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Prospective Evaluation of MyocaRdial PerFUSion ComputEd Tomography Trial (PERFUSE RCT)

This study is currently recruiting participants.
Verified June 2017 by Young-Hak Kim, MD, PhD, Asan Medical Center
Sponsor:
ClinicalTrials.gov Identifier:
NCT02208388
First Posted: August 5, 2014
Last Update Posted: June 20, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
Information provided by (Responsible Party):
Young-Hak Kim, MD, PhD, Asan Medical Center
  Purpose
The purpose of this study is to evaluate safety and effectiveness of CTP(computed tomography perfusion) guided revascularization vs FFR(Fractional flow reserve) guided revascularization

Condition Intervention
Coronary Disease Device: computed tomography perfusion guided treatment Device: Fractional flow reserve guided treatment

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Prospective Evaluation of MyocaRdial PerFUSion ComputEd Tomography Trial: Ischemia-guided Revascularization Using Perfusion Coronary CT vs. Fractional Flow Reserve

Resource links provided by NLM:


Further study details as provided by Young-Hak Kim, MD, PhD, Asan Medical Center:

Primary Outcome Measures:
  • Composite Events [ Time Frame: 1 year ]
    All cause death, Myocardial infarction, Diseased-related unplanned hospitalization or stroke


Secondary Outcome Measures:
  • All cause death [ Time Frame: 5 year ]
  • Myocardial infarction [ Time Frame: 5 year ]
  • Target vessel revascularization [ Time Frame: 5 year ]
  • Stent thrombosis [ Time Frame: 5 year ]
  • Quality of Life [ Time Frame: 5 year ]
    Using Seattle Angina Questionnaire, EQ5D questionnaire

  • Success of intervention [ Time Frame: 5 year ]
    Success of intervention is evaluated from number of used stents, the time required, fluoroscopic time, quantity of contrast media compositely,

  • Cost effective analysis [ Time Frame: 1 year ]

Estimated Enrollment: 1000
Study Start Date: August 2014
Estimated Study Completion Date: April 2024
Estimated Primary Completion Date: December 2019 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Computed tomography perfusion
Patients with Computed tomography perfusion
Device: computed tomography perfusion guided treatment
Active Comparator: Fractional flow reserve
Patients with Fractional flow reserve
Device: Fractional flow reserve guided treatment

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age 20 and more
  • Diagnosed angina or angina equivalent symptom or positive exercise treadmill test
  • Patients with intermediate- or high-risk probability of CAD defined by Diamond and Forester
  • 70 % stenosis or more in coronary CTA
  • Willing to provide informed, written consent

Exclusion Criteria:

  • Requirement for surgical procedure
  • Cardiogenic shock and/or need for mechanical/pharmacologic hemodynamic support
  • Recent STEMI (<5 days)
  • Non STEMI, if the cardiac troponin is not stable or starting to decline
  • Left ventricular ejection fraction <30%
  • Life expectancy <2 years
  • Impaired renal function with an effective glomerular filtration rate less than 30mL/min/1.73 ㎡ or creatinine more than 2.0 mg/dL
  • Undergoing evaluation for organ transplantation
  • Participation or planned participation in another cardiovascular clinical trial
  • Pregnancy
  • Inability to take dual antiplatelet therapy for six months
  • Previous CABG
  • Left main disease requiring revascularization
  • Any target lesion with in-stent restenosis
  • NYHA class 3 or 4a
  • Severe and persistent angina with severe limitation in everyday living activities (Canadian Cardiovascular Society grading Class IV)
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02208388


Contacts
Contact: Young-Hak Kim, MD mdyhkim@amc.seoul.kr

Locations
Korea, Republic of
Asan Medical Center Recruiting
Seoul, Songpa-Gu, Korea, Republic of
Contact: Young-Hak Kim, MD, PhD    82-2-3010-3955    mdyhkim@amc.seoul.kr   
Principal Investigator: Young-Hak Kim, MD,PhD         
Hallym University Sacred Heart Hospital Recruiting
Anyang, Korea, Republic of
Contact: Hyun-Sook Kim, MD       heartsk@hotmail.com   
Principal Investigator: Hyun-Sook Kim, MD         
Dong-A University Medical Center Recruiting
Busan, Korea, Republic of
Contact: Young Rak Cho, MD       nephrone@dau.ac.kr   
Principal Investigator: Young Rak Cho, MD         
Gangwon National Univ. Hospital Recruiting
Chuncheon, Korea, Republic of
Contact: Bong-Ki Lee, MD       mdbklee@kangwon.ac.kr   
Principal Investigator: Bong-Ki Lee, MD         
Daegu Catholic university medical center Recruiting
Daegu, Korea, Republic of
Contact: Jin Bae Lee, MD         
Principal Investigator: Jin Bae Lee, MD         
Keimyung University Dongsan Medical Center Recruiting
Daegu, Korea, Republic of
Contact: Chang Wook Nam, MD       namcwcv@gmail.com   
Principal Investigator: Chang Wook Nam, MD         
Chungnam National University Hospital Withdrawn
Daejeon, Korea, Republic of
Konyang University Hospital Withdrawn
Daejeon, Korea, Republic of
The Catholic University of Korea, Daejeon ST. Mary's Hospital Recruiting
Daejeon, Korea, Republic of
Contact: Sung-Ho Her, MD       hhhsungho@naver.com   
Principal Investigator: Sung-Ho Her, MD         
National Health Insurance Service Ilsan hospital Recruiting
Ilsan, Korea, Republic of
Contact: Sung-Jin Oh, MD       osjwsa@dreamwiz.com   
Principal Investigator: Sung-Jin Oh, MD         
ChonBuk National University Hospital Recruiting
Jeonju, Korea, Republic of
Contact: Jei-Keon Chae, MD       jkchae@chonbuk.ac.kr   
Principal Investigator: Jei-Keon Chae, MD         
Pusan National University Hospital Recruiting
Pusan, Korea, Republic of
Contact: Joon-Hyuk Oh, MD       jhoh724@hanmail.net   
Principal Investigator: Joon-Hyuk Oh, MD         
Pusan National University Yangsan Hospital Recruiting
Pusan, Korea, Republic of
Contact: Sang-Hyun Lee, MD         
Principal Investigator: Sang-Hyun Lee, MD         
Severance Hospital Recruiting
Seoul, Korea, Republic of
Contact: Byoung-Wook Choi, MD       bchoi@yuhs.ac   
Principal Investigator: Byoung-Wook Choi, MD         
The Catholic University of Korea Seoul St. Mary's Hospital Recruiting
Seoul, Korea, Republic of
Contact: Pum-Joon Kim, MD       bjheart@catholic.ac.kr   
Principal Investigator: Pum-Joon Kim, MD         
Ulsan University Hospital Recruiting
Ulsan, Korea, Republic of
Contact: Gyung-Min Park, MD       min8684@hanmail.net   
Principal Investigator: Gyung-Min Park, MD         
Sponsors and Collaborators
Young-Hak Kim, MD, PhD
Investigators
Principal Investigator: Byoung-Wook Choi, MD Severance Hospital, Yonsei University College of Medicine
Principal Investigator: Young-Hak Kim, MD Asan Medical Center
  More Information

Responsible Party: Young-Hak Kim, MD, PhD, MD, Asan Medical Center
ClinicalTrials.gov Identifier: NCT02208388     History of Changes
Other Study ID Numbers: AMCCV2014-06
First Submitted: July 31, 2014
First Posted: August 5, 2014
Last Update Posted: June 20, 2017
Last Verified: June 2017

Keywords provided by Young-Hak Kim, MD, PhD, Asan Medical Center:
Computed tomography perfusion
Fractional flow reserve

Additional relevant MeSH terms:
Coronary Disease
Coronary Artery Disease
Myocardial Ischemia
Heart Diseases
Cardiovascular Diseases
Vascular Diseases
Arteriosclerosis
Arterial Occlusive Diseases