Coronary Artery DiseaseNCT05807841
Clinical Impact of Intravascular Ultrasound-Based Artificial Intelligence Technologies (INNOVATE-PCI)
An observational study of Coronary Artery Disease, run by Asan Medical Center at 16 sites in South Korea.
Trial summary
This study is a prospective, multicenter study in the real practice to validate the diagnostic performances and clinical impact of coronary angiography \& intravascular ultrasound (IVUS)-based models developed by machine learning (ML). Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- Coronary Artery Disease
- What is being tested?
- percutaneous coronary intervention
- Type of treatment
- Surgery or procedure
- How many people
- 3,000 participants
- Where
- 16 sitesSouth Korea
- Study dates
- 20 Feb 2020to 31 Dec 2029
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Between February 2020 and June 2027, a total of 3,000 patients who performe coronary angiography (± FFR) and have at least one coronary stenosis requiring PCI (as culprit) will be enrolled from 16 centers in South Korea.
Who may be able to join
- Age 19 years or older
- Symptomatic angina patients with objective myocardial ischemia
- Patients with at least one major epicardial coronary artery that requires stent implantation
- Subject who signs with informed consent form
- Patient exclusion Criteria:
- ST-segment elevation MI at admission
Show all 23Show fewer
- Patients who underwent coronary artery bypass surgery or heart transplantation
- Left ventricular ejection fraction <30%
- Cardiogenic shock
- Patients whose life expectancy <2 years
- Woman who are breastfeeding, pregnant or planning to become pregnant during study
- Patients in whom anti-platelets or heparin is contraindicated
- Lesion exclusion Criteria:
- Left main culprit lesion (angiographic diameter stenosis >50%)
- Thrombus-containing lesion
- In-stent restenosis
- Side branch lesion
- Chronic total occlusion
- Small vessel with reference diameter <2.5mm
- Coronary spasm despite administration of nitrate
- Inability for imaging catheter to pass through tight stenosis, calcification, angulations
- Poor image quality
- Angiographically visible collateral vessels
Who cannot join
None listed.
Trial locations and contacts
16 sites in 1 country. Contact the study team or a site near you to ask about taking part.
16 sites in 1 country
South Korea16 sites, 16 recruiting
- Recruiting
Soon Chun Hyang University Hospital Bucheon
Bucheon-si
Yoon-Haeng Cho, MD
Yoon-Haeng Cho, MD
- Recruiting
Gosin University Gospel Hospital
Busan
Jeong-Ho Heo, MD
Jeong-Ho Heo, MD
- Recruiting
Inje University Pusan Paik Hospital
Busan
Tae-Hyun Yang, MD
Tae-Hyun Yang, MD
- Recruiting
Gyeongsang National University Changwon Hospital
Changwon
Jae-Seok Bae, MD
Jae-Seok Bae, MD
- Recruiting
Kangwon National University Hospital
Chuncheon
Bong-Ki Lee, MD
Bong-Ki Lee, MD
- Recruiting
Keimyung University Dongsan Medical Center
Daegu
Cheol-Hyeon Lee, MD
Cheol-Hyeon Lee, MD
- Recruiting
The Catholic university of korea, daejeon st. mary's hospital
Daejeon
Kyu-Sup Lee, MD
Kyu-Sup Lee, MD
- Recruiting
Gangneung Asan Hospital
Gangneung
Han-Bit Park, MD
Han-Bit Park, MD
- Recruiting
Jesushospital
Jeonju
Jong-Pil Park, MD
Jong-Pil Park, MD
- Recruiting
Chungnam National University Sejong Hospital
Sejong
Jae-Hwan Lee, MD
Jae-Hwan Lee, MD
- Recruiting
Seung-Whan Lee
Seoul, 05505
Seung-Whan Lee, MD, 82-10-7398-9897, seungwlee@amc.seoul.kr
- Not yet recruiting
Kangbuk Samsung Medical Center
Seoul
Jong-Young Lee, MD
Jong-Young Lee, MD
- Recruiting
The Catholic university of korea, Eunpyeong st. mary's hospital
Seoul
Jung-hoon Lee, MD
Jung-hoon Lee, MD
- Recruiting
Veterans Hospital Service Medical Center
Seoul
Chang-Hoon Lee, MD
Chang-Hoon Lee, MD
- Recruiting
The Catholic University of Korea ST.VINCENT'S Hospital
Suwon
Sung-Ho Her, MD
Sung-Ho Her, MD
- Recruiting
Ulsan University Hospital
Ulsan
Gyung-Min Park, MD
Gyung-Min Park, MD
About this study
Official title: Influence of Novel Intravascular Ultrasound-Based Artificial Intelligence Technologies on Event Reduction Following Percutaneous Coronary Intervention (INNOVATE-PCI)
This study is a prospective, multicenter study in the real practice to validate the diagnostic performances and clinical impact of coronary angiography \& intravascular ultrasound (IVUS)-based models developed by machine learning (ML).
Read the detailed description
The aim of the study is to evaluate the performances and prognostic impact of coronary angiography \& IVUS-based algorithms for decision making and stent optimization in a multicenter, prospective cohort. Between January 2020 and June 2027, a total of 3,000 patients who performed coronary angiography (± FFR) and have at least one coronary stenosis requiring PCI (as culprit) will be enrolled from 16 centers in South Korea. In addition, the deferred lesions with visual estimated diameter stenosis of >30% will be evaluated as non-culprits. Brief study design is as depicted in the following figure.
Supervised ML algorithms include: 1) angiography- and IVUS-based algorithms for predicting FFR, 2) IVUS-based algorithm for plaque characterization, 3) IVUS-based algorithm for predicting stent expansion, and 4) post-stenting IVUS-based algorithm for predicting stent failure. In the prospective cohort, the performance of each model will be assessed. This registry trial composed of the treated (culprit) and the deferred (nonculprit) coronary lesions has two primary objectives as follow; 1) Primary objectives in treated (culprit) lesions is to see the impact of the integrated ML model on the development of culprit-related 2-year target vessel failure (TVF). 2) Primary objectives in deferred (nonculprit) lesions is to see the impact of the integrated ML model on the development of nonculprit-related 2-year TVF.
- Conditions
- Coronary Artery Disease
- Being tested
- percutaneous coronary intervention
- Keywords
- percutaneous coronary intervention, artificial intelligence, machine learning, intravascular ultrasound, coronary angiography
- 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.
percutaneous coronary interventionProcedure or surgery
IVUS-guided stent implantation
What is being measured
The primary outcome is the main question the study is designed to answer.
culprit-related TVF
composite of cardiac death, myocardial infarction (MI), stent thrombosis, and clinically-driven target vessel revascularization (TVR) at 2 years after SynergyTM implantation
Measured: 2 years after stent implantation
nonculprit-related TVF
composite of cardiac death, MI, and clinically-driven TVR at 2 years
Measured: 2 years after stent implantation
Secondary outcomes (5)
each component of primary measures
each of cardiac death, non-fetal MI, ST and target vessel revascularization
Measured: 2 years after stent implantation
all cause death
all cause death
Measured: 2 years after stent implantation
repeat revascularization
repeat revascularization
Measured: 2 years after stent implantation
stroke
stroke
Measured: 2 years after stent implantation
bleeding
bleeding
Measured: 2 years after stent implantation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Apr 2023
- Study start20 Feb 2020
- Primary completion31 Dec 2028 (estimated)
- Study completion31 Dec 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Coronary Artery DiseaseStudies of the same condition, open and under way.
- More trials run by Asan Medical CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 3,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Asan Medical Center
- Sponsor type
- University, hospital or other
- Collaborators
- Boston Scientific Corporation
- Responsible party
- Principal investigator, Seung-Whan Lee, M.D., Ph.D., Asan Medical Center
- Investigators
- Seung-Whan Lee, MD, Principal investigator, Asan Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05807841
- Sponsor's protocol ID
- 2020-0226
- Status last verified
- Jun 2026
- First submitted
- 29 Mar 2023
- Last updated
- 25 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 25 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Influence of Novel Intravascular Ultrasound-Based Artificial Intelligence Technologies on Event Reduction Following Percutaneous Coronary Intervention (INNOVATE-PCI)
- ClinicalTrials.gov ID
- NCT05807841
- Acronym / sponsor ID
- 2020-0226
- Conditions
- Coronary Artery Disease
- Keywords
- percutaneous coronary intervention, artificial intelligence, machine learning, intravascular ultrasound, coronary angiography
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 3,000 participants (estimated)
- Lead sponsor
- Asan Medical CenterUniversity, hospital or other
- Collaborators
- Boston Scientific Corporation
- Study start
- 20 Feb 2020 (actual)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 31 Dec 2029 (estimated)
- First posted
- 11 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a prospective, multicenter study in the real practice to validate the diagnostic performances and clinical impact of coronary angiography \& intravascular ultrasound (IVUS)-based models developed by machine learning (ML).
Detailed description
The aim of the study is to evaluate the performances and prognostic impact of coronary angiography \& IVUS-based algorithms for decision making and stent optimization in a multicenter, prospective cohort. Between January 2020 and June 2027, a total of 3,000 patients who performed coronary angiography (± FFR) and have at least one coronary stenosis requiring PCI (as culprit) will be enrolled from 16 centers in South Korea. In addition, the deferred lesions with visual estimated diameter stenosis of >30% will be evaluated as non-culprits. Brief study design is as depicted in the following figure.
Supervised ML algorithms include: 1) angiography- and IVUS-based algorithms for predicting FFR, 2) IVUS-based algorithm for plaque characterization, 3) IVUS-based algorithm for predicting stent expansion, and 4) post-stenting IVUS-based algorithm for predicting stent failure. In the prospective cohort, the performance of each model will be assessed. This registry trial composed of the treated (culprit) and the deferred (nonculprit) coronary lesions has two primary objectives as follow; 1) Primary objectives in treated (culprit) lesions is to see the impact of the integrated ML model on the development of culprit-related 2-year target vessel failure (TVF). 2) Primary objectives in deferred (nonculprit) lesions is to see the impact of the integrated ML model on the development of nonculprit-related 2-year TVF.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Between February 2020 and June 2027, a total of 3,000 patients who performe coronary angiography (± FFR) and have at least one coronary stenosis requiring PCI (as culprit) will be enrolled from 16 centers in South Korea.
Key inclusion criteria (23 listed)
- Age 19 years or older
- Symptomatic angina patients with objective myocardial ischemia
- Patients with at least one major epicardial coronary artery that requires stent implantation
- Subject who signs with informed consent form
- ST-segment elevation MI at admission
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| percutaneous coronary interventionIVUS-guided stent implantation | Procedure or surgery | – |
Primary outcome
culprit-related TVF
Time frame: 2 years after stent implantation
composite of cardiac death, myocardial infarction (MI), stent thrombosis, and clinically-driven target vessel revascularization (TVR) at 2 years after SynergyTM implantation
nonculprit-related TVF
Time frame: 2 years after stent implantation
composite of cardiac death, MI, and clinically-driven TVR at 2 years
5 secondary outcomes
each component of primary measures
Time frame: 2 years after stent implantation
all cause death
Time frame: 2 years after stent implantation
repeat revascularization
Time frame: 2 years after stent implantation
stroke
Time frame: 2 years after stent implantation
bleeding
Time frame: 2 years after stent implantation
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jun 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Seung-Whan Lee, MD principal investigator
Asan Medical Center
16 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Coronary Artery Disease, run by Asan Medical Center at 16 sites in South Korea.
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 23 inclusion and 0 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: looking for participants now, as of the sponsor's last update on 25 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 16 sites in South Korea. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Seung-Whan Lee, MD (82-10-7398-9897, seungwlee@amc.seoul.kr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
culprit-related TVF (time frame: 2 years after stent implantation). 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 25 Jun 2026.