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betty and guy beatty center for integrated - Inova Health System

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I NTERVENTIONAL RADIOLOGY<br />

In 2009, there were a number of industry sponsored research protocols carried out by members of Interventional<br />

radiology. The following is a summary of these protocols:<br />

1. Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL)<br />

� Prospective, multi<strong>center</strong>, unblinded, two arm, r<strong>and</strong>omized trial designed to test the hypothesis that<br />

medical therapy with stenting of hemodynamically significant (angiographically documented) renal artery<br />

stenosis in patients with systolic hypertension reduces the incidence of cardiovascular <strong>and</strong> renal events com<br />

pared with medical therapy alone.<br />

� Primary Endpoint: Event-free survival from cardiovascular <strong>and</strong> renal adverse events defined as a composite<br />

of cardiovascular or renal death, stroke, MI, hospitalization <strong>for</strong> CHF, progressive renal insufficiency, or need<br />

<strong>for</strong> permanent renal replacement therapy.<br />

� Enrollment goal 1080 subjects with 200 sites internationally.<br />

��Follow subjects <strong>for</strong> up to 5 years, closely monitoring <strong>for</strong> blood pressure control <strong>and</strong> management of other<br />

risk factors.<br />

A subgroup of 400 patients will undergo renal artery Duplex ultrasound at baseline, 1 year <strong>and</strong> study termination.<br />

2. CRUX Biomedical Evaluation of the Crux Inferior Vena Cava Filter <strong>System</strong> � ������������<br />

� This is an open label, non-r<strong>and</strong>omized, prospective, multi<strong>center</strong> study.<br />

� Primary Efficacy Objective: To describe the clinical utility of the Crux IVCF by the following criteria: Ab-<br />

sence of a recurrent PE <strong>and</strong> IVC thrombosis related to the Crux IVCF<br />

� Primary Safety Objective: To estimate the proportion of patients who experience device/procedure related<br />

complications associated with the Crux IVCF. 104 patients considered to be at risk <strong>for</strong> PE are expected to be<br />

enrolled in this study. It is anticipated that approximately 30 patients will undergo retrieval of the implanted filter.<br />

3. SIR-Spheres Registry<br />

�� Nationwide registry <strong>for</strong> all subjects undergoing SIR-Spheres procedure<br />

�� The purpose of the Registry is to build a Phase IV (i.e., post-marketing) database of patient demographics, primary <strong>and</strong> secondary diagnoses,<br />

treatment details, complications <strong>and</strong> patient outcomes. The data will be used to further evaluate <strong>and</strong> analyze patient outcomes from SIR-���������<br />

therapy.<br />

In addition, de-identified, aggregate data may be used in discussions with regulatory authorities, public <strong>and</strong> private payers/insurers, policy-makers, <strong>and</strong> others.<br />

�� ��������������������������������������������������������������������������������������������<br />

dressed in accordance with<br />

Sirtex policy <strong>and</strong> reported to the FDA in accordance with legal <strong>and</strong> regulatory requirements.<br />

4. Therasphere HDE<br />

�� A Humanitarian Device Exemption Use Protocol of TheraSphere or Treatment of Unresectable Hepatocellular Carcinoma<br />

�� Post-Marketing: TheraSphere commercially distributed under HDE # 980006<br />

�� Objectives-Provide supervised access to TheraSphere therapy at this institution, evaluate response to treatment, toxicities <strong>and</strong> adverse experiences<br />

associatedwith TheraSphere treatment, <strong>and</strong> survival time<br />

�� Endpoints- Proportion of patients completing scheduled treatment plan,<br />

�� Efficacy: Response to Treatment, Survival Time from First Treatment<br />

�� Safety: Adverse Experiences<br />

The research team did not submit a list of publications <strong>and</strong> presentations.<br />

P AGE 43

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