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CompletedNCT06039748Updated May 16, 2025

Angiography-Derived Quantitative Functional Assessment Versus Pressure-Derived FFR and IMR: The FAIR Study

An observational study in Coronary Artery Disease, Heart Diseases and Cardiovascular Diseases, sponsored by Shenzhen Raysight Intelligent Medical Technology Co., Ltd.. Completed at 5 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-16.

Sponsored by Shenzhen Raysight Intelligent Medical Technology Co., Ltd. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
330
Ages
18 Years and older
Sex
All
01

Study summary

Coronary angiography-derived FFR assessment (AngioQFA) is a novel technique for physiological lesion assessment based on 3-dimensional (3D) quantitative coronary angiography (QCA) and virtual hyperemic flow derived from contrast frame count without drug-induced hyperemia. The goal of this prospective, multicenter trial is to compare the diagnostic performance of AngioQFA with invasive FFR as the reference standard. The secondary purpose is to compare the diagnostic accuracies of the computational fluid dynamics (CFD)-based index of microcirculatory resistance (IMR) using wire-based IMR as the reference standard.

02

Conditions studied

  • Coronary Artery Disease
  • Heart Diseases
  • Cardiovascular Diseases
  • Arteriosclerosis
  • Coronary Stenosis
  • Vascular Diseases
  • Ischemia
03

In context

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 330 is close to the median of 320 across 1,687 observational studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Shenzhen Raysight Intelligent Medical Technology Co., Ltd. is the lead sponsor of 4 studies on the registry; 1 is 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
Sampling method
Non-probability sample

Study population

Patients with coronary artery disease admitted for coronary angiography due to high risk of significant coronary stenosis

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

  • General Inclusion Criteria:

    1. Age ≥18 years.
    2. Coronary angiography is required for patients with suspected or confirmed coronary artery disease.
    3. The subject has been informed of the nature of the study, agrees to its provisions and has provided written .
  • Angiographic Inclusion Criteria:

    1. Diameter stenosis of 30%-90% by visual estimate
    2. Reference vessel size ≥2 mm in stenotic segment by visual estimate

Exclusion criteria

Exclusion Criteria:

Patients meeting any of the following criteria will be excluded:

  • General Exclusion Criteria:

    1. Subject has undergone CABG of the target vessel.
    2. Evidence of an acute myocardial infarction within one week prior to the intended procedure.
    3. Severe heart failure (≥III)
    4. Patients with other serious conditions not eligible for clinical trials, such as severe arrhythmia or tachycardia, sinus syndrome, asthma, severe .
    5. Serum creatinine level of >150µmol / L.
    6. Subject has known allergy to iodinated contrast agents, adenosine, or ATP.
    7. Pregnant or breastfeeding.
    8. Repeated enrollment.
    9. Any other factors that the researchers consider not suitable for diagnostic intervention or FFR and IMR detection, such as the target vessel has collateral circulation, coronary spasm, the target vessel plaque rupture resulting in myocardial infarction, or other reasons deemed unsuitable for inclusion.
  • Angiographic Exclusion Criteria:

    1. Myocardial bridge or coronary artery fistula on the study lesions.
    2. The target lesion ≥50% diameter stenosis in the left main coronary artery or ostial lesions less than 3 mm to the RCA.
    3. Low-quality angiography with poor contrast agent filling or inability to detect vascular boundaries due to various reasons, vascular overlap or severe distortion of the target vessel to fully expose the lesion location is not expected to be calculated.
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.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

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

Groups and cohorts

  • AngioQFA

    Other: AngioQFA

Interventions

  • OtherAngioQFA

    FFR measured by pressure wire, AngioQFA computed by coronary angiographic images

06

What researchers measure

Primary outcomes

  1. Diagnostic sensitivity of AngioQFA versus wire-based FFR for demonstration of coronary ischemia on a per-patient basis.

    Positive FFR is defined as FFR≤0.80. Positive AngioQFA is defined as AngioQFA≤0.80.

    Time frame: 1 hour

  2. Diagnostic sensitivity of AngioIMR versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-patient basis.

    Positive IMR is defined as IMR≥25. Positive AngioIMR is defined as AngioIMR≥25.

    Time frame: 1 hour

  3. Diagnostic specificity of AngioQFA versus wire-based FFR for demonstration of coronary ischemia on a per-patient basis.

    Negative FFR is defined as FFR\>0.80. Negative AngioQFA is defined as AngioQFA\>0.80.

    Time frame: 1 hour

  4. Diagnostic specificity of AngioIMR versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-patient basis.

    Negative IMR is defined as IMR\<25. Negative AngioIMR is defined as AngioIMR\<25.

    Time frame: 1 hour

Secondary outcomes

  1. Diagnostic accuracy, positive predictive value and negative predictive value of AngioQFA versus wire-based FFR for demonstration of coronary ischemia on a per-patient basis.

    Diagnostic accuracy, positive predictive value and negative predictive value of AngioQFA versus wire-based FFR for demonstration of coronary ischemia on a per-patient basis.

    Time frame: 1 hour

  2. Diagnostic performance of AngioQFA in comparison to FFR on a per-vessel basis.

    Diagnostic performance includes sensitivity, specificity, accuracy, positive predictive value and negative predictive value.

    Time frame: 1 hour

  3. AUC and ROC of AngioQFA Versus wire-based FFR for demonstration of ischemia on a per-vessel basis and a per-patient basis.

    AUC and ROC of AngioQFA Versus wire-based FFR for demonstration of ischemia on a per-vessel basis and a per-patient basis.

    Time frame: 1 hour

  4. The consistency of AngioQFA Versus wire-based FFR for demonstration of ischemia on a per-vessel basis and a per-patient basis.

    The consistency of AngioQFA Versus wire-based FFR for demonstration of ischemia on a per-vessel basis and a per-patient basis.

    Time frame: 1 hour

  5. Diagnostic accuracy, positive predictive value and negative predictive value of AngioIMR versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-patient basis.

    Diagnostic accuracy, positive predictive value and negative predictive value of AngioIMR versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-patient basis.

    Time frame: 1 hour

  6. Diagnostic performance of AngioIMR in comparison to IMR on a per-vessel basis.

    Diagnostic performance includes sensitivity, specificity, accuracy, positive predictive value and negative predictive value.

    Time frame: 1 hour

  7. AUC and ROC of AngioIMR Versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-vessel basis and a per-patient basis.

    AUC and ROC of AngioIMR Versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-vessel basis and a per-patient basis.

    Time frame: 1 hour

  8. The consistency of AngioIMR Versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-vessel basis and a per-patient basis.

    The consistency of AngioIMR Versus wire-based IMR for demonstration of coronary microvascular dysfunction on a per-vessel basis and a per-patient basis.

    Time frame: 1 hour

  9. Diagnostic sensitivity and specificity of AngioQFA and QCA DS% versus wire-based FFR for demonstration of coronary ischemia.

    FFR≤0.80 is defined as "positive", FFR\>0.80 is defined as "negative"; DS%≥50% is defined as "positive", DS%\<50% is defined as "negative".

    Time frame: 1 hour

  10. Diagnostic accuracy of AngioQFA versus wire-based FFR for demonstration of coronary ischemia after PCI.

    Postoperative FFR≤0.89 was defined as "positive", FFR\>0.89 is defined as "negative".

    Time frame: 1 hour

  11. The Pearson correlation coefficient and consistency of AngioQFA Versus wire-based FFR for demonstration of ischemia on a per-vessel basis after PCI.

    The Pearson correlation coefficient and consistency of AngioQFA Versus wire-based FFR for demonstration of ischemia on a per-vessel basis after PCI.

    Time frame: 1 hour

07

Study locations

5 sites
  • Jieyang People's Hospital
    Jieyang, Guangdong, China
  • The Eighth Affiliated Hospital of Sun Yat-Sen University
    Shenzhen, Guangdong 518033, China
  • Renmin Hospital of Wuhan University
    Wuhan, Hubei 430090, China
  • Yan'an Affiliated Hospital of Kunming Medical University
    Kunming, Yunnan 650051, China
  • Sir Run Run Shaw Hospital
    Hangzhou, Zhejiang 310013, China
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06039748
Lead sponsor
Shenzhen Raysight Intelligent Medical Technology Co., Ltd.
Collaborators
Renmin Hospital of Wuhan University, Yan'an Affiliated Hospital of Kunming Medical University, Sir Run Run Shaw Hospital, Jieyang People's Hospital, Eighth Affiliated Hospital, Sun Yat-sen University
Responsible party
Sponsor
First posted
Sep 15, 2023
Start date
Sep 13, 2023
Primary completion
Jan 14, 2024
Completion
Jan 14, 2024
Last update
May 16, 2025

Study contacts

Hong Jiang
study director · Renmin Hospital of Wuhan University
Qiang Xue
principal investigator · Yan'an Affiliated Hospital of Kunming Medical University
Guosheng Fu
principal investigator · Sir Run Run Shaw Hospital
Jianwen Liang
principal investigator · The Eighth Affiliated Hospital of Sun Yat-sen University
Qiang Wu
principal investigator · Jieyang People's Hospital

Oversight

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

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This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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