Fractional Flow Reserve Versus Angiography for Multivessel Evaluation (F.A.M.E.)
Recruitment status was Active, not recruiting
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Purpose
In this multicenter, international study we are evaluating two approaches to determine which coronary artery narrowings require stent placement in patients with multivessel coronary artery disease. Patients will be randomized to an angiographic strategy, where only coronary angiography is used to determine which lesions to stent or to a pressure wire strategy where fractional flow reserve, an index measured with the pressure wire, will be used to determine which lesions to stent. The primary outcome will be major adverse cardiac events at 1 year. A secondary outcome will be cost-effectiveness.
| Condition | Intervention |
|---|---|
|
Coronary Arteriosclerosis |
Device: Fractional flow reserve |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
- Major adverse cardiac events [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
- Cost effectiveness [ Time Frame: Index procedure ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 1000 |
| Study Start Date: | January 2006 |
| Estimated Study Completion Date: | October 2012 |
| Estimated Primary Completion Date: | September 2007 (Final data collection date for primary outcome measure) |
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Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:- at least 2 coronary lesions of 50% stenosis or greater in at least 2 major epicardial arteries
- age>/=18
Exclusion Criteria:-- STEMI < 5 days ago or non-STEMI with CK > 1000 U/l < 5 days ago
- Pregnancy
- Extremely tortuous or calcified coronary arteries, or other technical conditions interfering with reliable coronary pressure measurement
- Serious concomitant disease, decreasing life expectancy to <2 years
- Previous coronary bypass surgery (CABG)
- Contraindication for drug-eluting stent
- Cardiogenic shock
- Inability to give informed consent
- Suspicion of significant left main (LM) stenosis
Contacts and Locations| United States, California | |
| Stanford University School of Medicine | |
| Stanford, California, United States, 94305 | |
| Netherlands | |
| Catharina Hospital | |
| Eindhoven, Netherlands | |
| Principal Investigator: | Nico H Pijls | Catharina Ziekenhuis Eindhoven |
| Principal Investigator: | William F Fearon | Stanford University |
More Information
No publications provided by Stanford University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | William F Fearon, Stanford University School of Medicine |
| ClinicalTrials.gov Identifier: | NCT00267774 History of Changes |
| Other Study ID Numbers: | 3933 |
| Study First Received: | December 19, 2005 |
| Last Updated: | November 9, 2009 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Arteriosclerosis Coronary Artery Disease Myocardial Ischemia Arterial Occlusive Diseases |
Vascular Diseases Cardiovascular Diseases Coronary Disease Heart Diseases |
ClinicalTrials.gov processed this record on June 18, 2013