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Trial · NCT03557385

Adenosine Contrast CorrELations in Evaluating RevAscularizaTION

NCT03557385, Phase 4, Completed, Duke University; results first posted 2024-04-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Adenosine Contrast CorrELations in Evaluating RevAscularizaTION. Trials, record NCT03557385. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03557385

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Adenosine Contrast CorrELations in Evaluating RevAscularizaTION
NCT number
NCT03557385
Status
Completed
Phases
Phase 4
Enrollment
201 participants, actual
Lead sponsor
Duke University
Conditions
Percutaneous Coronary Intervention
Interventions
Iopamidol, adenosine, Navvus® Catheter, CVi® Contrast Delivery System
First posted
2018-06-15
Last updated
2024-07-05
Results first posted
2024-04-02

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryComparison Between Contrast Fractional Flow Reserves (cFFR) and Adenosine Fractional Flow Reserves (aFFR)Baseline
FFR is the ratio between the maximal myocardial flow measured in a diseased coronary artery and the theoretical maximal blood flow in the same territory in the absence of the stenosis, measured using adenosine induced hyperemia (aFFR) or contrast induced hyperemia (cFFR). Contrast FFR is being compared to the gold-standard adenosine FFR. An aFFR equal or less than 0.80 is the gold-standard cut-off to benefit from intervention. Reported as the percentage of agreement between aFFR and cFFR.
PrimaryQualitative Method Comparison Between Contrast Fractional Flow Reserves and Adenosine Fractional Flow ReservesBaseline
The qualitative method comparison assesses the agreement as to which lesion is flow limiting. The contrast FFR measurement that corresponds to adenosine FFR measurement value of 0.8 will be used as the cutoff value for determining whether a lesion is flow limiting for contrast FFR. Reported as the percentage of agreement between aFFR and cFFR.
SecondaryLong-term Clinical Outcomes: Composite Major Adverse Cardiac Events (MACE: Death, MI, and TVR)30 days post procedure
(MACE: death, MI, and TVR) TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel including the target lesion. An MI is caused by decreased or complete cessation of blood flow to a portion of the myocardium.
SecondaryLong-term Clinical Outcomes: Composite Major Adverse Cardiac Events (MACE: Death, MI, and TVR)1 year post procedure
(MACE: death, MI, and TVR) TVR is defined as any repeat percutaneous intervention or surgical bypass of any segment of the target vessel including the target lesion. An MI is caused by decreased or complete cessation of blood flow to a portion of the myocardium.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYComparison Between Contrast Fractional Flow Reserves (cFFR) and Adenosine Fractional Flow Reserves (aFFR)Baseline
All subjects received Fractional Flow Reserve Measurements with both adenosine (aFFR) and contrast (Iopamidol) (cFFR) using the Navvus® Catheter and CVi® Contrast Delivery System. The FFR tracings of 217 lesions from 201 participants were assessed for quality and validity by the Fractional Flow Reserve Core Lab. After qualitative review, 192 FFR pairs were included in the analysis.
proportion of lesions with agreementNUMBER
PRIMARYQualitative Method Comparison Between Contrast Fractional Flow Reserves and Adenosine Fractional Flow ReservesBaseline
All subjects received Fractional Flow Reserve Measurements with both adenosine (aFFR) and contrast (Iopamidol) (cFFR) using the Navvus® Catheter and CVi® Contrast Delivery System. The FFR tracings of 217 lesions from 201 participants were assessed for quality and validity by the Fractional Flow Reserve Core Lab. After qualitative review, 192 FFR pairs were included in the analysis.
proportion of lesions with agreementNUMBER
SECONDARYLong-term Clinical Outcomes: Composite Major Adverse Cardiac Events (MACE: Death, MI, and TVR)30 days post procedureAfter quality assessment, 178 patients were included in the analysisEvents (composite of death, MI, or TVR)NUMBER
SECONDARYLong-term Clinical Outcomes: Composite Major Adverse Cardiac Events (MACE: Death, MI, and TVR)1 year post procedureAfter quality assessment, 178 patients were included in the analysisEvents (composite of death, MI, or TVR)NUMBER

Results by group4

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Comparison Between Contrast Fractional Flow Reserves (cFFR) and Adenosine Fractional Flow Reserves (aFFR)aFFR vs cFFR0.892295% Confidence Interval 0.8403 to 0.9441proportion of lesions with agreement
Qualitative Method Comparison Between Contrast Fractional Flow Reserves and Adenosine Fractional Flow ReservesaFFR vs cFFR0.891295% Confidence Interval 0.8445 to 0.9379proportion of lesions with agreement
Long-term Clinical Outcomes: Composite Major Adverse Cardiac Events (MACE: Death, MI, and TVR)Per Protocol Study Population3Events (composite of death, MI, or TVR)
Long-term Clinical Outcomes: Composite Major Adverse Cardiac Events (MACE: Death, MI, and TVR)Per Protocol Study Population13Events (composite of death, MI, or TVR)

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
aFFRSTARTEDaFFR and cFFR201
aFFRCOMPLETEDaFFR and cFFR201
aFFRNOT COMPLETEDaFFR and cFFR0
cFFRSTARTEDaFFR and cFFR201
cFFRCOMPLETEDaFFR and cFFR201
cFFRNOT COMPLETEDaFFR and cFFR0

Adverse events1

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousMyocardial infarctionCardiac disordersaFFR vs cFFR6201

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityaFFR vs cFFR7201
Total, other adverse eventsaFFR vs cFFR0201
Total, serious adverse eventsaFFR vs cFFR6201

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
40270240DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03557385

GET https://conductscience.org/api/trials/v1/NCT03557385/registered