ClinicalTrials.gg
RecruitingNCT06369142ISAR-WAVEUpdated Jan 6, 2026

Intracoronary Stenting and Additional Results Achieved by ShockWAVE Coronary Lithotripsy

An interventional study of Intravascular lithotripsy (IVL) and Standard non-IVL methods in Coronary Artery Disease, sponsored by Deutsches Herzzentrum Muenchen. Recruiting at 22 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-06.

Sponsored by Deutsches Herzzentrum Muenchen · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
666
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The clinical trial is intended to evaluate the efficacy, safety and economic benefit of coronary lithotripsy compared to other additional procedures (cutting or super high pressure balloon angioplasty, ablative procedures) in lesion preparation and interventional treatment of severely calcified coronary stenoses.

02

Conditions studied

  • Coronary Artery Disease

Keywords

  • Coronary Artery Disease
  • Calcified lesion
  • Percutaneous Coronary Intervention
  • Stent
  • Intravascular Lithotripsy
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 planned enrollment of 666 is above the median of 124 across 3,006 interventional studies indexed under Coronary Artery Disease.

Browse Coronary Artery Disease studies →

Lead sponsor

Deutsches Herzzentrum Muenchen is the lead sponsor of 114 studies on the registry; 10 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

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

  1. age ≥18 years and able to give
  2. written informed consent to participate in the clinical trial
  3. typical angina pectoris or non-invasive evidence of relevant ischemia under optimal drug therapy
  4. angiographic evidence of coronary artery disease
  5. de novo lesion in a native coronary artery
  6. target vessel diameter 2.5-4 mm
  7. severe calcification of the target lesion (angiographic grade 3)

Exclusion criteria

Exclusion Criteria:

  1. myocardial infarction \<1 week
  2. thrombus in the target vessel
  3. due to other disease \<1 year
  4. simultaneous participation in a clinical trial with medical devices or medicinal products that has not yet been completed
  5. pregnancy (current, suspected, planned) or positive pregnancy test
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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
666 participants (estimated)

Study arms

  • Experimental
    Lesion preparation using coronary intravascular lithotripsy

    Device: Intravascular lithotripsy (IVL)

  • Active comparator
    Lesion preparation using other methods than intravascular lithotripsy

    e.g. cutting or super high pressure balloons and/or ablative procedures

    Device: Standard non-IVL methods

Interventions

  • DeviceIntravascular lithotripsy (IVL)

    Intravascular lithotripsy (IVL) and ballons with a nominal rated burst pressure of ≤ 18 atm

  • DeviceStandard non-IVL methods

    Standard non-IVL methods treating severely calcified lesions such as special high, super high and cutting balloons and ablative procedures

06

What researchers measure

Primary outcomes

  1. Combined endpoint of major cardiac and cerebrovascular events

    all-cause mortality, non-fatal myocardial infarction, non-fatal stroke, clinically indicated revascularisation of the target vessel

    Time frame: 12 months after randomization

Secondary outcomes

  1. Mortality

    Time frame: 12 months after randomization

  2. Cardiac mortality

    Time frame: 12 months after randomization

  3. Non-fatal myocardial infarction

    Time frame: 12 months after randomization

  4. Non-fatal stroke

    Time frame: 12 months after randomization

  5. Clinically indicated target vessel revascularization

    Time frame: 12 months after randomization

  6. Definite stent thrombosis

    Time frame: 12 months after randomization

  7. Clinically indicated non-target vessel revascularization

    Time frame: 12 months after randomization

  8. Hospitalization due to acute coronary syndrome

    Time frame: 12 months after randomization

  9. Symptoms of coronary heart disease (CHD): physical health status

    Time frame: 12 months after randomization

  10. Symptoms of CHD: mental health status

    Time frame: 12 months after randomization

  11. Bleeding during index hospitalization or ≤30 days (BARC 3-5)

    Time frame: 30 days after randomization

  12. Procedural failure (failed application of study-related additional procedure, final TIMI flow <3, >30% residual stenosis, vessel perforation, stent loss, stent delivery failure)

    Time frame: 12 months after randomization

  13. Medical costs (index hospitalization and costs for re-hospitalization due to acute coronary syndrome)

    Time frame: 12 months after randomization

07

Study locations

18 of 22 sites recruiting
  • Universitätsklinikum Heidelberg, Klinik für Kardiologie, Angiologie und Pneumologie
    Heidelberg, Baden-Wurttemberg 69120, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Universitätsklinikum Mannheim GmbH, I. Medizinische Klinik, Kardiologie, Angiologie, Hämostaseologie, Internistische Intensivmedizin
    Mannheim, Baden-Wurttemberg 68167, Germany
    Recruiting
    • Ibrahim Akin, Prof. Dr. med. · Contactibrahim.akin@umm.de · +49-621-383 2512
    • Ibrahim Akin, Prof. Dr. med. · Principal investigator
  • Hegau-Bodensee-Klinikum Singen GmbH, I. Medizinsche Klinik (Kardiologie und internistische Intensivmedizin)
    Singen, Baden-Wurttemberg 78224, Germany
    Recruiting
    • Marc Kollum, PD Dr. med. · Contactmarc.kollum@glkn.de · +49-7731-89 2600
    • Marc Kollum, PD Dr. med. · Principal investigator
  • Cardiologikum Herzklinik Ulm MVZ
    Ulm, Baden-Wurttemberg 89077, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Universitätsklinikum Ulm
    Ulm, Baden-Wurttemberg 89081, Germany
    Recruiting
  • Universitätsklinikum Augsburg A.ö.R.
    Augsburg, Bavaria 86156, Germany
    Recruiting
  • Helios Amper-Klinikum Dachau, Kardiologie und Pneumologie
    Dachau, Bavaria 85221, Germany
    Recruiting
  • Klinikum Landkreis Erding
    Erding, Bavaria 85435, Germany
    Recruiting
  • Klinikum Ingolstadt
    Ingolstadt, Bavaria 85049, Germany
    Recruiting
  • Deutsches Herzzentrum München
    Munich, Bavaria 80636, Germany
    Recruiting
    • Salvatore Cassese, PD, PHD · Contactcassese@dhm.mhn.de · +49 89 1218
    • Salvatore Cassese, MD, PDH · Principal investigator
  • Klinikum der Ludwig-Maximilians-Universität München
    München, Bavaria 81337, Germany
    Not yet recruiting
  • Augustinum Klinik München
    München, Bavaria 81375, Germany
    Recruiting
  • Universitäres Herz- und Gefäßzentrum
    Hamburg, Free and Hanseatic City of Hamburg 20246, Germany
    Recruiting
  • Krankenhaus Landshut-Achdorf, LAKUMED Kliniken
    Landshut, Germany 84036, Germany
    Recruiting
  • Klinikum Hersfeld Rotenburg GmbH Herz-Kreislauf-Zentrum Institut für Klinische Forschung
    Rotenburg an der Fulda, Hesse 36199, Germany
    Recruiting
    • Marcus Franz, Prof. Dr. med. · ContactM.Franz@hkz-rotenburg.de · +49-6623-88 60 10
    • Marcus Franz, Prof. Dr. med. · Principal investigator
  • Herz- und Diabeteszentrum Nordrhein-Westfalen
    Bad Oeynhausen, North Rhine-Westphalia 32545, Germany
    Recruiting
  • Elisabeth Krankenhaus Essen Contilia Herz- und Gefäßzentrum Klinik für Kardiologie und Angiologie Kardiovaskuläres Studienzentrum
    Essen, North Rhine-Westphalia 45138, Germany
    Recruiting
    • Tobias Weinreich, Dr. med. · Contactt.weinreich@contilia.de · +49-201-897 3200
    • Tobias Weinreich, Dr. med. · Principal investigator
  • Krankenhaus Barmherzige Brüder Trier
    Trier, Rhineland-Palatinate 54292, Germany
    Recruiting
  • Herzzentrum Dresden GmbH Universitätsklinik an der Technischen Universität Dresden
    Dresden, Saxony 01307, Germany
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Asklepios Klinik Bad Oldesloe Innere Medizin, Kardiologie und Intensivmedizin
    Bad Oldesloe, Schleswig-Holstein 23843, Germany
    Recruiting
    • Ralph Tölg, PD Dr. med. · Contactr.toelg@asklepios.com · +49-4531-682405
    • Ralph Tölg, PD Dr. med. · Principal investigator
  • Klinik für Kardiologie, Angiologie und Intensivmedizin Deutsches Herzzentrum der Charité
    Berlin, State of Berlin 10117, Germany
    Recruiting
  • BG Klinikum Unfallkrankenhaus Berlin gGmbH
    Berlin, State of Berlin 12683, Germany
    Recruiting
08

References and documents

Publications

  • Cassese S, Simonetti F, Covarrubias HAA, Janisch M, Joner M, Kufner S, Lenz T, Pellegrini C, Rheude T, Sager H, Schunkert H, Starnecker F, Voll F, Xhepa E, Kastrati A, Kessler T. Intracoronary stenting and additional results achieved by shockWAVE coronary lithotripsy: design and rationale of ISAR-WAVE trial. Am Heart J. 2025 Apr;282:1-12. doi: 10.1016/j.ahj.2024.12.008. Epub 2024 Dec 20. PubMed 39710352 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06369142
Collaborators
Gemeinsamer Bundesaussschuss, EvidentIQ Germany GmbH, Monitoring Services GmbH, Technical University of Munich
Responsible party
Sponsor
First posted
Apr 16, 2024
Start date
Jul 1, 2024
Primary completion
Apr 30, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Jan 6, 2026

Study contacts

Salvatore Cassese, MD, PHD
Contact
cassese@dhm.mhn.de
+49891218 ext. 2764
Thorsten Kessler, MD
Contact
thorsten.kessler@tum.de
+49891218 ext. 2786
Adnan Kastrati, MD
study chair · Deutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen

Oversight

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

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