UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000049627
Receipt number R000056443
Scientific Title Clinical Utility of Computed Tomography Derived Extracellular Volume Fraction in Cardiovascular Disease: A Meta-analysis
Date of disclosure of the study information 2022/11/28
Last modified on 2023/11/29 09:44:37

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Basic information

Public title

Clinical Utility of Computed Tomography Derived Extracellular Volume Fraction in Cardiovascular Disease: A Meta-analysis

Acronym

Clinical Utility of Computed Tomography Derived Extracellular Volume Fraction in Cardiovascular Disease: A Meta-analysis

Scientific Title

Clinical Utility of Computed Tomography Derived Extracellular Volume Fraction in Cardiovascular Disease: A Meta-analysis

Scientific Title:Acronym

Clinical Utility of Computed Tomography Derived Extracellular Volume Fraction in Cardiovascular Disease: A Meta-analysis

Region

Japan


Condition

Condition

Cardiovascular disease

Classification by specialty

Medicine in general Cardiology Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Computed tomography derived extracellular volume fraction (CT-ECV) has emerged as a non-invasive method to quantify myocardial fibrosis. Although there are many studies suggesting the usefulness of CT-ECV, its clinical use remains limited. Therefore, we will perform a meta-analysis to clarify the clinical value of CT-ECV.

Basic objectives2

Others

Basic objectives -Others

The prognostic value of ECV will also be examined.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Electronic database searches will be PubMed, Web of Science Core Collection, Cochrane advanced search, and EMBASE. Compare CT-ECV between cardiovascular disease and controls. We will also examine differences in CT-ECV between AS and CA, since preoperative differentiation between aortic stenosis (AS) and cardiac amyloidosis (CA) is important in transcatheter aortic valve replacement.

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Literature obtained by the following search formula will be considered.

#1 (extracellular volume fraction OR extracellular volume OR ECV)
#2 (computed tomography OR CT OR cardiac computed tomography OR contrast-enhanced computed tomography)
#3 (myocardium OR myocardial OR cardiac)
#4 #1 AND #2 AND #3

Key exclusion criteria

We will exclude references that are unbeatable for our analysis, such as those with missing data.

Target sample size



Research contact person

Name of lead principal investigator

1st name Shingo
Middle name
Last name Kato

Organization

Yokohama City University

Division name

Department of Diagnostic Radiology

Zip code

236-0004

Address

3-9, Fukuura, Kanazawaku, Yokohama

TEL

0457872800

Email

shingo.m12226@gmail.com


Public contact

Name of contact person

1st name Shingo
Middle name
Last name Kato

Organization

Yokohama City University

Division name

Department of Diagnostic Radiology

Zip code

236-0004

Address

3-9, Fukuura, Kanazawaku

TEL

0457872800

Homepage URL


Email

shingo.m12226@gmail.com


Sponsor or person

Institute

Yokohama City University

Institute

Department

Personal name



Funding Source

Organization

self-funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of Yokohama City University

Address

3-9, Fukuura, Kanazawaku, Yokohama

Tel

0457872800

Email

shingo.m12226@gmail.com


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

2022 Year 11 Month 28 Day


Related information

URL releasing protocol

https://www.jacc.org/doi/10.1016/j.jcmg.2023.10.008

Publication of results

Published


Result

URL related to results and publications

https://www.jacc.org/doi/10.1016/j.jcmg.2023.10.008

Number of participants that the trial has enrolled

2545

Results

Pooled CT-derived ECV values were 28.5% (95% CI: 27.3%-29.7%) in the control, 31.9 (95% CI: 30.2%-33.8%) in the aortic stenosis, and 48.9% (95% CI: 44.5%-53.3%) in the cardiac amyloidosis group. ECV was significantly elevated in aortic stenosis (P = 0.002; vs controls) but further elevated in cardiac amyloidosis (P < 0.001; vs aortic stenosis). CT-derived ECV had a high diagnostic accuracy for cardiac amyloidosis, with sensitivity of 92.8% (95% CI: 86.7%-96.2%), specificity of 84.8% (95% CI: 68.6%-93.4%).

Results date posted

2023 Year 11 Month 29 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Not applicable for meta-analysis

Participant flow

Not applicable for meta-analysis

Adverse events

Not applicable for meta-analysis

Outcome measures

Not applicable for meta-analysis

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 11 Month 28 Day

Date of IRB

2023 Year 05 Month 04 Day

Anticipated trial start date

2022 Year 11 Month 28 Day

Last follow-up date

2022 Year 11 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Perform meta-analysis in accordance with the protocol.


Management information

Registered date

2022 Year 11 Month 28 Day

Last modified on

2023 Year 11 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000056443