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RecruitingCoronary Artery Stenosis

Diabetes-Centered Evaluation of Revascularization Strategy of Functional and Imaging-CombiNEd State-of-the-Art Percutaneous Coronary Intervention or Coronary-Artery Bypass Grafting in Patients With Diabetes Mellitus and Multivessel Coronary Artery Disease

Eligible age

20+ yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

The objective of this randomized study was to compare outcomes of imaging-and physiology-guided state-of-the-art percutaneous coronary intervention (PCI) to coronary artery bypass grafting (CABG) in patients with diabetes and three-vessel CAD (not involving left main).

Sponsor: Duk-Woo Park, MD

You may qualify if…

  • ✓ 1. The subject must be ≥20 years of age with angina and/or evidence of myocardial ischemia.
  • ✓ 2. Patients with type 2 diabetes based on the need for treatment with insulin or oral hypoglycemic drugs or a confirmed elevated blood glucose level (fasting plasma glucose elevation on \>1 occasion of ≥126 mg/dL \[7.0 mmol/L\] or 2-h postprandial of ≥200 mg/dL \[11.1 mmol/L\] during oral glucose tolerance test or random plasma glucose of ≥200 mg/dL \[11.1 mmol/L\] with classic symptoms of hyperglycemia or hyperglycemic crisis or HbA1C ≥6.5% \[48 mmol/mol\]).
  • ✓ 3. Significant three-vessel CAD (defined as ≥ 50% diameter stenosis \[DS\] by visual estimation in each of the three major epicardial vessels or major side branches but not involving the left main coronary artery) and equivalently amenable to revascularization by means of either PCI or CABG as determined by the Heart Team at the trial site.
  • ✓ 4. The patient or guardian agrees to the study protocol and the schedule of clinical follow-up, and provides informed, written consent, as approved by the appropriate Institutional Review Board/Ethical Committee of the respective clinical site.

You may not qualify if…

  • ✕ 1. Unprotected left main coronary artery disease.
  • ✕ 2. The presence of complex coronary disease anatomy or lesion characteristics or other cardiac condition(s) which leads the participating interventional cardiologist to believe that PCI is not suitable (i.e. the subject should be managed with CABG or medical therapy alone).
  • ✕ 3. Recent ST-elevation myocardial infarction(\<5 days prior to randomization).
  • ✕ 4. Cardiogenic shock and/or need for mechanical/pharmacologic hemodynamic support.
  • ✕ 5. Severe left ventricular dysfunction (ejection fraction \<30%).
  • ✕ 6. Requirement for other cardiac or non-cardiac surgical procedure (e.g., valve replacement, aorta surgery, or carotid revascularization). However, a maze procedure or pulmonary vein isolation is allowed.
  • ✕ 7. Contraindication or inability to take aspirin or P2Y12 inhibitors (clopidogrel, ticagrelor, or prasugrel) for at least 6 months.
  • ✕ 8. Prior CABG.

Where it's recruiting

California

Palo Alto

Source: ClinicalTrials.gov · NCT05831085 · last updated 2026-06-24

Diabetes-Centered Evaluation of Revascularization Strategy of Function · TrialPath