AtherosclerosisNCT01353612
Correlation Between Coronary and Carotid Atherosclerotic Disease (CAD) and Links With Clinical Outcomes
An observational study of Atherosclerosis, run by Canadian Atherosclerosis Imaging Network at 39 sites in Canada.
Trial summary
This is a prospective, multi-center imaging study expecting to enroll approximately 1350 patients scheduled for clinically-indicated coronary angiography. Following informed consent, patient will undergo baseline coronary intravascular ultrasound (IVUS) imaging and non-invasive ultrasound imaging of their carotid… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Atherosclerosis
- How many people
- 1,626 participants
- Where
- 39 sitesCanada
- Study dates
- Jan 2010to Dec 2017
- Phase
- Observational
- Are there results?
- None posted in the registry
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients with clinical indication for coronary angiography
Who may be able to join
- Male and female patients over the age of 18 years.
- Patients scheduled for clinically indicated coronary angiography and possible ad hoc percutaneous coronary intervention (PCI) will be evaluated before their scheduled procedure.
- Written informed consent (approved by the Institutional Review Board [IRB]/Independent Ethics Committee [IEC]) obtained prior to any study specific procedures.
- Patients considered to be stable at enrollment (at the discretion of the investigator) are eligible provided they meet all other entry criteria.
- Angiogram meeting qualifying criteria
Who cannot join
- Women of childbearing potential (women who are not surgically sterile or postmenopausal defined as amenorrhea for >12 months) who refuse to undergo a urine or serum pregnancy test immediately prior to baseline and repeat imaging evaluations The urine or serum pregnancy test must be negative prior to imaging evaluations.
- Previous coronary artery bypass graft (CABG) surgery or probable need for CABG in the next 24 months.
- Patients who have symptomatic congestive heart failure (CHF) (New York Heart Association [NYHA] Class III or IV) at baseline.
- Patients with clinically significant valvular heart disease likely to require surgical repair or replacement during the treatment period of the study
- Any clinically significant medical condition or presence of any laboratory abnormality that is considered by the investigator to be clinically important and could interfere with the conduct of the study.
- The presence of severe liver disease as defined by the presence of cirrhosis, chronic active hepatitis, or chronic jaundice with hyperbilirubinemia,
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- Patients with eGFR < 45 ml/min prior to baseline imaging procedures, or with nephrotic syndrome
- Patients with a life expectancy less than 2 years.
- History of malignancy (except for curatively treated basal cell or squamous cell carcinoma of the skin) during the 3 years prior to the screening.
- Unable or unwilling to comply with protocol requirements, or deemed by the investigator to be unfit for the study.
Trial locations and contacts
39 sites in 1 country.
39 sites in 1 country
Canada39 sites
Foothills Medical Centre
Calgary, British Columbia, T2N 2T9
Cambridge Cardiac Care
Cambridge, Ontario, N1R 6V6
Complexe Hospitalier de la Sagamie
Chicoutimi, Quebec, G7H 5H6
Royal Alexandra Hospital
Edmonton, Alberta, T5H 3V9
University of Alberta Hospital
Edmonton, Alberta, T6L 5X8
CHUS-Hopital Fleurimont
Fleurimont, Quebec, J1H 5N4
CSSS-Hopital de Gatineau, secteur Hull
Gatineau, Quebec, J8Y 6S9
Viacar Recherche Clinique
Greenfield Park, Quebec, J4V 2G8
Queen Elizabeth II - Health Sciences Centre
Halifax, Nova Scotia, B3H 3A7
McMaster Clinic Hamilton General Hospital
Hamilton, Ontario, L8L 2X2
St-Mary's Hospital
Kitchener, Ontario, N2M 1B2
KMH Cardiology & Diagnostics Centre
Kitchener, Ontario, N2M 5N4
CSSS de Laval
Laval, Quebec, H7M 3L9
London Health Sciences Center
London, Ontario, N6G 2V2
Hopital Pierre Boucher
Longueuil, Quebec, J4M 2X1
KMH Cardiology & Diagnostics Centre
Mississauga, Ontario, L5K 2L3
Montreal Heart Institute
Montreal, Quebec, H1T 1C8
CHUM Hopital-Hôtel-Dieu
Montreal, Quebec, H2W 1T8
CUSM Montreal General Hospital
Montreal, Quebec, H3G 1A4
Hopital Sacré-Cœur de Montreal
Montreal, Quebec, H4J 1C5
Royal Columbian Hospital
New Westminster, British Columbia, V3L 3W4
Southlake Regional Health Center
Newmarket, Ontario, L3Y 2R2
Heart Care Research
Oshawa, Ontario, L1J 2J9
University of Ottawa Heart Institute
Ottawa, Ontario, K1Y 4W7
Institut Universitaire de Cardiologie et de Pneumologie de Québec
Québec, Quebec, G1V 4G5
Centre Hospitalier Régional de Lanaudière
Saint-Charles-Borromée, Quebec, J6E 6J2
Centre de santé et des services sociaux de Beauce
Saint-Georges, Quebec, G5Y 4T8
St-Jerome Medical Research Inc.
Saint-Jérôme, Quebec, J7Z 5T3
Royal University Hospital
Saskatoon, Saskatchewan, S7N OW8
Scarborough Cardiology Research
Scarborough Village, Ontario, M1E 5E9
John Health Science Center
St. John's, Newfoundland and Labrador, A1B 3V6
Sunnybrook Health Science Center
Toronto, Ontario, M4N 3M5
University Health Network
Toronto, Ontario, M5G 2C4
St. Michael's Hospital
Toronto, Quebec, M5B 1W8
CHRTR de Trois-Rivières
Trois-Rivières, Quebec, G8Z 3R9
CSSS Vallée de l'Or
Val-d'Or, Quebec, J9P 3Y1
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9
Interventional Cardiology Research, St. Paul's Hospital
Vancouver, British Columbia, V6Z 1Y6
Victoria Heart Institute Foundation
Victoria, British Columbia, V8R 4R2
About this study
This is a prospective, multi-center imaging study expecting to enroll approximately 1350 patients scheduled for clinically-indicated coronary angiography. Following informed consent, patient will undergo baseline coronary intravascular ultrasound (IVUS) imaging and non-invasive ultrasound imaging of their carotid arteries. Following a 2-year follow-up period, patients will undergo repeat coronary IVUS and standard invasive coronary angiography as well as carotid ultrasound examination.
Additionally, patients will be contacted by phone on an annual basis for 5 years to collect cardiovascular and cerebrovascular clinical endpoints. Evaluations of plaque burden will be made using invasive and non invasive imaging tools in order to assess correlations between vascular beds, imaging technologies and main cardiovascular events.
Read the detailed description
CTA and PET Substudy:
A subset of patients enrolled into the main CAIN3 study will undergo a CTA. At sites where both CTA and PET imaging modalities exist, patients will be asked to undergo both tests. The CTA and PET scans can be done separately on 2 imaging beds on different days or performed on the same imaging bed, resulting in a combined CTA and PET scan being done in one scheduled visit. All imaging will be done within 90 days after the follow up IVUS.
The choice of radiotracer used (NaF or FDG) for PET imaging will be dependent upon site and availability on the day of the scan. A total of 120 patients will be enrolled in this substudy with approximately 50-60 undergoing CTA and PET.
- Conditions
- Atherosclerosis
- Medical subject headings
- Atherosclerosis
What is being measured
The primary outcome is the main question the study is designed to answer.
co-primary outcome measure - Nominal change from baseline in percent atheroma volume
intravascular ultrasound measure
Measured: 2 years
co-primary outcome measure - nominal change from baseline in carotid IMT
2D B-mode carotid ultrasound measure
Measured: 2 years
Secondary outcomes (1)
cardiovascular morbidity and mortality
as adjudicated by a Clinical Endpoint Committee
Measured: 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 May 2011 (estimated)
- Study startJan 2010
- Primary completionDec 2017
- Study completionDec 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AtherosclerosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Time perspective
- Prospective
- Enrolment
- 1,626 participants (actual)
Sponsor and investigators
- Lead sponsor
- Canadian Atherosclerosis Imaging Network
- Sponsor type
- Research network
- Collaborators
- Canadian Institutes of Health Research (CIHR)
- Responsible party
- Sponsor
- Investigators
- Jean-Claude Tardif, MD, Study chair, Montreal Heart Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01353612
- Sponsor's protocol ID
- CAIN-003
- Status last verified
- Feb 2020
- First submitted
- 12 May 2011
- Last updated
- 24 Feb 2020
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Feb 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Correlation Between Coronary and Carotid Atherosclerotic Disease (CAD) and Links With Clinical Outcomes
- ClinicalTrials.gov ID
- NCT01353612
- Acronym / sponsor ID
- CAIN-003
- Conditions
- Atherosclerosis
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 1,626 participants (actual)
- Lead sponsor
- Canadian Atherosclerosis Imaging NetworkResearch network
- Collaborators
- Canadian Institutes of Health Research (CIHR)
- Study start
- Jan 2010 (actual)
- Primary completion
- Dec 2017 (actual)
- Study completion
- Dec 2017 (actual)
- First posted
- 13 May 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, multi-center imaging study expecting to enroll approximately 1350 patients scheduled for clinically-indicated coronary angiography. Following informed consent, patient will undergo baseline coronary intravascular ultrasound (IVUS) imaging and non-invasive ultrasound imaging of their carotid arteries. Following a 2-year follow-up period, patients will undergo repeat coronary IVUS and standard invasive coronary angiography as well as carotid ultrasound examination.
Additionally, patients will be contacted by phone on an annual basis for 5 years to collect cardiovascular and cerebrovascular clinical endpoints. Evaluations of plaque burden will be made using invasive and non invasive imaging tools in order to assess correlations between vascular beds, imaging technologies and main cardiovascular events.
Detailed description
CTA and PET Substudy:
A subset of patients enrolled into the main CAIN3 study will undergo a CTA. At sites where both CTA and PET imaging modalities exist, patients will be asked to undergo both tests. The CTA and PET scans can be done separately on 2 imaging beds on different days or performed on the same imaging bed, resulting in a combined CTA and PET scan being done in one scheduled visit. All imaging will be done within 90 days after the follow up IVUS.
The choice of radiotracer used (NaF or FDG) for PET imaging will be dependent upon site and availability on the day of the scan. A total of 120 patients will be enrolled in this substudy with approximately 50-60 undergoing CTA and PET.
Study design
- Observational model
- Other
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with clinical indication for coronary angiography
Key inclusion criteria (5 listed)
- Male and female patients over the age of 18 years.
- Patients scheduled for clinically indicated coronary angiography and possible ad hoc percutaneous coronary intervention (PCI) will be evaluated before their scheduled procedure.
- Written informed consent (approved by the Institutional Review Board [IRB]/Independent Ethics Committee [IEC]) obtained prior to any study specific procedures.
- Patients considered to be stable at enrollment (at the discretion of the investigator) are eligible provided they meet all other entry criteria.
- Angiogram meeting qualifying criteria
Key exclusion criteria (10 listed)
- Women of childbearing potential (women who are not surgically sterile or postmenopausal defined as amenorrhea for >12 months) who refuse to undergo a urine or serum pregnancy test immediately prior to baseline and repeat imaging evaluations The urine or serum pregnancy test must be negative prior to imaging evaluations.
- Previous coronary artery bypass graft (CABG) surgery or probable need for CABG in the next 24 months.
- Patients who have symptomatic congestive heart failure (CHF) (New York Heart Association [NYHA] Class III or IV) at baseline.
- Patients with clinically significant valvular heart disease likely to require surgical repair or replacement during the treatment period of the study
- Any clinically significant medical condition or presence of any laboratory abnormality that is considered by the investigator to be clinically important and could interfere with the conduct of the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
co-primary outcome measure - Nominal change from baseline in percent atheroma volume
Time frame: 2 years
intravascular ultrasound measure
co-primary outcome measure - nominal change from baseline in carotid IMT
Time frame: 2 years
2D B-mode carotid ultrasound measure
1 secondary outcome
cardiovascular morbidity and mortality
Time frame: 5 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Feb 2020.
- Canadian Atherosclerosis Imaging Network (CAIN) - "Hearts and Minds"Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jean-Claude Tardif, MD study chair
Montreal Heart Institute
39 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Atherosclerosis, run by Canadian Atherosclerosis Imaging Network at 39 sites in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 10 exclusion criteria. 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: finished, as of the sponsor's last update on 24 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 39 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
co-primary outcome measure - Nominal change from baseline in percent atheroma volume (time frame: 2 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 24 Feb 2020.