Computed Tomography Versus Exercise Testing in Suspected Coronary Artery Disease

NCT ID: NCT01393028

Last Updated: 2014-11-13

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

TERMINATED

Clinical Phase

NA

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2014-08-31

Brief Summary

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Direct non-invasive coronary imaging by computed tomography (CT) has the potential to improve the workup of patients with stable chest pain complaints. The objective of the study is to compare in a randomized fashion the effectiveness and efficiency of a CT angiographic driven workup of suspected coronary artery disease in comparison to the standard workup using stress testing.

Detailed Description

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Conditions

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Angina Pectoris Chest Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Cardiac CT

Cardiac CT (CT calcium and/or CT angiography), followed by stress testing, invasive angiography or neither depending on the CT scan result

Group Type EXPERIMENTAL

Cardiac CT

Intervention Type OTHER

Cardiac CT: calcium scan and CT coronary angiography

Standard care

Standard diagnostic management, including stress testing and/or invasive angiography

Group Type OTHER

Standard care

Intervention Type OTHER

Standard care according to international guidelines

Interventions

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Cardiac CT

Cardiac CT: calcium scan and CT coronary angiography

Intervention Type OTHER

Standard care

Standard care according to international guidelines

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Men and women aged \>18 years.
* Stable symptoms of chest pain or dyspnea potentially caused by obstructive CAD.

Exclusion Criteria

* A history of surgical or percutaneous coronary revascularization
* Non-revascularized angiographic obstructive coronary artery disease (\>50% diameter reduction).
* Normal invasive coronary angiography or stress imaging less than 1 years ago.
* Inability or unwillingness to provide informed consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Koen Nieman

Dr K Nieman

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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MC Haaglanden

Leidschendam, , Netherlands

Site Status

Erasmus MC

Rotterdam, , Netherlands

Site Status

Havenziekenhuis

Rotterdam, , Netherlands

Site Status

Maasstadziekenhuis

Rotterdam, , Netherlands

Site Status

Countries

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Netherlands

References

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Lubbers M, Coenen A, Bruning T, Galema T, Akkerhuis J, Krenning B, Musters P, Ouhlous M, Liem A, Niezen A, Dedic A, van Domburg R, Hunink M, Nieman K. Sex Differences in the Performance of Cardiac Computed Tomography Compared With Functional Testing in Evaluating Stable Chest Pain: Subanalysis of the Multicenter, Randomized CRESCENT Trial (Calcium Imaging and Selective CT Angiography in Comparison to Functional Testing for Suspected Coronary Artery Disease). Circ Cardiovasc Imaging. 2017 Feb;10(2):e005295. doi: 10.1161/CIRCIMAGING.116.005295.

Reference Type DERIVED
PMID: 28174196 (View on PubMed)

Other Identifiers

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CRESCENT-11

Identifier Type: -

Identifier Source: org_study_id