New imaging technique could improve heart attack treatment outcomes
NCT ID NCT06227754
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two ways to guide stent placement during a heart attack: standard angiography (X-ray) versus a more detailed imaging method called optical coherence tomography (OCT). The goal is to see if OCT leads to fewer future heart problems, like repeat blockages or heart-related death. The trial will enroll 1,500 adults with a specific type of heart attack (STEMI) who are treated within 12 hours of symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Optical coherence tomography (OCT) imaging guidance
- What this could lead to
- If successful, this could show that using OCT during heart attack treatment reduces the risk of future heart problems or the need for repeat procedures.
- What could go wrong
- This is a large trial but still early in testing a procedure, not a drug. The benefit may be small or not apply to all patients. Risks include those of the standard procedure itself.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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19 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subject must be at least 19 years of age * Acute ST-segment elevation myocardial infarction (STEMI) \*STEMI: ST-segment elevation ≥0.1 mV in ≥2 contiguous leads or documented newly developed left bundle-branch block1 * Primary percutaneous coronary intervention (PCI) in \< 12 h after the onset of symptoms for STEMI patients * Subject is able to verbally confirm understandings of risks, benefits and treatment alternatives of receiving invasive physiologic evaluation and PCI and he/she or his/her legally authorized representative provides written informed consent prior to any study related procedure. Exclusion Criteria: * Target lesions not amenable for PCI by operators' decision * Ostial lesions located in left main vessel or right coronary artery (left main body or distal bifurcation lesions can be enrolled by operator's discretion) * Creatinine clearance ≤30 ml/min/1.73 m2 and not on dialysis (chronic dialysis dependent patients are eligible for enrolment regardless of creatinine clearance) * Cardiogenic shock (Killip class IV) at presentation * Intolerance to Aspirin, Clopidogrel, Prasugrel, Ticagrelor, Heparin, or Everolimus * Known true anaphylaxis to contrast medium (not allergic reaction but anaphylactic shock) * Pregnancy or breast feeding * Non-cardiac co-morbid conditions are present with life expectancy \<2 year or that may result in protocol non-compliance (per site investigator's medical judgment) * Unwillingness or inability to comply with the procedures described in this protocol
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
18 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chonnam National University
RECRUITINGGwangju, Gwangju, 61469, South Korea
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Chung-Ang University Hospital
RECRUITINGSeoul, Seoul, 06973, South Korea
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Daegu Catholic University Medical Center
RECRUITINGDaegu, Daegu, 42472, South Korea
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Ewha Womans University Mokdong Hospital
RECRUITINGSeoul, Seoul, 07985, South Korea
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Ewha Womans University Seoul Hospital
RECRUITINGSeoul, Seoul, 07804, South Korea
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Gyeongsang National University Hospital
RECRUITINGJinju, Jinju, 52727, South Korea
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International St. Mary's Hospital
RECRUITINGIncheon, Incheon, 22711, South Korea
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Jeju National University Hospital
RECRUITINGJeju City, Jeju-do, 63241, South Korea
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Jeonbuk National University Hospital
RECRUITINGJeonju, Jeonju, 54907, South Korea
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Korea University Guro Hospital
RECRUITINGSeoul, Seoul, 08308, South Korea
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Kyung Hee University Hospital
RECRUITINGSeoul, Seoul, 02447, South Korea
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Kyungpook National University Hospital
RECRUITINGDaegu, Daegu, 41944, South Korea
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Samsung Medical Center
RECRUITINGSeoul, Seoul, 06351, South Korea
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St. Carollo Hospital
RECRUITINGSuncheon, Suncheon, 57931, South Korea
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Uijeongbu St Mary's Hospital
RECRUITINGUijeongbu-si, Uijeongbu, 11765, South Korea
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Ulsan University Hospital
RECRUITINGUlsan, Ulsan, 44033, South Korea
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Wonkwang University Hospital
RECRUITINGIksan, Iksan, 54538, South Korea
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Yeungnam University Medical Center
RECRUITINGDaegu, Daegu, 42415, South Korea
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- A blood test at 50 could flag your risk of five diseases. can an app stop them?
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- Broken heart syndrome: is it as deadly as a heart attack?
- Fat graft may mend heart scars after a heart attack