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Coronary Artery DiseaseSUPREME IINCT05417763

Sensor-equipped Ultrathin Pressure Microcatheter Versus Pressure Wire for Physiological Measurements

An observational study of Coronary Artery Disease and Coronary Disease, run by Insight Lifetech Co., Ltd. at 11 sites in China.

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

TruePhysio pressure microcatheter is a novel device for evaluating the functional significance of coronary stenosis, and its safety and efficacy on the measurement of hyperemic index have been validated in the previous SUPREME study (NCT03541577). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Randomized physiological measurements by the two systems
Type of treatment
Medical device
How many people
487 participants
Where
11 sitesChina
Study dates
28 Feb 2022to 1 Dec 2022
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
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients diagnosed with coronary artery disease.

Who may be able to join

  • At least 18 years old;
  • Having at least one 30-90% coronary artery stenosis by visual estimation under angiogram;
  • Clinically indicated to physiological assessment.

Who cannot join

  • Unable to comprehend, or unwilling to sign the informed consent form;
  • Contraindicated to the procedures of invasive coronary angiography or percutaneous coronary intervention;
  • Clinically diagnosed with severe coronary artery vasospasm;
  • Other operator-discerned facts that will make enrollment or the procedure impossible to complete.

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

China11 sites
  • Peking University Third Hospital

    Beijing, Beijing Municipality

  • First Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality

  • Guangdong Provincial People's Hospital

    Guangzhou, Guangdong

  • Sir Run Run Shaw Hospital

    Hangzhou, Zhejiang

  • First Affiliated Hospital of Harbin Medical University

    Harbin, Heilongjiang

  • Shandong Provincial Hospital

    Jinan, Shandong

  • Shanghai Zhongshan Hospital

    Shanghai, Shanghai Municipality

  • First Affiliated Hospital of Xinjiang Medical University

    Ürümqi, Xinjiang

  • First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang

  • Xiamen Cardiovascular Hospital, Xiamen University

    Xiamen, Fujian

  • Affiliated Hospital of Zunyi Medical University

    Zunyi, Guizhou

Other trials in China

About this study

Official title: Pressure Microcatheter for Physiological Measurements - A Prospective, Multicenter, Randomized Study

TruePhysio pressure microcatheter is a novel device for evaluating the functional significance of coronary stenosis, and its safety and efficacy on the measurement of hyperemic index have been validated in the previous SUPREME study (NCT03541577). This study will further evaluate the safety and efficacy of the physiological indices measured by the TruePhysio pressure microcatheter, including resting and hyperemic indices, with respect to the physiological indices measured by the Pressure Wire.

Read the detailed description

This study will evaluate the safety and efficacy of the constant-resistance ratio (cRR) measured by the TruePhysio pressure microcatheter, in both binary and hybrid strategy, with respect to its own fractional flow reserve (FFR) and the FFR or resting full-cycle ratio (RFR) by the Pressure Wire. And the safety and efficacy of the FFR measured by the TruePhysio pressure microcatheter in patients with a border range of diameter stenosis also be validated with respect to the FFR by the Pressure Wire.

The diagnostic accuracy of cRR by the TruePhysio pressure microcatheter system is evaluated, using FFR measured by both systems as reference;

Mean bias between the FFR values measured by TruePhysio pressure microcatheter and Pressure Wire is evaluated, using FFR measured by Pressure Wire as the reference;

The diagnostic accuracy of the hybrid cRR-FFR scheme by the TruePhysio pressure microcatheter is evaluated, using its own FFR as reference;

The diagnostic accuracy of the hybrid RFR-FFR scheme by the Pressure Wire system is evaluated, using its own FFR as reference.

The hybrid scheme for cRR-FFR (pressure microcatheter system), or RFR-FFR (pressure wire system), is defined as following:

  • the gray zone is defined as where the sensitivity and specificity are equal, shown as [A, B].
  • if cRR or RFR of the target vessel is <A, it is diagnosed as functionally positive in myocardial ischemia;
  • if cRR or RFR of the target vessel is >B, it is diagnosed as functionally negative in myocardial ischemia;
  • if cRR or RFR of the target vessel is between A and B (including A and B), the diagnostic criterion is superseded by that of FFR, which is:
  • if FFR of the target vessel is > 0.80, it is diagnosed as functionally negative in myocardial ischemia;
  • if FFR of the target vessel is ≤ 0.80, it is diagnosed as functionally positive in myocardial ischemia.

A total of 487 patients are anticipated to be recruited from 11 centers in China.

Being tested
Randomized physiological measurements by the two systems
Keywords
fractional flow reserve, constant-resistance ratio, resting full-cycle ratio
Medical subject headings
Coronary Artery Disease, Coronary Disease, Myocardial Ischemia

What participants receive

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

  • Randomized physiological measurements by the two systemsDevice

    To measure physiological indices (FFR, cRR and RFR), either pressure microcatheter or pressure wire enters one patient's body. Whether it is the pressure microcatheter or pressure wire firstly to enter is randomized. After completion of one system's physiological assessment, the other system will follow for its physiological assessment.

Study groups in NCT05417763
Study groupRoleWhat they receive
Pressure Microcatheter-FirstPer the result of prior randomization, physiological assessment to the enrolled patient will be performed by the TruePhysio pressure microcatheter system ahead of the Pressure Wire system.
Receives: Device: Randomized physiological measurements by the two systems
Pressure Wire-FirstPer the result of prior randomization, physiological assessment to the enrolled patient will be performed by the Pressure Wire system ahead of the TruePhysio pressure microcatheter system, per the result of prior randomization.
Receives: Device: Randomized physiological measurements by the two systems

What is being measured

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

  1. The accuracy of cRR measured by TruePhysio pressure microcatheter in diagnosing myocardial ischemia

    Using FFR measured by TruePhysio pressure microcatheter as the reference. The optimal binary cutoff for cRR is determined by using Youden's index.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

Secondary outcomes (25)
  1. The area under the Receiver Operating Characteristic (ROC) curve (AUC) of cRR measured by the TruePhysio pressure microcatheter in diagnosing myocardial ischemia

    Using FFR measured by TruePhysio pressure microcatheter as the reference

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  2. The sensitivity, specificity, positive and negative predictive values of cRR measured by TruePhysio pressure microcatheter in diagnosing myocardial ischemia

    Using FFR measured by TruePhysio pressure microcatheter as the reference. The optimal binary cutoff for cRR is determined by using Youden's index.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  3. The AUC of cRR measured by the TruePhysio pressure microcatheter in diagnosing myocardial ischemia

    Using FFR measured by Pressure Wire as the reference

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  4. The overall accuracy, sensitivity, specificity, positive and negative predictive values of cRR in diagnosing myocardial ischemia

    Using FFR measured by Pressure Wire as the reference. The optimal binary cutoff for cRR is determined by using Youden's index.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  5. The AUC of RFR measured by the Pressure Wire in diagnosing myocardial ischemia

    Using FFR measured by Pressure Wire as the reference

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  6. The overall accuracy, sensitivity, specificity, positive predictive value and negative predictive value of RFR in diagnosing myocardial ischemia

    Using FFR measured by Pressure Wire as the reference. The binary cutoff for RFR is determined by previous study as 0.89.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  7. The overall accuracy, sensitivity, specificity, positive and negative predictive values of the hybrid cRR-FFR scheme, concluded by TruePhysio pressure microcatheter, in diagnosing myocardial ischemia

    Using FFR measured by the TruePhysio pressure microcatheter as the reference. The gray zone is defined as where the false positive and negative ratios are equal.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  8. The proportion of the subcohort, whose cRR value is in the gray zone of the hybrid cRR-FFR scheme, to the entire cohort

    Using FFR measured by the TruePhysio pressure microcatheter as the reference. Each enrolled patient only has one vessel to be physiologically assessed.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  9. When the cRR value is out of the gray zone of the hybrid cRR-FFR scheme, the cRR-FFR hybrid scheme's accuracy in diagnosing myocardial ischemia

    Using FFR measured by the TruePhysio pressure microcatheter as the reference

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  10. The overall accuracy, sensitivity, specificity, positive and negative predictive values of the hybrid RFR-FFR scheme, concluded by Pressure Wire, in diagnosing myocardial ischemia

    Using FFR measured by the Pressure Wire as the reference. The gray zone is determined by previous study as [0.86, 0.93].

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  11. The proportion of the subcohort, whose RFR value is in the gray zone of the hybrid RFR-FFR scheme, to the entire cohort

    Using FFR measured by the Pressure Wire as the reference. Each enrolled patient only has one vessel to be physiologically assessed.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  12. When the RFR value is out of the gray zone of the hybrid RFR-FFR scheme, the RFR-FFR hybrid scheme's accuracy in diagnosing myocardial ischemia

    Using FFR measured by the Pressure Wire as the reference

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  13. Results of Pearson correlation between the cRR and FFR measured by TruePhysio pressure microcatheter

    Paired values are analyzed by Pearson correlation

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  14. Results of Passing-Bablok regression analysis between the cRR and FFR measured by TruePhysio pressure microcatheter

    Paired values are analyzed by Passing-Bablok regression

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  15. Results of Pearson correlation between the RFR and FFR measured by Pressure Wire

    Paired values are analyzed by Pearson correlation

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  16. Results of Passing-Bablok regression analysis between RFR and FFR measured by Pressure Wire

    Paired values are analyzed by Passing-Bablok regression

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  17. Results of Passing-Bablok regression analysis between cRR measured by the TruePhysio pressure microcatheter, and RFR measured by the Pressure Wire

    Paired cRR-RFR values by the two systems are analyzed in Passing-Bablok regression

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  18. Results of Bland-Altman analysis between cRR measured by the TruePhysio pressure microcatheter, and RFR measured by the Pressure Wire

    Paired cRR-RFR values by the two systems are analyzed in Bland-Altman analysis

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  19. Results of Pearson's correlation between cRR measured by the TruePhysio pressure microcatheter, and RFR measured by the Pressure Wire

    Paired cRR-RFR values by the two systems are analyzed in Pearson correlation

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  20. Results of Pearson correlation between the FFR values measured by TruePhysio pressure microcatheter and Pressure Wire

    Paired FFR values by the two systems are analyzed by Pearson correlation

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  21. Results of Passing-Bablok regression analysis between the FFR values measured by TruePhysio pressure microcatheter and Pressure Wire

    Paired FFR values by the two systems are analyzed by Passing-Bablok regression

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  22. Mean bias between the FFR values measured by TruePhysio pressure microcatheter and Pressure Wire as assessed by Bland-Altman analysis

    Using FFR measured by Pressure Wire as the reference

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  23. Results of Bland-Altman analysis between the FFR values measured by TruePhysio pressure microcatheter and Pressure Wire among the patients with atrial fibrillation or in severe stenosis or with small vessels

    Using FFR measured by Pressure Wire as the reference. The severe stenosis is defined as the diameter stenosis higher than 70%, while the small vessel is defined as the reference vessel diameter smaller than 2.5 mm.

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  24. Rate of significant drift

    Drift is defined as the difference between FFR value and 1 when pressure sensor is pulled back to coronary artery ostium for verification.

    Significant drift occurs when the device has a drift with absolute value > 0.03; alternatively, drift is regarded as significant when the Pd/Pa at the ostium for verification is either <0.97 or >1.03.

    Significant drift is recorded per appearance, regardless whether the measurement is eventually successful or not. Its rate is calculated as:

    Times of significant drift occurred in total / Times of measuring attempted in total

    Measured: Immediate upon completion of the procedure for the last enrolled patient

  25. Rate of device success

    Device success is defined when a device successfully crossed the lesion and completed acquisition of valid physiological values.

    For any vessel, if valid cRR and FFR values by the TruePhysio pressure microcatheter are acquired, the measurement of TruePhysio pressure microcatheter is successful in the specific vessel, disregarding how many times it was attempted;

    For any vessel, if valid RFR and FFR values by the Pressure Wire are acquired, the measurement of Pressure Wire is successful in the specific vessel, disregarding how many times it was attempted.

    Rate of device success is calculated as:

    Vessels with device success / Total vessels

    Measured: Immediate upon completion of the procedure for the last enrolled patient

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 start28 Feb 2022
  3. Primary completion16 Jul 2022
  4. Study completion1 Dec 2022

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
487 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05417763
Sponsor's protocol ID
CTP-01-001
Acronym
SUPREME II
Status last verified
Dec 2023
First submitted
7 Jun 2022
Last updated
20 Dec 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Zhou J, Yang J, Zhang W, Zu L, Cheng Y, Li M, Ma K, Zhou H, Ma X, Yuan H, Wang Y, Fu G, Li Y, Tang Y, Shi B, Gori T, Qian J, Chen J, Li C, Ge J; SUPREME II Study Investigators. Clinical Validation of a Novel Pressure Microcatheter-Based Nonhyperemic Pressure Ratio (SUPREME II Study). J Am Heart Assoc. 2026 Mar 17;15(6):e041920. doi: 10.1161/JAHA.125.041920. Epub 2026 Mar 13.

    PubMed 41823250

Questions about this trial

What is this clinical trial studying?

An observational study of Coronary Artery Disease and Coronary Disease, run by Insight Lifetech Co., Ltd. at 11 sites in China.

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 3 inclusion and 4 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: finished, 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 11 sites in China. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

The accuracy of cRR measured by TruePhysio pressure microcatheter in diagnosing myocardial ischemia (time frame: Immediate upon completion of the procedure for the last enrolled patient). 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 NCT05417763, 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 20 Dec 2023.

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