Coronary Artery DiseaseRCVRNCT06619353
RCVR (Residual CardioVascular Risk) Prospective Study
An observational study of Coronary Artery Disease, run by CHA University at 1 site in South Korea.
Trial summary
The goal of this observational study is to evaluate whether residual cardiovascular risk assessed at 1 month after percutaneous coronary intervention (PCI) is associated with long-term clinical outcomes in adult patients with coronary artery disease who are free from major adverse clinical events at 1 month after PCI. Read more about this study
- Who is it for?
- Ages 20 to 90 years
- Conditions the study is for
- Coronary Artery Disease
- What is being tested?
- Blood Sample and DICOM Dataset
- How many people
- 500 participants
- Where
- 1 siteSouth Korea
- Study dates
- 17 Jun 2024to Feb 2029
- How long will I take part?
- 3 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 20 to 90 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients undergoing PCI
Who may be able to join
- Patients who have undergone percutaneous coronary intervention.
- Patients who are free from death, myocardial infarction, stroke, unplanned revascularization, or major bleeding within 1 month after the index PCI.
- Patients who are able to undergo artificial intelligence-based quantitative coronary angiography using DICOM datasets.
- Patients who have provided written informed consent at the 1-month post-PCI visit.
Who cannot join
- Under 19 years of age.
- Pregnant, breastfeeding, or women of childbearing age.
- Currently has a malignancy or has a history of malignancy within the past 5 years.
- Life expectancy of less than 5 years.
- Occurrence of death, myocardial infarction, stroke, unplanned revascularization, or major bleeding within 1 month after the index PCI.
- Inability or unwillingness to comply with scheduled follow-up assessments.
Trial locations and contacts
1 site in 1 country.
South Korea1 site
CHA Bundang Medical Center
Seongnam-si, Gyeonggi-do, 13496
About this study
Official title: Residual CardioVascular Risk (RCVR) After Percutaneous Coronary Intervention: A Prospective Study
The goal of this observational study is to evaluate whether residual cardiovascular risk assessed at 1 month after percutaneous coronary intervention (PCI) is associated with long-term clinical outcomes in adult patients with coronary artery disease who are free from major adverse clinical events at 1 month after PCI. The main questions it aims to answer are:
- Does residual cardiovascular risk at 1 month after PCI predict long-term net adverse clinical events?
- Which components of residual cardiovascular risk are associated with subsequent adverse clinical outcomes?
Read more
Participants will:
- Undergo comprehensive laboratory testing at 1 month after PCI and annually thereafter.
- Undergo artificial intelligence-based quantitative coronary angiographic analysis using DICOM datasets after PCI.
- Be followed annually for up to 3 years after the 1-month assessment to evaluate clinical outcomes.
- Conditions
- Coronary Artery Disease
- Being tested
- Blood Sample, DICOM Dataset
- Keywords
- 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.
Blood SampleDiagnostic test
Patients' blood samples are tested at 1 month, and then annually for 3 years post-intervention to assess residual thrombotic, metabolic, and inflammatory risk.
DICOM DatasetOther
Patients' DICOM dataset is evaluated using artificial intelligence-based quantitative coronary analysis to assess a procedural risk.
| Study group | Role | What they receive |
|---|---|---|
| Residual CardioVascular Risk | Residual cardiovascular risk is assessed in patients undergoing PCI. Receives: Diagnostic Test: Blood Sample; Other: DICOM Dataset |
What is being measured
The primary outcome is the main question the study is designed to answer.
Net adverse clinical event
The composite of cardiovascular death, nonfatal spontaneous (nonprocedural) myocardial infarction, nonfatal ischemic stroke, unplanned hospitalization leading to urgent revascularization, and major bleeding.
Measured: 3 years after the 1-month assessment (baseline)
Secondary outcomes (14)
Cardiovascular death
The composite of cardiac and vascular death. Any death due to proximate cardiac cause (eg, myocardial infarction, low-output failure, fatal arrhythmia), unwitnessed death and death of unknown cause, and all procedure-related deaths, including those related to concomitant treatment, will be classified as cardiac death. Death caused by noncoronary vascular causes, such as cerebrovascular disease, pulmonary embolism, ruptured aortic aneurysm, dissecting aneurysm, or other vascular diseases will be classified as vascular death.
Measured: 3 years after the 1-month assessment (baseline)
Nonfatal spontaneous (nonprocedural) myocardial infarction
Myocardial infarction is defined as symptoms, electrocardiographic changes, or abnormal imaging findings, combined with a creatine kinase MB fraction above the upper normal limits or a troponin T or troponin I level greater than the 99th percentile of the upper normal limit. Myocardial infarction that are not associated with a revascularization procedure will be classified as nonfatal spontaneous myocardial infarction.
Measured: 3 years after the 1-month assessment (baseline)
Nonfatal ischemic stroke
Cerebrovascular event resulting in a neurologic deficit within 24 hours or the presence of acute infarction as demonstrated by imaging studies will be classified as nonfatal ischemic stroke.
Measured: 3 years after the 1-month assessment (baseline)
Unplanned hospitalization leading to urgent revascularization
This event will be present only if the participant is hospitalized unexpectedly because of persisting or increasing complaints of chest pain (with or without ST-T changes, with or without elevated biomarkers) and a revascularization is performed within the same hospitalization. It should be clearly distinguished from the revascularization procedure which is performed on non-urgent basis.
Measured: 3 years after the 1-month assessment (baseline)
Major bleeding
Bleeding Academic Research Consortium type 3 or 5
Measured: 3 years after the 1-month assessment (baseline)
V-Angiographic success
Participant with visually estimated residual diameter stenosis of less than 20% in all PCI-treated lesions
Measured: 1 month post-intervention
V-Complete revascularization
Participant without angiographically significant stenosis (visually estimated diameter stenosis severity of ≥70% for non-left main disease and ≥50% for left main disease) after PCI in entire coronary arteries
Measured: 1 month post-intervention
AI-Angiographic success
Participant with artificial intelligence-measured residual diameter stenosis of less than 20% in all PCI-treated lesions
Measured: 1 month post-intervention
AI-Complete revascularization
Participant without angiographically significant stenosis (artificial intelligence-measured diameter stenosis severity of ≥70% for non-left main disease and ≥50% for left main disease) after PCI in entire coronary arteries
Measured: 1 month post-intervention
Platelet reactivity
This will be measured with P2Y12 reaction units through VerifyNow test.
Measured: 1 month post-intervention
Thrombogenicity profiles
This will include R, K, Angle, A10, MA, and Ly30 through thromboelastography.
Measured: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
Lipid profiles
This will include total cholesterol, high-density lipoprotein, low-density lipoprotein, and lipoprotein (a).
Measured: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
Hemoglobin A1C
Measured: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
High-sensitivity C-reactive protein
Measured: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Oct 2024
- Study start17 Jun 2024
- Primary completionFeb 2029 (estimated)
- Study completionFeb 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Coronary Artery DiseaseStudies of the same condition, open and under way.
- 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
- Cohort
- Time perspective
- Prospective
- Enrolment
- 500 participants (actual)
- Target duration
- 3 Years
Sponsor and investigators
- Lead sponsor
- CHA University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Seung-Yul Lee, CHA University
- Investigators
- Seung-Yul Lee, MD, Principal investigator, CHA Bundang Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06619353
- Sponsor's protocol ID
- CHAMC IRB 2024-01-054-004
- Acronym
- RCVR
- Status last verified
- Feb 2026
- First submitted
- 23 Sep 2024
- Last updated
- 18 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Dhindsa DS, Sandesara PB, Shapiro MD, Wong ND. The Evolving Understanding and Approach to Residual Cardiovascular Risk Management. Front Cardiovasc Med. 2020 May 13;7:88. doi: 10.3389/fcvm.2020.00088. eCollection 2020.
PubMed 32478100Cutlip DE, Windecker S, Mehran R, Boam A, Cohen DJ, van Es GA, Steg PG, Morel MA, Mauri L, Vranckx P, McFadden E, Lansky A, Hamon M, Krucoff MW, Serruys PW; Academic Research Consortium. Clinical end points in coronary stent trials: a case for standardized definitions. Circulation. 2007 May 1;115(17):2344-51. doi: 10.1161/CIRCULATIONAHA.106.685313.
PubMed 17470709Mehran R, Rao SV, Bhatt DL, Gibson CM, Caixeta A, Eikelboom J, Kaul S, Wiviott SD, Menon V, Nikolsky E, Serebruany V, Valgimigli M, Vranckx P, Taggart D, Sabik JF, Cutlip DE, Krucoff MW, Ohman EM, Steg PG, White H. Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the Bleeding Academic Research Consortium. Circulation. 2011 Jun 14;123(23):2736-47. doi: 10.1161/CIRCULATIONAHA.110.009449. No abstract available.
PubMed 21670242
Study at a glance
From the registry record, last updated by the sponsor on 18 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Residual CardioVascular Risk (RCVR) After Percutaneous Coronary Intervention: A Prospective Study
- ClinicalTrials.gov ID
- NCT06619353
- Acronym / sponsor ID
- RCVR / CHAMC IRB 2024-01-054-004
- Conditions
- Coronary Artery Disease
- Keywords
- Percutaneous Coronary Intervention
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 500 participants (actual)
- Lead sponsor
- CHA UniversityUniversity, hospital or other
- Study start
- 17 Jun 2024 (actual)
- Primary completion
- Feb 2029 (estimated)
- Study completion
- Feb 2029 (estimated)
- First posted
- 1 Oct 2024 (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.
The goal of this observational study is to evaluate whether residual cardiovascular risk assessed at 1 month after percutaneous coronary intervention (PCI) is associated with long-term clinical outcomes in adult patients with coronary artery disease who are free from major adverse clinical events at 1 month after PCI. The main questions it aims to answer are:
- Does residual cardiovascular risk at 1 month after PCI predict long-term net adverse clinical events?
- Which components of residual cardiovascular risk are associated with subsequent adverse clinical outcomes?
Participants will:
- Undergo comprehensive laboratory testing at 1 month after PCI and annually thereafter.
- Undergo artificial intelligence-based quantitative coronary angiographic analysis using DICOM datasets after PCI.
- Be followed annually for up to 3 years after the 1-month assessment to evaluate clinical outcomes.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 3 Years
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Residual CardioVascular Risk | – | Diagnostic Test: Blood Sample, Other: DICOM DatasetResidual cardiovascular risk is assessed in patients undergoing PCI. |
Who may qualify
- Ages
- 20 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients undergoing PCI
Key inclusion criteria (4 listed)
- Patients who have undergone percutaneous coronary intervention.
- Patients who are free from death, myocardial infarction, stroke, unplanned revascularization, or major bleeding within 1 month after the index PCI.
- Patients who are able to undergo artificial intelligence-based quantitative coronary angiography using DICOM datasets.
- Patients who have provided written informed consent at the 1-month post-PCI visit.
Key exclusion criteria (6 listed)
- Under 19 years of age.
- Pregnant, breastfeeding, or women of childbearing age.
- Currently has a malignancy or has a history of malignancy within the past 5 years.
- Life expectancy of less than 5 years.
- Occurrence of death, myocardial infarction, stroke, unplanned revascularization, or major bleeding within 1 month after the index PCI.
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 |
|---|---|---|
| Blood SamplePatients' blood samples are tested at 1 month, and then annually for 3 years post-intervention to assess residual thrombotic, metabolic, and inflammatory risk. | Diagnostic test | Residual CardioVascular Risk |
| DICOM DatasetPatients' DICOM dataset is evaluated using artificial intelligence-based quantitative coronary analysis to assess a procedural risk. | Other | Residual CardioVascular Risk |
Primary outcome
Net adverse clinical event
Time frame: 3 years after the 1-month assessment (baseline)
The composite of cardiovascular death, nonfatal spontaneous (nonprocedural) myocardial infarction, nonfatal ischemic stroke, unplanned hospitalization leading to urgent revascularization, and major bleeding.
14 secondary outcomes
Cardiovascular death
Time frame: 3 years after the 1-month assessment (baseline)
Nonfatal spontaneous (nonprocedural) myocardial infarction
Time frame: 3 years after the 1-month assessment (baseline)
Nonfatal ischemic stroke
Time frame: 3 years after the 1-month assessment (baseline)
Unplanned hospitalization leading to urgent revascularization
Time frame: 3 years after the 1-month assessment (baseline)
Major bleeding
Time frame: 3 years after the 1-month assessment (baseline)
V-Angiographic success
Time frame: 1 month post-intervention
V-Complete revascularization
Time frame: 1 month post-intervention
AI-Angiographic success
Time frame: 1 month post-intervention
AI-Complete revascularization
Time frame: 1 month post-intervention
Platelet reactivity
Time frame: 1 month post-intervention
Thrombogenicity profiles
Time frame: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
Lipid profiles
Time frame: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
Hemoglobin A1C
Time frame: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
High-sensitivity C-reactive protein
Time frame: 1 month post-intervention (baseline), 1 year, 2 year, and 3 years after baseline
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 18 Feb 2026.
- Background: PubMed 32478100Dhindsa DS, Sandesara PB, Shapiro MD, Wong ND. The Evolving Understanding and Approach to Residual Cardiovascular Risk Management. Front Cardiovasc Med. 2020 May 13;7:88. doi: 10.3389/fcvm.2020.00088. eCollection 2020.
- Background: PubMed 17470709Cutlip DE, Windecker S, Mehran R, Boam A, Cohen DJ, van Es GA, Steg PG, Morel MA, Mauri L, Vranckx P, McFadden E, Lansky A, Hamon M, Krucoff MW, Serruys PW; Academic Research Consortium. Clinical end points in coronary stent trials: a case for standardized definitions. Circulation. 2007 May 1;115(17):2344-51. doi: 10.1161/CIRCULATIONAHA.106.685313.
- Background: PubMed 21670242Mehran R, Rao SV, Bhatt DL, Gibson CM, Caixeta A, Eikelboom J, Kaul S, Wiviott SD, Menon V, Nikolsky E, Serebruany V, Valgimigli M, Vranckx P, Taggart D, Sabik JF, Cutlip DE, Krucoff MW, Ohman EM, Steg PG, White H. Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the Bleeding Academic Research Consortium. Circulation. 2011 Jun 14;123(23):2736-47. doi: 10.1161/CIRCULATIONAHA.110.009449. No abstract available.
- 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. This study is not recruiting at the moment.
Seung-Yul Lee, MD principal investigator
CHA Bundang Medical Center
1 site 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 CHA University at 1 site 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 4 inclusion and 6 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 18 Feb 2026. 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 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?
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?
Net adverse clinical event (time frame: 3 years after the 1-month assessment (baseline)). 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 NCT06619353, which also lists 3 linked publications.
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 18 Feb 2026.