Intracoronary Analysis of Cardiac Allograft Vasculopathy by Means of Optical Coherence Tomography

NCT ID: NCT02254668

Last Updated: 2014-10-02

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

278 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2023-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Randomized prospective multi-center imaging study which investigates the impact of different immunosuppressive protocols (Everolimus (Certican®) or Mycophenolate mofetil (CellCept®)) on cardiac allograft vasculopathy (CAV) in heart transplanted patients. Maximal intima-thickness will be visualized by optical coherence tomography (OCT) to assess the progression of CAV.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

In summary, the aim of the study is to examine the effect of the immunosuppressive agent Everolimus (Certican) on the development of cardiac allograft vasculopathy (CAV).

Therefore the study is divided in three sections:

Substudy 1: Evaluation of morphological differences between between CAD and CAV.

Substudy 2: Analysis of cardiovascular risk factors (e.g. hypertension) under a specific immunosuppressive protocol in patients with CAV.

Substudy 3: Prospective, randomized analysis of the influence of different immunosuppressive protocols in patients with CAV.

Primary endpoint of the study will be the adaption of intimal thickness after 10 years, analysed by means of optical coherence tomography.

In addition to the explanations above the most important in- and exclusion criteria are listed below:

Inclusion Criteria:

* Patients after heart transplantation
* Patients with coronary artery disease (CAD)
* Age 18-80 years

Exclusion Criteria:

* Contraindication of Everolimus/Sirolimus or adjuvants
* Renal insufficiency (Creatinine \> 265 µmol/l)
* Cardiogenic shock or patients with Killip\*-Class III or IV (\*name)
* Pregnant or breast feeding females
* insufficient contraception (only for substudy 3)

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Intimal Proliferation Immunosuppression

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Everolimus (Certican®)

Electronic (computer-assisted) randomization of an immunosuppressive protocol WITH Everolimus (Certican®). No protocol with Mycophenolate mofetil (CellCept®). Daily dosage administered depending on blood concentration (control interval 6-12 months)

Group Type EXPERIMENTAL

Protocol with Everolimus (Certican®)

Intervention Type OTHER

Electronic (computer-assisted) randomization of an immunosuppressive protocol WITH Everolimus (Certican®).

Mycophenolate mofetil (CellCept®)

Electronic (computer-assisted) randomization of an immunosuppressive protocol WITHOUT Everolimus (Certican®), instead administration of Mycophenolate mofetil (CellCept®). No protocol with Everolimus (Certican®). Daily dosage administered depending on blood concentration (control interval 6-12 months)

Group Type ACTIVE_COMPARATOR

Protocol with Mycophenolate mofetil (CellCept®)

Intervention Type OTHER

Electronic (computer-assisted) randomization of an immunosuppressive protocol WITHOUT Everolimus (Certican®), instead administration of Mycophenolate mofetil (CellCept®).

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Protocol with Everolimus (Certican®)

Electronic (computer-assisted) randomization of an immunosuppressive protocol WITH Everolimus (Certican®).

Intervention Type OTHER

Protocol with Mycophenolate mofetil (CellCept®)

Electronic (computer-assisted) randomization of an immunosuppressive protocol WITHOUT Everolimus (Certican®), instead administration of Mycophenolate mofetil (CellCept®).

Intervention Type OTHER

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Randomizaiton by SecuTrial Randomizaiton by SecuTrial

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Patients with heart transplantation
* Patient with coronary artery disease
* Age between 18 and 80 years

Exclusion Criteria

* Renal insufficiency (\> 265 µmol/l)
* Incapability to give informed consent
* Cardiogenic shock of patient with KILLIP III or IV
* pregnant or breast feeding females
* insufficient contraception (only for substudy 3)
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Novartis Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Christian Templin, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital Zurich (Switzerland), Division of Cardiology

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

University Hospital Zurich, Division of Cardiology

Zurich, Canton of Zurich, Switzerland

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Switzerland

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Christian Templin, MD, PhD

Role: CONTACT

+41 (0)44 / 255 9585

Frank Ruschitzka, Professor

Role: CONTACT

+41 (0)44 / 255 3957

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Christian Templin, MD, PhD

Role: primary

+41 (0)44 / 255 9585

Frank Ruschitzka, Professor

Role: backup

+41 (0)44 / 255 3957

Related Links

Access external resources that provide additional context or updates about the study.

http://www.octnews.org

Informations about Optical Coherence Tomography (OCT)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

KEK-ZH_Nr. 2012-0409

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.