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BiomarkersNCT05138731

Metabolomics Profiling of Coronary Heart Disease

An observational study of Biomarkers, run by General Hospital of Ningxia Medical University at 5 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study sought to assess the diagnostic and prognostic values of metabolomics in coronary artery disease(CAD). Read more about this study

Who is it for?
Ages 18 to 79 yearsHealthy volunteers can take part
Conditions the study is for
Biomarkers
What is being tested?
treatments according guidelines
How many people
821 participants
Where
5 sitesChina
Study dates
1 Oct 2020to 30 May 2023
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 to 79 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: About 821 subjects will be recruited from 5 centers in different hospitals.

Who may be able to join

  • Objective evidence of coronary heart disease risk factors
  • Or angina pectoris symptoms
  • Or ECG ischemic changes
  • Or elevated myocardial enzymes, myocardial radionuclide scanning showing myocardial filling defect, coronary CT showing coronary stenosis ≥ 50%

Who cannot join

  • Older than 80 years and younger than 18 years old,
  • Aortic dissection
  • Pulmonary embolism
  • Malignant tumor
  • Autoimmune diseases
  • Systemic systemic diseases
Show all 12Show fewer
  • Severe infectious diseases
  • Trauma, surgery in the last three months
  • Myocarditis, cardiomyopathy, pericarditis, severe congenital heart disease
  • Syphilis
  • Human immunodeficiency virus / acquired immunodeficiency syndrome
  • Hepatitis B and hepatitis C

Trial locations and contacts

5 sites in 1 country.

Jun He, Ph. D, MD contact

+8613995273232

junhe@nxmu.edu.cn

5 sites in 1 country

China5 sites, 5 recruiting
  • Department of Cardiovascular Internal Disease, Guyuan People's Hospital of Ningxia Autonomous Region

    Guyuan, Ningxia, 756000

    Yanning Zhang, M.A, +8613309545199

    Recruiting
  • Fifth People's Hospital of Ningxia Autonomous Region

    Shizuishan, Ningxia, 753000

    Fuqing Ma, M.A, +8617709586346

    Recruiting
  • Affiliated Cardio-Cerebrovascular Hospital of Ningxia Medical University

    Yinchuan, Ningxia, 750000

    Fang Liu, M.A, +8618609519633

    Recruiting
  • People's Hospital of Ningxia Hui Autonomous Region

    Yinchuan, Ningxia, 750000

    Shaojing Xi, M.A, +8618295107706

    Recruiting
  • Department of Cardiaovascular Internal Disease, General Hospital of Ningxia Medical University

    Yinchuan, Ningxia, 750004

    Jun He, Ph.D, MD, +8613995273232, junhe@nxmu.edu.cn

    Jun He, Ph.D, MD

    Recruiting

Other trials in China

About this study

Official title: LC-MS Based Metabolomics Study of Coronary Heart Disease: Diagnostic and Prognostic Value of Metabolites

This study sought to assess the diagnostic and prognostic values of metabolomics in coronary artery disease(CAD).

Read the detailed description

The purpose of this study is to establish a powerful diagnostic and prognostic model based on metabolites in CAD patients.A total of 821 hospitalized patients with CAD and 200 healthy volunteers are enrolled.Specifically, 200 CAD patients from single-centre are regarded as discovery set, 300 CAD patients from multicentre are regarded as validation set. A third independent set including 321patitents is regarded as application set. Untargeted and targeted metabolomics analysis about serum and urine samples in all subjects will be performed using high-performance liquid chromatography coupled with mass spectrometry technology. Univariate and multivariate analysis methods are used to extract and analyze the differential mebabolites. By exploring the relationship between the differential mebabolites and clinical manifestions, a set of diagnostic biomarkers for CAD will be identified. By elucidating the correlation between the differential mebabolites and MACEs, a effective prognostic model will be established. Adverse events are defined as the combined endpoints of death or major adverse cardiovascular events(MACEs) in patients with CAD for at least 1 year follow-up after discharge. In brief, we aim to establish valuabe diagnostic and predictive models based on novel baseline metabolites in patients with CAD.

Conditions
Biomarkers
Being tested
treatments according guidelines
Keywords
metabolomics, biomarkers, liquid chromatography-mass spectrometry, coronary artery disease, serum, urine
Medical subject headings
Coronary Artery Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • treatments according guidelinesOther

    different group intervened with different treatment following guidelines/consensuses accordingly

Study groups in NCT05138731
Study groupRoleWhat they receive
Stable angina (SA)Typical chronic exersive angina pectoris attacks, lasting several minutes to more than 10 minutes, 3-5 minutes in most cases, generally not more than 30 minutes. The pain disappeared after rest or taking nitrates, and the pain degree, frequency, duration, nature and inducing factors did not change in the last 1-3 months.
Receives: Other: treatments according guidelines
Unstable angina (UA)Including resting angina (attack at rest, the duration is usually >20 minutes), primary angina (usually the first symptoms within 1-2 months, very light physical activity can be induced, at least CCSIII level), worsening angina (angina gradually increases on the basis of relatively stable labor angina. More severe pain, longer or more frequent pain, at least grade I increase according to THE CCS classification, at least GRADE II CCSI). TNI was negative, routine electrocardiogram may have transient ST segment depression, T wave low flat or inverted.
Receives: Other: treatments according guidelines
Acute non-ST-segment elevation myocardial infarction (NSTEMI)Patients with elevated troponin accompanied by one or more of the following conditions: electrocardiogram showed new ST segment depression or T wave flatness or inversion; Persistent ischemic chest pain; Echocardiography showed abnormal segmental ventricular wall activity. Abnormal coronary angiography.
Receives: Other: treatments according guidelines
Acute ST-segment elevation myocardial infarction (STEMI)Troponin was elevated, and ECG showed ST segment arcuate back elevation, accompanied by one or more of the following conditions: persistent ischemic chest pain; Echocardiography showed segmental abnormal ventricular wall activity; Abnormal coronary angiography.
Receives: Other: treatments according guidelines
normal coronary artery (NCA)symptoms of chest pain and no stenosis in coronary arteries (such as myocardial bridging, reflux esophagitis, intercostals neuralgia, cervical spondylopathy, and unexplained chest pain)
Receives: Other: treatments according guidelines
nonobstructive coronary atherosclerosis (NOCA)stenosis < 50% in coronary arteries
Receives: Other: treatments according guidelines
healthy volunteersHealthy control subjects who had no significant systemic diseases (e.g. ischemic heart disease, hypertension,diabetes,cancer, pulmonary disease, or infectious diseases) were recruited from Physical Examination Center of Ningxia Medical University General Hospital

What is being measured

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

  1. Death

    A composite of death from cardiovascular causes in patients with CAD

    Measured: Follow-up is expected to end on December 30, 2022

Secondary outcomes (1)
  1. Major adverse cardiovascular events

    Hospitalization for recurrent severe angina pectoris, acute myocardial infarction, revascularization, malignant arrhythmia, new heart failure or acute attack of chronic heart failure, cardiac arrest and stroke.

    Measured: Follow-up is expected to end on December 30, 2022

Timeline

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

  1. First posted1 Dec 2021
  2. Study start1 Oct 2020
  3. Primary completion30 Jan 2023 (estimated)
  4. Study completion30 May 2023 (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
821 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05138731
Sponsor's protocol ID
JH
Status last verified
Dec 2021
First submitted
17 Nov 2021
Last updated
14 Jan 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Iida M, Harada S, Takebayashi T. Application of Metabolomics to Epidemiological Studies of Atherosclerosis and Cardiovascular Disease. J Atheroscler Thromb. 2019 Sep 1;26(9):747-757. doi: 10.5551/jat.RV17036. Epub 2019 Aug 2.

    PubMed 31378756
  • Vaarhorst AA, Verhoeven A, Weller CM, Bohringer S, Goraler S, Meissner A, Deelder AM, Henneman P, Gorgels AP, van den Brandt PA, Schouten LJ, van Greevenbroek MM, Merry AH, Verschuren WM, van den Maagdenberg AM, van Dijk KW, Isaacs A, Boomsma D, Oostra BA, van Duijn CM, Jukema JW, Boer JM, Feskens E, Heijmans BT, Slagboom PE. A metabolomic profile is associated with the risk of incident coronary heart disease. Am Heart J. 2014 Jul;168(1):45-52.e7. doi: 10.1016/j.ahj.2014.01.019. Epub 2014 Apr 4.

    PubMed 24952859
  • Cavus E, Karakas M, Ojeda FM, Kontto J, Veronesi G, Ferrario MM, Linneberg A, Jorgensen T, Meisinger C, Thorand B, Iacoviello L, Bornigen D, Woodward M, Schnabel R, Costanzo S, Tunstall-Pedoe H, Koenig W, Kuulasmaa K, Salomaa V, Blankenberg S, Zeller T; BiomarCaRE consortium. Association of Circulating Metabolites With Risk of Coronary Heart Disease in a European Population: Results From the Biomarkers for Cardiovascular Risk Assessment in Europe (BiomarCaRE) Consortium. JAMA Cardiol. 2019 Dec 1;4(12):1270-1279. doi: 10.1001/jamacardio.2019.4130.

    PubMed 31664431
  • McGarrah RW, Crown SB, Zhang GF, Shah SH, Newgard CB. Cardiovascular Metabolomics. Circ Res. 2018 Apr 27;122(9):1238-1258. doi: 10.1161/CIRCRESAHA.117.311002.

    PubMed 29700070
  • Fan Y, Li Y, Chen Y, Zhao YJ, Liu LW, Li J, Wang SL, Alolga RN, Yin Y, Wang XM, Zhao DS, Shen JH, Meng FQ, Zhou X, Xu H, He GP, Lai MD, Li P, Zhu W, Qi LW. Comprehensive Metabolomic Characterization of Coronary Artery Diseases. J Am Coll Cardiol. 2016 Sep 20;68(12):1281-93. doi: 10.1016/j.jacc.2016.06.044.

    PubMed 27634119
  • Hilvo M, Meikle PJ, Pedersen ER, Tell GS, Dhar I, Brenner H, Schottker B, Laaperi M, Kauhanen D, Koistinen KM, Jylha A, Huynh K, Mellett NA, Tonkin AM, Sullivan DR, Simes J, Nestel P, Koenig W, Rothenbacher D, Nygard O, Laaksonen R. Development and validation of a ceramide- and phospholipid-based cardiovascular risk estimation score for coronary artery disease patients. Eur Heart J. 2020 Jan 14;41(3):371-380. doi: 10.1093/eurheartj/ehz387.

    PubMed 31209498
  • Qin M, Zhu Q, Lai W, Ma Q, Liu C, Chen X, Zhang Y, Wang Z, Chen H, Yan H, Lei H, Zhang S, Dong X, Wang H, Huang M, Lian Q, Zhong S. Insights into the prognosis of lipidomic dysregulation for death risk in patients with coronary artery disease. Clin Transl Med. 2020 Sep;10(5):e189. doi: 10.1002/ctm2.189.

    PubMed 32997403
  • Zhang L, Wei TT, Li Y, Li J, Fan Y, Huang FQ, Cai YY, Ma G, Liu JF, Chen QQ, Wang SL, Li H, Alolga RN, Liu B, Zhao DS, Shen JH, Wang XM, Zhu W, Li P, Qi LW. Functional Metabolomics Characterizes a Key Role for N-Acetylneuraminic Acid in Coronary Artery Diseases. Circulation. 2018 Mar 27;137(13):1374-1390. doi: 10.1161/CIRCULATIONAHA.117.031139. Epub 2017 Dec 6.

    PubMed 29212895

Questions about this trial

What is this clinical trial studying?

An observational study of Biomarkers, run by General Hospital of Ningxia Medical University at 5 sites in China.

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 4 inclusion and 12 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: status not confirmed, as of the sponsor's last update on 14 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in China. 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?

Results are not available in the source record.

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

Contact Jun He, Ph. D, MD (+8613995273232, junhe@nxmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Death (time frame: Follow-up is expected to end on December 30, 2022). 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 NCT05138731, which also lists 8 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 14 Jan 2022.

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