A Multicenter Study of Ultrafast Pulse Wave Velocity in Obese Chinese Han Adults

NCT ID: NCT05455099

Last Updated: 2022-10-12

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

Total Enrollment

2400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-14

Study Completion Date

2024-07-31

Brief Summary

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

Ultrafast pulse wave velocity (UFPWV) is a novel non-invasive method developed recently to evaluate pulse wave velocity (PWV). This multi-center clinical trial aims to evaluate the feasibility of UFPWV in the evaluation of the carotid stiffness of overweight and obese population and investigate the correlation between overweight/obesity and subclinical atherosclerosis, providing an important theoretical basis for early monitoring and risk assessment of carotid atherosclerosis in overweight/obese people.

Detailed Description

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

In recent years, with the change of people's lifestyle and dietary structure, overweight and obesity have become serious problems threatening public health. During 1975-2016, the worldwide prevalence of overweight and obesity increased year by year. By 2016, about 40% of adults were overweight and obese, of which 2.3% of men and 5.0% of women were severely obese (i.e. body mass index ≥ 35 kg/m²). The number of overweight and obese people in China is growing rapidly. Report on the Nutrition and Chronic Disease Status of Chinese Residents (2020 version) shows that over 50% Chinese obese adults have overweight and obesity. Overweight and obesity have become one of the most serious public health problems in China. Previous studies have found that overweight and obesity are often accompanied by abnormalities of blood glucose, blood pressure and blood lipids, leading to dysfunction of vascular endothelial cells and changes in the structure and function of vascular wall, which are closely related to atherosclerosis. Therefore, early detection of atherosclerosis and timely intervention measures can effectively prevent and reduce the occurrence and development of atherosclerosis.

At present, carotid intima-media thickness (CIMT) can be clinically used to evaluate carotid atherosclerosis, which can evaluate the morphological changes of carotid artery, but it cannot be used to evaluate the stiffness of carotid artery. PWV is the gold standard for evaluating arterial stiffness. However, the conventional PWV measurement method can evaluate the stiffness of long-distance artery. Evaluated outcomes are affected by height and body mass, and therefore, the evaluation accuracy of PWV can be limited.

UFPWV is a novel noninvasive method developed in recent years to evaluate PWV. It can be used to evaluate PWV of local artery. Different from the conventional PWV method, UFPWV has a very high frame rate, up to 2000 frames/s, and can track the movement of arterial wall at specific segments in real time. UFPWV can obtain PWV at the beginning and end of systole by tracking and automatic analysis. In recent years, increasing attention has been paid to the role of UFPWV in the evaluation of carotid artery. UFPWV has been used in the study of carotid arteries in normal people, vascular Ehlers-Danlos syndrome, hypertension, hyperlipidemia, diabetes and other groups.

In the early stage, First Hospital of China Medical University participated in the national multi- center, large-sample trial: multi-center study on normal value of ultrafast pulse wave velocity in Chinese Han adults. The center has accumulated rich experience during the project implementation. The center determined the normal reference value of UFPWV for Chinese Han adults and verified that UFPWV has good measurement repeatability. At the same time, the project team had applied UFPWV technology to study early carotid atherosclerosis in patients with metabolic syndrome and coronary slow flow phenomenon. The results show that UFPWV has been accelerated without marked thickening of CIMT, which preliminarily proves that UFPWV can accurately and sensitively detect early carotid atherosclerosis.

This study aims to evaluate the feasibility of UFPWV in carotid stiffness of overweight and obese people, and correlate overweight/obesity with subclinical atherosclerosis, so as to provide an important theoretical basis for early monitoring and risk assessment of carotid atherosclerosis in overweight/obese people.

Conditions

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

Carotid Artery Diseases

Study Design

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

Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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

obese group

Participants will be assigned to obese group (body mass index 24.0-27.9 kg/m²). Based on the inclusion criteria, 1200 overweight Han people(body mass index 24.0-27.9 kg/m²)and both sexes will be recruited in the analysis. The values of ultrafast pulse wave velocity will be obtained.

Carotid ultrasound examination 1

Intervention Type RADIATION

Participants will be assigned to obese group (body mass index 24.0-27.9 kg/m²). Carotid pulse wave velocity of all participants were measured by ultrafast ultrasound imaging technology using SuperSonic Imagine's explorer ultrasound system.

overweight group

Participants will be assigned to overweight group (body mass index ≥ 28.0 kg/m²). Based on the inclusion criteria, 1200 obese Han people(body mass index ≥28.0 kg/m²) and both sexes will be recruited in the analysis. The values of ultrafast pulse wave velocity will be obtained.

Carotid ultrasound examination 2

Intervention Type RADIATION

Based on the inclusion criteria, 1200 overweight Han people(body mass index ≥28.0 kg/m²) and both sexes will be recruited in the analysis. The values of ultrafast pulse wave velocity will be obtained.

Interventions

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

Carotid ultrasound examination 1

Participants will be assigned to obese group (body mass index 24.0-27.9 kg/m²). Carotid pulse wave velocity of all participants were measured by ultrafast ultrasound imaging technology using SuperSonic Imagine's explorer ultrasound system.

Intervention Type RADIATION

Carotid ultrasound examination 2

Based on the inclusion criteria, 1200 overweight Han people(body mass index ≥28.0 kg/m²) and both sexes will be recruited in the analysis. The values of ultrafast pulse wave velocity will be obtained.

Intervention Type RADIATION

Eligibility Criteria

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

Inclusion Criteria

* Han nationality;
* Age ≥18 - 80 years;
* Body mass index ≥ 24 kg/m²;
* Blood pressure ≥ 90/60 mmHg (1 mmHg = 0.133 kPa);
* Fasting blood glucose level ≥ 3.9 mmol/L;
* No abnormality in cardiovascular and respiratory system found by physical examination;
* Normal findings in routine blood test, routine urine test, liver function and kidney function;
* No history of cardiovascular disease, respiratory system disease, liver and kidney disease except hypertension, diabetes or hyperlipidemia;
* Electrocardiogram examination showed no arrhythmia or myocardial infarction;
* No structural cardiac abnormalities (such as moderate or above cardiac valve regurgitation, abnormal ventricular wall motion, congenital heart disease, cardiomyopathy, pericardial lesions) were found by echocardiography, and left ventricular ejection fraction ≥ 53%;
* No marked abnormality in ultrasonography of the liver, gallbladder, pancreas, spleen and kidney;
* Normal findings in carotid ultrasound examination.

Exclusion Criteria

* Hepatorenal insufficiency;
* Respiratory diseases: Acute or chronic respiratory diseases;
* Large artery diseases: aortic dilatation, aortic dissection, aortic coarctation, multiple Takayasu arteritis, etc;
* Special diseases: history of malignant tumor, acute or chronic infection, moderate to severe anemia, disability or mental disorder, autoimmune diseases, acquired immunodeficiency syndrome, etc;
* Pregnant or lactating women;
* Recent history of surgery and trauma;
* Organ transplant;
* Poor ultrasonic image quality, which cannot meet analysis requirement.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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

First Hospital of China Medical University

OTHER

Sponsor Role lead

Responsible Party

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

Chunyan Ma

Chief of Cardiovascular Ultrasound

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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

Chunyan Ma, Ph.D

Role: PRINCIPAL_INVESTIGATOR

the First Hospital of China Medical Univeristy

Locations

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

Beijing Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Chongqing Three Gorges Central Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Guangdong Province Hospital of Chinese Medicine

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangzhou Panyu Central Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

the Fifth Affiliated Hospital of Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Hebei General Hospital

Shijiazhuang, Hebei, China

Site Status RECRUITING

the First Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

Henan Provincial People's Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Xiangyang No.1 Peoples Hospital

Xiangyang, Hubei, China

Site Status RECRUITING

Affiliated Hospital of Nanjing University of Chinese Medicine

Nanjing, Jiangsu, China

Site Status RECRUITING

Jiangsu Province Official Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Dalian Municipal Central Hospital

Dalian, Liaoning, China

Site Status RECRUITING

the First Affiliated Hospital of Jinzhou Medical University

Jinzhou, Liaoning, China

Site Status RECRUITING

Affiliated Central Hospital of Shenyang Medical College

Shenyang, Liaoning, China

Site Status RECRUITING

Shengjing Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

Xi'an Daxing Hospital

Xi'an, Shaanxi, China

Site Status RECRUITING

Binzhou Medical University Hospital

Binzhou, Shandong, China

Site Status RECRUITING

Yuechi People's Hospital

Guang’an, Sichuan, China

Site Status RECRUITING

People's Hospital of Leshan

Leshan, Sichuan, China

Site Status RECRUITING

Jiangyou People's Hospital

Mianyang, Sichuan, China

Site Status RECRUITING

NHC Key Laboratory of Hormones and Development, CHU Hsien-i Memorial Hospital and Tianjin Institute of Endocrinology

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Gejiu People's Hospital

Gejiu, Yunnan, China

Site Status RECRUITING

Countries

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

China

Central Contacts

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

Chunyan Ma, Ph.D

Role: CONTACT

13998816448

Facility Contacts

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

Weide Dai, Ph.D

Role: primary

Qiang Wu, Bachelor

Role: primary

Jianxing Zhang, Ph.D

Role: primary

Yuqing Chen, Master

Role: primary

Jianmin Qiu, Bachelor

Role: primary

Li Li, Ph.D

Role: primary

Yandong Deng, M.D

Role: primary

Jianjun Yuan, M.D

Role: primary

Yu Wang, Ph.D

Role: primary

Yiyun Wu, M.D

Role: primary

Xuezhong Jiang, M.D

Role: primary

Xiaofang Pan, M.D

Role: primary

Yuhong Li, Ph.D

Role: primary

Minghui Xiang, M.D

Role: primary

Weidong Ren, Ph.D

Role: primary

Jinzhuo Yue, M.D

Role: primary

Guanghe Cui, M.D

Role: primary

Cunjun Yin, Master

Role: primary

Ying Liu, M.D

Role: primary

Xiaodong Zhao, Master

Role: primary

Lei Gao, M.D

Role: primary

Jianwei Sun, Ph.D

Role: primary

Other Identifiers

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

CO-UFPWV-01

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

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

China Health Big Data
NCT03699228 RECRUITING
Sympathetic Activation in Obesity
NCT04946552 COMPLETED NA