UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058137
Receipt number R000066346
Scientific Title Observational prospective study to evaluate clinical significance of coronary artery spasm in patients with cardiovascular disease
Date of disclosure of the study information 2025/06/15
Last modified on 2025/06/10 12:18:57

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Basic information

Public title

Observational prospective study to evaluate clinical significance of coronary artery spasm in patients with cardiovascular disease

Acronym

Observational prospective study to evaluate clinical significance of coronary artery spasm in patients with cardiovascular disease

Scientific Title

Observational prospective study to evaluate clinical significance of coronary artery spasm in patients with cardiovascular disease

Scientific Title:Acronym

Clinical investigation of coronary artery spasm in cardiovascular disease

Region

Japan


Condition

Condition

Cardiovascular disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to evaluate the influence of coexisting coronary spasm on the clinical course and long-term outcomes in patients with cardiovascular disease.

Basic objectives2

Others

Basic objectives -Others

Determining clinical and biochemical predictors of coronary spasm in cardiovascular disease.

Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase



Assessment

Primary outcomes

We will evaluate the following outcomes at 5 and 10 years after intracoronary acetylcholine provocation testing:

1. All-cause mortality
2. Cardiovascular death
3. Hospitalization for heart failure
4. Stroke
5. Coronary revascularization
6. Other surgical procedures
7. Other non-cardiac surgical interventions

Key secondary outcomes

We will investigate the association between coronary reactivity to intracoronary acetylcholine provocation and clinical as well as biochemical factors.
The following variables will be evaluated:

1. Clinical factors:
Age, sex, body mass index (BMI), smoking status, hypertension, diabetes mellitus, dyslipidemia, history of cardiovascular disease, family history of cardiovascular disease, and current medications.
2. Biochemical factors:
Total cholesterol, triglycerides, high-density lipoprotein cholesterol (HDL-C), non-HDL cholesterol, low-density lipoprotein cholesterol (LDL-C), apolipoprotein A1 (ApoA1), apolipoprotein A2 (ApoA2), apolipoprotein C2 (ApoC2), apolipoprotein C3 (ApoC3), apolipoprotein E (ApoE), remnant-like particle cholesterol (RLP-C), free fatty acids (FFA), glucose, immunoreactive insulin (IRI), hemoglobin A1c (HbA1c), C-reactive protein (CRP), and fibrinogen.


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

85 years-old >

Gender

Male and Female

Key inclusion criteria

Patients hospitalized at Yamanashi University Hospital who meet all of the following criteria will be included:

1. Diagnosis of ischemic heart disease (angina pectoris or myocardial infarction) or heart failure
2. Underwent intracoronary acetylcholine provocation testing during hospitalization
3. Had blood biochemical tests performed during the hospital stay

Key exclusion criteria

The following cases will be excluded from the analysis:

1. Patients undergoing hemodialysis
2. Patients with malignant diseases
3. Patients with severe infections

Target sample size

1400


Research contact person

Name of lead principal investigator

1st name Takamitsu
Middle name
Last name Nakamura

Organization

University of Yamanashi Hospital

Division name

Cardiovascular medicine

Zip code

409-3898

Address

Shimokato 1110, Chuo, Yamanashi

TEL

055-273-9590

Email

takanaka@yamanashi.ac.jp


Public contact

Name of contact person

1st name Takamitsu
Middle name
Last name Nakamura

Organization

University of Yamanashi Hospital

Division name

Cardiovascular medicine

Zip code

409-3898

Address

shimokato 1110, Chuo, Yamanashi

TEL

055-273-9590

Homepage URL


Email

takanaka@yamanashi.ac.jp


Sponsor or person

Institute

University of Yamanashi, Department of Cardiovascular Medicine

Institute

Department

Personal name



Funding Source

Organization

University of Yamanashi, Department of Cardiovascular Medicine

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

University of Yamanashi Hospital

Address

Shimokato 1110, Chuo, Yamanashi, JAPAN

Tel

055-273-9590

Email

takanaka@yamanashi.ac.jp


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

山梨大学附属病院(山梨県)


Other administrative information

Date of disclosure of the study information

2025 Year 06 Month 15 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

Enrolling by invitation

Date of protocol fixation

2005 Year 09 Month 01 Day

Date of IRB

2005 Year 09 Month 15 Day

Anticipated trial start date

2005 Year 10 Month 01 Day

Last follow-up date

2031 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

All patients were prospectively followed-up every 2-3 months at a hospital by each patient's primary physician for a period of up to 10 years.


Management information

Registered date

2025 Year 06 Month 10 Day

Last modified on

2025 Year 06 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066346