Unique ID issued by UMIN | UMIN000019704 |
---|---|
Receipt number | R000021222 |
Scientific Title | Impact of Daily Glucose Fluctuation on Vessel Healing after 2nd Generation Drug-eluting Stent Implantation Assessed by Continuous Glucose Monitoring and Optical Coherence Tomography |
Date of disclosure of the study information | 2015/11/10 |
Last modified on | 2016/10/01 12:08:33 |
Impact of Daily Glucose Fluctuation on Vessel Healing after 2nd Generation Drug-eluting Stent Implantation Assessed by Continuous Glucose Monitoring and Optical Coherence Tomography
Impact of Daily Glucose Fluctuation on Vessel Healing after 2nd Generation Drug-eluting Stent Implantation
Impact of Daily Glucose Fluctuation on Vessel Healing after 2nd Generation Drug-eluting Stent Implantation Assessed by Continuous Glucose Monitoring and Optical Coherence Tomography
Impact of Daily Glucose Fluctuation on Vessel Healing after 2nd Generation Drug-eluting Stent Implantation
Japan |
stable angina pectoris
Cardiology |
Others
NO
This study aims to investigate the effect of glucose fluctuation on vessel healing nine months after everolimus eluting stent deployment, and to assess the impact of glucose fluctuation on clinical outcomes in patients with coronary artery disease
Others
Pathophysiology
Exploratory
Association between glucose variability and neointimal proliferation nine (six to twelve) months after stenting assessed continuous glucose monitoring (CGM) and coronary imaging device (optical coherence tomography; OCT)
Major cardiovascular adverse events (target lesion revascularization, myocardial infarction and cardiac death) at nine (six to twelve) months after percutaneous coronary intervention.
Observational
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1)patients whose glucose fluctuation was assessed by continuous glucose monitoring before percutaneous coronary intervention (PCI)
2)patients treated with everolimus-eluting stent at PCI
3)LDL-chol < 100mg/dl in patients without statin. LDL-chol < 120mg/dl in patients with statin.
4)patients between 20 and 80 years old
5)written consent for participation in the study
Patients meeting one of the following conditions will be excluded:
1) treated with other kind of stent
2) unsuitable anatomy for OCT analysis in stented segment
3) severe renal dysfunction
4) any change of medical interventions for the control of diabetes, lipids, and hypertension during this study
5) judged as ineligible by clinical investigators
70
1st name | |
Middle name | |
Last name | Toshiro Shinke |
Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine
7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan
078-382-5111
shinke@med.kobe-u.ac.jp
1st name | |
Middle name | |
Last name | Masaru Kuroda |
Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine
7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 6500017, JAPAN
078-382-5846
kuroro19800115@hotmail.com
Division of Cardiovascular Medicine, Kobe University Graduate School of Medicine
Division of Cardiovascular Medicine, Kobe University Graduate School of Medicine
Self funding
NO
2015 | Year | 11 | Month | 10 | Day |
Published
Completed
2012 | Year | 05 | Month | 15 | Day |
2012 | Year | 06 | Month | 01 | Day |
(A)study design
A prospective observational study(case-control study)
(B)subject
consecutive patients who fulfilled with the inclusion criteria from June 2012 to May 2014 in our institution
(C)study protcol
1. On admission of the index procedure, a blood sample analysis is performed under fasting conditions to evaluate levels of creatinine, glycosylated hemoglobin (HbA1c), total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, and C-reactive protein. In addition, a 75-g OGTT is performed in all patients, and levels of plasma glucose and immunoreactive insulin are evaluated just before and 120 min after the oral glucose load. Subcutaneous interstitial glucose levels are monitored over a period of 3 consecutive days using the CGM System iPro2 (Medtronic, Northridge, CA).
2. After the CGM examination, all patients undergo catheterization procedure for PCI to native coronary arteries guided by intravascular ultrasound (IVUS) (Eagle Eye Platinum 3.5F 20-MHz; Volcano Corp, Rancho Cordova, CA, USA) and are planned to be treated with everolimus-eluting stent implantation. The IVUS procedure is planned to be performed in a standard fashion, using automated motorized 0.5 mm/s pullback.
3. 9 months after the index stent procedure, we intend to perform follow-up CAG and OCT examination for stented segment, and evaluate the incidence of major adverse cardiovascular events.
2015 | Year | 11 | Month | 09 | Day |
2016 | Year | 10 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000021222