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CTRI Number  CTRI/2025/09/095273 [Registered on: 22/09/2025] Trial Registered Prospectively
Last Modified On: 22/09/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   A European Study on Techniques for Treating Artery Blockages in Patients with Heart Attacks ROCA STEMI 
Scientific Title of Study   European Registry On Plaque ModifiCAtion in the STEMI Population (ROCA-STEMI) 
Trial Acronym  ROCA-STEMI 
Secondary IDs if Any  
Secondary ID  Identifier 
NCT05752617  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sarita Rao 
Designation  Senior Interventional Cardiologist and Director Cathlab 
Affiliation   
Address  Department of Cardiology 5th floor Apollo Rajshree Hospitals Sector-D Scheme No 74C Vijay Nagar Indore Madhya Pradesh 452010

Indore
MADHYA PRADESH
452010
India 
Phone  8959907706  
Fax    
Email  saritarosh@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Roshan Rao 
Designation  Senior Interventional Cardiologist and Head 
Affiliation   
Address  Department of Cardiology 5th floor Apollo Rajshree Hospitals Sector-D Scheme No 74C Vijay Nagar Indore Madhya Pradesh 452010

Indore
MADHYA PRADESH
452010
India 
Phone  8959907707  
Fax    
Email  drroshanrao@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Achukatla Kumar 
Designation  Senior Research Consultant 
Affiliation   
Address  Department of Cardiology 5th floor Apollo Rajshree Hospitals Sector-D Scheme No 74C Vijay Nagar Indore Madhya Pradesh 452010

Indore
MADHYA PRADESH
452010
India 
Phone  8247219324  
Fax    
Email  dr.achukatlakumar@gmail.com  
 
Source of Monetary or Material Support  
Apollo Rajshree Hospitals Sector-D Scheme No 74C Vijay Nagar Indore Madhya Pradesh 452010 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Germany
Hungary
Italy
Poland
Spain
India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Achukatla Kumar  Apollo Rajshree Hospitals Indore  Sector-D, Scheme No 74C, Vijay Nagar, Indore, Madhya Pradesh 452010
Indore
MADHYA PRADESH 
8247219324

dr.achukatlakumar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Apollo Rajshree Hospitals Indore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I220||Subsequent ST elevation (STEMI) myocardial infarction of anterior wall,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Diagnosis of STEMI

Undergoing primary PCI

De novo culprit lesion in a native coronary artery

Severe calcification of the target lesion or equivalent balloon uncrossable or undilatable lesion

Use of a plaque modification device to treat the culprit lesion

Signed written informed consent by the patient or their legal representative 
 
ExclusionCriteria 
Details  The target vessel had a stent from a previous PCI
The target lesion was treated as a staged procedure
Pregnant women
Terminally ill patients 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Target Vessel Failure The occurrence of cardiac death, target vessel myocardial infraction and target vessel revascularization  12 Months 
 
Secondary Outcome  
Outcome  TimePoints 
Cardiac death Death that could not be attributed to a noncardiac etiology was considered cardiac death

Major Adverse Cardiac Events MACE Major Adverse Cardiac Events MACE at 12 months death re-infarction acute cardiovascular disease hemorrhagy and or stent thrombosis

Target vessel revascularization Target vessel revascularization was defined as repeated revascularization by PCI or surgery of the target vessel

Target lesion revascularization Target lesion revascularization was defined as any revascularization procedure performed at the site of the treated lesion associated with clinical and or objective evidence of inducible myocardial ischemia 
12 Months 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   07/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  15/02/2023 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="10" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is an European prospective cohort study from February 2023 until February 2026 The investigators want to analyze the clinical success, efficacy and safety of consecutive patients who presented with ST-elevation myocardial infarction undergoing primary percutaneous coronary intervention for de novo heavily calcified culprit lesion using plaque modification devices before stent implantation

 
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