Physiology-guided vs Angiography-guided Non-culprit Lesion Complete Revascularization for Acute MI & Multivessel Disease

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPopulation Health Research Institute

About this trial

COMPLETE-2 is a prospective, multi-centre, randomized controlled trial comparing a strategy of physiology-guided complete revascularization to angiography-guided complete revascularization in patients with acute ST-segment elevation myocardial infarction (STEMI) or non-ST-segment elevation myocardial infarction (NSTEMI) and multivessel coronary artery disease (CAD) who have undergone successful culprit lesion Percutaneous Coronary Intervention (PCI).

COMPLETE-2 OCT is a large scale, prospective, multi-centre, observational, imaging study of patients with STEMI or NSTEMI and multivessel CAD in a subset of eligible COMPLETE-2 patients.

Eligibility criteria

Qualifiers

Patients presenting with STEMI or type 1 NSTEMI and within 72 hours of successful culprit-lesion PCI

Amenable to successful treatment with PCI

At least 50% diameter stenosis by visual estimation

At least 2.5 mm in diameter

Disqualifiers

Planned or prior coronary artery bypass graft (CABG) surgery

Inability to clearly identify a culprit lesion for STEMI or NSTEMI based on angiographic appearance and/or ECG changes and/or regional wall motion abnormalities

Prior PCI of a non-culprit lesion in a different vessel from the culprit lesion within 45 days of randomization

Planned medical treatment of all qualifying non-culprit lesions (i.e., no PCI)

Trial design

Treatments tested in this trial

  • Physiology-guided NCL PCI
  • Angiography-guided NCL PCI

Treatment groups

5,100 Participants
are divided into 2 treatment groups