Complete Revascularization Versus Culprit Lesion Only PCI in NSTEMI

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorLeipzig Heart Science gGmbH

About this trial

Prospective, randomized, controlled, multicenter, open-label trial to study whether multivessel percutaneous coronary intervention (PCI) is superior over culprit-lesion only PCI in patients with non-ST-segment elevation myocardial infarction (NSTEMI) and multivessel coronary artery disease.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

NSTEMI as suggested by high-sensitivity troponin algorithms

Multivessel coronary artery disease

Identifiable culprit lesion

Informed consent

Disqualifiers

Age <18 years

Cardiogenic shock

Sustained ventricular tachycardia (VT) or ventricular fibrillation (VF)

Contraindication for coronary revascularization

Trial design

Design model

Parallel

Treatments tested in this trial

  • Culprit-lesion revascularization

    Procedure/Surgery

    Percutaneous coronary intervention of culprit-lesion

  • Non-culprit-lesion revascularization

    Procedure/Surgery

    Complete percutaneous coronary intervention of all angiographically significant non-culprit lesions

Treatment groups

3,390 Participants
are divided into 2 treatment groups
Group A: culprit-lesion-only revascularizationExperimental treatment 1 intervention
Group B: multivessel complete revascularizationExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Composite rate of cardiovascular death or rehospitalization for non-fatal myocardial infarction

Time frame
During follow-up (2 years estimated average duration)

Secondary outcomes

1

Rate of Cardiovascular death

Time frame
During follow-up (2 years estimated average duration)
2

Rate of Rehospitalization for non-fatal myocardial infarction

Time frame
During follow-up (2 years estimated average duration)
3

Rate of all-cause death

Time frame
During follow-up (2 years estimated average duration)
4

Rate of ischemia-driven revascularization

Time frame
During follow-up (2 years estimated average duration)

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Leipzig Heart Science gGmbH

Lead sponsor

Heart Center Leipzig at University of Leipzig

Collaborator

German Federal Ministry of Education and Research

Collaborator

IHF GmbH - Institut für Herzinfarktforschung

Collaborator

Stiftung IHF - Institut für Herzinfarktforschung

Collaborator