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AngiographyREFORCENCT05417022

Safety and Efficacy Evaluation of Orbital Atherectomy System in de Novo Calcified Lesions

An observational study of Angiography and Coronary Calcification, run by Centre Recherche Cardio Vasculaire Alpes at 17 sites in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

This is a French, prospective, single-arm, multi-center registry to confirm the safety and efficacy of the Diamondback 360 TM Orbital Atherectomy System in the preparation of de novo calcified coronary lesions before implantation of a coronary endoprothesis in adult subjects. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Angiography, Coronary Calcification
What is being tested?
Diamondback 360TM orbital atherectomy system
Type of treatment
Medical device
How many people
300 participants
Where
17 sitesFrance
Study dates
15 Jun 2022to 1 Jun 2025
How long will I take part?
1 Year
Phase
Observational
Are there results?
None posted in the registry

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
  • Adult, Older adult

Study population: All patients who undergo an angioplasty requiring Diamondback 360TM orbital atherectomy System and who agree to participate in this study will be included.

Who may be able to join

  • Subjects ≥ 18 years
  • Patients with a clinical indication for coronary angioplasty and presenting a de novo calcified lesion
  • The target vessel reference diameter must be >= 2.5mm and <= 4.0 mm.
  • Lesion length <= 40 mm
  • The target vessel must be a coronary artery with a stenosis of >70%
  • Patients able to understand and provide informed consent
  • Patients with Social Security coverage

Who cannot join

  • Patients with an LVEF < 25%.
  • Patient with hypersensitivity to egg, soy or peanut proteins or to one of the active substances or one of the excipients of ViperSlide lubricant.
  • Pregnant or breastfeeding woman
  • Unwilling or unable to sign the Informed Consent
  • Patients under judicial protection, tutorship or curatorship
  • Angiographic criteria: Intra-stent stenosis, Presence of a chronic total occlusion (CTO), Bypass lesion, Target vessel excessively tortuous, Presence of a thrombus, Presence of a single permeable vessel

Trial locations and contacts

17 sites in 1 country.

Jacques Monségu contact

+33621273352

jacquesmonsegu@gmail.com

Angélique Grangier contact

+33476707440

agrangier.crca@gmail.com

17 sites in 1 country

France17 sites, 17 recruiting
  • GCS-ES Axium-Rambot

    Aix-en-Provence

    Marc Silvestri, 04 42 95 73 10, drmsilvestri@gmail.com

    Not yet recruiting
  • Centre Hospitalier Antibes - Juan-Les-Pins

    Antibes, 06 606

    Anne Bellemain-Appaix, 04 97 24 75 44, annebellem1@hotmail.fr

    Recruiting
  • Hôpital Européen de la Roseraie

    Aubervilliers, 93300

    Hakim Ben-Amer, 01 48 39 40 62, h.benamer@angio-icps.com

    Not yet recruiting
  • Centre Hospitalier d'Avignon

    Avignon

    Marine Quillot, +33476707440, marine.quillot@gmail.com

    Recruiting
  • Clinique Rhône Durance

    Avignon

    Jean-Pascal Peyre, +33476707440, jpascal.peyre@gmail.com

    Not yet recruiting
  • Centre Hospitalier Universitaire de Clermont-Ferrand

    Clermont-Ferrand

    Pascal Motreff, +33473751421, pmotreff@chu-clermontferrand.fr

    Recruiting
  • Pôle Santé République - ELSAN

    Clermont-Ferrand

    Nicolas Durel, +33473994355, dureln@yahoo.fr

    Recruiting
  • Groupe Hospitalier Mutualiste de Grenoble

    Grenoble

    Jacques Monségu, +33621273352, jacquesmonsegu@gmail.com

    Angélique Grangier, +33476707440, agrangier.crca@gmail.com

    Recruiting
  • Centre Hospitalier de Haguenau

    Haguenau, 67500

    Pierre Leddet, 03 88 06 35 57, Pierre.leddet@ch-haguenau.fr

    Recruiting
  • Centre Hospitalier Marne la Vallée

    Jossigny, 77600

    Simon Elhadad, 01 61 10 63 91, selhadad@ghef.fr

    Recruiting
  • Hôpital de la Timone

    Marseille

    Pierre Deharo, +33685028218, deharopierre@gmail.com

    Recruiting
  • Hôpital Privé du Confluent

    Nantes, 44000

    Ashok Tirouvanziam, 02 28 25 51 15, atirouvanziam@gmail.com

    Recruiting
  • Centre Hospitalier Universitaire de Nîmes

    Nîmes

    Luc Cornillet, +33466683116, luc_cornillet@hotmail.com

    Recruiting
  • Clinique Saint Hilaire

    Rouen

    Alexandre Canville, +33235086621, acanville@clinique-sainthilaire.fr

    Recruiting
  • Institut Arnault Tzanck

    Saint-Laurent-du-Var, 06700

    Léo Cuénin, 04 92 27 37 37, leo.cuenin@gmail.com

    Not yet recruiting
  • CHU Strasbourg

    Strasbourg, 67000

    Olivier Morel, 03 69 55 06 36, olivier.morel@chru-strasbourg.fr

    Not yet recruiting
  • Centre Hospitalier Intercommunal Toulon - La Seyne/Mer

    Toulon, 83100

    Gonzalo Quaino, 04 94 14 59 55, gonzalo.quaino@ch-toulon.fr

    Recruiting

Other trials in France

About this study

Official title: French Registry to Evaluate the Safety and Efficacy of the Diamondback 360TM Orbital Atherectomy System in the Preparation of Calcified Coronary Lesions Before Implantation of a Coronary Endoprothesis

This is a French, prospective, single-arm, multi-center registry to confirm the safety and efficacy of the Diamondback 360 TM Orbital Atherectomy System in the preparation of de novo calcified coronary lesions before implantation of a coronary endoprothesis in adult subjects. The primary safety endpoint is 30-day MACE and the efficacy endpoint is procedural success.

Read the detailed description

Treatment of calcified lesions, caused in 6 to 20% of patients, remains a challenge.

Presence of coronary calcifications complicates stent placement resulting in up to 50% malapposition or under-expansion of the stent and is associated with a higher frequency of major adverse cardiac events (MACE).

In order to reduce these risks, preparation of these lesions before the implantation of a coronary stent is essential. The arrival on the European market of a new Orbital atherectomy system leads to consider its use in the preparation of such lesions.

The orbital atherectomy system uses a diamond-coated eccentric crown that abrades calcified plaque and develops pulsatile forces on the wall. It reduces calcified plaque and modifies plaque with fractures, facilitating stent placement and allowing for optimal stent expansion.

ORBIT I and ORBIT II clinical trials were conducted in the United States to evaluate the safety of using the Orbital Atherectomy System in de novo calcified coronary lesions in adults. These 2 trials demonstrated that orbital atherectomy not only facilitated stenting, but also improved clinical outcomes compared to historical outcomes.

The recent obtaining of CE marking allows the use of this very promising medical device in France.

Being tested
Diamondback 360TM orbital atherectomy system

What participants receive

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

  • Diamondback 360TM orbital atherectomy systemDevice

    Use of the Diamondback 360TM orbital atherectomy system in the preparation of calcified coronary lesions before implantation of a coronary endoprothesis

Study groups in NCT05417022
Study groupRoleWhat they receive
Diamondback 360TM orbital atherectomy systemNot described
Receives: Device: Diamondback 360TM orbital atherectomy system

What is being measured

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

  1. Safety Endpoint : Major Adverse Cardiac Event (MACE)

    The Diamondback 360°® Orbital Atherectomy System safety was evaluated by a composite of MACE at 30-days post procedure. MACE is composed of :

    • Myocardial infarction : Type I and/or Type IV
    • TVR - defined as revascularization at the target vessel after the completion of the index procedure.
    • Cardiac death.

    Measured: 30 days

Secondary outcomes (3)
  1. Efficacy Endpoint : Revascularization success rate

    Revascularization success was defined as successful stent placement with < 30% residual stenosis and without severe angiographic complications during intervention and/or MACE during the period of the patient's hospitalization.

    Severe angiographic complications were defined as severe dissection (Type C to F) , perforation and persistent slow flow or no flow, Atrioventricular conduction disorder.

    Measured: Until hospital discharge after index procedure, average estimated at 48 hours

  2. Safety Endpoint : 12 Month MACE

    See MACE definition in the primary outcome.

    Measured: 12 months

  3. Safety endpoint : Comparison of MACE with rotational atherectomy

    The safety of Orbital Atherectomy System will be compared to rotational atherectomy by comparing the MACE rate at 1 month recorded in this study and that recorded in the Euro4C Study.

    Measured: 30 days

Timeline

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

  1. First posted14 Jun 2022
  2. Study start15 Jun 2022
  3. Primary completion1 Jun 2024 (estimated)
  4. Study completion1 Jun 2025 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
300 participants (estimated)
Target duration
1 Year
IDs, dates and publications
ClinicalTrials.gov ID
NCT05417022
Sponsor's protocol ID
2021-A02662-39
Acronym
REFORCE
Status last verified
Dec 2023
First submitted
13 May 2022
Last updated
20 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Sturm R, Martinsen BJ, Valle JA, Waldo SW, Behrens AN, Armstrong EJ. Orbital Atherectomy for Treatment of Complex Severely Calcified Coronary Artery Lesions: Insights from a Veterans Affairs Cohort. Cardiovasc Revasc Med. 2020 Mar;21(3):330-333. doi: 10.1016/j.carrev.2019.06.013. Epub 2019 Jun 28.

    PubMed 31307929
  • Mosseri M, Satler LF, Pichard AD, Waksman R. Impact of vessel calcification on outcomes after coronary stenting. Cardiovasc Revasc Med. 2005 Oct-Dec;6(4):147-53. doi: 10.1016/j.carrev.2005.08.008.

    PubMed 16326375
  • Onuma Y, Tanimoto S, Ruygrok P, Neuzner J, Piek JJ, Seth A, Schofer JJ, Richardt G, Wiemer M, Carrie D, Thuesen L, Dorange C, Miquel-Hebert K, Veldhof S, Serruys PW. Efficacy of everolimus eluting stent implantation in patients with calcified coronary culprit lesions: two-year angiographic and three-year clinical results from the SPIRIT II study. Catheter Cardiovasc Interv. 2010 Nov 1;76(5):634-42. doi: 10.1002/ccd.22541.

    PubMed 20690152
  • Fitzgerald PJ, Ports TA, Yock PG. Contribution of localized calcium deposits to dissection after angioplasty. An observational study using intravascular ultrasound. Circulation. 1992 Jul;86(1):64-70. doi: 10.1161/01.cir.86.1.64.

    PubMed 1617791
  • Moussa I, Di Mario C, Moses J, Reimers B, Di Francesco L, Martini G, Tobis J, Colombo A. Coronary stenting after rotational atherectomy in calcified and complex lesions. Angiographic and clinical follow-up results. Circulation. 1997 Jul 1;96(1):128-36. doi: 10.1161/01.cir.96.1.128.

    PubMed 9236427
  • Bhatt P, Parikh P, Patel A, Chag M, Chandarana A, Parikh R, Parikh K. Orbital atherectomy system in treating calcified coronary lesions: 3-Year follow-up in first human use study (ORBIT I trial). Cardiovasc Revasc Med. 2014 Jun;15(4):204-8. doi: 10.1016/j.carrev.2014.03.004. Epub 2014 Mar 19.

    PubMed 24746600
  • Chambers JW, Feldman RL, Himmelstein SI, Bhatheja R, Villa AE, Strickman NE, Shlofmitz RA, Dulas DD, Arab D, Khanna PK, Lee AC, Ghali MG, Shah RR, Davis TP, Kim CY, Tai Z, Patel KC, Puma JA, Makam P, Bertolet BD, Nseir GY. Pivotal trial to evaluate the safety and efficacy of the orbital atherectomy system in treating de novo, severely calcified coronary lesions (ORBIT II). JACC Cardiovasc Interv. 2014 May;7(5):510-8. doi: 10.1016/j.jcin.2014.01.158.

    PubMed 24852804
  • Benezet J, Diaz de la Llera LS, Cubero JM, Villa M, Fernandez-Quero M, Sanchez-Gonzalez A. Drug-eluting stents following rotational atherectomy for heavily calcified coronary lesions: long-term clinical outcomes. J Invasive Cardiol. 2011 Jan;23(1):28-32.

    PubMed 21183767
  • Bouisset F, Barbato E, Reczuch K, Dobrzycki S, Meyer-Gessner M, Bressollette E, Cayla G, Lhermusier T, Zajdel W, Palazuelos Molinero J, Ferenc M, Ribichini FL, Carrie D. Clinical outcomes of PCI with rotational atherectomy: the European multicentre Euro4C registry. EuroIntervention. 2020 Jul 17;16(4):e305-e312. doi: 10.4244/EIJ-D-19-01129.

    PubMed 32250249
  • Kobayashi Y, Okura H, Kume T, Yamada R, Kobayashi Y, Fukuhara K, Koyama T, Nezuo S, Neishi Y, Hayashida A, Kawamoto T, Yoshida K. Impact of target lesion coronary calcification on stent expansion. Circ J. 2014;78(9):2209-14. doi: 10.1253/circj.cj-14-0108. Epub 2014 Jul 14.

    PubMed 25017740
  • Genereux P, Madhavan MV, Mintz GS, Maehara A, Palmerini T, Lasalle L, Xu K, McAndrew T, Kirtane A, Lansky AJ, Brener SJ, Mehran R, Stone GW. Ischemic outcomes after coronary intervention of calcified vessels in acute coronary syndromes. Pooled analysis from the HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) and ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) TRIALS. J Am Coll Cardiol. 2014 May 13;63(18):1845-54. doi: 10.1016/j.jacc.2014.01.034. Epub 2014 Feb 19.

    PubMed 24561145
  • Parikh K, Chandra P, Choksi N, Khanna P, Chambers J. Safety and feasibility of orbital atherectomy for the treatment of calcified coronary lesions: the ORBIT I trial. Catheter Cardiovasc Interv. 2013 Jun 1;81(7):1134-9. doi: 10.1002/ccd.24700. Epub 2013 Mar 5.

    PubMed 23460596
  • Lee M, Genereux P, Shlofmitz R, Phillipson D, Anose BM, Martinsen BJ, Himmelstein SI, Chambers JW. Orbital atherectomy for treating de novo, severely calcified coronary lesions: 3-year results of the pivotal ORBIT II trial. Cardiovasc Revasc Med. 2017 Jun;18(4):261-264. doi: 10.1016/j.carrev.2017.01.011. Epub 2017 Jan 23.

    PubMed 28162989

Questions about this trial

What is this clinical trial studying?

An observational study of Angiography and Coronary Calcification, run by Centre Recherche Cardio Vasculaire Alpes at 17 sites in France.

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

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. 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: status not confirmed, as of the sponsor's last update on 20 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in France. 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.

Are results available for this study?

Results are not available in the source record.

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

Contact Jacques Monségu (+33621273352, jacquesmonsegu@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety Endpoint : Major Adverse Cardiac Event (MACE) (time frame: 30 days). 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 NCT05417022, which also lists 13 linked publications.

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 20 Dec 2023.

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