UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000027101
Receipt number R000030946
Scientific Title Effect of screening for primary prevention of mortality and cardiovascular events using non-contrast T1-weighted magnetic resonance plaque imaging in high-risk patients estimated by risk factor categories for a Japanese urban population.
Date of disclosure of the study information 2017/04/24
Last modified on 2017/04/22 13:58:59

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Basic information

Public title

Effect of screening for primary prevention of mortality and cardiovascular events using non-contrast T1-weighted magnetic resonance plaque imaging in high-risk patients estimated by risk factor categories for a Japanese urban population.

Acronym

Clinical significance of non-contrast T1-weighted plaque imaging for primary prevention of coronary artery disease

Scientific Title

Effect of screening for primary prevention of mortality and cardiovascular events using non-contrast T1-weighted magnetic resonance plaque imaging in high-risk patients estimated by risk factor categories for a Japanese urban population.

Scientific Title:Acronym

Clinical significance of non-contrast T1-weighted plaque imaging for primary prevention of coronary artery disease

Region

Japan


Condition

Condition

Patients with primary prevention for coronary disease:hypertension, diabetes mellitus, dyslipidemia, stroke, aortic disease, atherosclerotic obliterans, or chronic kidney disease.

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to determine whether coronary high-intensity plaque (HIP) visualized by non-contrast T1-weighted imaging (T1WI) can predict mortality and future coronary events for primary prevention.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome is a composite of all-cause mortality, carddiac mortality, stroke, nonfatal myocardial infarction, or ischemia proven unstable angina, stable effort angina, and silent myocardial ischemia, requiring coronary intervention.

Key secondary outcomes

Cardiac death.
Composite of cardiovascular event of cardiac mortality, nonfatal myocardial infarction, ischemia proven unstable angina, stable effort angina, andsilent myocardial ischemia requiring coronary intervention.
Prevalence of coronary HIP.
Risk factor for coronary HIP.
Analysis for cost-effectiveness.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)Patients with high cardiac risk estimated by risk factor categories for a Japanese urban population Suita score(greater than 51 points).
2) Diabetic patients (more than 49 years old male or more than 54 years old female).
3) Patients with suspected of coronary artery disease who met criteria for intermediated coronary stenosis detected by CT angiography or invasive coronary angiography

Key exclusion criteria

1) Internal metal
2) History of coronary artery disease (history of antianginal medication, CABG, or PCI)
3) Patients with severe stenosis detected by CTA.
4)refusal of informed consent

Target sample size

660


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Teruo Noguchi

Organization

National Cerebral and Cardiovascular Center

Division name

Department of cardiovascular disease

Zip code


Address

5-7-1 Fujishirodai, Suita Osaka

TEL

06-6833-5012

Email

tnoguchi@ncvc.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Teruo Noguchi

Organization

National Cerebral and Cardiovascular Center

Division name

Department of cardiovascular disease

Zip code


Address

5-7-1 Fujishirodai, Suita Osaka

TEL

06-6833-5012

Homepage URL


Email

tnoguchi@ncvc.go.jp


Sponsor or person

Institute

National Cerebral and Cardiovascular Center

Institute

Department

Personal name



Funding Source

Organization

AMED

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 04 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2017 Year 03 Month 31 Day

Date of IRB


Anticipated trial start date

2017 Year 04 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

DESIGN, SETTING, AND PARTICIPANTS: A multicenter prospective observational study in which 660 patients with high cardiac risk estimated by risk factor categories for a Japanese urban population Suita score are recruited from 6 institutions. After CMR data are obtained, study patients are divided into 3 groups according to the PMR cutoff value of 1.4 or 1.1 as follows: PMR >1.4, PMR 1.1 to 1.4, and PMR <1.1 and follow at least 3 to 6 years until the occurrence of 1 of the following coronary events.
MAIN OUTCOMES AND MEASURES: The primary outcome is a composite of all-cause mortality, cardiac mortality, stroke, nonfatal MI, or ischemia proven unstable angina, stable effort angina, and silent myocardial ischemia, requiring coronary intervention.
ANTICIPATED RESULTS: Among the 3 groups based on PMR cutoff, the primary outcome event rate is highest in the group with PMR >1.4 and lowest in the group with PMR <1.1.


Management information

Registered date

2017 Year 04 Month 22 Day

Last modified on

2017 Year 04 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030946


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name