Influence of Intensive Lipid-lowering on FFRCT (The FLOW-PROMOTE Study)

NCT ID: NCT04737408

Last Updated: 2021-02-05

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-13

Study Completion Date

2023-08-31

Brief Summary

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The FLOW-PROMOTE Study is an investigator-initiated, Danish multicenter study of patients with stable chest pain investigating whether lipid lowering is associated with recovery of impaired coronary flow as assessed by CT derived fractional flow reserve (FFRCT).

Detailed Description

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Multicenter study (4 centers in Denmark), including 120 patients with stable chest pain and hemodynamically significant coronary artery disease as assessed by FFRCT. By using two lipid lowering treatment strategies ("usual" vs "intensive" care) over 18 months, the effect on coronary plaque regression and flow recovery are assessed from repeated CT angiograms with plaque and FFRCT analyses at 9 and 18 months.

Conditions

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Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients are randomized 1:1 to two different lipid lowering medical treatment strategies
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Open label design

Study Groups

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"Usual care"

"Usual care" prevention: atorvastatin 40 mg per day for 18 months

Group Type ACTIVE_COMPARATOR

Rosuvastatin 40mg

Intervention Type DRUG

Rosuvastatin 40 mg

"Intensive care"

"Intensive care" prevention: rosuvastatin 40 mg + ezetimib 10 mg per day for 18 months

Group Type EXPERIMENTAL

Rosuvastatin 40mg

Intervention Type DRUG

Rosuvastatin 40 mg

Interventions

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Rosuvastatin 40mg

Rosuvastatin 40 mg

Intervention Type DRUG

Other Intervention Names

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Ezetimib 10mg

Eligibility Criteria

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Inclusion Criteria

1. Symptoms suggestive of stable coronary artery disease (CAD)
2. No known CAD
3. At least one coronary stenosis with \>49% lumen reduction determined by CT angiography
4. Sinus rhythm
5. At least one lesion with FFRCT \<0.81 (see below)
6. Life expectancy \>3 years
7. Fertile women must use safe contraception throughout the study period
8. Signed informed consent

5\. LDL cholesterol \>2.0 mM (patients already on lipid lowering medical therapy \< 3 months can be included if meeting all of the above mentioned criteria)

Exclusion Criteria

1. Unstable angina
2. Known CAD
3. Body mass index \>40
4. Allergy to iodinated contrast media
5. Known statin intolerance
6. Poor coronary CT angiography image quality inadequate for FFRCT calculation (determined by core-laboratory)
7. Significant left main coronary artery (stenosis \>49%) or three-vessel CAD determined by coronary CT angiography leading to direct referral to ICA
8. FFRCT \<0.81 over the left main coronary artery or the proximal left anterior descendens artery (LAD) segment, or \<0.76 over the mid-LAD, proximal circumflex, right coronary artery or intermediate coronary segments
9. Pregnancy (women with age \>45 will be screened for pregnancy)
10. Moderate to severe liver failure
11. Estimated glomerular filtration rate (eGFR) \< 60 ml/min
12. Participation in another trial
13. Does noes not wish to participate
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bjarne Linde Noergaard

OTHER

Sponsor Role lead

Responsible Party

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Bjarne Linde Noergaard

Associate Professor, MD, PhD, FESC

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Bjarne L Noergaard, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Aarhus University Hospital

Locations

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Aarhus University Hospital

Aarhus, , Denmark

Site Status RECRUITING

Southwestern Hospital Esbjerg

Esbjerg, , Denmark

Site Status RECRUITING

Lillebaelt Hospital

Vejle, , Denmark

Site Status NOT_YET_RECRUITING

Countries

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Denmark

Central Contacts

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Bjarne L Noergaard, MD, PhD

Role: CONTACT

+4540136570

Martin B Mortensen, MD, PhD

Role: CONTACT

+4523882155

Facility Contacts

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Bjarne L Noergaard, MD, PhD

Role: primary

+4540136570

Martin B Mortensen, MD, PhD

Role: backup

+4523882155

Niels-Peter R Sand, MD, PhD

Role: primary

+4528409148

Lone D Kristensen, MD

Role: backup

+4521422813

Martin Busk, MD, PhD

Role: primary

+4522473224

Flemming H Steffensen, MD, PhD

Role: backup

+4551503862

Other Identifiers

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Aarhus University Hospital

Identifier Type: -

Identifier Source: org_study_id

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