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Coronary Artery DiseaseEMPOWER CADNCT05755711

Equity in Modifying Plaque Of WomEn With UndeRtreated Calcified Coronary Artery Disease

An observational study of Coronary Artery Disease, run by Shockwave Medical, Inc. at 49 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Post-market, prospective, multi-center, single-arm observational study to generate real-world clinical evidence associated with coronary IVL in a population of female subjects with calcified coronary artery disease. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Coronary Artery Disease
What is being tested?
Shockwave Medical Coronary IVL System
Type of treatment
Medical device
How many people
399 participants
Where
49 sitesin 5 countries
Study dates
3 May 2023to Apr 2028
Phase
Observational
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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: Female patients referred for percutaneous coronary intervention (PCI) with coronary IVL and stenting per standard of care.

Who may be able to join

  • The subject is a non-pregnant female ≥18 years of age
  • The subject meets indications for PCI and stent
  • The subject is scheduled to undergo PCI with coronary IVL and stenting per standard of care for non-stented lesion
  • The subject is willing to comply with protocol-specified follow-up evaluations
  • The subject, or legally authorized representative, has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent, approved by the appropriate Institutional Review Board (IRB) or Ethics Committee (EC)

Who cannot join

  • Subjects with known mental or physical illness or known history of substance abuse that may cause non-compliance with the protocol, confound the data interpretation, or is associated with a life expectancy of less than one year
  • Subjects presenting with cardiogenic shock at the time of the index procedure
  • Serious angiographic complication in the target vessel prior to treatment with coronary IVL including-severe dissection (Type D to F), perforation, abrupt closure, persistent slow-flow or persistent no reflow
  • Subject unable to tolerate anticoagulation/antiplatelet therapy per guidelines
  • Subject is enrolled in any study of an investigational device or drug that may interfere with study results

Trial locations and contacts

49 sites in 5 countries.

49 sites in 5 countries

United States34 sites
  • Emory Hospital

    Atlanta, Georgia, 30308

  • Piedmont Heart Institute

    Atlanta, Georgia, 30309

  • Northside Hospital

    Atlanta, Georgia, 30342

  • Overlake Medical Center

    Bellevue, Washington, 98004

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • NYU Langone Health

    Brooklyn, New York, 11220

  • MUSC Health University Medical Center

    Charleston, South Carolina, 29425

  • The Lindner Center for Research and Education at The Christ Hospital CRA: Timothy

    Cincinnati, Ohio, 45219

  • Morton Plant Hospital

    Clearwater, Florida, 33756

  • Northwestern University

    Evanston, Illinois, 60208

  • Inova Fairfax Medical Campus

    Falls Church, Virginia, 22042

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • South Denver Cardiology Associates, P.C

    Littleton, Colorado, 80120

  • Loma Linda University Health

    Loma Linda, California, 92354

  • Good Samaritan Hospital

    Los Angeles, California, 90017

  • New England Heart and Vascular Institute

    Manchester, New Hampshire, 03102

  • DHR Health Heart Institute

    McAllen, Texas, 78503

  • Centennial Heart

    Nashville, Tennessee, 37203

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Yale New Haven Hospital

    New Haven, Connecticut, 06510

  • Tulane University Center for Clinical Research

    New Orleans, Louisiana, 70112

  • NYU Langone Health

    New York, New York, 10016

  • Columbia University Medical Center

    New York, New York, 10032

  • Baylor Scott & White Research Institute

    Plano, Texas, 75093

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • St. Francis Hospital

    Roslyn, New York, 11576

  • University of Texas Health Science Center at San Antonio

    San Antonio, Texas, 78229

  • Kaiser Permanente - San Francisco Medical Center

    San Francisco, California, 94118

  • University of Washington Medical Center

    Seattle, Washington, 98195

  • Stanford University

    Stanford, California, 94305

  • Tallahassee Research Institute

    Tallahassee, Florida, 32308

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • WellSpan York Hospital

    York, Pennsylvania, 17403

Other trials in United States

France4 sites
  • Centre Hospitalier d'Antibes

    Antibes, Antibes, 06606

  • Institut Cardiovasculaire Paris Sud Hôpital Privé Jacques Cartier

    Massy, 91300

  • AP-HP Hopital Pitie-Salpetriere

    Paris, Paris, 75013

  • Clinique Pasteur

    Toulouse, BP 27617, 31076 Cedex 3

Other trials in France

Spain4 sites
  • Hospital del Mar

    Barcelona

  • Hospital Universitario Reina Sofia

    Córdoba

  • Hospital Clínico San Carlos

    Madrid

  • Hospital Clinico De Santiago

    Santiago de Compostela, A Coruña

Other trials in Spain

United Kingdom4 sites
  • Golden Jubilee National Hospital

    Clydebank, G81 4HX

  • Liverpool Heart and Chest Hospital

    Liverpool, L14 3PE

  • St. George's Hospital

    London, SW17 0QT

  • Hammersmith Hospital

    London, W12 0HS,

Other trials in United Kingdom

Germany3 sites
  • Heart and Lung Center Leipzig

    Leipzig

  • Universitaetsmedizin der Johannes Gutenberg - Universitaet Mainz

    Mainz, Langenbeckstr. 1, 55131

  • Krankenhaus der Barmherzigen Bruder Trier

    Trier, Nordallee 1, 54292

Other trials in Germany

About this study

Post-market, prospective, multi-center, single-arm observational study to generate real-world clinical evidence associated with coronary IVL in a population of female subjects with calcified coronary artery disease.

Read the detailed description

Subject population: up to 400 female subjects referred for percutaneous coronary intervention (PCI) with coronary IVL and stenting per standard of care at up to 50 global sites in the US, UK and Europe. Subjects will have clinical follow-up prior to discharge from the index intervention and at 30 days, 1, 2 and 3 years.

Being tested
Shockwave Medical Coronary IVL System
Keywords
Intravascular Lithotripsy, Percutaneous Coronary Intervention
Medical subject headings
Coronary Artery Disease

What participants receive

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

  • Shockwave Medical Coronary IVL SystemDevice

    Coronary Intravascular Lithotripsy (IVL)

Study groups in NCT05755711
Study groupRoleWhat they receive
Female subjects referred for percutaneous coronary interventionFemale subjects referred for percutaneous coronary intervention (PCI) with coronary IVL and stenting per standard of care.
Receives: Device: Shockwave Medical Coronary IVL System

What is being measured

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

  1. Primary Safety Endpoint: Number of Participants With Target Lesion Failure (TLF)

    Target lesion failure (TLF) at 30 days defined as a composite of cardiac death, myocardial infarction (per SCAI definition for peri-procedural MI; per 4th Universal Definition for spontaneous MI beyond discharge) attributable to target vessel (TV-MI), or ischemia-driven target lesion revascularization (ID-TLR).

    Measured: within 30 days of index procedure

  2. Primary Effectiveness Endpoint: Procedural Success

    Procedural Success defined as stent delivery with a residual in-stent stenosis ≤30% in all target lesions (core laboratory assessed) and without in-hospital TLF (CEC adjudicated).

    Measured: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure

Secondary outcomes (33)
  1. Angiographic Success (≤30% Residual Stenosis)

    Angiographic Success defined as stent delivery with ≤30% residual stenosis and without serious angiographic complications.

    Measured: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure

  2. Procedural Success

    Procedural Success defined as stent delivery with a residual stenosis <50% in all target lesions (core laboratory assessed) and without in-hospital TLF.

    Measured: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure

  3. Angiographic Success (< 50% Residual Stenosis)

    Angiographic Success defined as stent delivery with < 50% residual stenosis and without serious angiographic complications.

    Measured: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure

  4. Serious Angiographic Complications

    Serious angiographic complications defined as severe dissection (Type D to F), perforation, abrupt closure, and persistent slow flow or persistent no reflow.

    Measured: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure

  5. Target Lesion Failure (TLF)-1 Year

    TFL is defined as a composite of:

    • Cardiac death (see definition within this definition of terms), or
    • Myocardial Infarction (per SCAI definition for peri-procedural MI; or per Fourth Universal definition for spontaneous MI beyond discharge)-see definition within this definition of terms), or
    • Ischemia-driven target lesion revascularization-ID-TLR (see definition within this definition of terms)

    Measured: 1 year post procedure

  6. Target Lesion Failure (TLF)- 2 Year

    TFL is defined as a composite of:

    • Cardiac death (see definition within this definition of terms), or
    • Myocardial Infarction (per SCAI definition for peri-procedural MI; or per Fourth Universal definition for spontaneous MI beyond discharge)-see definition within this definition of terms), or
    • Ischemia-driven target lesion revascularization-ID-TLR (see definition within this definition of terms)

    Measured: 2 years post procedure

  7. Target Lesion Failure (TLF)- 3 Year

    TFL is defined as a composite of:

    • Cardiac death (see definition within this definition of terms), or
    • Myocardial Infarction (per SCAI definition for peri-procedural MI; or per Fourth Universal definition for spontaneous MI beyond discharge)-see definition within this definition of terms), or
    • Ischemia-driven target lesion revascularization-ID-TLR (see definition within this definition of terms)

    Measured: 3 years post procedure

  8. Major Adverse Cardiac Events (MACE)- 30 Days

    Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization. All MACE were adjudicated by an independent CEC.

    Measured: within 30 days of index procedure

  9. Major Adverse Cardiac Events (MACE)- 1 Year

    Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization. All MACE were adjudicated by an independent CEC.

    Measured: 1 year post procedure

  10. Major Adverse Cardiac Events (MACE)- 2 Year

    Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization. All MACE were adjudicated by an independent CEC.

    Measured: 2 years post procedure

  11. Major Adverse Cardiac Events (MACE)- 3 Year

    Major Adverse Cardiac Events (MACE) defined as a composite of cardiac death, myocardial infarction (per SCAI definition for periprocedural MI; per 4th Universal Definition for spontaneous MI beyond discharge), and target vessel revascularization. All MACE were adjudicated by an independent CEC.

    Measured: 3 years post procedure

  12. All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- Discharge

    All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable) in-hospital

    Measured: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure.

  13. All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 30 Days

    All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)- 30 days

    Measured: within 30 days of index procedure

  14. All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 1 Year

    All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)

    Measured: 1 year post procedure

  15. All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 2 Year

    All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)

    Measured: 2 years post procedure

  16. All Death, Cardiac Death, MI, TV-MI, Procedural and Nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, All Revascularizations, and Stent Thrombosis- 3 Year

    All death, cardiac death, MI, TV-MI, procedural and nonprocedural MI, ID-TVR, ID-TLR, ID-non-TLR, ID-non-TVR, all revascularizations (ID and non-ID), and stent thrombosis (ARC definite, probable, definite or probable)

    Measured: 3 years post procedure

  17. MI (Myocardial Infarction)- Discharge

    MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.

    Measured: 12-24 hours post procedure or at discharge, whichever is earlier, but at least 4 hours post procedure

  18. MI (Myocardial Infarction)- 30 Day

    MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.

    Measured: within 30 days of index procedure

  19. MI (Myocardial Infarction)- 1 Year

    MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.

    Measured: 1 year post procedure

  20. MI (Myocardial Infarction)- 2 Year

    MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.

    Measured: 2 years post procedure

  21. MI (Myocardial Infarction)- 3 Year

    MI rates and all composite endpoints (TLF, MACE) will also be reported using the 4th Universal Definition for peri-procedural and spontaneous MI.

    Measured: 3 years post procedure

  22. Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 30 Days

    Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7). Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.

    Measured: From baseline to within 30 days of index procedure

  23. Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 1 Year

    Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7). Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.

    Measured: From baseline to within 1 year of index procedure

  24. Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 2 Years

    Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7). Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.

    Measured: From baseline to within 2 years of index procedure

  25. Angina Symptoms Assessed by Seattle Angina Questionnaire (SAQ-7)- Baseline to 3 Years

    Angina symptoms assessed as a change from baseline by Seattle Angina Questionnaire (SAQ-7). Summary score; 0 to 24 represents poor health status; 25 to 49 represents fair; 50 to 74 represents good; 75 to 100 represents excellent.

    Measured: From baseline to within 3 years of index procedure

  26. Quality of Life Assessed by EQ-5D-5L- Baseline to 30 Days

    Quality of life assessed by EQ-5D-5L as a change from baseline. Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.

    Measured: From baseline to within 30 days of index procedure

  27. Quality of Life Assessed by EQ-5D-5L- Baseline to 1 Year

    Quality of life assessed by EQ-5D-5L as a change from baseline. Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.

    Measured: From baseline to within 1 year of index procedure

  28. Quality of Life Assessed by EQ-5D-5L- Baseline to 2 Year

    Quality of life assessed by EQ-5D-5L as a change from baseline. Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.

    Measured: From baseline to within 2 years of index procedure

  29. Quality of Life Assessed by EQ-5D-5L- Baseline to 3 Year

    Quality of life assessed by EQ-5D-5L as a change from baseline. Summary score; ranges from 0-100; 100 represents the best health you can imagine; 0 represents the worst.

    Measured: From baseline to within 3 years of index procedure

  30. Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 30 Day

    Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline. Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period). Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).

    Measured: From baseline to within 30 days of index procedure

  31. Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 1 Year

    Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline. Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period). Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).

    Measured: From baseline to within 1 year of index procedure

  32. Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 2 Year

    Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline. Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period). Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).

    Measured: From baseline to within 2 years of index procedure

  33. Quality of Life Assessed by Generalized Anxiety Disorder Questionnaire (GAD-7)- Baseline to 3 Year

    Quality of life assessed by Generalized Anxiety Disorder Questionnaire (GAD-7) as a change from baseline. Total score calculated by summing points (0-3) for each of the seven questions, yielding a total score from 0-21 (at each time period). Minimal Anxiety (0-4); Mild Anxiety (5-9 ); Moderate Anxiety (10-14 ); Severe Anxiety (≥15).

    Measured: From baseline to within 3 years of index procedure

Timeline

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

  1. First posted6 Mar 2023
  2. Study start3 May 2023
  3. Primary completion11 Dec 2024
  4. Study completionApr 2028 (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
Case only
Time perspective
Prospective
Enrolment
399 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05755711
Sponsor's protocol ID
CP 67712
Acronym
EMPOWER CAD
Status last verified
Mar 2026
First submitted
21 Feb 2023
Last updated
30 Jul 2026
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Coronary Artery Disease, run by Shockwave Medical, Inc. at 49 sites in 5 countries.

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 5 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 30 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 49 sites in United States, France, Spain, United Kingdom, Germany. 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?

Yes. Results are posted in the registry (first posted 22 Jan 2026). 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?

Primary Safety Endpoint: Number of Participants With Target Lesion Failure (TLF) (time frame: within 30 days of index procedure). 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?
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 30 Jul 2026.

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