Non Invasive Multicenter Italian Study for Coronary Artery Disease

This study has been completed.
Sponsor:
Information provided by:
Società Italiana di Radiologia Medica
ClinicalTrials.gov Identifier:
NCT00539604
First received: October 3, 2007
Last updated: NA
Last verified: November 2006
History: No changes posted

October 3, 2007
October 3, 2007
July 2004
Not Provided
to determine if 16-64 slice multidetector CT (MDCT) can replace the invasive procedure in patients scheduled for coronary angiography in order to exclude the presence of CAD
Same as current
No Changes Posted
  • the efficacy in terms of performance of the MDCT in each single coronary segment and
  • the safety in terms of AE related to both procedures
Same as current
Not Provided
Not Provided
 
Non Invasive Multicenter Italian Study for Coronary Artery Disease
Phase IV Multicenter, Intra-Individually Controlled, Comparison Study to Evaluate the Negative Predictive Value of 16-64 Slice MDCT Imaging in Patients Scheduled for Coronary Angiography

To determine if 16-64 slice multidetector CT (MDCT) can replace the invasive procedure in patients scheduled for coronary angiography in order to exclude the presence of CAD

Because coronary artery disease (CAD) is the most frequent cause of death in industrialized nations and its onset is currently unpredictable, there is a need for new methods of screening apparently healthy individuals to identify those at increased risk.

Several imaging techniques are in use to visualize coronary arteries. These include both invasive procedure as x-ray coronary angiography and those non invasive like computed tomography (CT) and magnetic resonance imaging (MRI). Among these imaging modalities, selective cardiac catheterization and x-ray angiography is the current gold standard for visualization of coronaries and detection of their stenoses, providing for optimal spatial resolution, a general "road map" of the coronary tree for interventions. The replacement of even a fraction of these procedures with non-invasive modalities would constitute an important advance in the care of patients with suspected coronary artery disease Preliminary results reported in literature addressing the study of coronary arteries by multidetector-CT (MDCT) appear to be interesting. Several studies have been performed firstly using Electron beam CT (EBCT).EBCT provides high temporal resolution and enables quantitative assessment of the coronary artery calcium, but because of limited spatial resolution as a result of limited z axis resolution, it does not permit direct visualisation in multi-reformation of the whole coronary artery system.

With the introduction of 4-row MDCT there have now been several studies aimed to compare the MDCT with a standard invasive angiography. Data published for over 200 subjects from 4 studies demonstrated that patient compliance at breath-hold, heart rate and rhythm are crucial limitation to this procedure. In the Nieman and Achembach papers not all the coronary segments were assessable because of the limited temporal resolution of 4-slice MDCT. With this machine it is mandatory to select patients carefully, considering only those with baseline hearth rate < 65 bpm (also obtained by pre-treatment with β-blockers in order to slow hearth rate).

Interventional
Phase 4
Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Coronary Heart Disease
Procedure: MDCT and Coronary Angiography
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
350
June 2006
Not Provided

Inclusion Criteria:

  1. Patients (men or women of any ethnic group) scheduled for a coronary angiography evaluation for a diagnostic work up.
  2. Patients will be expected to undergo coronary angiography within 2 weeks after the MDCT study procedure. The coronary angiography must meet the minimum standard laid down in the protocol (see section 8.3.3).
  3. Patients must have HDL and total cholesterol performed within the last year.
  4. Patients must be willing and able to continue study participation following the reference test to ensure completion of all procedures and observations required by the study.
  5. Fully informed and signed consent must be obtained from each patient.

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Exclusion Criteria:

  1. Patients under 18 years of age.
  2. Patients who have received any investigational drug within the 30 days prior to entering this study.
  3. Pregnant or lactating women.
  4. Patients who have any contraindication to MDCT examination with iodinate contrast media.
  5. Patients with heart rate >70 bpm despite of β-blocker treatment (see section 8.2.4.1).
  6. Patients with no sinus rhythm.
  7. Patients with NYHA III or IV class.
  8. Patients who have previously undergone CABG or stenting.
  9. Patients with a creatinine value > 2 mg/dl.

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Both
18 Years to 80 Years
No
Contact information is only displayed when the study is recruiting subjects
Italy
 
NCT00539604
NIMIS-CAD
Not Provided
Not Provided
Società Italiana di Radiologia Medica
Not Provided
Principal Investigator: Alessandro Del Maschio, Med. Doctor
Principal Investigator: Lorenzo Bonomo, Med. Doctor
Società Italiana di Radiologia Medica
November 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP