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AtherosclerosisNCT00005487

Multi-Ethnic Study of Atherosclerosis (MESA)

An observational study of Atherosclerosis and Cardiovascular Diseases, run by National Heart, Lung, and Blood Institute (NHLBI).

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The Multi-Ethnic Study of Atherosclerosis (MESA) is a study of the characteristics of subclinical cardiovascular disease and the risk factors that predict progression to clinically overt cardiovascular disease or progression of the subclinical disease (Bild DE et al., Am J Epidemiol 2002; 156(9):871-881). Read more about this study

Who is it for?
Ages 45 to 84 years
How many people
6,418 participants
Where
No sites listed yet
Study dates
Jan 1999to Dec 2030
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 45 to 84 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Participants were recruited from the MESA Study Field Centers.

CVD free men and women aged 45-84 at baseline from the four race/ethnic groups.

About this study

The Multi-Ethnic Study of Atherosclerosis (MESA) is a study of the characteristics of subclinical cardiovascular disease and the risk factors that predict progression to clinically overt cardiovascular disease or progression of the subclinical disease (Bild DE et al., Am J Epidemiol 2002; 156(9):871-881). MESA consists of a diverse, community-based sample of an initial 6,814 men and women aged 45-84 years without known cardiovascular disease at baseline. Thirty-eight percent of the recruited participants were White, 28 percent African American, 22 percent Hispanic, and 12 percent of Chinese descent. Participants were recruited from six field centers across the United States: Baltimore City and Baltimore County, Maryland; Chicago, Illinois; Forsyth County, North Carolina; Los Angeles County, California; New York, New York; and St. Paul, Minnesota. Participants are being followed for identification and characterization of cardiovascular disease events, including acute myocardial infarction and other forms of coronary heart disease (CHD), stroke, and heart failure; for cardiovascular disease interventions; and for mortality. The first examination took place over two years, from July 2000 to July 2002, and has been followed by additional examinations. Participants have been contacted every 9 to 12 months throughout the study to assess and adjudicate clinical morbidity and mortality. The study was approved by the Institutional review boards at all participating institutions, and all participants gave written informed consent. In addition, informed consent was obtained for extensive data sharing (dbGaP) and genetic/omic studies, including candidate genes (NHLBI CARe), genome-wide scans (NHLBI SHARe), exome sequencing (NHLBI ESP) and, most recently, the NHLBI TOPMed program.

Read the detailed description

Background:

MESA was derived from an NHLBI Task Force on Research in Epidemiology and Prevention in which investigation of subclinical disease and its progression to clinical disease was recommended as a major focus for future NHLBI population studies. This was followed by a Special Emphasis Panel on Longitudinal Cohort Studies in 1995, which strongly recommended studies based on subclinical disease measures, and the inclusion of underrepresented minorities in population-based research. A subsequent Special Emphasis Panel on Use of Cardiac EBCT and MRI in Epidemiologic Studies of Cardiovascular Disease in 1996 recommended inclusion of carotid and cardiac MRI and EBCT in elucidating the progression of subclinical to clinical disease and identifying subclinical disease characteristics most strongly associated with increased risk. Requests for Proposals were released in 1997 and awards were made in 1999.

Design Narrative:

Participants were examined at baseline for evidence of subclinical CVD using cardiac computed tomography (CT), cardiac MRI, carotid ultrasound, flow-mediated brachial artery dilation, radial artery tonometry, ankle-brachial index measurement; established and putative laboratory risk markers; and socioeconomic, psychological, behavioral, and environmental characteristics. Selected baseline components were repeated and additional components such as spirometry, retinal photography, genotyping, cognitive function assessment and, in subsets, abdominal aortic CT, carotid MRI, cardiac MRI tagging for measures of regional myocardial function, were introduced over five subsequent examinations through 2018. Stored blood samples have been assayed for putative biochemical risk factors and stored for case-control studies. DNA has been extracted for study of candidate genes, genome-wide scanning, expression, and other -omics investigations, and lymphocytes were cryopreserved for possible immortalization.

MESA is unique in its composition of four ethnic groups, having a cohort free of clinical CVD at baseline, and having multiple - and in some cases unique - subclinical CVD measures over time in the same individuals. Data collected from a large number and variety of MESA ancillary studies, including major ancillary studies on air pollution, chronic lung disease, genetics, and sleep, further contribute to its uniqueness. For a list of all phenotypic data documentation and protocols, refer to the MESA website: www.mesa-nhlbi.org. The MESA data are available to qualifying investigators directly from the study and also through dbGaP (http://www.ncbi.nlm.nih.gov/gap) and BioLINCC (https://biolincc.nhlbi.nih.gov). A variety of stored biospecimens are also available from the study, including DNA, serum, plasma, and urine.

Keywords
Coronary Arteriosclerosis, Cerebrovascular Accident, Heart Failure, Congestive, Diabetes Mellitus, Non-Insulin Dependent
Medical subject headings
Atherosclerosis, Cardiovascular Diseases, Heart Diseases, Coronary Artery Disease, Coronary Disease, Stroke, Myocardial Infarction, Heart Failure

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. CVD

    Rate of Cardiovascular Disease

    Measured: 06/18/2025

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 May 2000 (estimated)
  2. Study startJan 1999
  3. Primary completionDec 2030 (estimated)
  4. Study completionDec 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
6,418 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00005487
Sponsor's protocol ID
5003
Status last verified
Jun 2025
First submitted
25 May 2000
Last updated
21 Jan 2026
Results posted
No

Publications

  • Momtazmanesh S, Hathaway QA, Bancks MP, Bluemke DA, Barr RG, Post WS, Habes M, Nasrallah I, Heckbert SR, Bryan RN, Luchsinger JA, Wan M, Budoff M, Lima JAC, Hughes TM, Davatzikos C, Demehri S. Deep Learning-derived Bone Mineral Density and Longitudinal White Matter Microstructure and Cognitive Decline: Multi-Ethnic Study of Atherosclerosis. Radiology. 2026 Sep;320(3):e260656. doi: 10.1148/radiol.260656.

    PubMed 42770818
  • Hathaway QA, Ghotbi E, Pan T, Momtazmanesh S, Klein JG, Allison M, Barbosa EJM Jr, Barr RG, Bluemke DA, Lima JAC, Post W, Tison GH, Ambale-Venkatesh B, Budoff M, Demehri S. Opportunistic Chest CT Paraspinal Muscle Biomarkers to Predict Longitudinal Thoracic Vertebral Bone Mineral Density Loss: Results from MESA. Radiology. 2026 Sep;320(3):e260238. doi: 10.1148/radiol.260238.

    PubMed 42742379
  • Azimi A, Atlas K, Reeves AP, Zhang C, Wasserthal J, Mirjalili SR, Atlas T, Henschke CI, Yankelevitz DF, Zulueta JJ, Mechanick JI, Branch A, Ma N, Yip R, Fan W, Roy SK, Nasir K, Molloi S, Fayad ZA, McConnell MV, Kakadiaris IA, Abela GS, Vliegenthart R, Maron DJ, Narula J, Williams KA Sr, Shah PK, Budoff MJ, Levy D, Benjamin EJ, Wong ND, Naghavi M. AI-quantified Myosteatosis at CAC CT for Prediction of Atrial Fibrillation and Heart Failure: The Multi-Ethnic Study of Atherosclerosis. Radiol Cardiothorac Imaging. 2026 Aug;8(4):e250214. doi: 10.1148/ryct.250214.

    PubMed 42390348
  • Azimi A, Atlas K, Reeves AP, Zhang C, Wasserthal J, Mirjalili SR, Atlas T, Henschke CI, Yankelevitz DF, Zulueta JJ, de-Torres JP, Seijo LM, Mechanick JI, Branch A, Ma N, Yip R, Fan W, Roy SK, Nasir K, Molloi S, Fayad ZA, McConnell MV, Kakadiaris IA, Abela GS, Vliegenthart R, Maron DJ, Narula J, Williams KA, Shah PK, Budoff MJ, Levy D, Benjamin EJ, Mehran R, Kloner RA, Wong ND, Naghavi M. Artificial Intelligence-derived Measurements of Myosteatosis from Coronary Artery Calcium CT Scans to Predict COPD: The Multi-Ethnic Study of Atherosclerosis. Radiol Cardiothorac Imaging. 2026 Feb;8(1):e250205. doi: 10.1148/ryct.250205.

    PubMed 41609478
  • Ghotbi E, Hathaway QA, Bluemke DA, Ibad HA, Shabani M, Akhtarkhavari S, Barr RG, Post WS, Budoff M, Mathur A, Lima JAC, Demehri S. CT-derived Noncardiovascular Calcifications May Improve Coronary Heart Disease Prediction in Chronic Kidney Disease: The Multi-Ethnic Study of Atherosclerosis. Radiol Cardiothorac Imaging. 2025 Dec;7(6):e240546. doi: 10.1148/ryct.240546.

    PubMed 41342680
  • de Alencar JN, Felicioni SP. Electrocardiographic LVH criteria: Poor diagnostic accuracy even with optimized cutoffs. Insights from MESA study. J Electrocardiol. 2025 Nov-Dec;93:154138. doi: 10.1016/j.jelectrocard.2025.154138. Epub 2025 Sep 26.

    PubMed 41027334
  • Hoballah M, Chehab O, Abdollahi A, Wu CO, Scarpa B, Post WS, Allen NB, Bluemke DA, Ambale-Venkatesh B, Lima JAC. Left-to-Right Chamber Volume Ratios at Cardiac MRI Predict Cardiac Events: A Multi-Ethnic Study of Atherosclerosis Secondary Analysis. Radiology. 2025 Aug;316(2):e243462. doi: 10.1148/radiol.243462.

    PubMed 40828040
  • Hao QY, Gao JW, Zeng YH, Zhang SL, Xiong ZC, Li SC, Lin ZW, Yang PZ, Liu PM, Li ZH. Roles of triglyceride-glucose index in aortic valve calcification progression: a prospective and Mendelian randomization analysis. Clin Radiol. 2025 May;84:106860. doi: 10.1016/j.crad.2025.106860. Epub 2025 Feb 21.

    PubMed 40106977
  • Hathaway QA, Kasaeian A, Pan T, Bluemke DA, Ghotbi E, Klein JG, Ibad HA, Dailing C, Tison GH, Barr RG, Post W, Allison M, Lima JAC, Budoff M, Demehri S. A Deep Learning Model for Three-Dimensional Determination of Whole Thoracic Vertebral Bone Mineral Density from Noncontrast Chest CT: The Multi-Ethnic Study of Atherosclerosis. Radiology. 2025 Mar;314(3):e242133. doi: 10.1148/radiol.242133.

    PubMed 40067103
  • Chan JSK, Satti DI, Chan RNC, Chevli P, Mehta A, Martin SS, Sharma G, Tse G, Virani SS, Shapiro MD. Visit-to-visit lipid variability, coronary artery calcification, inflammation, and mortality in the Multi-Ethnic Study of Atherosclerosis. Eur J Prev Cardiol. 2025 Sep 22;32(13):1235-1244. doi: 10.1093/eurjpc/zwaf085.

    PubMed 39977247
  • Amiel PJ, Ambale-Venkatesh B, Wu CO, Matheson M, Ostovaneh MR, Lima JAC, Cox CF. Evaluating Incident Atrial Fibrillation and Incident Heart Failure as Time-varying Covariates for Time-to-Event Analysis Among Adults 55 Years and Older in the Multi-Ethnic Study of Atherosclerosis (MESA). J Card Fail. 2025 Dec;31(12):1809-1818. doi: 10.1016/j.cardfail.2025.01.012. Epub 2025 Feb 3.

    PubMed 39909110
  • Osmancevic A, Allison M, Miljkovic I, Vella CA, Ouyang P, Trimpou P, Daka B. Exploring the Relationships between Sex Hormones and Abdominal Muscle Area and Radiodensity in Postmenopausal Women: Insights from the Multi-Ethnic Study of Atherosclerosis. Maturitas. 2025 Mar;194:108197. doi: 10.1016/j.maturitas.2025.108197. Epub 2025 Jan 18.

    PubMed 39827737
  • Gao JW, Guo Q, Weng Y, Huang ZG, Zhang HF, Wu YB, Wang JF, Zhang SL, Liu PM. Predicting the risk of coronary artery calcium progression in the general population: insights from the MESA and CARDIA studies. Clin Radiol. 2025 Jan;80:106724. doi: 10.1016/j.crad.2024.10.006. Epub 2024 Oct 16.

    PubMed 39546957
  • Tang WHW, Lemaitre RN, Jensen PN, Wang M, Wang Z, Li XS, Nemet I, Lee Y, Lai HTM, de Oliveira Otto MC, Fretts AM, Sotoodehnia N, DiDonato JA, Backhed F, Psaty BM, Siscovick DS, Budoff MJ, Mozaffarian D, Hazen SL. Trimethylamine N-Oxide and Related Gut Microbe-Derived Metabolites and Incident Heart Failure Development in Community-Based Populations. Circ Heart Fail. 2024 Aug;17(8):e011569. doi: 10.1161/CIRCHEARTFAILURE.124.011569. Epub 2024 Aug 9.

    PubMed 39119698
  • Abdollahi A, Kato Y, Bakhshi H, Varadarajan V, Chehab O, Zeitoun R, Ostovaneh MR, Wu CO, Bertoni AG, Shah SJ, Ambale-Venkatesh B, Bluemke DA, Lima JAC. Differential Stroke Volume between Left and Right Ventricles as a Predictor of Clinical Outcomes: The MESA Study. Radiology. 2024 Jul;312(1):e232973. doi: 10.1148/radiol.232973.

    PubMed 39041933

Questions about this trial

What is this clinical trial studying?

An observational study of Atherosclerosis and Cardiovascular Diseases, run by National Heart, Lung, and Blood Institute (NHLBI).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 21 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

CVD (time frame: 06/18/2025). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00005487, which also lists 81 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jan 2026.

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