AzTrials
AzTrials

Acute Coronary SyndromeAFFE-PCINCT06255678

Angio-based Final Functional Effect of PCI

An observational study of Acute Coronary Syndrome and Non ST Segment Elevation Acute Coronary Syndrome, run by Medical University of Warsaw at 1 site in Poland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Fractional flow reserve (FFR) has revolutionized the diagnosis and treatment of coronary artery disease (CAD), and more recently, post percutaneous coronary intervention (post-PCI) FFR has emerged as an independent predictor of cardiovascular events, enabling the identification of cases requiring additional… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Angiography-based vessel fractional flow reserve (vFFR) calculation
How many people
2,005 participants
Where
1 sitePoland
Study dates
3 Jul 2023to 1 Jan 2027
How long will I take part?
2 Years
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with percutaneous coronary intervention (PCI) for chronic coronary syndromes (CCS) or acute coronary syndromes (ACS)

Who may be able to join

  • Percutaneous coronary intervention (PCI) for chronic coronary syndromes (CCS) or acute coronary syndromes (ACS)
  • Adequate quality of angiogram enabling vFFR analysis (available two angiographic views with ≥30° differences in rotation/angulation, the possibility of vessel contour selection, proper quality of the images, vessels without severe overlapping, tortuosity, foreshortening and poor vessel opacification)
  • Age >18 years
  • The patient's written informed consent has been obtained before the procedure

Who cannot join

  • Cardiogenic shock, pulmonary oedema
  • Severe hemodynamical instability
  • Prior coronary artery bypass grafting (CABG)
  • Active bleeding
  • Acute and chronic inflammatory conditions
  • Acute mechanical complications of myocardial infarction
Show all 9Show fewer
  • Congenital heart disease
  • Heart transplantation
  • Non-cardiac comorbidities with a life expectancy of less than 1 year

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Mariusz Tomaniak, MD PhD contact

+48 22 5991951

mariusz.tomaniak@wum.edu.pl

Karol Sadowski contact

karol.sadowski@wum.edu.pl

Poland1 site, 1 recruiting
  • Medical University of Warsaw

    Warsaw, 02-097

    Mariusz Tomaniak, MD, PhD, mariusz.tomaniak@wum.edu.pl

    Recruiting

Other trials in Poland

About this study

Official title: Angio-based Final Functional Effect of PCI (AFFE PCI): a Prospective Multi-center Study of Post-PCI vFFR Impact on Clinical Outcomes and Residual Angina

Fractional flow reserve (FFR) has revolutionized the diagnosis and treatment of coronary artery disease (CAD), and more recently, post percutaneous coronary intervention (post-PCI) FFR has emerged as an independent predictor of cardiovascular events, enabling the identification of cases requiring additional optimization of the implanted stent. Modern technologies allow less invasive alternatives to traditional FFR measurement - angiography-based vessel fractional flow reserve (vFFR) and derivative ΔvFFR, which is calculated by a difference between the post-PCI vFFR and pre-PCI vFFR. In large clinical studies, the good accuracy between vFFR and FFR - measured before and after PCI - has been confirmed. However, insufficient data is available about the value of post-vFFR and ΔvFFR as prognostic values and indicators of patient health.

This is a prospective multicenter register study analyzing the association between the value of ΔvFFR, vFFR after PCI and adverse clinical outcomes, residual angina and quality of life using the validated Seattle Angina Questionnaire (SAQ) and EuroQol 5-level 5-dimensional questionnaire (EQ-5D-5L). Patients undergoing PCI for chronic coronary syndromes (CCS), non-ST-segment elevation acute coronary syndromes (NST-ACS) or ST-Segment Elevation Myocardial Infarction (STEMI) will be enrolled in this study.

Read the detailed description

The primary goal of this prospective multicenter register study is to evaluate the association between the value of vFFR after PCI and adverse clinical outcomes, residual angina and quality of life using the validated Seattle Angina Questionnaire (SAQ) and EuroQol 5-level 5-dimensional questionnaire (EQ-5D-5L) at 6 and 24 months following PCI. The primary composite endpoint is defined as a major adverse cardiovascular event (MACE) including all-cause death, target-vessel myocardial infarction (TVMI), and target vessel revascularization (TVR)] at 6, 12 and 24-month follow-ups. Patients undergoing PCI for chronic coronary syndromes (CCS), non-ST-segment elevation acute coronary syndromes (NST-ACS) or or ST-Segment Elevation Myocardial Infarction (STEMI) will be enrolled in this study. The analyses of the primary endpoint will be stratified according to the following subgroups:

  • Diabetes/non-diabetes
  • Glomerular filtration rate (GFR)≥60/GFR<60 [ml/min./1,73m2]
  • Focal/diffuse atherosclerosis
  • Multivessel/single-vessel disease
  • CCS/NST-ACS/STEMI
  • CCS/ACS

The patients' coronary angiograms will be analyzed using a CAAS workstation (Pie Medical Imaging, Maastricht, the Netherlands) enrolled at the Invasive Cardiology Unit of the 1st Department of Cardiology, Medical University of Warsaw (Poland) and other centers in Poland.

Being tested
Angiography-based vessel fractional flow reserve (vFFR) calculation
Keywords
vFFR, ACS, NST-ACS, Angiography-based FFR, Quality of life, Residual angina
Medical subject headings
Acute Coronary Syndrome

What participants receive

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

  • Angiography-based vessel fractional flow reserve (vFFR) calculationDiagnostic test

    vFFR is calculated from routinely taken angiography images during PCI using a CAAS workstation (Pie Medical Imaging, Maastricht, the Netherlands)

Study groups in NCT06255678
Study groupRoleWhat they receive
Patients undergoing PCIAssessment of ΔvFFR and vFFR after PCI and adverse clinical outcomes, residual angina and quality of life using the validated Seattle Angina Questionnaire (SAQ) and EuroQol 5-level 5-dimensional questionnaire (EQ-5D-5L) in patients with CCS or ACS.
Receives: Diagnostic Test: Angiography-based vessel fractional flow reserve (vFFR) calculation

What is being measured

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

  1. Rate of MACE defined as all-cause death, target-vessel myocardial infarction (TVMI) and target vessel revascularization (TVR).

    Measured: 24 months

Secondary outcomes (21)
  1. Rate of MACE defined as all-cause death, target-vessel myocardial infarction (TVMI) and target vessel revascularization (TVR).

    Measured: 6 months, 12 months

  2. Rate of all-cause death

    Measured: 6 months, 12 months, 24 months

  3. Rate of target-vessel myocardial infarction (TVMI)

    Measured: 6 months, 12 months, 24 months

  4. Rate of target-vessel target vessel revascularization (TVR)

    Measured: 6 months, 12 months, 24 months

  5. Symptoms of angina and quality of life assessed by the score of EuroQol 5-level 5-dimensional questionnaire (EQ-5D-5L)

    The EQ-5D-5L scale asses the patient's self-rated health in five categories (each category 1-5) - higher values indicate worse performance. Additionally, the patient fulfill vertical visual analog scale from 0 to 100, where higher scores indicate better function.

    Measured: 6 months, 12 months, 24 months

  6. Symptoms of angina and quality of life assessed by score of the Seattle Angina Questionnaire (SAQ)

    The SAQ provides results for 6 categories. The patient can receive between 0 and 100 points in each category, where 100 represents the best score.

    Measured: 6 months, 12 months, 24 months

  7. Correlation of post-percutaneous coronary intervention (PCI) vessel fractional flow reserve (vFFR) with score of Seattle Angina Questionnaire (SAQ).

    The SAQ provides results for 6 categories. The patient can receive between 0 and 100 points in each category, where 100 represents the best score. vFFR values are within the range 0-1, where higher values indicate better function.

    Measured: 6 months, 12 months, 24 months

  8. Correlation of ΔvFFR with score of Seattle Angina Questionnaire (SAQ).

    The SAQ provides results for 6 categories. The patient can receive between 0 and 100 points in each category, where 100 represents the best score.

    Measured: 6 months, 12 months, 24 months

  9. Correlation of post-percutaneous coronary intervention (PCI) vessel fractional flow reserve (vFFR) with score of EuroQol 5-level 5-dimensional questionnaire (EQ-5D-5L).

    The EQ-5D-5L scale asses the patient's self-rated health in five categories (each category 1-5) - higher values indicate worse performance. Additionally, the patient fulfill vertical visual analog scale from 0 to 100, where higher scores indicate better function. vFFR values are within the range 0-1, where higher values indicate better function.

    Measured: 6 months, 12 months, 24 months

  10. Correlation of ΔvFFR with score of EuroQol 5-level 5-dimensional questionnaire (EQ-5D-5L).

    The EQ-5D-5L scale asses the patient's self-rated health in five categories (each category 1-5) - higher values indicate worse performance. Additionally, the patient fulfill vertical visual analog scale from 0 to 100, where higher scores indicate better function.

    Measured: 6 months, 12 months, 24 months

  11. AUC for the optimal cutoff point for post-percutaneous coronary intervention (PCI) vessel fractional flow reserve (vFFR) for significant prediction of MACE

    MACE defined as all-cause death, target-vessel myocardial infarction (TVMI) and target vessel revascularization (TVR).

    Measured: 6 months, 12 months, 24 months

  12. AUC for the optimal cutoff point for ΔvFFR useful for prediction of MACE

    MACE defined as all-cause death, target-vessel myocardial infarction (TVMI) and target vessel revascularization (TVR).

    Measured: 6 months, 12 months, 24 months

  13. AUC for the optimal cutoff point for post-percutaneous coronary intervention (PCI) vessel fractional flow reserve (vFFR) useful for prediction of higher than median SAQ score.

    The SAQ provides results for 6 categories. The patient can receive between 0 and 100 points in each category, where 100 represents the best score. vFFR values are within the range 0-1, where higher values indicate better function.

    Measured: 6 months, 12 months, 24 months

  14. AUC for the optimal cutoff point for post-percutaneous coronary intervention (PCI) vessel fractional flow reserve (vFFR) useful for prediction of higher than median EQ-5D-5L score.

    The scale asses the patient's self-rated health in five categories (each category 1-5) - higher values indicate worse performance. Additionally, the patient fulfill vertical visual analog scale from 0 to 100, where higher scores indicate better function. vFFR values are within the range 0-1, where higher values indicate better function.

    Measured: 6 months, 12 months, 24 months

  15. AUC for the optimal cutoff point for ΔvFFR useful for prediction of higher than median SAQ score.

    The SAQ provides results for 6 categories. The patient can receive between 0 and 100 points in each category, where 100 represents the best score.

    Measured: 6 months, 12 months, 24 months

  16. AUC for the optimal cutoff point for ΔvFFR useful for prediction of higher than median EQ-5D-5L score.

    The scale asses the patient's self-rated health in five categories (each category 1-5) - higher values indicate worse performance. Additionally, the patient fulfill vertical visual analog scale from 0 to 100, where higher scores indicate better function.

    Measured: 6 months, 12 months, 24 months

  17. Rate of revascularization of any vessel due to exacerbation of angina symptoms.

    Decisions on the performance of revascularization will be made by the attending physician according to the clinical features and available methods.

    Measured: 6 months, 12 months, 24 months

  18. Rate of definite and probable stent thrombosis.

    Measured: 6 months, 12 months, 24 months

  19. Rate of clinically driven invasive coronary angiography due to exacerbation of angina symptoms.

    Decisions on the performance of invasive coronary angiography will be made by the attending physician according to the clinical features.

    Measured: 6 months, 12 months, 24 months

  20. AUC for the value of in-stent vFFR gradient in predicting the rate of MACE

    vFFR values are within the range 0-1, where higher values indicate better function.

    Measured: 6 months, 12 months, 24 months

  21. AUC for the value of 3-vessel post-PCI vFFR burden (sum of the vFFR estimated in the three main epicardial arteries) in predicting the rate of MACE

    3-vessel post-PCI vFFR will be defined as the sum of the post-PCI vFFR values derived for each vessel (left anterior descending, circumflex, right coronary artery).

    Measured: 6 months, 12 months, 24 months

Timeline

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

  1. First posted13 Feb 2024
  2. Study start3 Jul 2023
  3. Primary completion1 Jan 2027 (estimated)
  4. Study completion1 Jan 2027 (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
Cohort
Time perspective
Prospective
Enrolment
2,005 participants (estimated)
Target duration
2 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT06255678
Sponsor's protocol ID
AFFE-PCI
Acronym
AFFE-PCI
Status last verified
Feb 2024
First submitted
16 Jan 2024
Last updated
13 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Tomaniak M, Sadowski K, Bednarek A, Huczek Z, Gierlotka M, Hawranek M, Grabowski M, Wojakowski W, Milewski K, Kochman J. Study design and rationale of the angio-based final functional effect of PCI (AFFE PCI) study: a prospective multi-center study of post-PCI vFFR impact on clinical outcomes and residual angina. Cardiol J. 2024;31(3):488-495. doi: 10.5603/cj.99332. Epub 2024 May 2. No abstract available.

    PubMed 38695286

Questions about this trial

What is this clinical trial studying?

An observational study of Acute Coronary Syndrome and Non ST Segment Elevation Acute Coronary Syndrome, run by Medical University of Warsaw at 1 site in Poland.

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 4 inclusion and 9 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 13 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Poland. 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 Mariusz Tomaniak, MD PhD (+48 22 5991951, mariusz.tomaniak@wum.edu.pl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of MACE defined as all-cause death, target-vessel myocardial infarction (TVMI) and target vessel revascularization (TVR). (time frame: 24 months). 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 NCT06255678, 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 13 Feb 2024; AzTrials last refreshed its copy on 3 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in