Sex Differences in Vascular Markers of Stroke Risk

NCT ID: NCT00681681

Last Updated: 2017-11-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

117 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-02-29

Study Completion Date

2013-01-31

Brief Summary

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The purposes of this study are to quantify and compare vascular function in men and women, and to determine the effect of age, race-ethnicity, cardiovascular risk factors, biological markers and hormonal markers on vascular measures to establish gender-specific models.

Detailed Description

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Men and women with stroke have different risk factor profiles. Women tend to develop stroke risk factors, subclinical disease, and have vascular events following menopause, presumably related to the depletion of estrogen. Men, however, tend to develop vascular disease at a younger age. Sex differences in subclinical disease are poorly understood. Identification of subclinical disease could lead to more aggressive interventions to prevent stroke and other vascular events.

The objectives of this study are to quantify and compare vascular function in men and women by measuring carotid atherosclerosis, endothelial dysfunction, and ankle-brachial index and then to determine the effect of age, race-ethnicity, cardiovascular risk factors, biological markers and hormonal markers on these vascular measures to determine gender-specific models. The aims of this project are to determine if middle-aged men and women at risk for stroke have differences in functional and structural vascular assessments, and to develop comprehensive vascular health profiles in men and women.

In this trial, researchers will use a cross-sectional design to study gender differences in vascular functions and other vascular risk factors in 150 women and 100 men with 1 or more cardiovascular risk factors but without evidence of stroke, heart disease, or peripheral vascular disease. Participants will be divided in two age groups: 45 to 54 and 55 to 64 and will be followed for two years for vascular outcomes, such as stroke, transient ischemic attack or TIA, or acute coronary syndromes.

Information from this study will help develop a comprehensive gender-specific model of subclinical disease, discover novel biological and vascular markers for stroke, and provide critical data to be used in future studies aimed at slowing progression of vascular dysfunction and preventing stroke.

Conditions

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Stroke

Keywords

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stroke vascular marker stroke risk risk factors sex differences

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Men and women with 1 or more cardiovascular risk factors

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

One or more cardiovascular risk factors

* non-insulin dependent diabetes
* hypertension
* hyperlipidemia
* metabolic syndrome, (NCEP ATPIII criteria)
* tobacco smoking

Exclusion Criteria

* history of prior stroke (ischemic or hemorrhagic)
* TIA
* known carotid stenosis
* peripheral vascular disease
* coronary heart disease
* venous thromboembolism
* polycystic ovarian syndrome,
* morbid obesity (BMI \> 45 kg/m2)
* women using hormone therapy (hormone replacement, contraceptive pills or patches)
Minimum Eligible Age

45 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cheryl Bushnell, MD

Role: PRINCIPAL_INVESTIGATOR

Associate Professor, Department of Neurology, Wake Forest University Health Sciences

Locations

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Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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IRB00004014

Identifier Type: OTHER

Identifier Source: secondary_id

K02NS058760-01A1

Identifier Type: NIH

Identifier Source: secondary_id

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K02NS058760

Identifier Type: NIH

Identifier Source: org_study_id

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