Trial Outcomes & Findings for Radioprotective Light-weight Caps in the Interventional Cardiology Setting (NCT NCT01620658)

NCT ID: NCT01620658

Last Updated: 2022-03-07

Results Overview

The null hypothesis is that the XPF 0.5mm lead-equivalent caps attenuation is equal to the XPF 0.3mm lead-equivalent and standard cap attenuations. The alternative hypothesis is that the XPF 0.5mm lead-equivalent cap attenuation is superior or inferior to the XPF 0.3mm lead-equivalent and standard cap attenuations. The groups will be compared separately and a pooled analysis, comparing XPF 0.5mm and 0.3mm combined vs. standard is also planned.The radiation protection (radiation dose reduction) expressed as a percentage was calculated by subtracting radiation measured underneath the cap from radiation measured outside the cap and then dividing this difference by the product of radiation measured outside the cap multiplied by 100.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

197 participants

Primary outcome timeframe

1 day

Results posted on

2022-03-07

Participant Flow

Patients presenting to the Miami Cardiac and Vascular Institute for Imaging Study/Procedure.

Voluntary patient participation. PI responsible for patient selection.

Participant milestones

Participant milestones
Measure
Standard Cap
Interventionalist wear a standard fabric cap during fluoroscopy guided interventions. Standard cap: Interventionalist wear a standard fabric cap during fluoroscopy guided interventions.
0.3mm XPF Cap
Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. 0.3mm XPF cap: Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
0.5mm XPF Cap
Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. 0.5mm XPF cap: Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
Overall Study
STARTED
59
74
64
Overall Study
COMPLETED
35
45
44
Overall Study
NOT COMPLETED
24
29
20

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Radioprotective Light-weight Caps in the Interventional Cardiology Setting

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Cap
n=59 Participants
Interventionalist wear a standard fabric cap during fluoroscopy guided interventions. Standard cap: Interventionalist wear a standard fabric cap during fluoroscopy guided interventions.
0.3mm XPF Cap
n=74 Participants
Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. 0.3mm XPF cap: Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
0.5mm XPF Cap
n=64 Participants
Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. 0.5mm XPF cap: Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
Total
n=197 Participants
Total of all reporting groups
Age, Continuous
53 years
n=39 Participants
53 years
n=41 Participants
53 years
n=35 Participants
53 years
n=31 Participants
Sex: Female, Male
Female
29 Participants
n=39 Participants
36 Participants
n=41 Participants
30 Participants
n=35 Participants
95 Participants
n=31 Participants
Sex: Female, Male
Male
30 Participants
n=39 Participants
38 Participants
n=41 Participants
34 Participants
n=35 Participants
102 Participants
n=31 Participants
Region of Enrollment
United States
59 participants
n=39 Participants
74 participants
n=41 Participants
64 participants
n=35 Participants
197 participants
n=31 Participants

PRIMARY outcome

Timeframe: 1 day

Population: Mean Radiation Protection is described under Outcome Measure Data below.

The null hypothesis is that the XPF 0.5mm lead-equivalent caps attenuation is equal to the XPF 0.3mm lead-equivalent and standard cap attenuations. The alternative hypothesis is that the XPF 0.5mm lead-equivalent cap attenuation is superior or inferior to the XPF 0.3mm lead-equivalent and standard cap attenuations. The groups will be compared separately and a pooled analysis, comparing XPF 0.5mm and 0.3mm combined vs. standard is also planned.The radiation protection (radiation dose reduction) expressed as a percentage was calculated by subtracting radiation measured underneath the cap from radiation measured outside the cap and then dividing this difference by the product of radiation measured outside the cap multiplied by 100.

Outcome measures

Outcome measures
Measure
Standard Cap
n=35 Participants
Interventionalist wear a standard fabric cap during fluoroscopy guided interventions. Standard cap: Interventionalist wear a standard fabric cap during fluoroscopy guided interventions.
0.3mm XPF Cap
n=45 Participants
Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. 0.3mm XPF cap: Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
0.5mm XPF Cap
n=44 Participants
Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. 0.5mm XPF cap: Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
Radiation Attenuation in Percentage (%)
12 Percentage
Interval 4.9 to 19.1
91.5 Percentage
Interval 87.4 to 95.6
97.1 Percentage
Interval 92.5 to 100.0

PRIMARY outcome

Timeframe: 1 day

Population: The primary objective of the trial is to show how much radiation attenuation is provided by XPF in absolute and relative terms.

The cumulative radiation doses were defined as the summation of all correspondent equivalent doses measured.

Outcome measures

Outcome measures
Measure
Standard Cap
n=35 Participants
Interventionalist wear a standard fabric cap during fluoroscopy guided interventions. Standard cap: Interventionalist wear a standard fabric cap during fluoroscopy guided interventions.
0.3mm XPF Cap
n=45 Participants
Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. 0.3mm XPF cap: Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
0.5mm XPF Cap
n=44 Participants
Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. 0.5mm XPF cap: Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
Absolute Radiation Exposure Outside of Cap
132 uSv
Interval 21.0 to 243.0
118 uSv
Interval 54.0 to 183.0
59 uSv
Interval 33.0 to 85.0

SECONDARY outcome

Timeframe: 1 day per participant, a total of 197 operator days

After completion of the last procedure on each day, the operators were asked to rate the comfort of wearing the cap on a scale from 0 (unbearably heavy, badly fitting) to 100 (very light, well fitting).

Outcome measures

Outcome measures
Measure
Standard Cap
n=59 Participants
Interventionalist wear a standard fabric cap during fluoroscopy guided interventions. Standard cap: Interventionalist wear a standard fabric cap during fluoroscopy guided interventions.
0.3mm XPF Cap
n=74 Participants
Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. 0.3mm XPF cap: Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
0.5mm XPF Cap
n=64 Participants
Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. 0.5mm XPF cap: Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
Operator Comfort Assessment
90 score on a scale
Interval 0.0 to 100.0
90 score on a scale
Interval 0.0 to 100.0
90 score on a scale
Interval 0.0 to 100.0

SECONDARY outcome

Timeframe: 1 day per participant, a total of 197 operator days

After completion of the last procedure on each day, the caps worn by the operators were weighed to assess comfort of wearing the standard cap, XPF 0.3mm and XPF 0.5mm caps. The operators were asked to rate the comfort of wearing the cap on a scale from 0 (unbearably heavy, badly fitting) to 100 (very light, well fitting).

Outcome measures

Outcome measures
Measure
Standard Cap
n=59 Participants
Interventionalist wear a standard fabric cap during fluoroscopy guided interventions. Standard cap: Interventionalist wear a standard fabric cap during fluoroscopy guided interventions.
0.3mm XPF Cap
n=64 Participants
Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. 0.3mm XPF cap: Interventionalist wear a XPF 0.3mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
0.5mm XPF Cap
n=74 Participants
Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. 0.5mm XPF cap: Interventionalist wear a XPF 0.5mm lead equivalent cap during fluoroscopy guided interventions. XPF is a trademark of BloXR (Salt lake City, UT) for a new bi-layer (Barium/Bismuth) radiation attenuation material.
Operator Comfort Assessment Based on Weight
12.5 grams
Interval 12.5 to 12.6
123.7 grams
Interval 122.9 to 124.6
118.4 grams
Interval 116.7 to 120.3

Adverse Events

Standard Cap

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

0.3mm XPF Cap

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

0.5mm XPF Cap

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Raul Herrera, MD. Director Miami Cardiac and Vascular Institute, Research and Outcomes

Baptist Health South Florida

Phone: 786-596-3505

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place