Trial Outcomes & Findings for Dynamic Coronary Roadmap for Contrast Reduction (NCT NCT04085614)

NCT ID: NCT04085614

Last Updated: 2024-01-08

Results Overview

Average total undiluted contrast volume (in ml, measured by an automatic contrast injector) per Percutaneous Coronary Intervention (PCI), where the start of the PCI is marked by the moment the interventional guiding catheter is positioned in a stable coronary position and the end of the PCI is marked by time of the last PCI check exposure run (angiogram).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

371 participants

Primary outcome timeframe

During Percutaneous Coronary Intervention (PCI) procedure

Results posted on

2024-01-08

Participant Flow

Participant milestones

Participant milestones
Measure
Dynamic Coronary Roadmap Group
Patients will be treated via standard of care for PCI (Percutaneous Coronary Intervention) with navigation support of Dynamic Coronary Roadmap. PCI (Percutaneous Coronary Intervention) with Dynamic Coronary Roadmap: Standard of care PCI (Percutaneous Coronary Intervention) with Dynamic Coronary Roadmap
Control Group
Patients will be treated via standard of care for PCI (Percutaneous Coronary Intervention) without navigation support of Dynamic Coronary Roadmap. PCI (Percutaneous Coronary Intervention) without Dynamic Coronary Roadmap: Standard of care PCI (Percutaneous Coronary Intervention) without Dynamic Coronary Roadmap
Overall Study
STARTED
188
183
Overall Study
COMPLETED
179
177
Overall Study
NOT COMPLETED
9
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Dynamic Coronary Roadmap Group
Patients will be treated via standard of care for PCI (Percutaneous Coronary Intervention) with navigation support of Dynamic Coronary Roadmap. PCI (Percutaneous Coronary Intervention) with Dynamic Coronary Roadmap: Standard of care PCI (Percutaneous Coronary Intervention) with Dynamic Coronary Roadmap
Control Group
Patients will be treated via standard of care for PCI (Percutaneous Coronary Intervention) without navigation support of Dynamic Coronary Roadmap. PCI (Percutaneous Coronary Intervention) without Dynamic Coronary Roadmap: Standard of care PCI (Percutaneous Coronary Intervention) without Dynamic Coronary Roadmap
Overall Study
Protocol Violation
9
6

Baseline Characteristics

Dynamic Coronary Roadmap for Contrast Reduction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dynamic Coronary Roadmap Group
n=179 Participants
Patients will be treated via standard of care for PCI with navigation support of Dynamic Coronary Roadmap. PCI with Dynamic Coronary Roadmap: Standard of care PCI with Dynamic Coronary Roadmap
Control Group
n=177 Participants
Patients will be treated via standard of care for PCI without navigation support of Dynamic Coronary Roadmap. PCI without Dynamic Coronary Roadmap: Standard of care PCI without Dynamic Coronary Roadmap
Total
n=356 Participants
Total of all reporting groups
Age, Continuous
65.8 years
STANDARD_DEVIATION 10.8 • n=99 Participants
65.9 years
STANDARD_DEVIATION 10.9 • n=107 Participants
65.9 years
STANDARD_DEVIATION 10.9 • n=206 Participants
Sex: Female, Male
Female
36 Participants
n=99 Participants
38 Participants
n=107 Participants
74 Participants
n=206 Participants
Sex: Female, Male
Male
143 Participants
n=99 Participants
139 Participants
n=107 Participants
282 Participants
n=206 Participants
Race/Ethnicity, Customized
Self-reported Race · Black or African American
3 Participants
n=99 Participants
6 Participants
n=107 Participants
9 Participants
n=206 Participants
Race/Ethnicity, Customized
Self-reported Race · Non-Black/Non-African American
113 Participants
n=99 Participants
107 Participants
n=107 Participants
220 Participants
n=206 Participants
Race/Ethnicity, Customized
Self-reported Race · Unknown
63 Participants
n=99 Participants
64 Participants
n=107 Participants
127 Participants
n=206 Participants
Region of Enrollment
Belgium
47 participants
n=99 Participants
47 participants
n=107 Participants
94 participants
n=206 Participants
Region of Enrollment
United States
63 participants
n=99 Participants
57 participants
n=107 Participants
120 participants
n=206 Participants
Region of Enrollment
Israel
46 participants
n=99 Participants
47 participants
n=107 Participants
93 participants
n=206 Participants
Region of Enrollment
Spain
23 participants
n=99 Participants
26 participants
n=107 Participants
49 participants
n=206 Participants
Weight (kg)
85.1 kg
STANDARD_DEVIATION 20.0 • n=99 Participants
83.1 kg
STANDARD_DEVIATION 15.6 • n=107 Participants
84.1 kg
STANDARD_DEVIATION 18.0 • n=206 Participants
BMI (kg/m^2)
28.9 kg/m^2
STANDARD_DEVIATION 5.7 • n=99 Participants
28.5 kg/m^2
STANDARD_DEVIATION 4.8 • n=107 Participants
28.7 kg/m^2
STANDARD_DEVIATION 5.2 • n=206 Participants
Diabetes Mellitus
66 Participants
n=99 Participants
68 Participants
n=107 Participants
134 Participants
n=206 Participants
Hypertension (> 140/90 mmHg)
135 Participants
n=99 Participants
124 Participants
n=107 Participants
259 Participants
n=206 Participants
Chronic Kidney Disease
18 Participants
n=99 Participants
26 Participants
n=107 Participants
44 Participants
n=206 Participants
Prior revascularization
62 Participants
n=99 Participants
60 Participants
n=107 Participants
122 Participants
n=206 Participants
Coronary Artery Bypass Graft
12 Participants
n=99 Participants
15 Participants
n=107 Participants
27 Participants
n=206 Participants
Prior Myocardial Infarction
55 Participants
n=99 Participants
54 Participants
n=107 Participants
109 Participants
n=206 Participants
Severe Left ventricular ejection fraction (<30%)
2 Participants
n=99 Participants
6 Participants
n=107 Participants
8 Participants
n=206 Participants
eGFR, ml/min/1.73m^2
77.5 ml/min/1.73m^2
STANDARD_DEVIATION 19.7 • n=99 Participants
75.5 ml/min/1.73m^2
STANDARD_DEVIATION 19.9 • n=107 Participants
76.5 ml/min/1.73m^2
STANDARD_DEVIATION 19.8 • n=206 Participants

PRIMARY outcome

Timeframe: During Percutaneous Coronary Intervention (PCI) procedure

Population: The Full Analysis Population (FAP) was defined as all randomized subjects who underwent a Percutaneous Coronary Intervention (PCI) in at least one vessel without the use of Optical Coherence Tomography (OCT) and/or rotational or orbital atherectomy of which the primary endpoint and/or the secondary endpoint were available.

Average total undiluted contrast volume (in ml, measured by an automatic contrast injector) per Percutaneous Coronary Intervention (PCI), where the start of the PCI is marked by the moment the interventional guiding catheter is positioned in a stable coronary position and the end of the PCI is marked by time of the last PCI check exposure run (angiogram).

Outcome measures

Outcome measures
Measure
Dynamic Coronary Roadmap Group
n=179 Participants
Patients will be treated via standard of care for PCI with navigation support of Dynamic Coronary Roadmap. PCI with Dynamic Coronary Roadmap: Standard of care PCI with Dynamic Coronary Roadmap
Control Group
n=177 Participants
Patients will be treated via standard of care for PCI without navigation support of Dynamic Coronary Roadmap. PCI without Dynamic Coronary Roadmap: Standard of care PCI without Dynamic Coronary Roadmap
Total Percutaneous Coronary Intervention (PCI) Iodinated Contrast Volume
64.6 ml
Standard Deviation 44.4
90.8 ml
Standard Deviation 55.4

SECONDARY outcome

Timeframe: During Percutaneous Coronary Intervention (PCI) procedure

Population: The Full Analysis Population (FAP) was defined as all randomized subjects who underwent a Percutaneous Coronary Intervention (PCI) in at least one vessel without the use of Optical Coherence Tomography (OCT) and/or rotational or orbital atherectomy of which the primary endpoint and/or the secondary endpoint were available.

Average total number of contrast enhanced cine angiographic X-ray runs (angiograms) per Percutaneous Coronary Intervention (PCI) (from start of PCI marked by the moment the interventional guiding catheter is positioned in a stable coronary position till the end of the PCI marked by the time of the last PCI check exposure run, i.e., angiogram) determined via visual assessment (e.g., on the Philips X-ray system).

Outcome measures

Outcome measures
Measure
Dynamic Coronary Roadmap Group
n=179 Participants
Patients will be treated via standard of care for PCI with navigation support of Dynamic Coronary Roadmap. PCI with Dynamic Coronary Roadmap: Standard of care PCI with Dynamic Coronary Roadmap
Control Group
n=177 Participants
Patients will be treated via standard of care for PCI without navigation support of Dynamic Coronary Roadmap. PCI without Dynamic Coronary Roadmap: Standard of care PCI without Dynamic Coronary Roadmap
Number of Angiograms
8.7 Number of runs
Standard Deviation 4.7
11.7 Number of runs
Standard Deviation 7.6

Adverse Events

Dynamic Coronary Roadmap Group

Serious events: 14 serious events
Other events: 0 other events
Deaths: 1 deaths

Control Group

Serious events: 7 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Dynamic Coronary Roadmap Group
n=179 participants at risk
Patients will be treated via standard of care for PCI with navigation support of Dynamic Coronary Roadmap. PCI with Dynamic Coronary Roadmap: Standard of care PCI with Dynamic Coronary Roadmap
Control Group
n=177 participants at risk
Patients will be treated via standard of care for PCI without navigation support of Dynamic Coronary Roadmap. PCI without Dynamic Coronary Roadmap: Standard of care PCI without Dynamic Coronary Roadmap
Cardiac disorders
Acute Myocardial Infarction
7.8%
14/179 • Number of events 14 • Patients were followed-up until discharge through study completion, which was 1 day on average.
4.0%
7/177 • Number of events 7 • Patients were followed-up until discharge through study completion, which was 1 day on average.

Other adverse events

Adverse event data not reported

Additional Information

Peter Eshuis

Philips Medical Systems Nederland B.V.

Phone: +31628739280

Results disclosure agreements

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

Restriction type: LTE60