ClinicalTrials.gg
Not yet recruitingNCT07082153REVIVE-FIMUpdated Jul 24, 2025

The First-In-Man Use of Coronary Sinus Balloon Pump in STEMI Patients Treated by Primary PCI

An interventional study of the coronary sinus balloon pump in STEMI, sponsored by Shanghai MicroPort Rhythm MedTech Co., Ltd.. Not yet recruiting. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-07-24.

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

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This is a prospective, multicenter clinical investigation aiming to evaluate the safety and efficacy of the coronary sinus balloon pump in its first application in patients with acute ST-segment elevation myocardial infarction (STEMI).

Read the detailed description

This is a prospective, multicenter clinical investigation to evaluate the safety and efficacy of the coronary sinus balloon pump in its first application in patients with acute ST-segment elevation myocardial infarction (STEMI).

The target population for this clinical study consists exclusively of patients diagnosed with acute ST-segment elevation myocardial infarction (STEMI) who require emergency percutaneous coronary intervention (PCI) treatment.

The clinical outcome data collected will be based on the site's standards of care for acute STEMI. Examinations include but are not limited to physical assessments, cardiac markers, ECG, laboratory results, x-rays, angiograms, cMRI, and echocardiography.

Endpoint data will be collected at multiple follow-up intervals: during CSBP therapy, immediately following device explantation, at 5 days and 30 days post-procedure, and subsequently at 4-month, 6-month, and 12-month follow-up visits.

02

Conditions studied

  • STEMI

Keywords

  • STEMI
  • the coronary sinus balloon pump
03

In context

ST Elevation Myocardial Infarction

850 studies on the registry are indexed under ST Elevation Myocardial Infarction; 197 are open to participants now.

This study's planned enrollment of 10 is below the median of 194 across 527 interventional studies indexed under ST Elevation Myocardial Infarction.

Browse ST Elevation Myocardial Infarction 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

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

Clinical inclusion criteria:

  1. Subjects aged ≥18 and ≤80 years with clinically confirmed ST-segment elevation myocardial infarction (STEMI).
  2. Left Ventricular Dysfunction: (LVEF) ≤50% assessed by pre-PCI echocardiography or left ventriculography.
  3. Ischemic Symptoms: Presence of myocardial infarction symptoms consistent with ischemic timing (e.g., persistent chest pain, with or without dyspnea, nausea/vomiting, diaphoresis, syncope), with symptom onset between 6 and 24 hours prior to enrollment.
  4. Electrocardiographic Evidence:

    • Acute anterior wall myocardial infarction confirmed by 12-lead , demonstrating ST-segment elevation ≥1 mm (0.1 mV) in ≥2 contiguous precordial leads.
    • For leads V2 or V3:

    Men: ST-segment elevation ≥2 mm (0.2 mV) Women: ST-segment elevation ≥1.5 mm (0.15 mV).

  5. PCI Eligibility: Candidate for primary percutaneous coronary intervention (PCI).
  6. Subjects who can understand the purpose of the trial, voluntarily participate and acknowledge the risks and benefits described in the document by signing the informed consent form, and can conscientiously complete clinical follow-up as required

Angiography Inclusion Criteria:

  1. Target Lesion Location: Located in the proximal or mid segment of the Left Anterior Descending artery (LAD).
  2. Pre-PCI TIMI Flow: TIMI flow grade 0 or 1 in the target vessel prior to percutaneous coronary intervention (PCI).

Exclusion criteria

Exclusion Criteria:

  1. Presence of implants or foreign bodies within the coronary sinus.
  2. Target lesion involving the left main coronary artery or ≥50% stenosis in the left main coronary artery.
  3. Known to medications or devices required during PCI or the device (including but not limited to: rapamycin, polyurethane in dual antiplatelet therapy, PET, or stainless steel).
  4. Pericardial effusion (moderate or larger volume), cardiac tamponade, hemodynamically significant left/right shunts, or severe valvular heart disease.
  5. Intracardiac thrombus detected by echocardiography within 30 days prior to enrollment.
  6. History of acute myocardial infarction (AMI) or documented hospitalization for Q-wave infarction.
  7. History of cerebral infarction, intracranial hemorrhage, (TIA), or reversible ischemic neurologic deficit within the past 6 months, or permanent neurological deficits.
  8. \<90 g/L, count \<80×10⁹/L, history of bleeding disorders/coagulopathy, or refusal to accept blood transfusion.
  9. Requiring circulatory support or assisted ventilation therapy.
  10. Cardiac arrest or cardiopulmonary resuscitation (CPR) >5 minutes during pre-procedural baseline or intra-procedural period.
  11. Unsuitable femoral or jugular venous access.
  12. to cardiac magnetic resonance imaging (CMR), including claustrophobia, CMR-incompatible implants/foreign bodies, or gadolinium contrast allergy/intolerance.
  13. Prior coronary artery bypass grafting (CABG).
  14. Visible collateral circulation formation distal to the target lesion in the target vessel.
  15. Current participation in another investigational drug/device trial (prior to primary endpoint completion) or planned enrollment in another trial within 12 months post-procedure.
  16. Severe renal dysfunction ( \<30 mL/min/1.73m² by MDRD equation*) or ongoing hemodialysis.
  17. Active treatment within the past 12 months.
  18. (COPD) requiring home oxygen therapy or chronic therapy.
  19. Impaired consciousness during PCI, cardiogenic shock (persistent SBP ≤90 mmHg despite conservative therapy), or pulmonary edema (peripheral SpO₂ \<90% with rales).
  20. Any vascular PCI performed within 7 days prior to hospitalization.
  21. Fibrinolytic therapy administered within 24 hours prior to hospitalization.
  22. Non-target lesions requiring treatment during index PCI or within 1 week post-procedure (excluding LAD and its branches).
  23. Pregnancy, lactation, or female subjects planning pregnancy within 1 year post-procedure unable to complete follow-up.
  24. Poor protocol compliance per investigator's judgment, or subjects deemed ineligible due to other reasons.
Terms in these criteria, in plain language(13)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

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).

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.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

COPD

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

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    The coronary sinus balloon pump

    Subjects in experimental group will be treated with the coronary sinus balloon pump manufactured by Shanghai Microport Rhythm Co. Ltd.

    Device: the coronary sinus balloon pump

Interventions

  • Devicethe coronary sinus balloon pump

    The coronary sinus balloon pump comprises a coronary sinus balloon pump catheter system and a coronary sinus balloon pump therapeutic device. This product is indicated for the treatment of ST-segment elevation myocardial infarction (STEMI) with or without coronary microvascular dysfunction (CMD), by intermittently occluding coronary sinus blood flow during percutaneous coronary intervention (PCI) procedures to reduce myocardial infarction size.

06

What researchers measure

Primary outcomes

  1. Device-related procedural complication rate

    Device-related procedural complication rate \[24 hours, 30 days post-procedure\]: Complications include: * Access site complications: BARC type 3-5 bleeding; infection requiring oral/intravenous antibiotics; or access site complications requiring surgical intervention * Coronary sinus dissection or perforation requiring interventional/surgical treatment * Pericardial effusion or cardiac tamponade requiring interventional/surgical treatment * Thrombosis or embolism * Stroke (Note: CEC adjudication required to determine device-relatedness)

    Time frame: 24 hours, 30 days post-procedure

Secondary outcomes

  1. MACCE (Major Adverse Cardiac and Cerebrovascular Events)

    MACCE (Major Adverse Cardiac and Cerebrovascular Events) \[5 days, 30 days, 4 months, 6 months, 12 months post-procedure\]: * Cardiac death * Hospitalization for heart failure * New-onset heart failure or worsening of pre-existing heart failure * Ventricular tachycardia/fibrillation requiring cardioversion/defibrillation * Myocardial infarction (MI) * Target vessel revascularization (TVR) * Stent thrombosis * Major bleeding (BARC type 3-5) * Stroke

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

Other outcomes

  1. All-cause mortality rate (cardiac, vascular, non-vascular)

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  2. Heart failure hospitalization rate

    Time frame: 30 days, 4 months, 6 months, 12 months post-procedure

  3. New-onset/worsening heart failure rate

    Time frame: 30 days, 4 months, 6 months, 12 months post-procedure

  4. MI incidence

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  5. Revascularization rate

    Revascularization rate (target lesion, target vessel, any coronary)

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  6. Stent thrombosis rate

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  7. Major bleeding rate (BARC type 3-5)

    Based on the Bleeding Academic Research Consortium (BARC) Scale, type 5 is more serious.

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  8. Stroke incidence

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  9. Adverse event (AE)/Serious adverse event (SAE) rate

    Time frame: Periprocedural, 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  10. Device deficiency rate

    Time frame: Periprocedural, 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  11. Device success rate

    Successful device delivery to the coronary sinus, deployment, and completion of therapy

    Time frame: Periprocedural

  12. Procedure success rate

    PCI success without CSBP-related adverse events (based on device success)

    Time frame: Periprocedural

  13. Coronary sinus pressure

    Time frame: intra-procedure

  14. MRI measurement of infarct size

    Time frame: 5 days, 4 months post-procedure

  15. Angina severity

    Angina severity (classified according to the Canadian Cardiovascular Society Classification of Angina Pectoris) is assessed by the level of physical activity that triggers the chest pain. And the lower the level that triggers the chest pain, the more serious angina.

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  16. Changes in quality of life

    Changes in quality of life measured by EQ-5D (assessed by the following five dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression) (scale of 0-100: higher score better)

    Time frame: 5 days, 30 days, 4 months, 6 months, 12 months post-procedure

  17. Assessment of left ventricular function

    Left ventricular function assessed by echocardiography

    Time frame: 5 days, 4 months post-procedure

07

Study locations

No study locations are listed for this record.

08

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

Start is estimated for Aug 2025; primary completion for Dec 2025, 3 months later.

Of 143 interventional studies with no phase under ST Elevation Myocardial Infarction, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 64. This study's planned 3 months is below that.

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

Registered
May 12, 2025
First posted
Jul 24, 2025
StartEst.
Aug 12, 2025
Primary completionEst.
Dec 1, 2025
CompletionEst.
Mar 3, 2026
Last update
Jul 24, 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 Jul 24, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07082153
Responsible party
Sponsor
First posted
Jul 24, 2025
Start date
Aug 12, 2025 (estimated)
Primary completion
Dec 1, 2025 (estimated)
Completion
Mar 3, 2026 (estimated)
Last update
Jul 24, 2025

Study contacts

Tingting Wu, M.D.
Contact
TingTing.Wu2@microport.com
0086-021-38954600
Kefei Do, M.D.
Contact

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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