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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04789317
Registration number
NCT04789317
Ethics application status
Date submitted
26/02/2021
Date registered
9/03/2021
Titles & IDs
Public title
Pullback Pressure Gradient (PPG) Global Registry
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Scientific title
Pullback Pressure Gradient (PPG) Global Registry: Prospective Evaluation of the Impact of the PPG Index on Clinical Decision Making and Outcomes
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Secondary ID [1]
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CRI050
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Universal Trial Number (UTN)
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Trial acronym
PPG Global
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Coronary Insufficiency
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Non ST Elevation Myocardial Infarction
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Condition category
Condition code
Cardiovascular
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Coronary heart disease
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Cardiovascular
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Observational [Patient Registry]
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Stable CAD or stabilized NSTEMI (ACS) with significant epicardial lesions defined as FFR=0.80. - The PPG Global Registry an investigator-initiated, observational, multicenter study of patients with an indication for PCI based on coronary angiography and FFR =0.80. After confirmation of intention to treat with PCI, a manual pullback with PPG analysis will be performed. A second level of decision making is then performed concerning PCI, coronary artery bypass grafting (CABG) or medical therapy (OMT). Patients will undergo PCI at operator discretion and post-PCI FFR will be measured. Clinical follow-up will be performed at 1, 2 and 3 years.
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Predictive capacity of the PPG index for post-PCI FFR.
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Assessment method [1]
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Describe the relationship between pre PCI PPG and post-PCI FFR
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Timepoint [1]
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1 year
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Secondary outcome [1]
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To assess the relationship between baseline PPG index and major adverse cardiovascular events (cardiac death, peri-procedural and spontaneous myocardial infarction and target vessel revascularization) at one, two and three years.
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Assessment method [1]
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Assess whether the PPG and identification of CAD endo-type has a relationship with per and post-procedure events
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Timepoint [1]
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3 years after completion of inclusion
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Secondary outcome [2]
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Difference between baseline and 12 month follow-up in the Seattle Angina Questionnaire (SAQ) stratified by PPG index.
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Assessment method [2]
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Assess the relationship with symptoms assessed by the SAQ and PPG and persistent/recurrent angina post-PCI
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Timepoint [2]
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1 years after completion of inclusion
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Eligibility
Key inclusion criteria
* Consecutive patients with stable coronary artery disease or stabilized acute coronary syndrome and invasive FFR measurement =0.80.
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Minimum age
18
Years
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Maximum age
100
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Angiographic exclusion criteria
1. Ostial lesions.
2. Severe vessel tortuosity.
3. Vessel rewiring deemed 'difficult' by the operator.
4. Bifurcation with planned two-stent strategy.
5. NSTEMI culprit vessel.
6. STEMI
7. Uncontrolled or recurrent ventricular tachycardia.
8. Hemodynamic instability
9. Severe renal dysfunction, defined as an eGFR <30 mL/min/1.73 m2
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
23/12/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
982
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
Clayton VI
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Recruitment hospital [1]
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Monash Medical Center - Melbourne
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Recruitment postcode(s) [1]
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3168 - Melbourne
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Texas
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Country [2]
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Belgium
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State/province [2]
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Oost-Vlaanderen
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Country [3]
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Italy
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State/province [3]
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Milan
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Country [4]
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Japan
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State/province [4]
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Tokyo
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Country [5]
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United Kingdom
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State/province [5]
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Glasgow
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Country [6]
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United Kingdom
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State/province [6]
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London
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Funding & Sponsors
Primary sponsor type
Other
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Name
VZW Cardiovascular Research Center Aalst
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine the predictive capacity of the Pullback Pressure Gradient (PPG) index for post-PCI FFR and to determine the impact of the PPG index on clinical decision making about revascularization and on clinical outcomes.
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Trial website
https://clinicaltrials.gov/study/NCT04789317
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Trial related presentations / publications
Collet C, Sonck J, Vandeloo B, Mizukami T, Roosens B, Lochy S, Argacha JF, Schoors D, Colaiori I, Di Gioia G, Kodeboina M, Suzuki H, Van 't Veer M, Bartunek J, Barbato E, Cosyns B, De Bruyne B. Measurement of Hyperemic Pullback Pressure Gradients to Characterize Patterns of Coronary Atherosclerosis. J Am Coll Cardiol. 2019 Oct 8;74(14):1772-1784. doi: 10.1016/j.jacc.2019.07.072.
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Public notes
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Contacts
Principal investigator
Name
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Carlos Collet, MD PhD
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Address
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OLV Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Carlos Collet, MD PhD
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Address
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Country
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Phone
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003253721927
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04789317