Optical Coherence Tomography Assessment of gender diVersity in primary Angioplasty Plan for Success GISE Congress, Genova, 17 Oct. 2010 Today’s Presentation The objective, methodologies and technological tools of the OCTAVIA trial represent an innovation for Italian and international research Today we will discuss the study’s: Background & Motivation Team & Methodology Objectives & Timelines Technology & Communication 2 About OCTAVIA OCTAVIA will help resolve important unanswered questions that lead to better care for women with coronary heart disease AND is also unique because… First national cooperation of leading OCT centers New model for rapid web-based image transfer Emphasis on real-time results Dedicated communication tools 3 Meet the OCTAVIA Team Scientific promoter • The Italian Society of Interventional Cardiology (GISE) Study coordinator • Dr. Giulio Guagliumi, recognized worldwide as an opinion leader for coronary OCT Study centers • Fifteen OCT centers across Italy 4 OCTAVIA Study Centers G. Tuminello R. Garbo M. De Benedicts G. Guagliumi Centro Coordinatore G. Tarantino B. Reimers S. Marra M. Valgimigli L. Vignali G. Sangiorgi C. Pierli F. Saia U. Limbruni G. Trani D. Capodanno 5 Italian Steering Committee B. Castiglioni D. Trabattoni G. Biondi Zoccai M. Valgimigli G. Trani L. De Luca F. Saia O. Manfrini Steering committee Safety monitoring board Medical reviewer D. Capodanno Statistical reviewer 6 Int’l Scientific Board Marco Costa Ghada Mikhail Chen Yundai Takashi Akasaka Elena Ladich Renu Virmani 7 Protocol Overview Patients 140 STEMI patients 6 hrs – 70 women – 70 age-matched men Enrollment 10 months Procedures Primary PCI with OCT pre and post OCT at 9 months Follow-up 12 months Data Fully electronic CRF and image management International core labs 8 Methodology QCA, OCT and histological thrombus analysis • Shed light on the underlying mechanisms of coronary thrombosis in women • International core labs, blinded analysis 9 Timelines Total study duration: 2.5 years Planning EC Submissions Startup Study Initiation Recruitment Completion of Follow-up Closeout Final Report Oct–Nov 2010 Dec 2010 Jan–Sept 2011 Dec 2012 Feb–Apr 2013 = Startup = Active Study = Completion 10 Research Organization More trial, less error. • OCTAVIA is overseen by Meditrial, a contract research organization specializing in device trials. • We offer expertise and advanced technology, all within a streamlined model that seeks to eliminate wasted time and resources. 11 MEDITRIAL for OCTAVIA Complete Management 1. Strategic program 2. CatchTrial: data collection/analysis and electronic images 3. Startup, management, monitoring 4. Communication: logo, website, newsletter 12 MEDITRIAL for OCTAVIA CatchTrial Secure data tracking with CatchTrial • High-speed web-based transfer of OCT raw data • Automated, real time study analyses-reports 13 CatchTrial IMAGES Speed Maximal speed with proprietary software for rapid upload/download. Upload speed: raw OCT data in 30-60 min* Download speed: 5 min* You can normally use the PC during image transfer. * Standard ADSL connection 14 Real-time Study Progress 15 Easy Safety Tracking 16 Rapid Endpoint Assessment 17 Catchtrial for Octavia • Creation of tables replicating published articles • Real-time results as data are entered by sites 18 MEDITRIAL for OCTAVIA Step by Step 3°step APPROVAZIONE RAPIDA 2°step DOSSIER DELLO STUDIO Conformità con 1°step STRATEGIA 4°step STARTUP e GESTIONE Sottomissioni complete ed accurate Stretto contatto con i centri Gestione per •Reclutamento veloce •Controllo dati •Verifica dei risultati - Normative - Procedure del centro •Strategia per approvazione rapida •Selezione centri •Selezione CRO team •Pianificazione-budget 19 MEDITRIAL for OCTAVIA Support for Investigators 20 MEDITRIAL for OCTAVIA Behind the Scenes Monica Scientific Barbara Logistics Rob Communication Rossella Clinical Alessio Software 21 Contacts Meditrial Srl Via Savoia 78, 00198 Roma Tel. 06 45429780 – Fax 06 4542.9781 Barbara Pesce [email protected] Cell. 345.1500146 Monica Tocchi [email protected] Rob Meyerson Cell. 393.1155344 Skype rob.meyerson Rossella Mercuri [email protected] Alessio Ricciutelli [email protected] [email protected] Cell. 335.6130262 22 In Summary • This important study represents an opportunity for the Italian interventional community to set a new model of collaboration, quality and efficiency • The main challenges ahead are the approval process and patient recruitment • Next step: collaboration for quick approval • TARGET STUDY STARTUP: January 2011 23 EC submission plan BERGAMO 20 October Center EC Deadline Center EC Deadline S. Giovanni TO 1 Nov. Parma 12 Nov. Bologna 2-4 Nov. Padova 13 Nov. Gemelli RM 4 Nov. Siena 15 Nov. Mirano VE 4 Nov. Mauriziano TO 20 Nov. Modena 4 Nov. Molinette TO 25 Nov. Ferrara 5 Nov. Asti 26 Nov. Ferrarotto CT 6 Nov. Grosseto 30 Nov. 24 Thank you 25