Trial Outcomes & Findings for Evaluation of Predictors of Aortic Aneurysm Growth and Rupture (NCT NCT02022436)

NCT ID: NCT02022436

Last Updated: 2023-11-13

Results Overview

Prospective contrast ultrasound will be performed at regular clinically indicated timepoints.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

66 participants

Primary outcome timeframe

Up to 5 years or time of aneurysm repair surgery.

Results posted on

2023-11-13

Participant Flow

Participant milestones

Participant milestones
Measure
Contrast Ultrasound for Patients With AAA
Contrast ultrasound contrast ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth. Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Contrast Ultrasound for Patients Without Arterial Disease
contrast enhanced ultrasound contrast ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth. Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Overall Study
STARTED
59
7
Overall Study
COMPLETED
59
7
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of Predictors of Aortic Aneurysm Growth and Rupture

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Contrast Ultrasound for Patients With AAA
n=59 Participants
Contrast ultrasound contrast ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth. Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Contrast Ultrasound for Patients Without Arterial Disease
n=7 Participants
contrast enhanced ultrasound contrast ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth. Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Total
n=66 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=5 Participants
6 Participants
n=7 Participants
24 Participants
n=5 Participants
Age, Categorical
>=65 years
41 Participants
n=5 Participants
1 Participants
n=7 Participants
42 Participants
n=5 Participants
Age, Continuous
68.8 years
STANDARD_DEVIATION 8.6 • n=5 Participants
49.4 years
STANDARD_DEVIATION 12.8 • n=7 Participants
67.3 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
51 Participants
n=5 Participants
1 Participants
n=7 Participants
52 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
55 Participants
n=5 Participants
4 Participants
n=7 Participants
59 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
59 participants
n=5 Participants
7 participants
n=7 Participants
66 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 5 years or time of aneurysm repair surgery.

Population: Annual aneurysm growth rate only relevant for patients with aneurysm disease

Prospective contrast ultrasound will be performed at regular clinically indicated timepoints.

Outcome measures

Outcome measures
Measure
Contrast Ultrasound for Patients With Aneurysm Disease
n=59 Participants
Contrast ultrasound contrast ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth. Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Contrast Ultrasound for Patients Without Arterial Disease
contrast enhanced ultrasound Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Annual Aneurysm Growth Rate Between Patients With and Without Micro Bubble Uptake
Microbubble Uptake
3.0 mm/year
Standard Deviation 3.1
Annual Aneurysm Growth Rate Between Patients With and Without Micro Bubble Uptake
No Microbubble Uptake
3.2 mm/year
Standard Deviation 3.1

PRIMARY outcome

Timeframe: At the first follow-up evaluation at 6 months

Population: Microbubble Uptake was only evaluated in patients with aneurysm disease as patients without aneurysm disease do not have micro bubble uptake.

Microbubble uptake was determined on ultrasound evaluation of the abdominal aorta. This was agreed upon by two reading physicians.

Outcome measures

Outcome measures
Measure
Contrast Ultrasound for Patients With Aneurysm Disease
n=59 Participants
Contrast ultrasound contrast ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth. Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Contrast Ultrasound for Patients Without Arterial Disease
contrast enhanced ultrasound Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Number of Participants With Microbubble Uptake
36 Participants

SECONDARY outcome

Timeframe: baseline, 6 months

Population: For patients without arterial disease, serum biomarkers were only obtained at baseline; no follow-up visits occurred and therefore no further biomarker testing was done.

Systemic serum biomarkers of AAA will be measured. These markers are circulating levels of C Reactive Protein, cytokines and osteoprotegerin. Serum markers will be drawn at baseline and at the next follow-up visit which is 6 months after the index visit.

Outcome measures

Outcome measures
Measure
Contrast Ultrasound for Patients With Aneurysm Disease
n=59 Participants
Contrast ultrasound contrast ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth. Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Contrast Ultrasound for Patients Without Arterial Disease
n=7 Participants
contrast enhanced ultrasound Contrast Ultrasound: Definity® is the contrast agent that will be administered by intravenous injection by a registered nurse during the ultrasound (contrast enhanced ultrasound (CUS). The purpose is to assist in identifying differences in AAA characteristics based on gender and AAA stability and growth.
Mean Value of Systemic Inflammatory Serum Biomarkers
Interferon (at 6 months)
5.1 pg/ml
Interval 3.5 to 6.6
Mean Value of Systemic Inflammatory Serum Biomarkers
Osteoprotegrin
225.5 pg/ml
Interval 142.7 to 308.3
214.8 pg/ml
Interval 134.7 to 294.9
Mean Value of Systemic Inflammatory Serum Biomarkers
C Reactive Protein
7090.3 pg/ml
Interval 3619.0 to 10561.6
1843.0 pg/ml
Interval 1017.2 to 2668.8
Mean Value of Systemic Inflammatory Serum Biomarkers
Interferon
4.2 pg/ml
Interval 3.3 to 4.8
2.4 pg/ml
Interval 1.8 to 2.9
Mean Value of Systemic Inflammatory Serum Biomarkers
Osteoprotegrin (at 6 months)
257.4 pg/ml
Interval 225.0 to 289.8
Mean Value of Systemic Inflammatory Serum Biomarkers
C Reactive Protein (at 6 months)
7808.0 pg/ml
Interval 220.2 to 15395.8

Adverse Events

Contrast Ultrasound for Patients With AAA

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Contrast Ultrasound for Patients Without Arterial Disease

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Rabih Chaer

University of Pittsburgh Medical Center

Phone: 4128023025

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place