UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056400
Receipt number R000064274
Scientific Title Comparison of the efficacy of new cutting balloon and scoring balloon for calcified lesions: Single-center, Randomized Controlled Trial: CASTELLA-CALC Trial
Date of disclosure of the study information 2024/12/09
Last modified on 2025/12/07 12:16:52

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Basic information

Public title

Comparison of the efficacy of new cutting balloon and scoring balloon for calcified lesions: Single-center, Randomized Controlled Trial: CASTELLA-CALC Trial

Acronym

CASTELLA-CALC Trial

Scientific Title

Comparison of the efficacy of new cutting balloon and scoring balloon for calcified lesions: Single-center, Randomized Controlled Trial: CASTELLA-CALC Trial

Scientific Title:Acronym

CASTELLA-CALC Trial

Region

Japan


Condition

Condition

Ischemic Heart Disease
Coronary Artery Disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Collect clinical case data where drug-eluting stents (DES) or drug-coated balloons (DCB) were used after pre-dilation with KIZASHI or Aperta NSE, and evaluate their patency, expansion efficacy, and medium- to long-term outcomes.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Procedural Success Rate: Defined as the passage of the assigned investigational device through the lesion without additional devices, achieving residual angiographic stenosis of less than 30% under TIMI 3 flow.

Key secondary outcomes

1. Acute cross-sectional area (CSA) gain: Defined as post-interventional minimum lumen area minus pre-procedural minimum lumen area.
2. Calcium Fracture Thickness: Defined as the thickness of fractured calcium measured at the edges of the fracture, as assessed by OCT.
3. Incidence of Acute Complications: Defined as coronary dissection (Type C or higher) or perforation immediately following the use of the investigational device.
4. Major Cardiovascular Events Within 9 Months Post-PCI: Defined as a composite endpoint comprising cardiac death, recurrent myocardial infarction, rehospitalization due to unstable angina or progression of angina, clinically indicated target lesion revascularization, stroke, and major bleeding.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration


Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Perform percutaneous coronary intervention (PCI) using a cutting balloon for coronary calcified lesions.

Interventions/Control_2

Perform percutaneous coronary intervention (PCI) using a scoring balloon for coronary calcified lesions.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

・Aged 20 years or older
・Patients with coronary calcified lesions undergoing percutaneous coronary intervention (PCI)
・Patients who have provided written informed consent, either personally or through a legal representative

Key exclusion criteria

・Patients with a life expectancy of less than one year
・Acute coronary syndrome
・In-stent restenosis
・Chronic total occlusion lesions, left main coronary artery lesions, or bypass graft lesions
・Pregnant, planning to become pregnant, or breastfeeding female patients
・Other cases deemed unsuitable for inclusion by the principal investigator or co-investigators

Target sample size

160


Research contact person

Name of lead principal investigator

1st name Masayoshi
Middle name
Last name Takeno

Organization

Nagasaki Harbor Medical Center

Division name

Department of Cardiovascular Medicine

Zip code

850-0842

Address

6-39 Shinchi-machi, Nagasaki City, Nagasaki Prefecture, Japan

TEL

095-822-3251

Email

takeno_masayoshi@ncho.jp


Public contact

Name of contact person

1st name Akito
Middle name
Last name Setoguchi

Organization

Nagasaki Harbor Medical Center

Division name

Department of Cardiovascular Medicine

Zip code

850-0842

Address

6-39 Shinchi-machi, Nagasaki City, Nagasaki Prefecture, Japan

TEL

095-822-3251

Homepage URL


Email

as.check.black@gmail.com


Sponsor or person

Institute

Nagasaki Harbor Medical Center

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research and Development Center

Address

6-39 Shinchi-machi, Nagasaki City, Nagasaki Prefecture, Japan

Tel

095-822-3251

Email

kenkyu@ncho.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 12 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 10 Month 18 Day

Date of IRB

2024 Year 10 Month 18 Day

Anticipated trial start date

2024 Year 12 Month 01 Day

Last follow-up date

2028 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 12 Month 09 Day

Last modified on

2025 Year 12 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064274