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Coronary Artery DiseasePhase 2PRECISENCT01275092

Evaluation of the Safety and Effectiveness of the CorPath 200 System in Percutaneous Coronary Interventions (PCI)

A Phase 2 study testing CorPath robotic-assisted PCI in people with Coronary Artery Disease and Coronary Disease, run by Siemens Healthineers Endovascular Robotics, Inc. at 9 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The objective of this study is to evaluate the safety and effectiveness of the clinical and technical performance of the CorPath® 200 System in the delivery and manipulation of coronary guidewires and stent/balloon systems for use in percutaneous coronary interventions (PCI). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
CorPath robotic-assisted PCI
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
164 participants
Where
9 sitesin 2 countries
Study dates
Jan 2011to Jan 2012
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

General Inclusion Criteria:

  1. Subject is between 18 and 99 years of age.
  2. Subject is an acceptable candidate for PCI.
  3. Subject must have clinical evidence of ischemic heart disease or a positive functional study.
  4. Female subjects must be of non-child bearing potential, or if able to bear children, have a negative pregnancy test within 7 days prior to the CorPath procedure.
  5. The subject or the legal representative has been informed of the nature of the study and agrees to its provisions and has provided written informed consent.

Angiographic Inclusion Criteria:

  1. Study lesion is a single de novo native coronary artery lesion. This lesion may consist of multiple lesions (with 10mm or less between diseased segments) and must be completely covered by a single stent with at least 2.0mm of normal segments on proximal and distal edges of the lesion.
  2. Study reference vessel diameter is between 2.5mm and 4.0mm by visual estimate.
  3. Study lesion length is less than or equal to 24.0mm by visual estimate.
  4. Study lesion diameter showing stenosis of at least 50% by visual estimate.

General Exclusion Criteria:

  1. Subject requires planned PCI or CABG (Coronary Artery Bypass Graft) within 30 days following the CorPath procedure.
  2. Evidence of an acute myocardial infarction within 72 hours prior to the intended CorPath procedure.
  3. Subject has documented left ventricular ejection fraction <30%.
  4. Subject has undergone PCI within 72 hours prior to the CorPath procedure.
  5. Subject has undergone PCI within 30 days prior to the CorPath procedure and experienced a major adverse coronary event (MACE) or a serious adverse event (SAE) as defined in the protocol.
  6. Subject has known hypersensitivity or contraindication to aspirin, heparin, ticlopidine, clopidogrel, prasugrel, stainless steel, cobalt chromium, or sensitivity to contrast media, including Visipaque™, which cannot be adequately pre-medicated or managed with clinically appropriate substitutes.
  7. Subject has a platelet count <100,000 cells/mm3 or >700,000 cells/mm3, or a WBC (white blood cell) count of <3,000 cells/mm3 (e.g. thrombocytopenia, thrombocythemia, neutropenia or leukopenia).
  8. Subject has a serum creatinine level of >2.0 mg/dL or eGFR (estimated Glomerular Filtration Rate) <30 ml/min as measured within 7 days prior to the procedure.
  9. Subject has suffered a stroke within 30 days prior to planned CorPath procedure.
  10. Subject has an active peptic ulcer or upper gastrointestinal bleeding within the 6 months prior to planned CorPath procedure.
  11. Subject has a history of bleeding diathesis or coagulopathy or will refuse blood transfusions.
  12. Subject is currently participating in another investigational drug or drug/device or device trial and has not completed the entire follow up period.
  13. Femoral access is not possible.

Angiographic Exclusion Criteria:

  1. Target lesion that cannot be fully covered by a single stent.
  2. Subject requires treatment of more than one vessel.
  3. Any previous stent placement within 5.0 mm (proximal or distal) of the target lesion.
  4. The study lesion requires planned treatment with directional coronary atherectomy (DCA), laser, rotational atherectomy or any device except for balloon dilatation prior to stent placement.
  5. The study vessel has evidence of intraluminal thrombus.
  6. The study vessel has evidence of moderate to severe tortuosity (>90°) proximal to the target lesion.
  7. The study lesion has any of the following characteristics:
  • Total occlusion.
  • Ostial location.
  • Is within 2.0 mm of a side branch measuring >2.0 mm in diameter.
  • Located at < 45° bend in the vessel.
  • Moderately to severely calcified.
  • Moderate to severe calcification in the vessel proximal to the target lesion.
  • Located in a native vessel distal to an anastomosis, with a saphenous vein graft or a left/right internal mammary artery (LIMA/RIMA) bypass, and is approached through the bypass graft.
  1. Unprotected left main coronary artery disease defined as an obstruction greater than 50% diameter stenosis in the left main coronary artery.

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

United States8 sites
  • St. Elizabeth's Medical Center

    Boston, Massachusetts, 02135

  • Northeast Georgia Heart Center

    Gainesville, Georgia, 30501

  • Wellmont CVA Heart Institute

    Kingsport, Tennessee, 37660

  • Columbia University Medical Center

    New York, New York, 10032

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Swedish Medical Center

    Seattle, Washington, 98122

  • Saint Joseph's Hospital

    Syracuse, New York, 13203

  • Washington Hospital Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

Colombia1 site
  • CORBIC

    Medellín

Other trials in Colombia

About this study

Official title: CorPath® PRECISE Percutaneous Robotically-Enhanced Coronary Intervention Study (PRECISE)

The objective of this study is to evaluate the safety and effectiveness of the clinical and technical performance of the CorPath® 200 System in the delivery and manipulation of coronary guidewires and stent/balloon systems for use in percutaneous coronary interventions (PCI).

Being tested
CorPath robotic-assisted PCI
Keywords
robotic-assisted PCI, coronary intervention, CorPath PRECISE, PCI
Medical subject headings
Coronary Artery Disease, Coronary Disease, Myocardial Ischemia, Heart Diseases, Cardiovascular Diseases, Arteriosclerosis, Arterial Occlusive Diseases, Vascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CorPath robotic-assisted PCIDevice

    CorPath 200® robotic-assisted percutaneous coronary intervention

Study groups in NCT01275092
Study groupRoleWhat they receive
CorPath robotic-assisted PCIExperimentalCorPath 200 robotic-assisted PCI
Receives: Device: CorPath robotic-assisted PCI

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Clinical Procedural Success

    Defined as <30% residual stenosis in CorPath 200 System treated lesions at the completion of the interventional procedure (including stent placement) in the absence of MACE, either within 48 hours of the procedure or prior to hospital discharge, whichever occurs first.

    Measured: 48-hrs or hospital discharge, whichever occurs first

  2. Percentage of Patients With Device Technical Success

    Defined as the successful advancement and retraction of PCI devices using the CorPath 200 System and without conversion to manual operation.

    Measured: 1 day

Secondary outcomes (1)
  1. The Ratio Between the Radiation Exposure of the Primary Operator and the Radiation Exposure at the Table

    Defined as the difference between the radiation exposure measured at the procedure table (the conventional site of the primary operator) and the radiation exposure measured at the primary operator's position during the procedure. The radiation unit that was used was in milligray, but the measure is being reported as the ratio.

    Measured: 1 day

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jan 2011 (estimated)
  2. Study startJan 2011
  3. Primary completionDec 2011
  4. Study completionJan 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
164 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01275092
Sponsor's protocol ID
CorPath PRECISE
Acronym
PRECISE
Status last verified
Aug 2013
First submitted
7 Jan 2011
Last updated
8 Aug 2013
Data monitoring committee
Yes

Publications

  • Weisz G, Metzger DC, Caputo RP, Delgado JA, Marshall JJ, Vetrovec GW, Reisman M, Waksman R, Granada JF, Novack V, Moses JW, Carrozza JP. Safety and feasibility of robotic percutaneous coronary intervention: PRECISE (Percutaneous Robotically-Enhanced Coronary Intervention) Study. J Am Coll Cardiol. 2013 Apr 16;61(15):1596-600. doi: 10.1016/j.jacc.2012.12.045.

    PubMed 23500318

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CorPath robotic-assisted PCI in people with Coronary Artery Disease and Coronary Disease, run by Siemens Healthineers Endovascular Robotics, Inc. at 9 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 8 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States, Colombia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Aug 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Participants With Clinical Procedural Success (time frame: 48-hrs or hospital discharge, whichever occurs first). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01275092, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Aug 2013.

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