FROST 4: Study of the Optimal Spreading of a Coronary Stent Guided With Pressure Into the Coronary Arteries
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Purpose
Hypothesis : it is known that the stent must be well opened out in order to avoid restenosis into the stent. Intra coronary pressure would allow the stent to be well deployed and so the restenose into the stent should diminish.
Primary purpose : this study intend to test the hypothesis of optimal spreading of coronary stent guided with pressure into coronary arteritis comparing 2 strategies with patients having a coronary procedure with stent, excluded patients with myocardial infarction.
| Condition | Intervention |
|---|---|
|
Coronary Artery Insufficiency |
Procedure: Intra coronary measures of pressure |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment |
| Official Title: | Prospective Study Randomized Multicentric On the Optimization Of the Installation Of Stent By Measurement Of the Intra-Coronary Pressure |
- The first group of patients will have a coronary procedure with stent and his good deployment will be controlled with angiographic images [ Time Frame: during de study ] [ Designated as safety issue: Yes ]The first group of patients will have a coronary procedure with stent and his
- At 6 months cardiac events will be registered: patients will undergo a scintigraphic and effort test with thallium and a clinical exam [ Time Frame: during the study ] [ Designated as safety issue: Yes ]At 6 months cardiac events will be registered: patients will undergo a
- At 12 and 18 months they will undergo a clinical exam and cardiac events will be registered [ Time Frame: during the study ] [ Designated as safety issue: Yes ]At 12 and 18 months they will undergo a clinical exam and cardiac events will be registered
- Complementary examination [ Time Frame: during the study ] [ Designated as safety issue: Yes ]Complementary examination
| Enrollment: | 800 |
| Study Start Date: | November 2001 |
| Study Completion Date: | January 2008 |
| Primary Completion Date: | January 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Intra coronary measures of pressure
|
Procedure: Intra coronary measures of pressure
Intra coronary measures of pressure
Other Name: Intra coronary measures of pressure
|
Detailed Description:
It is a randomized study, intending to treat, comparing the optimisation of the opening out of a stent into a coronar artery either guided with angiographic images only or with the assistance of pressure measurements plus angiographic control.
Several French centers participate to demonstrate superiority of one strategy. The criterion of principal judgement is the whole of cardiac events, criterion made up with the cardiac death, myocardial infarction, revascularisation by coronary bridging and/or angioplasty and positivity of the effort test.
Secondary criterions are :
- comparing cost to efficacy of the two strategies
- evaluating the angiographic restenosis into an under group of 200 patients (100 patients into each group)
- determining the optimal threshold of measurement of intra coronary pressure in a multicentric population
- comparing the ability of the different stents used to optimised the intra coronary pressure measurements
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patient sent to coronal angioplasty with putting of an active stent to treat a restenosis
Exclusion Criteria:
- acute myocardial infarction
Contacts and Locations| France | |
| European Georges Pompidou's Hospital | |
| Paris, France, 75015 | |
| Principal Investigator: | Antoine LAFONT, Pr,MD,PhD | Assistance Publique - Hôpitaux de Paris |
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT00242892 History of Changes |
| Other Study ID Numbers: | P001003 |
| Study First Received: | October 20, 2005 |
| Last Updated: | November 25, 2011 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Deployment stent optimisation Fractional Flow Reserve Stent Restenosis Coronary |
ClinicalTrials.gov processed this record on May 22, 2013