ClinicalTrials.gg
Not yet recruitingNCT07697638SHINEUpdated Aug 7, 2026

Coronary Laser Atherectomy System for Treatment of Coronary Artery Stenosis (SHINE)

An interventional study of Coronary Laser Atherectomy System and CVX300 Laser System in Coronary Artery Stenosis, sponsored by Shanghai MicroPort Rhythm MedTech Co., Ltd.. Not yet recruiting. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-08-07.

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
218
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This prospective, multi-center clinical trial evaluates the safety and efficacy of the Coronary Laser Atherectomy System for the pretreatment of coronary artery stenosis. The study consists of two phases: a first-in-human (FIM) phase enrolling 5 subjects in a single center, and a pivotal phase, which is a prospective, multi-center, randomized controlled, non-inferiority trial enrolling 218 subjects across approximately 10 centers in China. Subjects are randomized 1:1 to receive either the investigational laser system or the control Philips CVX300 laser system for lesion pretreatment prior to PCI. The primary endpoint is clinical success, defined as successful PCI with residual stenosis \<30%, TIMI flow grade 3, and no death, myocardial infarction, or target lesion revascularization through 7 days post-procedure. Secondary endpoints include device success, procedural success, MACE, target lesion failure, and target vessel failure at 30 days and 6 months. An OCT sub-study is planned for 40 subjects.

02

Conditions studied

  • Coronary Artery Stenosis

Browse trials for

03

In context

Coronary Stenosis

326 studies on the registry are indexed under Coronary Stenosis; 57 are open to participants now.

This study's planned enrollment of 218 is above the median of 190 across 191 interventional studies indexed under Coronary Stenosis.

Browse Coronary Stenosis 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 85 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. Age 18-85 years, male or female.
  2. Coronary angiography confirms the need for PCI.
  3. Diagnosed with stable angina, silent myocardial ischemia, unstable angina, non-ST-segment elevation myocardial infarction, or STEMI >7 days.
  4. During PCI, the investigator determines that laser atherectomy is required for lesion pretreatment.
  5. Able to understand the purpose of the trial, voluntarily participate and sign the form acknowledging the risks and benefits described in the informed consent document, and able to complete clinical follow-up as required.

Angiographic Inclusion Criteria (visual estimate):

  1. Target lesion reference vessel diameter (RVD) ≥2.00 mm by visual estimate.
  2. Target lesion stenosis ≥70% (visual estimate), or ≥50% and \<70% with evidence of ischemia. Evidence of ischemia includes any of the following:

    • Positive exercise stress test
    • FFR or QFR ≤0.8
    • Meets severe stenosis criteria by intracoronary imaging (IVUS or OCT): MLA \<2.4 mm² for vessels with diameter \<3.0 mm; MLA \<2.7 mm² for vessels with diameter 3.0-3.5 mm; MLA \<3.6 mm² for vessels with diameter >3.5 mm
  3. Target lesion is a small-diameter predilation balloon (balloon diameter ≤1.5 mm), uncrossable and/or undilatable lesion (undilatable under stent post-dilation balloon rated burst pressure and/or special circumstances unsuitable for dilation), including calcified lesions, CTO lesions, in-stent restenosis, stent underexpansion, and high thrombus burden lesions.
  4. Guidewire successfully passes through the true lumen of the target lesion without NHLBI type C or higher dissection.

Exclusion criteria

Exclusion Criteria:

Clinical Exclusion Criteria:

  1. Hemodynamic instability or severely reduced exercise tolerance ( Class III or IV).
  2. Severe heart failure with reduced (LVEF \<30%).
  3. Intracardiac thrombus on echocardiography within 30 days prior to enrollment.
  4. Has received an organ transplant or is awaiting an organ transplant.
  5. Currently receiving chemotherapy or scheduled to receive chemotherapy within 30 days before or after the baseline procedure.
  6. Has a bleeding diathesis, to antiplatelet or anticoagulant therapy, or is unable to receive antithrombotic therapy.
  7. Chronic renal insufficiency with serum creatinine >2.5 mg/dL (or 221 µmol/L).
  8. Cerebrovascular accident (CVA), (TIA), or permanent neurological deficit that may preclude compliance with the protocol within the past 6 months.
  9. Unconscious or requiring circulatory support or mechanical ventilation before PCI.
  10. The target vessel (including side branches) has received any PCI within 1 month prior to the baseline procedure.
  11. Planned interventional or cardiac surgical procedure within 30 days after baseline procedure.
  12. Prior coronary intravascular brachytherapy at any time.
  13. Allergy to medications or devices required during PCI (including but not limited to rapamycin, paclitaxel, dual antiplatelet agents, polyamide, polyurethane, PTFE, or stainless steel).
  14. Other severe medical conditions (e.g., cancer, congestive heart failure) with \<12 months.
  15. Current substance abuse or addiction (e.g., alcohol, cocaine, heroin).
  16. Currently participating in another drug or device trial that has not reached its primary endpoint, or planning to participate in another investigational drug or device trial within 6 months after the baseline procedure.
  17. Plans to conceive within 6 months after baseline procedure.
  18. Pregnant or breastfeeding women (pregnancy test required within 7 days before baseline procedure for women of ).
  19. The investigator determines that the subject is unsuitable for enrollment.

Angiographic Exclusion Criteria (visual estimate):

  1. Target lesion meets any of the following criteria:

    -≥2 target lesions requiring treatment during the baseline procedure

    • Ostial lesion (within 3 mm of the ostium)
    • Medina type "x, x, 1" bifurcation lesion
    • Intimal dissection (NHLBI type C or higher)
    • Guidewire-uncrossable total occlusion
    • Severely angulated lesion
  2. Unprotected left main coronary artery disease (>50% diameter stenosis).
  3. The target vessel has other lesions that may require intervention within 6 months after the baseline procedure.
  4. Predicted inability to deliver the laser fiber catheter to the target lesion due to various reasons (e.g., severe proximal tortuosity of the target vessel).
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.

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.

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.

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.

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.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
218 participants (estimated)

Study arms

  • Experimental
    Coronary Laser Atherectomy System

    Device: Coronary Laser Atherectomy System

  • Active comparator
    Philips CVX300 Laser Atherectomy System

    Device: CVX300 Laser System

Interventions

  • DeviceCoronary Laser Atherectomy System

    The investigational Coronary Laser Atherectomy System consists of two components: (1) a Coronary Laser Console, and (2) Single-use Laser Optical Fiber Catheters.

  • DeviceCVX300 Laser System

    The control device is the Philips CVX300 Excimer Laser Ablation System, used with single-use ELCA (Excimer Laser Ablation) Catheters.

06

What researchers measure

Primary outcomes

  1. Clinical Success Rate

    Clinical success is defined as target lesion after laser pretreatment, completion of PCI, and coronary angiography confirmed residual stenosis \<30%, TIMI flow grade 3, and no death, myocardial infarction, or target lesion revascularization during the perioperative period (up to 7 days post-procedure).

    Time frame: Up to 7 days post-procedure

Secondary outcomes

  1. Device Success Rate

    Device success is defined as a target lesion after laser pretreatment, completion of PCI, and coronary angiography confirmed residual stenosis \<30%, TIMI flow grade 3.

    Time frame: Baseline procedure

  2. Procedural Success Rate

    Procedural success is defined as device success in the absence of procedure-related complications.

    Time frame: Baseline procedure

  3. Procedure-related Complication Rate

    Procedure-related complications is defined as stroke, vessel perforation or rupture requiring treatment, NHLBI type C or higher dissection, thrombosis requiring revascularization, and no-reflow.

    Time frame: Baseline procedure through 7 days post-procedure

Other outcomes

  1. MACE Rate

    MACE is defined as cardiac death, non-fatal myocardial infarction, and target vessel revascularization.

    Time frame: 30 days and 6 months post-procedure

  2. Patient-oriented Composite Endpoint (PoCE) Rate

    PoCE is defined as all-cause death, stroke, all myocardial infarction, and any revascularization.

    Time frame: 30 days and 6 months post-procedure

  3. Target Lesion Failure (TLF) Rate

    TLF is defined as cardiac death, target vessel-related myocardial infarction, and clinically driven target lesion revascularization.

    Time frame: 30 days and 6 months post-procedure

  4. Target Vessel Failure (TVF) Rate

    TVF is defined as cardiac death, target vessel-related myocardial infarction, and clinically-driven target vessel revascularization.

    Time frame: 30 days and 6 months post-procedure

  5. Target Lesion Revascularization (TLR) Rate

    TLR is defined as repeat percutaneous intervention or bypass surgery of the target lesion due to restenosis or other complications.

    Time frame: 30 days and 6 months post-procedure

  6. Target Vessel Revascularization (TVR) Rate

    TVR is defined as repeat percutaneous intervention or bypass surgery of any segment of the target vessel.

    Time frame: 30 days and 6 months post-procedure

  7. Any Coronary Revascularization Rate

    Any coronary revascularization rate

    Time frame: 30 days and 6 months post-procedure

  8. ARC-defined Thrombosis Rate

    ARC-defined thrombosis rate, including acute, subacute, late, and very late definite, probable, and possible stent thrombosis.

    Time frame: 30 days and 6 months post-procedure

  9. Death Rate

    Death rate (cardiac, vascular, and non-cardiovascular).

    Time frame: 30 days and 6 months post-procedure

  10. Myocardial Infarction Rate

    Myocardial infarction rate (target vessel-related and non-target vessel-related).

    Time frame: 30 days and 6 months post-procedure

  11. Optical Coherence Tomography (OCT) Endpoints - After Laser Pretreatment (OCT Substudy)

    Includes minimum lumen area (mm²), minimum lumen diameter (mm), and lumen area stenosis percentage (%) measured after laser pretreatment and before stent implantation or drug-coated balloon dilation. Each endpoint will be reported separately.

    Time frame: Baseline procedure

  12. Optical Coherence Tomography (OCT) Endpoints - At PCI Completion (OCT Substudy)

    Includes minimum stent area (mm²), mean stent area (mm²), minimum stent diameter (mm), mean stent diameter (mm), minimum lumen area (mm²), minimum lumen diameter (mm), mean reference lumen area (mm²), lumen area stenosis percentage (%), acute lumen gain (mm²), stent expansion index (%), and stent strut malapposition rate (%). Stent-related endpoints are not measured in subjects without stent implantation. Each endpoint will be reported separately.

    Time frame: Baseline procedure

  13. Minimum Lumen Diameter (MLD) (mm)

    Minimum lumen diameter (MLD) measured by quantitative coronary angiography (QCA).

    Time frame: Baseline procedure

  14. Acute Gain (AG) (mm)

    Acute lumen gain (AG) measured by quantitative coronary angiography (QCA).

    Time frame: Baseline procedure

  15. Diameter Stenosis (DS) (%)

    Diameter stenosis percentage (DS) measured by quantitative coronary angiography (QCA).

    Time frame: Baseline procedure

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Start is estimated for Nov 2026; primary completion for Jun 2027, 6 months later.

Of 24 industry-sponsored interventional studies with no phase under Coronary Stenosis, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 41. This study's planned 6 months is below that.

Counting every sponsor, half of 71 studies reached it within 26 months; a quarter within 14 and three quarters within 60.

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

Registered
Jul 5, 2026
First posted
Jul 13, 2026
StartEst.
Nov 10, 2026
Primary completionEst.
Jun 1, 2027
CompletionEst.
Dec 3, 2027
Last update
Aug 7, 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 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07697638
Responsible party
Sponsor
First posted
Jul 13, 2026
Start date
Nov 10, 2026 (estimated)
Primary completion
Jun 1, 2027 (estimated)
Completion
Dec 3, 2027 (estimated)
Last update
Aug 7, 2026

Study contacts

Tingting Wu
Contact
TingTing.Wu2@microport.com
0086-021-38954600

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

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion