[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"vulnerable-plaque\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:vulnerable-plaque":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,55],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":34,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":43,"lastUpdatePostDateStruct":44,"startDateStruct":47,"completionDateStruct":49,"leadSponsor":51,"locationsCount":54},"100588282","intracoronary-cryotherapy-effect-on-stabilization-of-vulnerable-plaque-in-patients-with-stable-angina-or-acs---a-traditional-feasibility-study-100588282",false,"NCT06939374","Intracoronary Cryotherapy Effect on Stabilization of Vulnerable Plaque in Patients With Stable Angina or ACS - A Traditional Feasibility Study","Clinical Investigation of the Efficacy and Safety of Intracoronary Cryotherapy Using the CryoTherapy System (CTS) for High-risk Plaque in Patients With Stable Angina or Acute Coronary Syndrome.","ICECAP","Inclusion Criteria:\n\n* 1\\) Subject is at least 18 years old. 2) Subject has acute cardiac pain\u002Fangina consistent with stable angina or acute coronary syndrome eligible for coronary angiography meeting one of the following criteria:\n\n  1. Non-ST-segment elevation myocardial infarction (NSTEMI) with rise\u002Ffall of cardiac enzymes (troponin I or T) with at least one value above the 99th percentile of the upper reference limit requiring PCI within 72 hours from diagnosis\n  2. Unstable angina\n  3. ST-segment elevation myocardial infarction (STEMI) 3) Successful PCI (defined as diameter stenosis less than 30% and TIMI 3 flow on final angiography without procedural complication) of the culprit lesion.\n\nNOTE: subjects with unstable angina, for whom the culprit lesion as assessed by investigator does not require PCI currently or within the next 6 months (subject treated with optimal medical treatment) can be enrolled in the study.\n\n4\\) Subject has at least one high-risk plaque meeting the criteria below:\n\n1. Located in a non-culprit vessel,\n2. High-risk plaque lesion on CCTA and at least one of the following features:\n\n   1. Presence of low-attenuation plaque (HU\\\u003C50) and\u002For\n   2. Positive remodelling (remodelling index \\>1.1) and\u002For\n   3. Napkin ring sign and\u002For\n   4. Plaque burden ≥70%\n3. Lesion length ≤ 20 mm.\n4. Diameter stenosis on invasive angiography between 30% and 70% on coronary angiogram or negative physiology assessment (FFR\\>0.80 or NHPR\\>0.89).\n5. Reference vessel diameter (RVD) \\\u003C 3.75 mm and \\> 2.50 mm in diameter\n6. Investigator considers that lesions are accessible.\n7. If more than two suitable lesions available, investigator will select the most appropriate lesion for cryotherapy treatment.\n\n   5\\) maxLCBI4mm in the lesion \\> 324.7 6) Subject is able to provide consent and has signed and dated the informed consent form.\n\n   Exclusion Criteria:\n   * 1\\) Subject is hemodynamically unstable (cardiogenic shock, hypotension needing inotropes, hypoxia needing intubation, refractory ventricular arrhythmias, and IABP).\n\n     2\\) Subject has ongoing ST-segment elevation myocardial infarction. 3) Subject had a procedural complication during the ACS PCI procedure. 4) Subject has history of Coronary Artery Bypass Graft (CABG) or planned CABG within 12 months after the index procedure.\n\n     5\\) Subject has known reduced Left Ventricular Ejection Fraction \\\u003C 30%. 6) Subject has known severe valvular heart disease. 7) Subject has known severe renal insufficiency (eGFR \\\u003C30 ml\u002Fmin\u002F1.72 m2). 8) Subject has any life-threatening conditions or medical comorbidity resulting in life expectancy \\\u003C 12 months.\n\n     9\\) Subject is currently participating in another clinical investigation that has not yet reached its primary endpoint.\n\n     10\\) Subject has severe peripheral vascular disease impeding femoral artery access.\n\n     11\\) Subject is pregnant or lactating, or NOT surgically sterile (tubal ligation or hysterectomy) or NOT postmenopausal for at least 6 months or is a female with childbearing potential without effective contraception (pill, patch, ring, diaphragm, implant and intrauterine device).\n\n   Angiographic exclusion criteria:\n   1. Visible distal embolization\u002Fno-reflow following culprit lesions PCI.\n   2. Left main coronary artery disease (visual diameter stenosis \\> 50%).\n   3. Stent thrombosis\u002Frestenosis as a culprit lesion.\n   4. CTS lesion involving a bifurcation (defined as lesions involving side branches \\>2.0 mm).\n   5. Angiographic or CCTA evidence of severe calcification and\u002For marked tortuosity of the index vessel and\u002For lesion.\n   6. Thrombotic lesions.\n   7. Ostial lesions.","ALL","18 Years",{"count":20,"type":21},30,"ESTIMATED","INTERVENTIONAL",[24],"NA","ICECAP is a multi-centre, prospective, single-arm, interventional, traditional feasibility clinical investigation to evaluate the efficacy and safety of intra-coronary cryotherapy on vulnerable or high-risk plaque (HRP), using the CryoTherapy System (CTS). The study aims to enroll 25 patients with symptomatic coronary artery disease, successfully treated for their culprit lesion and with presence of at least one HRP lesion in another vessel. Eligible patients will undergo cryotherapy during a planned procedure. Near-infrared spectrometry (NIRS and Optical Coherence Tomography imaging will be used during baseline procedure, and during a 9 months follow visit. The primary endpoint is reduction of plaque burden measured as 30% reduction in maxLCBI4mm as measured by NIRS at 9 months post procedure.",[27,28,29,30,31,32,33],"Coronary Arterial Disease (CAD)","Plaque","Vulnerable Plaque","Cryotherapy","Cryotherapy Effect","Coronary Balloon","Atherosclerosis Coronary Artery With Angina Pectoris",[35,36,37,38,39,40,41],"Medical device","traditional feasibility","Single Group","Device Feasibility","Multi-Center","Prospective","Interventional","RECRUITING","2026-03-31",{"date":45,"type":46},"2026-04-06","ACTUAL",{"date":48,"type":46},"2025-03-01",{"date":50,"type":21},"2027-06-30",{"name":52,"class":53},"Cryotherapeutics SA","INDUSTRY",3,{"id":56,"slug":57,"hasResults":11,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":61,"eligibilityCriteria":62,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":63,"targetDuration":4,"studyType":22,"phases":65,"briefSummary":66,"conditions":67,"keywords":74,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":94},"100601244","drug-eluting-balloon-treatment-vs-guideline-directed-medical-therapy-for-the-treatment-of-lipid-rich-plaques-100601244","NCT07107971","Drug-Eluting Balloon Treatment vs. Guideline-Directed Medical Therapy for the Treatment of Lipid-Rich Plaques","Drug-Eluting Balloon Treatment Versus Guideline-Directed Medical Therapy for the Treatment of Lipid-Rich Plaques: A Randomized Controlled Trial","DELETE-LRP","Inclusion Criteria:\n\n* Presenting with acute coronary syndrome (ACS);\n* Successful PCI of a native coronary artery or major side branch;\n* At least 2 native coronary arteries are accessible for invasive coronary imaging; i.e. not totally occluded and \\>2 mm and \\\u003C6 mm reference vessel diameter.\n\nExclusion Criteria:\n\n* Hemodynamically unstable (presence of cardiogenic shock, need for intubation, need for inotropes);\n* Known hypersensitivity to paclitaxel;\n* Procedural complications of the index PCI;\n* Known renal insufficiency, i.e. eGFR \\\u003C30 mL\u002Fmin\u002F1.73 m2;\n* Hypersensitivity or allergy to contrast with inability to administer steroid and antihistamine premedication;\n* Presence of a comorbid condition with a life expectancy of less than one year;\n* Body weight \\>250 kg;\n* Subject belonging to a vulnerable population (per investigator's judgment, e.g., subordinate hospital staff) or is unable to read or write.",{"count":64,"type":21},400,[24],"The goal of this clinical trial is to find out whether treating vulnerable plaques in the coronary arteries with a drug-coated balloon can make them less dangerous than using standard medication alone. The study includes adults with acute coronary syndrome (a type of heart problem caused by reduced blood flow in the coronary arteries).\n\nThe main questions the study aims to answer are:\n\n* Does the drug-coated balloon reduce the amount of fat inside the plaque more than medication alone?\n* Is this treatment safe for patients?\n\nParticipants will:\n\n* Undergo imaging of their coronary arteries during their planned heart procedure (PCI)\n* Be randomly assigned to receive either a drug-coated balloon treatment or no extra treatment\n* Undergo a heart scan (CT scan of the coronary arteries) within 2 weeks and again around 9 months after the procedure.\n* Undergo a second heart catherization 9 months later to examine changes in the plaque.",[68,69,70,71,29,72,73],"Coronary Artery Disease","Atheroscleroses","Cardiovascular Disease","Vulnerable Coronary Plaques","Lipid-Rich Atherosclerosis of Coronary Artery","Acute Coronary Syndromes (ACS)",[75,76,77,78,79,80,81,82,83],"Lipid-rich plaque","Vulnerable plaque","Near-infrared spectroscopy","Drug-coated balloon","Drug-eluting balloon","Paclitaxel-eluting balloon","Intravascular Ultrasound","Coronary computed tomography angiography","AI-QCT","2026-01-14",{"date":86,"type":46},"2026-01-15",{"date":88,"type":46},"2025-11-04",{"date":90,"type":21},"2033-01",{"name":92,"class":93},"Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)","OTHER",1]