai MicroPort Rhythm MedTech Co., Ltd. is the lead sponsor of 8 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Clinical Inclusion Criteria:

CI1. Age between 18 and 80.

CI2. Subjects who are going to accept percutaneous coronary intervention (PCI) and drug-eluting stent implantation.

CI3. Asymptomatic evidence of ischemia, stable or unstable angina pectoris, or old myocardial infarction.

CI4. Acceptable candidates for coronary artery bypass grafting (CABG).

CI5. The (LVEF) is equal to or greater than 30% measured by echocardiography or left ventricle contrast examination within 30 days before inclusion.

CI6. Subjects who are able to understand the purpose of the trial, participate voluntarily or by proxy and indicate by signing the form that they recognize the risks and benefits described in the informed consent document and are willing to undergo clinical follow-up.

Angiography Inclusion Criteria:

AI1. There is only one target lesion that needs to be treated.

AI2. The target vessel must be a native coronary artery with reference diameter >= 2.5mm and \<= 4.0 mm.

AI3. The target vessel must be with a stenosis of >= 70% and \< 100%Target lesion angiographic stenosis, or of >=50% and \<70% with local ischemic symptoms.

AI4. Target lesion length ≤ 40 mm .

AI5. The target lesion must have evidence of severe calcium deposit, or moderate calcification which cannot be fully expanded by PTCA balloon catheter at the lesion site based on the protocol criterion, .

Clinical Exclusion Criteria:

CE1. Acute myocardial infarction within 30 days prior to baseline procedure.

CE2. or Killip class III or IV heart failure.

CE3. Severe cardiac insufficiency with reduced ejection fraction (left ventricular ejection fraction \< 30%).

CE4. Intracardiac thrombus within 30 days before inclusion.

CE5. Subjects who have received organ transplantation or is waiting for organ transplantation.

CE6. Subjects who are receiving chemotherapy or scheduled to receive chemotherapy 30 days before or after baseline surgery.

CE7. Subjects who are receiving chronic (≥ 72 hours) anticoagulant therapy (e.g. heparin, warfarin, coumarin) for indications other than acute coronary syndrome.

CE8. Participants' \< 50 × 10\^9 / L or > 700 × 10\^9 / L, and / or \< 70g / L.

CE9. Subjects with confirmed or suspected liver diseases, including active hepatitis, or abnormal laboratory results are not suitable for the study.

CE10. Subjects diagnosed with chronic renal failure or has a serum creatinine level >2.5 mg/dl (or 221 µmol / L).

CE11. Subjects who have clear bleeding tendency, of antiplatelet preparation and anticoagulant treatment, and are unable to receive antithrombotic treatment.

CE12. History of cerebrovascular accident (CVA), (TIA), active peptic ulcer disease, gastrointestinal (GI) bleeding, transient ischemic attack (TIA), or permanent neurological defects that may lead to non-compliance with the test protocol in the past 6 months.

CE13. Target vessels (including collateral vessels) received any stent implantation within 12 months before baseline surgery.

CE14. Non target vessels were treated with any type of PCI within 24 hours before baseline surgery.

CE15. PCI or CABG is planned within 2 months after baseline procedure.

CE16. History of coronary endovascular brachytherapy at any time.

CE17. Known to any drugs required by the stent or protocol (such as rapamycin or structure related compounds, fluoropolymers, aspirin or tigrelol, contrast medium, acrylic acid, stainless steel, chromium, nickel, iron, tungsten).

CE18. Subjects who have other serious medical diseases (such as cancer, congestive heart failure), which may reduce to less than 12 months or it is expected to be difficult to complete 12-months follow-up.

CE19. Subjects who currently abuse drugs, such as heroin, alcohol, etc.

CE20. Subjects who plan to undergo surgery that may lead to non-compliance with the protocol or confusion in data interpretation.

CE21. Currently enrolled in any other clinical trial (does not reach its primary endpoint), or intended to participate in any other clinical trial within 12 months after baseline procedure.

CE22. Females subjects who are pregnant,breast feeding or planning to become pregnant within the study period.

CE23. Untrolled diabetes.

CE24. Inability to understand the study or a history of non-compliance with medical advice.

Angiographic Exclusion Criteria:

AE1. Target lesions that meet the following criteria:

  • Ostial lesions (within 5mm of ostium);
  • Target lesions involve bifurcation lesions, and branch vessels need to be implanted with stents;
  • Angular lesions (> 45 °)
  • Located in a native vessel distal to anastomosis with a saphenous vein graft or LIMA/RIMA bypass;
  • Thrombosis in the target vessel;
  • Target lesion dissection;
  • In-stent restenosis;
  • Chronic total occlusion lesions that cannot be passed through by atherectomy guidewire.

AE2. Unprotected left main coronary artery disease (> 50% diameter stenosis).

AE3. Protected left main coronary artery disease (> 50% diameter stenosis at LMCA and left coronary artery receive bypass grafting), and the target lesion is located in LAD or LCX.

AE4. Other clinical significant lesions in target vessels may require intervention within 2 months after baseline surgery.

AE5. The target vessel (including collateral) near the target lesion or within 10 mm (visually) from the distal end of the target lesion has received stent implantation at any time before baseline surgery.

AE6. Especially tortuous target vessels. AE7. Non-target lesion failed to be treated before the treatment of target lesion.

Terms in these criteria, in plain language(9)

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.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
239 participants (actual)

Study arms

  • Experimental
    Coronary Atherectomy System

    Subjects in experimental arm will be treated with the Coronary Atherectomy System manufactured by Shanghai Microport Rhythm Co. Ltd.

    Device: Coronary atherectomy system of Shanghai MicroPort Rhythm

  • Active comparator
    Rotablator Rotational Atherectomy System

    Subjects in control arm will be treated with Rotablator Rotational Atherectomy System manufactured by Boston Scientific Corporation

    Device: Rotablator Rotational Atherectomy System

Interventions

  • DeviceCoronary atherectomy system of Shanghai MicroPort Rhythm

    Coronary Atherectomy System utilizes a diamond-coated eccentric crown to expand the lumen diameter via centrifugal forces while rotating over an atherectomy guide wire.

    Also known as: Stenting will be applied in both arms

  • DeviceRotablator Rotational Atherectomy System

    The Rotablator Rotational Atherectomy System is comprised of a Rotablator RotaGlide, a Rotablator RotaLink Plus/RotaWire/Console

    Also known as: Stenting will be applied in both arms

06

What researchers measure

Primary outcomes

  1. FIM phase: Clinical success

    Clinical success is defined as successful stent delivery with a residual stenosis of \<50% and TIMI flow III without adverse events during procedure the occurrence of an in-hospital MACE (up to 7 days after surgery).

    Time frame: During hospitalization (up to 7 days after baseline procedure).

  2. RCT phase: 30-Day Freedom From Major Adverse Cardiac Events (MACE)

    MACE is composed of cardiac death, myocardial infarction and target vessel revascularization.

    Time frame: 30 days after baseline procedure.

Secondary outcomes

  1. Device success

    Device success is defined as successful stent delivery after atherectomy and without periprocedural complications

    Time frame: Baseline procedure

  2. Procedural success

    Procedural success was defined as successful stent delivery with \<50% residual stenosis and TIMI flow III and without periprocedural complications

    Time frame: Baseline procedure

  3. Procedure-related complications

    Procedure-related complications are defined as severe dissection (Type D to F), perforation, stent upload and in-stent thrombosis.

    Time frame: Baseline procedure

07

Study locations

1 site
  • The Second Affiliated Hospital Zhejiang University School of Medicine
    Hangzhou, Zhejiang 310009, China
08

References and documents

Publications

  • Li C, Wang M, Jiang J, Ma X, Yu H, Dong P, Chen X, Wang L, Hong L, Xie P, Yang Q, Ma G, Zhong Y, Lin B, Cao R, Wu T, Shen J, Yue B, Wang J; CORECT Investigators. Safety and Efficacy of a Novel Rotational Atherectomy System in Coronary Calcifications: The CORECT Trial. JACC Asia. 2026 Jul;6(7):1135-1145. doi: 10.1016/j.jacasi.2026.04.035. PubMed 42412697 ↗
09

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 Jul 2022 to primary completion in Aug 2023, 13 months.

Of 19 interventional studies with no phase under Calcinosis, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 47. This study's 13 months is below that.

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

Registered
Jun 16, 2022
First posted
Jul 7, 2022
StartActual
Jul 1, 2022
Primary completionActual
Aug 10, 2023
CompletionActual
Aug 10, 2023
Last update
Aug 10, 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.
No changes since tracking began. The registry record was last updated on Aug 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05447585
Responsible party
Sponsor
First posted
Jul 7, 2022
Start date
Jul 1, 2022
Primary completion
Aug 10, 2023
Completion
Aug 10, 2023
Last update
Aug 10, 2026

Study contacts

Jianan Wang, M.D.
principal investigator · Second Affiliated Hospital, Zhejiang University, School of Medicine

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 Aug 2026. You cannot join it, but the record below documents what was studied.

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