UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058813
Receipt number R000067256
Scientific Title Plaque Regression and Stabilization by Proprotein convertase subtilisin/kexin type 9 Inhibitors: A Meta-Analysis of Intravascular Imaging Studies
Date of disclosure of the study information 2025/08/16
Last modified on 2025/08/16 14:04:40

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Basic information

Public title

Plaque Regression and Stabilization by Proprotein convertase subtilisin/kexin type 9 Inhibitors: A Meta-Analysis of Intravascular Imaging Studies

Acronym

Plaque Regression and Stabilization by Proprotein convertase subtilisin/kexin type 9 Inhibitors: A Meta-Analysis of Intravascular Imaging Studies

Scientific Title

Plaque Regression and Stabilization by Proprotein convertase subtilisin/kexin type 9 Inhibitors: A Meta-Analysis of Intravascular Imaging Studies

Scientific Title:Acronym

Plaque Regression and Stabilization by Proprotein convertase subtilisin/kexin type 9 Inhibitors: A Meta-Analysis of Intravascular Imaging Studies

Region

Japan


Condition

Condition

coronary artery disease (CAD) or acute coronary syndrome (ACS), including unstable angina (UA), non-ST-elevation myocardial infarction (NSTEMI), or ST-elevation myocardial infarction (STEMI)

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to evaluate the effects of proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors on the structure and composition of coronary plaques by conducting a meta-analysis using data from three intravascular imaging modalities, intravascular ultrasound (IVUS), optical coherence tomography (OCT), and near-infrared spectroscopy (NIRS), and to comprehensively assess their effects on plaque regression and stabilization.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The changes in percent atheroma volume (PAV), fibrous cap thickness (FCT), and maximum lipid core burden index within 4 mm (maxLCBI4mm) from baseline to follow-up will be evaluated between the PCSK9 inhibitor group and the control group using an inverse variance random-effects meta-analysis.

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

18 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

Eligible studies included adult patients with CAD or ACS (UA, NSTEMI, STEMI). Study designs were randomized controlled trials, prospective cohort studies, or retrospective observational studies. The intervention group received PCSK9 inhibitors in addition to statin therapy, and the control group received statin monotherapy or statin plus placebo. Studies were required to assess coronary plaque characteristics at both baseline and follow-up using intravascular imaging modalities (IVUS, OCT, or NIRS). Studies without imaging evaluation or without sufficient data for quantitative synthesis were excluded.

Key exclusion criteria

Eligible studies included adult patients with CAD or ACS (UA, NSTEMI, STEMI). Study designs were randomized controlled trials, prospective cohort studies, or retrospective observational studies. The intervention group received PCSK9 inhibitors in addition to statin therapy, and the control group received statin monotherapy or statin plus placebo. Studies were required to assess coronary plaque characteristics at both baseline and follow-up using intravascular imaging modalities (IVUS, OCT, or NIRS). Studies without imaging evaluation or without sufficient data for quantitative synthesis were excluded.

Target sample size



Research contact person

Name of lead principal investigator

1st name Ryu
Middle name
Last name Umezono

Organization

Dokkyo Medical University

Division name

Department of Cardiovascular Medicine

Zip code

321-0293

Address

880, Kitakobayashi, Mibumachi, Shimotsugagun, Tochigi, Japan

TEL

0282872146

Email

umezono.akita587@gmail.com


Public contact

Name of contact person

1st name Ryu
Middle name
Last name Umezono

Organization

Dokkyo Medical University

Division name

Department of Cardiovascular Medicine

Zip code

321-0293

Address

880, Kitakobayashi, Mibumachi, Shimotsugagun, Tochigi, Japan

TEL

0282872146

Homepage URL


Email

umezono.akita587@gmail.com


Sponsor or person

Institute

Dokkyo Medical University

Institute

Department

Personal name

Ryu Umezono


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

None

Address

None

Tel

None

Email

None


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

2025 Year 08 Month 16 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

0

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

Completed

Date of protocol fixation

2025 Year 06 Month 29 Day

Date of IRB

2025 Year 06 Month 29 Day

Anticipated trial start date

2025 Year 06 Month 29 Day

Last follow-up date

2025 Year 07 Month 16 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Eligible studies included adult patients with CAD or ACS (UA, NSTEMI, STEMI). Study designs were randomized controlled trials, prospective cohort studies, or retrospective observational studies. The intervention group received PCSK9 inhibitors in addition to statin therapy, and the control group received statin monotherapy or statin plus placebo. Studies were required to assess coronary plaque characteristics at both baseline and follow-up using intravascular imaging modalities (IVUS, OCT, or NIRS). Studies without imaging evaluation or without sufficient data for quantitative synthesis were excluded.


Management information

Registered date

2025 Year 08 Month 16 Day

Last modified on

2025 Year 08 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067256