Coronary Artery and Systemic Autoimmune Disease: Diagnostics and Treatment

NCT ID: NCT02510092

Last Updated: 2021-04-23

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

Clinical Phase

NA

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2021-03-31

Brief Summary

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This study evaluates in vivo intracoronary imaging using intravascular ultrasound and optical coherence tomography and safety and efficacy of new generation fully bioresorbable vascular scaffolds in four well defined systemic autoimmune (rheumatoid arthritis, mixed connective tissue disease, systemic sclerosis, systemic lupus erythematosus) and concomitant coronary disease patients.

Detailed Description

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The aim of this study is to assess in vivo intracoronary anatomy using intravascular ultrasound and optical coherence tomography and assess the efficacy and safety of new generation fully bioresorbable vascular scaffolds in a systemic autoimmune and coronary heart disease patient population.

The following four well defined systemic autoimmune entities are linked to increased cardiovascular risk: rheumatoid arthritis, mixed connective tissue disease, systemic sclerosis and systemic lupus erythematosus. One of the main causes of death in systemic autoimmune subjects is cardiovascular disease. In-vivo intracoronary anatomy and pathology regarding systemic autoimmune diseases is unknown. Furthermore, all forms of revascularization in such patients yield sub-optimal results, with poor outcomes using even the most modern drug eluting metallic stents. This may be linked to a long term exaggerated chronic inflammation response to the metallic components. Thus, fully bioresorbable vascular scaffolds may prove more efficacious in systemic autoimmune subjects.

Conditions

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Autoimmune Diseases Coronary Artery Disease

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Coronary artery diseae with revascularization indicated

Subjects with coronary artery disease, that require and are eligible for percutaneous revascularization.

Group Type ACTIVE_COMPARATOR

Percutaneous coronary intervention with new generation fully resorbable scaffold

Intervention Type DEVICE

Coronary artery disease not requiring revascularization

Subjects with coronary artery disease that do not require revascularization.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Percutaneous coronary intervention with new generation fully resorbable scaffold

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age of 18+ years
* Signed and dated informed consent form
* Manifest autoimmune disease, consisting either of: rheumatoid arthritis or systemic lupus erythematosus or systemic sclerosis or mixed connective tissue disease under the care of a clinical immunologist
* Clinical indication for a coronary angiography as determined by a cardiologist

Exclusion Criteria

* Age of 75+ years
* Glomerular filtration rate of under 30 ml/min
* Severely decreased left ventricular function (ejection fraction \<35%)
* Pregnancy or nursing
* Unclear immunological diagnosis
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Debrecen

OTHER

Sponsor Role collaborator

Semmelweis University Heart and Vascular Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Semmelweis University Heart and Vascular Center

Budapest, , Hungary

Site Status

Countries

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Hungary

Other Identifiers

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Im-CAD-001

Identifier Type: -

Identifier Source: org_study_id

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