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RecruitingNCT06979427Updated May 21, 2025

CTFFR and Prediction of Non-Significant CAD Lesions

An interventional study of NIFFR in Chronic Coronary Syndrome, sponsored by Shiraz University of Medical Sciences. Recruiting at 1 site in Iran, Islamic Republic of. Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-05-21.

Sponsored by Shiraz University of Medical Sciences · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Jul 2026, 4 months ago, but the record still lists the study as recruiting.
  • Registered 1 year 4 months after the study started (first participant enrolled Jan 2024, registered May 2025).
  • Started Jan 2024; still recruiting 2 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
250
Allocation
Non-randomized
Ages
20 Years to 80 Years
Sex
All
01

Study summary

In this prospective cohort study, 250 patients with suspected or known CAD and at least one intermediate coronary lesion (50-70% stenosis) who had a NiFFR value greater than 0.80 underwent coronary computed tomography angiography (CCTA) with NiFFR assessment. Patients were followed for one year to monitor for MACE

Read the detailed description

This prospective cohort includes people with known or suspected CAD who had both CCTA and ICA with this index (FFR) measurements. Patients were enrolled if they had at least one intermediate coronary lesion (classified as 50-70% diameter stenosis on visual judgment) on CCTA and then underwent FFR testing.

Data about the patients was acquired from the Professor Kojuri registry. The database provided demographic information for instance age, gender, CAD family history, prior CAD history, hypertension (HTN), diabetes mellitus (DM), and hyperlipidaemia (HLP). The prevalence of cigarette smoking and the ejection fraction of the left ventricle. Lesion and Vessel Characteristics were also collected from registry.

The target vessel was identified (LAD, RCA, LCX, or LMC), the lesion was located (proximal, mid, or bifurcation), the vessel diameters were measured (proximal, distal, stenotic), and the lesion length was determined. Measurements were taken using CCTA datasets using semi-automated software methods.

Patients were clinically monitored for one year after examination. The primary outcome was the occurrence of major cardiovascular consequences, or MACE, which included cardiac-related death, acute coronary syndrome (ACS), unexpected revascularisation, and hospitalization for cardiac reasons. Throughout the one-year study period, all participants were visited every three months and followed up with phone calls.

02

Conditions studied

  • Chronic Coronary Syndrome

Keywords

  • Chronic Coronary Syndrome
  • Major adverse coronary events (MACE)
  • fractional flow reserve
  • coronary CT angiography
03

In context

Lead sponsor

Shiraz University of Medical Sciences is the lead sponsor of 130 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 80 Years
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

  • Patients were enrolled if they had at least one intermediate coronary lesion (classified as 50-70% diameter stenosis on visual judgment) on CCTA and then underwent FFR testing

Exclusion criteria

Exclusion Criteria:

  • Patients having past coronary artery bypass graft surgery (CABG)
  • previous PCI in the target vascular
  • significant renal impairment define with \< 30 mL/min/1.73 m²
  • contrast allergy
  • poor image quality that prevented appropriate CCTA or CT-FFR analysis
Terms in these criteria, in plain language(1)

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
250 participants (estimated)

Study arms

  • Experimental
    nonsignificant NIFFR

    patients with coronary artery lesion in CT angiography, with NIFFR of more than 0.8

    Diagnostic Test: NIFFR

  • Active comparator
    significant NIFFR

    patients with coronary artery lesion in CT angiography, with NIFFR of more than 0.8

    Diagnostic Test: NIFFR

Interventions

  • Diagnostic testNIFFR

    Fractional flow reserve derived from CT angiography from lesion between 50-70%

    Also known as: Non invasive fractional flow reserve

06

What researchers measure

Primary outcomes

  1. Number of patients with MACE

    Number of patients with Major adverse cardiac events,which included cardiac-related death, acute coronary syndrome (ACS), unexpected revascularisation, and hospitalization for cardiac reasons, stroke

    Time frame: 1 year

  2. Number of patients with bleeding

    Number of patients with major or minor bleeding based on BARC classification

    Time frame: 1 year

Secondary outcomes

  1. Number of patients with dyspnoea

    Number of patients with minor and major dyspnoea ( based on that it affect daily activity or tolerable or not)

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
  • Professor Kojuri Cardiology Clinic
    Shiraz, Fars 55318, Iran, Islamic Republic of
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — data sharing by rational request

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2024 (actual). Primary completion is estimated for Jul 2026, 30 months after the start.

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

Registered
May 16, 2025
First posted
May 19, 2025
StartActual
Jan 1, 2024
Primary completionEst.
Jul 1, 2026
CompletionEst.
Sep 1, 2026
Last update
May 21, 2025
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 May 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06979427
Responsible party
Javad Kojuri (professor, Shiraz University of Medical Sciences) — Principal investigator
First posted
May 19, 2025
Start date
Jan 1, 2024
Primary completion
Jul 1, 2026 (estimated)
Completion
Sep 1, 2026 (estimated)
Last update
May 21, 2025

Study contacts

javad UOM kojuri
Contact
kojurij@yahoo.com
09171115083

Oversight

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

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