Trial Outcomes & Findings for Coronary Flow Reserve to Assess Cardiovascular Inflammation (CIRT-CFR) (NCT NCT02786134)

NCT ID: NCT02786134

Last Updated: 2021-01-06

Results Overview

Change (from baseline) in global coronary flow reserve in response to vasodilator as measured by PET imaging at baseline and at one year

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

12 months

Results posted on

2021-01-06

Participant Flow

Participant milestones

Participant milestones
Measure
Low-Dose Methotrexate (LDM)
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dipyridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Placebo
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dypridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Overall Study
STARTED
25
25
Overall Study
COMPLETED
25
25
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Coronary Flow Reserve to Assess Cardiovascular Inflammation (CIRT-CFR)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low-dose Methotrexate (LDM)
n=25 Participants
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dipyridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Placebo
n=25 Participants
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dypridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Total
n=50 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
12 Participants
n=93 Participants
16 Participants
n=4 Participants
28 Participants
n=27 Participants
Age, Categorical
>=65 years
13 Participants
n=93 Participants
9 Participants
n=4 Participants
22 Participants
n=27 Participants
Age, Continuous
66 years
n=93 Participants
63 years
n=4 Participants
65 years
n=27 Participants
Sex: Female, Male
Female
0 Participants
n=93 Participants
3 Participants
n=4 Participants
3 Participants
n=27 Participants
Sex: Female, Male
Male
25 Participants
n=93 Participants
22 Participants
n=4 Participants
47 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=93 Participants
1 Participants
n=4 Participants
3 Participants
n=27 Participants
Race (NIH/OMB)
White
22 Participants
n=93 Participants
23 Participants
n=4 Participants
45 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
13 participants
n=93 Participants
13 participants
n=4 Participants
26 participants
n=27 Participants
Region of Enrollment
Canada
12 participants
n=93 Participants
12 participants
n=4 Participants
24 participants
n=27 Participants

PRIMARY outcome

Timeframe: 12 months

Change (from baseline) in global coronary flow reserve in response to vasodilator as measured by PET imaging at baseline and at one year

Outcome measures

Outcome measures
Measure
Low-Dose Methotrexate (LDM)
n=25 Participants
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dipyridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Placebo
n=25 Participants
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dypridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Change in Global Myocardial Blood Flow in Response to Vasodilator
0.05 percentage change in CFR
Interval -0.192 to 0.288
-0.145 percentage change in CFR
Interval -0.429 to 0.117

Adverse Events

Low-Dose Methotrexate (LDM)

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Low-Dose Methotrexate (LDM)
n=25 participants at risk
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dipyridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Placebo
n=25 participants at risk
Patients willing to participate in CIRT will be asked to enroll into the sub-study and may sign the CIRT-CFR informed consent at any point between signing the parent CIRT informed consent and completing the parent CIRT randomization visit (Visit 4). After giving informed consent for the ancillary CIRT-CFR, patients will undergo the baseline rest/dypridamole stress PET scan along with echocardiography. The final PET scan and echocardiogram will occur at approximately 12 months after randomization. PET scan: A cardiac PET scan will be performed at baseline (main CIRT trial randomization) and at 12-months. Echocardiogram: An echocardiogram will be performed at baseline (main CIRT trial randomization) and at 12-months.
Cardiac disorders
Shortness of Breath during PET scan
0.00%
0/25 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
8.0%
2/25 • Number of events 2 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
Cardiac disorders
Headache during PET scan
0.00%
0/25 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
4.0%
1/25 • Number of events 2 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
Cardiac disorders
Chest Pain during PET scan
8.0%
2/25 • Number of events 3 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
0.00%
0/25 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
Blood and lymphatic system disorders
Swelling at IV site
4.0%
1/25 • Number of events 1 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
0.00%
0/25 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
Cardiac disorders
Developed atrial fibrillation
4.0%
1/25 • Number of events 1 • 1 year
The adverse definitions match those listed on clincaltrials.gov.
0.00%
0/25 • 1 year
The adverse definitions match those listed on clincaltrials.gov.

Additional Information

Dr. Marcelo Di Carli

Brigham and Women's Hospital

Phone: 617-732-6290

Results disclosure agreements

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