NCT07741721Recruiting
Optimal Timing of Staged Complete Revascularization in STEMI With Multivessel Disease (OPTION-STEMI2)
OPtimal TIming of Staged Complete RevascularizatiON in ST-Segment Elevation Myocardial Infarction With Multivessel Disease: The OPTION-STEMI2 Trial
Source: ClinicalTrials.gov · Last updated 23 Oct 2026
Brief summary (registry, in English)
This prospective, multicenter, open-label, superiority trial will enroll patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease. Following successful percutaneous coronary intervention (PCI) of the infarct-related artery (IRA), patients who meet the eligibility criteria will be randomized in a 1:1 ratio to either in-hospital staged complete revascularization with PCI of non-IRA lesions performed on a separate day during hospitalization, at least 48 hours after PCI of the IRA, or out-of-hospital staged complete revascularization with PCI of non-IRA lesions performed after discharge between 15 and 45 days of randomization. In both groups, non-IRA lesions with 50-69% stenosis will be evaluated using FFR.
- Status (registry)
- Recruiting
- Study type
- Interventional
- Enrollment
- 1252 (estimated)
- First submitted
- 26 Jul 2026
- Start date
- 21 Aug 2026
- Primary completion date
- 31 Jul 2031
- Lead sponsor
- Chonnam National University Hospital
- Diseases
- Coronary artery disease
- NCT number
- NCT07741721
What you commit to
- Study type: Interventional
- Planned participants: 1252
- From 21 Aug 2026 to the primary completion date, 31 Jul 2031
- 30 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Fibrinolysis therapy prior to admission
Other illness
- Thrombolysis in myocardial infarction flow at non-IRA ≤ 2
- History of anaphylaxis to contrast agent
- Severe valvular heart disease
- History of coronary artery bypass grafting (CABG) or planned CABG
Other
- Cardiogenic shock at initial presentation or after infarct-related artery (IRA) treatment
- Severe procedural complications during primary percutaneous coronary intervention that, in the judgement of the operator, preclude study enrollment
- Non-IRA lesion unsuitable for percutaneous coronary intervention (PCI) treatment that, in the judgement of the operator, preclude study enrollment
- Chronic total occlusion in a non-IRA
- Pregnancy and lactation
- Life expectancy \< 1 year
- Severe asthma
Who the study is looking for
- Age ≥19 years
- ST-segment elevation myocardial infarction (STEMI): ST-segment elevation ≥ 0.1 mV in at least two contiguous leads, or New-onset left bundle branch block (LBBB)
- Primary PCI within 12 h after symptom development
- At least 1 non-infarct related artery (non-IRA) with diameter ≥ 2.5 mm and 50% stenosis by visual estimation
Age in the registry: 19 years to - · Sex: All · Does not accept healthy volunteers
Sites (30)
Sites in registry order. Save your city in your profile to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Bucheon Sejong Hospital Coordinator of this site? Confirm its status | Bucheon-si | South Korea | Not yet recruiting |
| Gyeongsang National University Changwon hospital Coordinator of this site? Confirm its status | Changwon | South Korea | Not yet recruiting |
| Samsung Changwon Medical Center Coordinator of this site? Confirm its status | Changwon | South Korea | Not yet recruiting |
| Soon Chun Hyang University Hospital Cheonan Coordinator of this site? Confirm its status | Cheonan | South Korea | Not yet recruiting |
| Chungbuk National University Hospital Coordinator of this site? Confirm its status | Cheongju-si | South Korea | Not yet recruiting |
| Kangwon National University Hospital Coordinator of this site? Confirm its status | Chuncheon | South Korea | Not yet recruiting |
| Daegu Catholic University Medical Center Coordinator of this site? Confirm its status | Daegu | South Korea | Not yet recruiting |
| Kyungpook National University Hospital Coordinator of this site? Confirm its status | Daegu | South Korea | Not yet recruiting |
| Yeongnam University Medical Center Coordinator of this site? Confirm its status | Daegu | South Korea | Not yet recruiting |
| Keimyung University Dongsan Hospital Coordinator of this site? Confirm its status | Daegu | South Korea | Not yet recruiting |
| Chungnam National University Hospital Coordinator of this site? Confirm its status | Daejeon | South Korea | Not yet recruiting |
| Kwangju Christian Hospital Coordinator of this site? Confirm its status | Gwangju | South Korea | Not yet recruiting |
| Chonnam National University Hospital Coordinator of this site? Confirm its status | Gwangju | South Korea | Recruiting |
| Gwangju Veterans Hospital Coordinator of this site? Confirm its status | Gwangju | South Korea | Not yet recruiting |
| Chosun University Hospital Coordinator of this site? Confirm its status | Gwangju | South Korea | Not yet recruiting |
| Chung-Ang University Gwangmyeong Hospital Coordinator of this site? Confirm its status | Gwangmyeong | South Korea | Not yet recruiting |
| Jeju National University Hospital Coordinator of this site? Confirm its status | Jeju City | South Korea | Not yet recruiting |
| Presbyterian Medical Center Coordinator of this site? Confirm its status | Jeonju | South Korea | Not yet recruiting |
| jeonbuk National University Hospital Coordinator of this site? Confirm its status | Jeonju | South Korea | Not yet recruiting |
| Gyeongsang National University Hospital Coordinator of this site? Confirm its status | Jinju | South Korea | Not yet recruiting |
| Inje University Busan Paik Hospital Coordinator of this site? Confirm its status | Pusan | South Korea | Not yet recruiting |
| Kosin University Gospel Hospital Coordinator of this site? Confirm its status | Pusan | South Korea | Not yet recruiting |
| Pusan National University Hospital Coordinator of this site? Confirm its status | Pusan | South Korea | Not yet recruiting |
| Inje University Haeundae Paik Hospital Coordinator of this site? Confirm its status | Pusan | South Korea | Not yet recruiting |
| Yonsei University Health System - Gangnam Severance Hospital Coordinator of this site? Confirm its status | Seoul | South Korea | Not yet recruiting |
| Korea University Anam Hospital Coordinator of this site? Confirm its status | Seoul | South Korea | Not yet recruiting |
| Koera University Guro Hospital Coordinator of this site? Confirm its status | Seoul | South Korea | Not yet recruiting |
| St. Carollo General Hospital Coordinator of this site? Confirm its status | Suncheon | South Korea | Not yet recruiting |
| Ajou University Hospital Coordinator of this site? Confirm its status | Suwon | South Korea | Not yet recruiting |
| Pusan National University Yangsan Hospital Coordinator of this site? Confirm its status | Yangsan | South Korea | Not yet recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.