Kidney DiseasesNCT06485128
Investigating Multimodally Endothelial Dysfunction in Ocular and Systemic Disease
A study testing Optical coherence tomography(-angiography) OCT(A), Fundus pictures and DVA 3.0 in people with Kidney Diseases and Diastolic Heart Failure, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.
Trial summary
To explore the distribution of retinal vasculature parameters in patients with different subtypes of cardiovascular and ocular disease. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Kidney Diseases, Diastolic Heart Failure, Small Vessel Disease
- What is being tested?
- Optical coherence tomography(-angiography) OCT(A), Fundus pictures and DVA 3.0
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,000 participants
- Where
- 1 siteBelgium
- Study dates
- 6 Jul 2021to 31 Dec 2024
- Phase
- Interventional
- 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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Adult patients with a confirmed or suspect diagnosis of glaucoma based on intra-ocular eye pressure, visual field defect and structural optic nerve changes, regardless their age.
- Adult patients with chronic kidney disease regardless their age.
- Adult patients with heart failure with preserved ejection fraction (HFpEF), regardless their age: symptomatic heart failure with Left Ventricle Ejection Fraction > 50% AND BNP > 35 pg/ml (or NT-proBNP>125 pg/ml) OR signs of diastolic dysfunction according to the European Society of Cardiology guidelines 2016
- Adult patients with confirmed small vessel disease as is diagnosed on routine neurological imaging, regardless their age.
- People without history or track record of any relevant pathology, including cardiovascular and renal diseases, regardless their age
- Capable and willing to participate (informed consent)
Who cannot join
- Diabetes
- Personal medical history of retinal neovascularization.
- Unable or unwilling to give consent
Trial locations and contacts
1 site in 1 country.
Belgium1 site, 1 recruiting
- Recruiting
Universitaire Ziekenhuizen UZ/KU Leuven
Leuven, Vlaams-Brabant, 3000
Sarah Spileers, SC, +32 16 34 03 91, oogziekten.glaucoomstudies@uzleuven.be
Amaryllis Van Craenenbroeck, MD, PhD
About this study
To explore the distribution of retinal vasculature parameters in patients with different subtypes of cardiovascular and ocular disease.
Read the detailed description
In this interventional cohort study, the investigators aim to evaluate retinal vascular function as assessed by optical coherence tomography angiography, fundus photography and dynamic vessel analysis in patients who share microvascular involvement of their pathology (e.g. chronic kidney disease, cardiac decompensation, neuronal small vessel disease and glaucoma) and age-matched healthy controls. Plasm and skin samples for comparative proteomics and transcriptomics are also taken.
- Being tested
- Optical coherence tomography(-angiography) OCT(A), Fundus pictures, DVA 3.0, Hyperspectral retinal images, SphygmoCor
- Medical subject headings
- Kidney Diseases, Heart Failure, Diastolic, Glaucoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Optical coherence tomography(-angiography) OCT(A)Diagnostic test
OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood.
Fundus picturesDiagnostic test
Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue)
DVA 3.0Diagnostic test
IMEDOS GmbH
Hyperspectral retinal imagesDiagnostic test
Ximea SNm4x4 hyperspectral snapshot camera
SphygmoCorDiagnostic test
Sphygmocor Excell
SphygmomanometerDiagnostic test
For the measurement of the blood pressure.
Blood sampleDiagnostic test
For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA).
Skin biopsyDiagnostic test
Spatial proteomics and transcriptomics for endothelial function.
Neuropsychological examinationDiagnostic test
Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS
| Study group | Role | What they receive |
|---|---|---|
| Chronic kidney disease | Other | Not described Receives: Diagnostic Test: Optical coherence tomography(-angiography) OCT(A); Diagnostic Test: Fundus pictures; Diagnostic Test: DVA 3.0; Diagnostic Test: Hyperspectral retinal images; Diagnostic Test: SphygmoCor; Diagnostic Test: Sphygmomanometer; Diagnostic Test: Blood sample; Diagnostic Test: Skin biopsy; Diagnostic Test: Neuropsychological examination |
| Diastolic heart failure | Other | Not described Receives: Diagnostic Test: Optical coherence tomography(-angiography) OCT(A); Diagnostic Test: Fundus pictures; Diagnostic Test: DVA 3.0; Diagnostic Test: Hyperspectral retinal images; Diagnostic Test: SphygmoCor; Diagnostic Test: Sphygmomanometer; Diagnostic Test: Blood sample; Diagnostic Test: Skin biopsy; Diagnostic Test: Neuropsychological examination |
| Neuronal small vessel disease | Other | Not described Receives: Diagnostic Test: Optical coherence tomography(-angiography) OCT(A); Diagnostic Test: Fundus pictures; Diagnostic Test: DVA 3.0; Diagnostic Test: Hyperspectral retinal images; Diagnostic Test: SphygmoCor; Diagnostic Test: Sphygmomanometer; Diagnostic Test: Blood sample; Diagnostic Test: Skin biopsy; Diagnostic Test: Neuropsychological examination |
| Glaucoma | Other | Not described Receives: Diagnostic Test: Optical coherence tomography(-angiography) OCT(A); Diagnostic Test: Fundus pictures; Diagnostic Test: DVA 3.0; Diagnostic Test: Hyperspectral retinal images; Diagnostic Test: SphygmoCor; Diagnostic Test: Sphygmomanometer; Diagnostic Test: Blood sample; Diagnostic Test: Skin biopsy; Diagnostic Test: Neuropsychological examination |
| Healthy patients | Other | Not described Receives: Diagnostic Test: Optical coherence tomography(-angiography) OCT(A); Diagnostic Test: Fundus pictures; Diagnostic Test: DVA 3.0; Diagnostic Test: Hyperspectral retinal images; Diagnostic Test: SphygmoCor; Diagnostic Test: Sphygmomanometer; Diagnostic Test: Blood sample; Diagnostic Test: Skin biopsy; Diagnostic Test: Neuropsychological examination |
What is being measured
The primary outcome is the main question the study is designed to answer.
Relative distribution of retinal endothelial reactivity, flow index, vessel density in the different subpopulations.
Measured: 3 years
Secondary outcomes (4)
Diagnostic performance of the aforementioned parameters to distinguish the different subpopulations.
Measured: 3 years
The association between these parameters and (1) the presence of risk factors for cardiovascular disease (including biomarkers) and (2) risk factors for disease progression and (3) neuropsychological functioning
Measured: 3 years
Physiological behaviour of retinal vasculature under cardiovascular stress.
Measured: 3 years
Histopathological correlates in dermal microvasculature
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Jul 2024
- Study start6 Jul 2021
- Primary completion31 Dec 2024 (estimated)
- Study completion31 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Kidney DiseasesStudies of the same condition, open and under way.
- More trials run by Universitaire Ziekenhuizen KU LeuvenThe sponsor's other registered studies.
- 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Universitaire Ziekenhuizen KU Leuven
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Ingeborg Stalmans, MD, PhD, Principal investigator, Universitaire Ziekenhuizen KU Leuven
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06485128
- Sponsor's protocol ID
- S63649
- Status last verified
- Sep 2023
- First submitted
- 5 Oct 2023
- Last updated
- 3 Jul 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigating Multimodally Endothelial Dysfunction in Ocular and Systemic Disease
- ClinicalTrials.gov ID
- NCT06485128
- Acronym / sponsor ID
- S63649
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 1,000 participants (estimated)
- Lead sponsor
- Universitaire Ziekenhuizen KU LeuvenUniversity, hospital or other
- Study start
- 6 Jul 2021 (actual)
- Primary completion
- 31 Dec 2024 (estimated)
- Study completion
- 31 Dec 2024 (estimated)
- First posted
- 3 Jul 2024 (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.
To explore the distribution of retinal vasculature parameters in patients with different subtypes of cardiovascular and ocular disease.
Detailed description
In this interventional cohort study, the investigators aim to evaluate retinal vascular function as assessed by optical coherence tomography angiography, fundus photography and dynamic vessel analysis in patients who share microvascular involvement of their pathology (e.g. chronic kidney disease, cardiac decompensation, neuronal small vessel disease and glaucoma) and age-matched healthy controls. Plasm and skin samples for comparative proteomics and transcriptomics are also taken.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Chronic kidney disease | Other | Diagnostic Test: Optical coherence tomography(-angiography) OCT(A), Diagnostic Test: Fundus pictures, Diagnostic Test: DVA 3.0, Diagnostic Test: Hyperspectral retinal images, Diagnostic Test: SphygmoCor, Diagnostic Test: Sphygmomanometer, Diagnostic Test: Blood sample, Diagnostic Test: Skin biopsy, Diagnostic Test: Neuropsychological examination |
| Diastolic heart failure | Other | Diagnostic Test: Optical coherence tomography(-angiography) OCT(A), Diagnostic Test: Fundus pictures, Diagnostic Test: DVA 3.0, Diagnostic Test: Hyperspectral retinal images, Diagnostic Test: SphygmoCor, Diagnostic Test: Sphygmomanometer, Diagnostic Test: Blood sample, Diagnostic Test: Skin biopsy, Diagnostic Test: Neuropsychological examination |
| Neuronal small vessel disease | Other | Diagnostic Test: Optical coherence tomography(-angiography) OCT(A), Diagnostic Test: Fundus pictures, Diagnostic Test: DVA 3.0, Diagnostic Test: Hyperspectral retinal images, Diagnostic Test: SphygmoCor, Diagnostic Test: Sphygmomanometer, Diagnostic Test: Blood sample, Diagnostic Test: Skin biopsy, Diagnostic Test: Neuropsychological examination |
| Glaucoma | Other | Diagnostic Test: Optical coherence tomography(-angiography) OCT(A), Diagnostic Test: Fundus pictures, Diagnostic Test: DVA 3.0, Diagnostic Test: Hyperspectral retinal images, Diagnostic Test: SphygmoCor, Diagnostic Test: Sphygmomanometer, Diagnostic Test: Blood sample, Diagnostic Test: Skin biopsy, Diagnostic Test: Neuropsychological examination |
| Healthy patients | Other | Diagnostic Test: Optical coherence tomography(-angiography) OCT(A), Diagnostic Test: Fundus pictures, Diagnostic Test: DVA 3.0, Diagnostic Test: Hyperspectral retinal images, Diagnostic Test: SphygmoCor, Diagnostic Test: Sphygmomanometer, Diagnostic Test: Blood sample, Diagnostic Test: Skin biopsy, Diagnostic Test: Neuropsychological examination |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Adult patients with a confirmed or suspect diagnosis of glaucoma based on intra-ocular eye pressure, visual field defect and structural optic nerve changes, regardless their age.
- Adult patients with chronic kidney disease regardless their age.
- Adult patients with heart failure with preserved ejection fraction (HFpEF), regardless their age: symptomatic heart failure with Left Ventricle Ejection Fraction > 50% AND BNP > 35 pg/ml (or NT-proBNP>125 pg/ml) OR signs of diastolic dysfunction according to the European Society of Cardiology guidelines 2016
- Adult patients with confirmed small vessel disease as is diagnosed on routine neurological imaging, regardless their age.
- People without history or track record of any relevant pathology, including cardiovascular and renal diseases, regardless their age
Key exclusion criteria (3 listed)
- Diabetes
- Personal medical history of retinal neovascularization.
- Unable or unwilling to give consent
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 |
|---|---|---|
| Optical coherence tomography(-angiography) OCT(A)OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood. | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| Fundus picturesVisucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue) | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| DVA 3.0IMEDOS GmbH | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| Hyperspectral retinal imagesXimea SNm4x4 hyperspectral snapshot camera | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| SphygmoCorSphygmocor Excell | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| SphygmomanometerFor the measurement of the blood pressure. | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| Blood sampleFor both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA). | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| Skin biopsySpatial proteomics and transcriptomics for endothelial function. | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
| Neuropsychological examinationMoca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS | Diagnostic test | Chronic kidney disease, Diastolic heart failure, Glaucoma, Healthy patients, Neuronal small vessel disease |
Primary outcome
Relative distribution of retinal endothelial reactivity, flow index, vessel density in the different subpopulations.
Time frame: 3 years
4 secondary outcomes
Diagnostic performance of the aforementioned parameters to distinguish the different subpopulations.
Time frame: 3 years
The association between these parameters and (1) the presence of risk factors for cardiovascular disease (including biomarkers) and (2) risk factors for disease progression and (3) neuropsychological functioning
Time frame: 3 years
Physiological behaviour of retinal vasculature under cardiovascular stress.
Time frame: 3 years
Histopathological correlates in dermal microvasculature
Time frame: 3 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jul 2024.
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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.
Ingeborg Stalmans, MD, PhD principal investigator
Universitaire Ziekenhuizen KU Leuven
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Optical coherence tomography(-angiography) OCT(A), Fundus pictures and DVA 3.0 in people with Kidney Diseases and Diastolic Heart Failure, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.
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 6 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: status not confirmed, as of the sponsor's last update on 3 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Belgium. 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 Jan Van Eijgen, MD (+32 16 34 56 28, jan.1.vaneijgen@uzleuven.be), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Relative distribution of retinal endothelial reactivity, flow index, vessel density in the different subpopulations. (time frame: 3 years). 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 3 Jul 2024; AzTrials last refreshed its copy on 27 Oct 2026.