UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057561
Receipt number R000065272
Scientific Title The Management of Coronary Artery Disease in Patients with Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation: A Single-Center Retrospective Study
Date of disclosure of the study information 2025/04/10
Last modified on 2025/04/09 12:43:39

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Basic information

Public title

Evaluation of Whether Coronary Artery Disease Should Be Treated First in Patients with Severe Aortic Stenosis and Concomitant Coronary Artery Disease

Acronym

Priority of CAD Treatment in Severe AS

Scientific Title

The Management of Coronary Artery Disease in Patients with Severe Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation: A Single-Center Retrospective Study

Scientific Title:Acronym

Management of CAD in Patients with Severe AS Undergoing TAVI

Region

Japan


Condition

Condition

Aortic Stenosis

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Transcatheter aortic valve implantation (TAVI) is an established standard treatment for elderly patients with severe aortic stenosis (AS). Approximately 50% of AS patients have concomitant coronary artery disease (CAD), but the optimal treatment strategy remains unclear. This study aims to evaluate the optimal management of concomitant CAD and its clinical outcomes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

A major adverse cardiac event (MACE), defined as all-cause death, myocardial infarction (MI), or unplanned revascularization (PCI or CABG)

Key secondary outcomes

1) All-cause death
2) Myocardial infarction
3) Unplanned revascularization (percutaneous coronary intervention or coronary artery bypass grafting)
4) Bleeding event
5) Stroke
6) Heart failure re-hospitalization
7) Procedural-related clinical complication


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with severe aortic stenosis and coronary artery disease who underwent transcatheter aortic valve implantation from October 2013 to July 2023

Key exclusion criteria

Patients with acute coronary syndrome, a prior history of coronary artery bypass grafting, or those who have undergone transcatheter aortic valve implantation using the valve-in-valve technique

Target sample size

220


Research contact person

Name of lead principal investigator

1st name Futoshi
Middle name
Last name Yamanaka

Organization

Shonan Kamakura General Hospital

Division name

Department of Cardiology

Zip code

2478533

Address

1370-1, Okamoto, Kamakura, Kanagawa, JAPAN

TEL

0467461717

Email

futoshi.yamanaka@gmail.com


Public contact

Name of contact person

1st name Futoshi
Middle name
Last name Yamanaka

Organization

Shonan Kamakura General Hospital

Division name

Department of Cardiology

Zip code

2478533

Address

1370-1, Okamoto, Kamakura, Kanagawa, JAPAN

TEL

0467461717

Homepage URL


Email

futoshi.yamanaka@gmail.com


Sponsor or person

Institute

Shonan Kamakura General Hospital

Institute

Department

Personal name



Funding Source

Organization

Shonan Kamakura General Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokushukai Group Institutional Review Board

Address

Emina Building 3F, 1-8-7, Koji-machi, Chiyoda-ku, Tokyo, JAPAN

Tel

03-3263-4801

Email

mirai-ec1@mirai-iryo.com


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

湘南鎌倉総合病院(神奈川県)


Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 10 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

Enrolling by invitation

Date of protocol fixation

2025 Year 02 Month 03 Day

Date of IRB

2025 Year 02 Month 03 Day

Anticipated trial start date

2025 Year 02 Month 03 Day

Last follow-up date

2025 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

A single-center retrospective study


Management information

Registered date

2025 Year 04 Month 09 Day

Last modified on

2025 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065272