Chronic Ischemic Heart DiseaseSTARTNCT03796741
STable Coronary Artery Diseases RegisTry
An observational study of Chronic Ischemic Heart Disease, run by Heart Care Foundation at 183 sites in Italy.
Trial summary
Observational, prospective multicentric, national study, evaluating the diagnostic and therapeutic pathways of patient with cronic coronary artery disease followed in Italian cardiology centers. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Ischemic Heart Disease
- What is being tested?
- Data collection on Stable Ischemic heart disease
- How many people
- 5,070 participants
- Where
- 183 sitesItaly
- Study dates
- 17 Mar 2016to 24 Apr 2018
- 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: Consecutive patients discharged (after a hospitalization or DH hospitalization) or managed as outpatients in Cardiology department with diagnoses of stable coronary heart disease.
Who may be able to join
- Patients aged >/= 18
- Patients discharged from hospital or ambulatory visit with a diagnoses of stable heart disease;
- Written informed consent
Who cannot join
- Acute coronary syndrome within 30 days from enrollment
- CCS Angina Class IV
- Angina probably not for coronary artery disease
Trial locations and contacts
183 sites in 1 country.
183 sites in 1 country
Italy183 sites
Ospedale San Giovanni Di Dio - Uo Cardiologia E Utic
Agrigento, AG, 92100
Ospedale Ss. Vito E Spirito - U.O.S. Di Cardiologia
Alcamo, TP, 91011
Clinica Citta' Di Alessandria - Uo Cardiologia
Alessandria, 15100
Istituto Scientifico Inrca - Uo Cardiologia/Utic/Telecardiologia
Ancona, AN, 60131
Osp. Andria Canosa - Po Andria - Cardiologia - Utic
Andria, BT, 76123
Ospedali Riuniti Anzio-Nettuno - U.O. Di Cardiologia - Utic
Anzio, RM, 00042
Casa Di Cura Citta' Di Aprilia - U.O. Cardiologia
Aprilia, LT, 04011
Nuovo Ospedale Dei Castelli - U.O.C. Di Cardiologia E Utic
Ariccia, RM, 00040
Ospedale Civile - U.O.C. Cardiologia
Arzignano, VI, 36071
Ospedale Gen.Le Prov.Le C.G. Mazzoni - Sc Cardiologia
Ascoli Piceno, AP, 63100
Ospedale E. Muscatello - U.O. Di Cardiologia - Utic
Augusta, SR, 96011
Aorn San Giuseppe Moscati - U.O. Cardiologia/Utic 'D. Rotiroti'
Avellino, AV, 83100
Presidio Ospedaliero Moscati - U.O.C. Cardiologia
Aversa, CE, 81031
Ospedale G. Di Maria - Cardiologia Utic
Avola, SR, 96012
Ospedale San Paolo - Cardiologia-Utic
Bari, BA, 70123
Ospedale Policlinico - U.O. Di Cardiologia Ospedaliera
Bari, BA, 70124
Ospedale Monsignor Angelo R. Di Miccoli - Unita' Operativa Di Cardiologia
Barletta, BT, 76121
Presidio Osped. S. Maria Della Speranza - U.O. Di Cardiologia
Battipaglia, SA, 84091
Ospedale Civile - Sc Cardiologia
Belluno, BL, 32100
Azienda Ospedaliera G. Rummo - Cardiologia Interventistica E Utic
Benevento, BN, 82100
Asst Papa Giovanni Xxiii - Cardiologia 1
Bergamo, BG, 24127
Ospedale Civile Di Boscotrecase - Utic Cardiologia
Boscotrecase, 80042
Ospedale Perrino - U.O.C. Di Cardiologia
Brindisi, BR, 72100
Presidio Ospedaliero Ss Trinita' - Sc Di Cardiologia
Cagliari, CA, 09121
Azienda Ospedaliera G. Brotzu - Struttura Complessa Di Cardiologia
Cagliari, CA, 09134
Ospedale A. Cardarelli - U.O. Cardiologia E Utic
Campobasso, CB, 86100
Ospedale Di Camposampiero - U.O.A. Cardiologia
Camposampiero, PD, 35012
Ospedale Carate Brianza - Cardiologia - Carate Brianza/Giussano
Carate Brianza, MB, 20048
Capt Di Cariati - Ambulatorio Di Cardiologia
Cariati, CS, 87063
Ospedale Civile Oglio Po - U.O. Di Cardiologia-Utic
Casalmaggiore, CR, 26041
Az. Ospedaliera S. Anna E S. Sebastiano - Cardiologia E Riabilit. Cardiologica
Caserta, CE, 81100
Az. Ospedaliera S. Anna E S. Sebastiano - U.O. Cardiologia-Utic
Caserta, CE, 81100
Ics Maugeri Spa Societa' Benefit - Uo Cardiologia
Cassano delle Murge, BA, 70020
Pineta Grande Hospital - U.O. Cardiologia
Castel Volturno, CE, 81030
P.O. Garibaldi-Nesima - U.O.C. Di Cardiologia
Catania, CT, 95122
Ospedale Ss. Annunziata - U.O. Di Cardiologia
Cento, FE, 44042
Ospedale Civile Giuseppe Tatarella - U.O. Di Cardiologia - Utic
Cerignola, FG, 71042
Ospedale M.Bufalini - U.O. Di Cardiologia-Utic
Cesena, FC, 47023
Ospedale Civile - U.O.C. Cardiologia
Chioggia, VE, 30019
Por Cirie'- Lanzo Presidio Cirie' - S.C. Cardiologia Cirie'- Ivrea
Cirié, TO, 10073
Presidio Ospedaliero Citta' Di Castello - U.O. Di Cardiologia
Città di Castello, PG, 06012
Presidio Osp. Di Civitanova Marche - Sc Cardiologia
Civitanova Marche, MC, 62012
Ospedale Civile San Paolo - U.O. Cardiologia - Utic
Civitavecchia, RM, 00053
Ospedale Santa Maria Dei Battuti - U.O. Di Cardiologia
Conegliano, TV, 31015
Ospedale San Giuseppe Da Copertino - U.O. Di Cardiologia-Utic
Copertino, LE, 73043
Ospedale Umberto I - Uosd Di Cardiologia
Corato, BA, 70033
Ospedale Civile San Sebastiano - Sos Cardiologia Area Nord
Correggio, RE, 42015
Ospedale Valdichiana Santa Margherita - Uos Cardiologia E Hdu
Cortona, AR, 52044
Ospedale Annunziata - Uoc Cardiologia
Cosenza, CS, 87100
Ospedale Di Cremona - Uo Di Cardiologia
Cremona, CR, 26100
Ospedale Civile Profili - U.O. Cardiologia
Fabriano, AN, 60044
Ospedale Per Gli Infermi - U.O. Cardiologia - Utic
Faenza, RA, 48018
Ospedale Santa Maria Del Prato - U.O. Di Cardiologia
Feltre, BL, 32032
Ospedale Civile Augusto Murri - U.O. Cardiologia
Fermo, FM, 63900
Arcispedale Sant'Anna - U.O. Cardiologia - Utic
Ferrara, FE, 44124
Ospedali Riuniti - S.C. Di Cardiologia Univ.-Utic
Foggia, FG, 71100
Ospedale Del Dono Svizzero - U.O.C. Di Cardiologia - Utic
Formia, LT, 04023
Ospedale Civile Dario Camberlingo - U.O. Di Cardiologia - Utic
Francavilla Fontana, BR, 72021
Ospedale San Giovanni Di Dio - Uo Cardiologia - Utic
Frattamaggiore, 80027
Ospedale Santa Caterina Novella - U.O. Di Cardiologia
Galatina, LE, 73013
Ospedale S. Antonio Abate - U.O. Di Cardiologia
Gallarate, VA, 21013
Ospedale Civile 'La Memoria' - U.O. Di Cardiologia
Gavardo, BS, 25085
Po Vittorio Emanuele Di Gela - U.O.C Cardiologia - Utic
Gela, CL, 93012
Ospedale Padre Antero Micone - Sc Cardiologia - Utic
Genova, GE, 16153
Ospedale Generale Di Zona - U.O. Cardiologia - Utic
Giugliano in Campania, 80014
Ospedale San Giovanni Di Dio - S.O.C. Cardiologia
Gorizia, GO, 34170
Ospedale Moriggia Pelascini - Unita' Operativa Di Cardiologia
Gravedona, CO, 22015
Ospedale Della Misericordia - U.O. Di Cardiologia
Grosseto, GR, 58100
Ospedale Civile - Sc Cardiologia Area Nord
Guastalla, RE, 42016
Ospedale Di Jesi Carlo Urbani - U.O. Di Cardiologia
Iesi, AN, 60035
Ospedale Civile - U.O. Cardiologia-Utic
Imperia, IM, 18100
Ospedale F. Veneziale - Ssd Cardiologia Emodinamica
Isernia, IS, 86170
Ospedale Civile - S.C. Cardiologia Cirie' Ivrea
Ivrea, TO, 10015
Ospedale Giovanni Paolo Ii - U.O. Cardiologia E Utic
Lamezia Terme, CZ, 88046
Polo Ospedaliero Integrato (C/O Icot) - Uoc Cardiologia Ed Emodinamica Univ.
Latina, LT, 04100
Casa Di Cura Petrucciani - U.O. Cardiologia - Card. Riabilitativa
Lecce, LE, 73100
Ospedale Vito Fazzi - U.O. Card. Interventistica - Emodinamica
Lecce, LE, 73100
Ospedale Vito Fazzi - U.O. Di Cardiologia
Lecce, LE, 73100
Ospedale Civile - Uo Cardiologia
Legnano, MI, 20025
Nuovo Ospedale Versilia - Sc Cardiologia
Lido di Camaiore, LU, 55043
Ospedale Civile - S.O.C. Cardiologia-Utic
Locri, RC, 89044
Ospedale Civile - U.O. Di Cardiologia
Lugo, RA, 48022
Ics Maugeri Spa Societa' Benefit - U.O. Di Cardiologia Riabilitativa
Lumezzane, BS, 25065
Ospedale Civile Fornaroli - U.O. Cardiologia
Magenta, MI, 20013
Ospedale Civile M. Giannuzzi - Cardiologia E Utic
Manduria, TA, 74024
Presidio Ospedaliero Paolo Borsellino - U.O.C Cardiologia- Utic
Marsala, TP, 91025
Ftgm - Stabilimento Di Massa - Uoc Cardiologia Diagn. E Interventistica
Massa, MS, 54100
Ospedale Apuane - U.O. Cardiologia-Utic
Massa, MS, 54100
Ospedale S. Giovanni Di Dio - U.O. Cardiologia E Utic
Melfi, PZ, 85025
Ospedale Tiberio Evoli Riabilitazione - Cardio-Respiratoria
Melito di Porto Salvo, RC, 89063
Istituto Clinico Citta' Studi - U.O. Cardiologia
Milan, MI, 20131
Ospedale San Raffaele - Utic E Subintensiva
Milan, MI, 20132
Ospedale San Carlo Borromeo - Cardiologia-Ucc
Milan, MI, 20153
P.O. Don Tonino Bello - Uosd Cardiologia
Molfetta, BA, 70056
Ospedale Civile San Polo - S.O.C. Cardiologia
Monfalcone, GO, 34074
Policlinico Di Monza - Uo Cardiol. Clinica E Scompenso Cardiaco
Monza, MB, 20900
Ospedale Civile Minervini - Medicina Interna
Mormanno, CS, 87026
Clinica Mediterranea - U.O. Di Cardiologia
Naples, 80122
Aorn Cardarelli - U.O. Cardiologia Con Utic
Naples, 80131
Aorn Osp. Dei Colli- Po Vincenzo Monaldi - U.O.C. Cardiologia E Utic 'Vanvitelli'
Naples, 80131
Aorn Osp. Dei Colli- Po Vincenzo Monaldi - U.O.C. Cardiologia
Naples, 80131
Ospedale San Gennaro - U.O. Cardiologia E Riabilitazione Card.
Naples, 80136
Ospedale Del Mare - U.O. Cardiologia Con Utic
Naples, 80142
Aou Maggiore Della Carita' - Cardiologia Ii
Novara, 28100
Aou Maggiore Della Carita' Scdu Clinica Cardiologica-Cardiologia I
Novara, 28100
Clinica San Gaudenzio - Uoa Cardiologia
Novara, 28100
Ospedale San Francesco - Cardiologia - Utic
Nuoro, NU, 08100
Ospedale S. Maria Della Stella - Sc Di Cardiologia
Orvieto, TR, 05018
Iob - Policlinico San Marco - U.O. Cardiologia
Osio Sotto, BG, 24046
Casa Di Cura Candela - Uof Cardiologia
Palermo, PA, 90141
Aor Villa Sofia-Cervello P.O. Cervello - U.O. Cardiologia - Cervello
Palermo, PA, 90146
Fondazione Irccs Policlinico San Matteo - Cardiologia
Pavia, PV, 27100
Ics Maugeri Spa Societa' Benefit - U.O. Di Riabilitazione Cardiologica
Pavia, PV, 27100
Istituto Di Cura Citta' Di Pavia - U.O. Cardiologia Ii
Pavia, PV, 27100
Ospedale Civile Dello Spirito Santo - Utic E Cardiologia Interventistica
Pescara, PE, 65124
Ospedale Civile Ave Gratia Plena - U.O. Di Cardiologia E Utic
Piedimonte Matese, CE, 81016
Ospedale Villamarina - Cardiologia E Utic
Piombino, LI, 57025
Ospedale Dell'Alta Val D'Elsa - Uosd Cardiologia-Utic
Poggibonsi, SI, 53036
Ospedale Santa Maria Degli Ungheresi - U.O. Di Cardiologia
Polistena, RC, 89024
Policlinico Citta' Di Pomezia S. Anna - U.O. Cardiologia-Utic
Pomezia, RM, 00040
Ospedale Di Pordenone - S.O.C. Cardiologia
Pordenone, PN, 33170
Azienda Ospedaliera San Carlo - S.S.D. Cardiologia Riabilitativa
Potenza, PZ, 85100
Giovanni Paolo Ii - U.O.C. Cardiologia-Utic
Ragusa, RG, 97100
Ospedale Civile Santa Maria Delle Croci - U.O. Di Cardiologia
Ravenna, RA, 48100
Ao Bianchi Melacrino Morelli- Po Riuniti - Divisione Di Cardiologia
Reggio Calabria, RC, 89124
Arcispedale Santa Maria Nuova - S.C. Cardiologia
Reggio Emilia, RE, 42100
P.O. San Camillo de Lellis - U.O.C. Cardiologia
Rieti, RI, 02100
Ospedale Di Roccadaspide - Cardiologia-Utic
Roccadaspide, SA, 84069
Campus Biomedico - Cardiologia
Roma, RM, 00128
P.O. San Filippo Neri - Asl Roma 1 - Uoc Cardiologia E Utic
Roma, RM, 00135
European Hospital - Uo. Cardiologia Interventistica
Roma, RM, 00149
Ospedale San Camillo - Cardiologia 2 (Ex Cardio 3)
Roma, RM, 00152
Ospedale San Camillo - Uoc Cardiologia 1
Roma, RM, 00152
Ospedale Sandro Pertini - Uoc Cardiologia
Roma, RM, 00157
Policlinico Umberto Primo - Cardiologia B - Cardiologia E Angiologia
Roma, RM, 00161
Policlinico Umberto Primo - Malattie Cardiovascolari A
Roma, RM, 00161
Aurelia Hospital - U.O.C Cardiologia
Roma, RM, 00163
Ospedale Madre Giuseppina Vannini - U.O.C. Cardiologia
Roma, RM, 00177
Ospedale San Pietro Fatebenefratelli - U.O Complessa Di Cardiologia
Roma, RM, 00189
Ospedale Sant'Andrea Di Roma - U.O.C. Cardiologia
Roma, RM, 00189
Ospedale Santo Spirito - U.O.C. Di Cardiologia
Roma, RM, 00193
Ospedale Santa Maria Della Misericordia - U.O.C. Cardiologia
Rovigo, RO, 45100
Istituto Clinico Humanitas - Uo Emodinamica Cardiologia Invasiva Ucc
Rozzano, Mi, 20089
Aou S. Giovanni Di Dio-Ruggi D'Aragona - Uoc Cardiologia Preventiva
Salerno, SA, 84131
Ospedale Madonna Del Soccorso - Uoc Cardiologia Indirizzo Riabilitativo
San Benedetto del Tronto, AP, 63074
Ospedale G. Fracastoro - U.O.C. Di Cardiologia
San Bonifacio, VR, 37047
Irccs Policlinico San Donato - U.O. Cardiologia Con Utic
San Donato Milanese, MI, 20097
Ospedale Casa Sollievo Della Sofferenza - Cardiologia - Utic - Riabil Cardiologica
San Giovanni Rotondo, FG, 71013
Casa Di Salute Santa Lucia - U.O. Cardiologia
San Giuseppe Vesuviano, 80047
Ospedale Di S. Vito Al Tagliamento - S.O.C. Cardiologia
San Vito al Tagliamento, PN, 33078
Presidio Ospedaliero - U.O. Cardiologia
Sanremo, IM, 18038
P.O. Sant'Agata Di Militello - Uoc Cardiologia
Sant'Agata di Militello, ME, 98076
Ospedale San Giuseppe E Melorio - U.O.C. Cardiologia Utic
Santa Maria Capua Vetere, CE, 81055
Presidio Ospedaliero Di Saronno - U.O.C. Di Cardiologia
Saronno, VA, 21047
Ospedale San Bartolomeo - U.O. Cardiologia Clinica-Riabilitativa
Sarzana, SP, 19038
Ospedale Di Sassuolo - Cardiologia
Sassuolo, MO, 41049
Ospedale Ignazio Veris Delli Ponti - Uoc Cardiologia-Utic
Scorrano, LE, 73020
Ospedale Principe Di Piemonte - Uoc Cardiologia Utic
Senigallia, AN, 60019
Presidio Ospedaliero San Rocco - U.O.C. Cardiologia - Utic
Sessa Aurunca, CE, 81037
Irccs Policlinico Multimedica - Uo Di Cardiologia
Sesto San Giovanni, MI, 20099
Aou Senese Ospedale S. Maria Alle Scotte - U.O.C. Cardiologia Ospedaliera
Siena, SI, 53100
Ospedale Di Circolo A. Bellini - Medicina Generale E Card. Riabilitativa
Somma Lombardo, VA, 21019
Ospedale Umberto I - Uoc Cardiologia E Utic
Syracuse, SR, 96100
Casa Di Cura Villa Verde - Cardiologia
Taranto, TA, 74100
Ospedale Civile G. Mazzini -Cardiologia Utic Ed Emodinamica
Teramo, TE, 64100
Centro Polifunzionale Boldrini - Cardiologia Riabilitativa-Cardioaction
Thiene, VI, 36016
Ospedale San Giovanni Evangelista - U.O.C. Di Cardiologia - Utic
Tivoli, RM, 00019
Maria Pia Hospital - U.O. Cardiologia
Torino, TO, 10132
Ospedale Di Circolo Galmarini - Cardiologia
Tradate, VA, 21049
Ospedale Santa Chiara - Divisione Di Cardiologia
Trento, TN, 38122
Azienda Osp. Cardinale G. Panico - U.O. Cardiologia - Utic
Tricase, LE, 73039
Ospedali Riuniti - Osp. Maggiore - A.F. Cardiologia E Riabil. Cardiologica
Trieste, TS, 34125
I.R.C.C.S. Oasi Maria Ss. - U.O. Cardiologia
Troina, EN, 94018
Pou Santa Maria Della Misericordia - S.O.C. Cardiologia
Udine, UD, 33100
Ospedale San Luca - U.O. Utic - Cardiologia
Vallo della Lucania, SA, 84078
Ospedale Di Circolo E Fondazione Macchi - Cardiologia I
Varese, VA, 21100
Ospedale Civile Di Venezia - U.O. Di Cardiologia
Venezia, VE, 30122
Ospedale Sant'Andrea - Sc Cardiologia
Vercelli, VC, 13100
Ics Maugeri Spa Societa' Benefit - Uo Cardiologia Riabilitativa
Veruno, 28010
Ospedale Civile - Cardiologia
Vigevano, PV, 27029
Ospedale Belcolle - U.O.C. Cardiologia Utic Emodinamica
Viterbo, VT, 01100
Ospedale Riccardo Guzzardi - U.O.C. Di Cardiologia-Utic
Vittoria, RG, 97019
Ospedale Di Vizzolo Predabissi - Uo Cardiologia E Ucc
Vizzolo Predabissi, MI, 20077
About this study
Observational, prospective multicentric, national study, evaluating the diagnostic and therapeutic pathways of patient with cronic coronary artery disease followed in Italian cardiology centers.
Read the detailed description
Coronary heart disease is still highly prevalent in the world, and chronic stable angina is one of the most common clinical presentations of this disease. The objectives of chronic stable angina treatment include the reduction of symptoms, the inhibition or slowing of the progression of the disease, the prevention of associated cardiovascular events such as myocardial infarction, and the possible improvement of survival.The results of COURAGE Study and of meta-analysis of more recent studies demonstrate that patients in optimized medical therapy (OMT) (aspirin, beta-blocker and statin in association with an ACE-inhibitor and strict control of risk factors). ) the percutaneous coronary revascularization procedure (PCI) did not lead to an improvement in the cardiovascular prognosis. These data led the groups in charge of drafting the guidelines to recommend OMT as an initial treatment of stable angina, reserving the revascularization procedure for those patients with symptoms not adequately controlled by medical therapy.
It is therefore considered appropriate to plan a registry in patients with stable coronary artery disease that has the ability to describe in the heterogeneity of Italian cardiological centers the current characteristics of these patients, their treatment modalities, adherence to the current guidelines both as regards invasive therapy that the optimized medical, the use and the total cost of the resources needed to manage this pathology, the clinical course one year after entering the register.
Consecutive patients discharged (after an ordinary or day hospital admission) or managed as outpatient at Cardiology department participating in the project with a diagnosis of stable coronary artery disease will be included in the register. Enrollment will last 3 months in each center, starting with the first enrolled patient, or up to 50 patients enrolled.
- Conditions
- Chronic Ischemic Heart Disease
- Being tested
- Data collection on Stable Ischemic heart disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Data collection on Stable Ischemic heart diseaseOther
No intervention only description of management and treatment
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of patients in medical therapy and that underwent revascularization
Number of patients in medical therapy and that underwent revascularization
Measured: Enrollment
Secondary outcomes (4)
Number of patient in optimal medical therapy
Patient treated according to International Guidelines
Measured: 12 months Follow-up
Mortality rate
Rate of patients died
Measured: 12 months Follow-up
All cause hospitalization rate
Rate of patients hospitalized
Measured: 12 months Follow-up
Angina recurrence rate
Rate of patients with angina symtoms
Measured: 12 months Follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jan 2019
- Study start17 Mar 2016
- Primary completion28 Feb 2018
- Study completion24 Apr 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Chronic Ischemic Heart DiseaseStudies 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
- Cohort
- Time perspective
- Prospective
- Enrolment
- 5,070 participants (actual)
Sponsor and investigators
- Lead sponsor
- Heart Care Foundation
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Leonardo De Luca, MD, Study chair, Heart Care Foundation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03796741
- Sponsor's protocol ID
- K14
- Acronym
- START
- Status last verified
- Dec 2018
- First submitted
- 20 Dec 2018
- Last updated
- 3 Feb 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
De Luca L, Temporelli PL, Lucci D, Colivicchi F, Calabro P, Riccio C, Amico A, Mascia F, Proia E, Di Lenarda A, Gulizia MM; START Investigators. Characteristics, treatment and quality of life of stable coronary artery disease patients with or without angina: Insights from the START study. PLoS One. 2018 Jul 12;13(7):e0199770. doi: 10.1371/journal.pone.0199770. eCollection 2018.
PubMed 30001355De Luca L, Arca M, Temporelli PL, Colivicchi F, Gonzini L, Lucci D, Bosco B, Callerame M, Lettica GV, Di Lenarda A, Gulizia MM; START Investigators. Prevalence and pharmacologic management of familial hypercholesterolemia in an unselected contemporary cohort of patients with stable coronary artery disease. Clin Cardiol. 2018 Aug;41(8):1075-1083. doi: 10.1002/clc.23031. Epub 2018 Aug 20.
PubMed 30039543Colivicchi F, Massimo Gulizia M, Arca M, Luigi Temporelli P, Gonzini L, Venturelli V, Morici N, Indolfi C, Gabrielli D, De Luca L. Lipid Lowering Treatment and Eligibility for PCSK9 Inhibition in Post-Myocardial Infarction Patients in Italy: Insights from Two Contemporary Nationwide Registries. Cardiovasc Ther. 2020 Jan 3;2020:3856242. doi: 10.1155/2020/3856242. eCollection 2020.
PubMed 31969932De Luca L, Arca M, Temporelli PL, Meessen J, Riccio C, Bonomo P, Colavita AR, Gabrielli D, Gulizia MM, Colivicchi F; START Investigators. Current lipid lowering treatment and attainment of LDL targets recommended by ESC/EAS guidelines in very high-risk patients with established atherosclerotic cardiovascular disease: Insights from the START registry. Int J Cardiol. 2020 Oct 1;316:229-235. doi: 10.1016/j.ijcard.2020.05.055. Epub 2020 May 26.
PubMed 32470532De Luca L, Formigli D, Meessen J, Uguccioni M, Cosentino N, Paolillo C, Di Lenarda A, Colivicchi F, Gabrielli D, Gulizia MM, Scherillo M; START Investigators. COMPASS criteria applied to a contemporary cohort of unselected patients with stable coronary artery diseases: insights from the START registry. Eur Heart J Qual Care Clin Outcomes. 2021 Sep 16;7(5):513-520. doi: 10.1093/ehjqcco/qcaa054.
PubMed 32559279De Luca L, Uguccioni M, Meessen J, Temporelli PL, Tomai F, De Rosa FM, Passamonti E, Formigli D, Riccio C, Gabrielli D, Colivicchi F, Gulizia MM, Perna GP. External applicability of the ISCHEMIA trial: an analysis of a prospective, nationwide registry of patients with stable coronary artery disease. EuroIntervention. 2020 Dec 18;16(12):e966-e973. doi: 10.4244/EIJ-D-20-00610.
PubMed 32830646De Luca L, Temporelli PL, Amico AF, Gonzini L, Uguccioni M, Varani E, Brunetti ND, Colivicchi F, Gabrielli D, Gulizia MM. Impact of history of depression on 1-year outcomes in patients with chronic coronary syndromes: An analysis of a contemporary, prospective, nationwide registry. Int J Cardiol. 2021 May 15;331:273-280. doi: 10.1016/j.ijcard.2020.12.086. Epub 2021 Jan 8.
PubMed 33422564De Luca L, Temporelli PL, Lucci D, Gonzini L, Riccio C, Colivicchi F, Geraci G, Formigli D, Maras P, Falcone C, Di Lenarda A, Gulizia MM; START Investigators. Current management and treatment of patients with stable coronary artery diseases presenting to cardiologists in different clinical contexts: A prospective, observational, nationwide study. Eur J Prev Cardiol. 2018 Jan;25(1):43-53. doi: 10.1177/2047487317740663. Epub 2017 Nov 10.
PubMed 29124952De Luca L, Temporelli PL, Riccio C, Gonzini L, Marinacci L, Tartaglione SN, Costa P, Scherillo M, Senni M, Colivicchi F, Gulizia MM; START Investigators. Clinical outcomes, pharmacological treatment, and quality of life of patients with stable coronary artery diseases managed by cardiologists: 1-year results of the START study. Eur Heart J Qual Care Clin Outcomes. 2019 Oct 1;5(4):334-342. doi: 10.1093/ehjqcco/qcz002.
PubMed 30649303
Study at a glance
From the registry record, last updated by the sponsor on 3 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- STable Coronary Artery Diseases RegisTry
- ClinicalTrials.gov ID
- NCT03796741
- Acronym / sponsor ID
- START / K14
- Conditions
- Chronic Ischemic Heart Disease
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 5,070 participants (actual)
- Lead sponsor
- Heart Care FoundationUniversity, hospital or other
- Study start
- 17 Mar 2016 (actual)
- Primary completion
- 28 Feb 2018 (actual)
- Study completion
- 24 Apr 2018 (actual)
- First posted
- 8 Jan 2019 (actual)
- 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.
Observational, prospective multicentric, national study, evaluating the diagnostic and therapeutic pathways of patient with cronic coronary artery disease followed in Italian cardiology centers.
Detailed description
Coronary heart disease is still highly prevalent in the world, and chronic stable angina is one of the most common clinical presentations of this disease. The objectives of chronic stable angina treatment include the reduction of symptoms, the inhibition or slowing of the progression of the disease, the prevention of associated cardiovascular events such as myocardial infarction, and the possible improvement of survival.The results of COURAGE Study and of meta-analysis of more recent studies demonstrate that patients in optimized medical therapy (OMT) (aspirin, beta-blocker and statin in association with an ACE-inhibitor and strict control of risk factors). ) the percutaneous coronary revascularization procedure (PCI) did not lead to an improvement in the cardiovascular prognosis. These data led the groups in charge of drafting the guidelines to recommend OMT as an initial treatment of stable angina, reserving the revascularization procedure for those patients with symptoms not adequately controlled by medical therapy.
It is therefore considered appropriate to plan a registry in patients with stable coronary artery disease that has the ability to describe in the heterogeneity of Italian cardiological centers the current characteristics of these patients, their treatment modalities, adherence to the current guidelines both as regards invasive therapy that the optimized medical, the use and the total cost of the resources needed to manage this pathology, the clinical course one year after entering the register.
Consecutive patients discharged (after an ordinary or day hospital admission) or managed as outpatient at Cardiology department participating in the project with a diagnosis of stable coronary artery disease will be included in the register. Enrollment will last 3 months in each center, starting with the first enrolled patient, or up to 50 patients enrolled.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Consecutive patients discharged (after a hospitalization or DH hospitalization) or managed as outpatients in Cardiology department with diagnoses of stable coronary heart disease.
Key inclusion criteria (3 listed)
- Patients aged >/= 18
- Patients discharged from hospital or ambulatory visit with a diagnoses of stable heart disease;
- Written informed consent
Key exclusion criteria (3 listed)
- Acute coronary syndrome within 30 days from enrollment
- CCS Angina Class IV
- Angina probably not for coronary artery disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Data collection on Stable Ischemic heart diseaseNo intervention only description of management and treatment | Other | – |
Primary outcome
Number of patients in medical therapy and that underwent revascularization
Time frame: Enrollment
Number of patients in medical therapy and that underwent revascularization
4 secondary outcomes
Number of patient in optimal medical therapy
Time frame: 12 months Follow-up
Mortality rate
Time frame: 12 months Follow-up
All cause hospitalization rate
Time frame: 12 months Follow-up
Angina recurrence rate
Time frame: 12 months Follow-up
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 3 Feb 2021.
- Background: PubMed 30001355De Luca L, Temporelli PL, Lucci D, Colivicchi F, Calabro P, Riccio C, Amico A, Mascia F, Proia E, Di Lenarda A, Gulizia MM; START Investigators. Characteristics, treatment and quality of life of stable coronary artery disease patients with or without angina: Insights from the START study. PLoS One. 2018 Jul 12;13(7):e0199770. doi: 10.1371/journal.pone.0199770. eCollection 2018.
- Background: PubMed 30039543De Luca L, Arca M, Temporelli PL, Colivicchi F, Gonzini L, Lucci D, Bosco B, Callerame M, Lettica GV, Di Lenarda A, Gulizia MM; START Investigators. Prevalence and pharmacologic management of familial hypercholesterolemia in an unselected contemporary cohort of patients with stable coronary artery disease. Clin Cardiol. 2018 Aug;41(8):1075-1083. doi: 10.1002/clc.23031. Epub 2018 Aug 20.
- Background: PubMed 31969932Colivicchi F, Massimo Gulizia M, Arca M, Luigi Temporelli P, Gonzini L, Venturelli V, Morici N, Indolfi C, Gabrielli D, De Luca L. Lipid Lowering Treatment and Eligibility for PCSK9 Inhibition in Post-Myocardial Infarction Patients in Italy: Insights from Two Contemporary Nationwide Registries. Cardiovasc Ther. 2020 Jan 3;2020:3856242. doi: 10.1155/2020/3856242. eCollection 2020.
- Background: PubMed 32470532De Luca L, Arca M, Temporelli PL, Meessen J, Riccio C, Bonomo P, Colavita AR, Gabrielli D, Gulizia MM, Colivicchi F; START Investigators. Current lipid lowering treatment and attainment of LDL targets recommended by ESC/EAS guidelines in very high-risk patients with established atherosclerotic cardiovascular disease: Insights from the START registry. Int J Cardiol. 2020 Oct 1;316:229-235. doi: 10.1016/j.ijcard.2020.05.055. Epub 2020 May 26.
- Background: PubMed 32559279De Luca L, Formigli D, Meessen J, Uguccioni M, Cosentino N, Paolillo C, Di Lenarda A, Colivicchi F, Gabrielli D, Gulizia MM, Scherillo M; START Investigators. COMPASS criteria applied to a contemporary cohort of unselected patients with stable coronary artery diseases: insights from the START registry. Eur Heart J Qual Care Clin Outcomes. 2021 Sep 16;7(5):513-520. doi: 10.1093/ehjqcco/qcaa054.
- Background: PubMed 32830646De Luca L, Uguccioni M, Meessen J, Temporelli PL, Tomai F, De Rosa FM, Passamonti E, Formigli D, Riccio C, Gabrielli D, Colivicchi F, Gulizia MM, Perna GP. External applicability of the ISCHEMIA trial: an analysis of a prospective, nationwide registry of patients with stable coronary artery disease. EuroIntervention. 2020 Dec 18;16(12):e966-e973. doi: 10.4244/EIJ-D-20-00610.
- Background: PubMed 33422564De Luca L, Temporelli PL, Amico AF, Gonzini L, Uguccioni M, Varani E, Brunetti ND, Colivicchi F, Gabrielli D, Gulizia MM. Impact of history of depression on 1-year outcomes in patients with chronic coronary syndromes: An analysis of a contemporary, prospective, nationwide registry. Int J Cardiol. 2021 May 15;331:273-280. doi: 10.1016/j.ijcard.2020.12.086. Epub 2021 Jan 8.
- Results publication: PubMed 29124952De Luca L, Temporelli PL, Lucci D, Gonzini L, Riccio C, Colivicchi F, Geraci G, Formigli D, Maras P, Falcone C, Di Lenarda A, Gulizia MM; START Investigators. Current management and treatment of patients with stable coronary artery diseases presenting to cardiologists in different clinical contexts: A prospective, observational, nationwide study. Eur J Prev Cardiol. 2018 Jan;25(1):43-53. doi: 10.1177/2047487317740663. Epub 2017 Nov 10.
- Results publication: PubMed 30649303De Luca L, Temporelli PL, Riccio C, Gonzini L, Marinacci L, Tartaglione SN, Costa P, Scherillo M, Senni M, Colivicchi F, Gulizia MM; START Investigators. Clinical outcomes, pharmacological treatment, and quality of life of patients with stable coronary artery diseases managed by cardiologists: 1-year results of the START study. Eur Heart J Qual Care Clin Outcomes. 2019 Oct 1;5(4):334-342. doi: 10.1093/ehjqcco/qcz002.
- Individual participant dataSharing planned: No
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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.
Leonardo De Luca, MD study chair
Heart Care Foundation
183 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Chronic Ischemic Heart Disease, run by Heart Care Foundation at 183 sites in Italy.
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 3 inclusion and 3 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 3 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 183 sites in Italy. 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?
Number of patients in medical therapy and that underwent revascularization (time frame: Enrollment). 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 NCT03796741, which also lists 9 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 3 Feb 2021.