Investigating Multimodally Endothelial Dysfunction in Ocular and Systemic Disease

NCT ID: NCT06485128

Last Updated: 2024-07-03

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

NA

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-06

Study Completion Date

2024-12-31

Brief Summary

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To explore the distribution of retinal vasculature parameters in patients with different subtypes of cardiovascular and ocular disease.

Detailed Description

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In this interventional cohort study, the investigators aim to evaluate retinal vascular function as assessed by optical coherence tomography angiography, fundus photography and dynamic vessel analysis in patients who share microvascular involvement of their pathology (e.g. chronic kidney disease, cardiac decompensation, neuronal small vessel disease and glaucoma) and age-matched healthy controls. Plasm and skin samples for comparative proteomics and transcriptomics are also taken.

Conditions

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Kidney Diseases Diastolic Heart Failure Small Vessel Disease Glaucoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Chronic kidney disease

Group Type OTHER

Optical coherence tomography(-angiography) OCT(A)

Intervention Type DIAGNOSTIC_TEST

OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood.

Fundus pictures

Intervention Type DIAGNOSTIC_TEST

Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue)

DVA 3.0

Intervention Type DIAGNOSTIC_TEST

IMEDOS GmbH

Hyperspectral retinal images

Intervention Type DIAGNOSTIC_TEST

Ximea SNm4x4 hyperspectral snapshot camera

SphygmoCor

Intervention Type DIAGNOSTIC_TEST

Sphygmocor Excell

Sphygmomanometer

Intervention Type DIAGNOSTIC_TEST

For the measurement of the blood pressure.

Blood sample

Intervention Type DIAGNOSTIC_TEST

For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA).

Skin biopsy

Intervention Type DIAGNOSTIC_TEST

Spatial proteomics and transcriptomics for endothelial function.

Neuropsychological examination

Intervention Type DIAGNOSTIC_TEST

Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS

Diastolic heart failure

Group Type OTHER

Optical coherence tomography(-angiography) OCT(A)

Intervention Type DIAGNOSTIC_TEST

OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood.

Fundus pictures

Intervention Type DIAGNOSTIC_TEST

Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue)

DVA 3.0

Intervention Type DIAGNOSTIC_TEST

IMEDOS GmbH

Hyperspectral retinal images

Intervention Type DIAGNOSTIC_TEST

Ximea SNm4x4 hyperspectral snapshot camera

SphygmoCor

Intervention Type DIAGNOSTIC_TEST

Sphygmocor Excell

Sphygmomanometer

Intervention Type DIAGNOSTIC_TEST

For the measurement of the blood pressure.

Blood sample

Intervention Type DIAGNOSTIC_TEST

For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA).

Skin biopsy

Intervention Type DIAGNOSTIC_TEST

Spatial proteomics and transcriptomics for endothelial function.

Neuropsychological examination

Intervention Type DIAGNOSTIC_TEST

Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS

Neuronal small vessel disease

Group Type OTHER

Optical coherence tomography(-angiography) OCT(A)

Intervention Type DIAGNOSTIC_TEST

OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood.

Fundus pictures

Intervention Type DIAGNOSTIC_TEST

Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue)

DVA 3.0

Intervention Type DIAGNOSTIC_TEST

IMEDOS GmbH

Hyperspectral retinal images

Intervention Type DIAGNOSTIC_TEST

Ximea SNm4x4 hyperspectral snapshot camera

SphygmoCor

Intervention Type DIAGNOSTIC_TEST

Sphygmocor Excell

Sphygmomanometer

Intervention Type DIAGNOSTIC_TEST

For the measurement of the blood pressure.

Blood sample

Intervention Type DIAGNOSTIC_TEST

For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA).

Skin biopsy

Intervention Type DIAGNOSTIC_TEST

Spatial proteomics and transcriptomics for endothelial function.

Neuropsychological examination

Intervention Type DIAGNOSTIC_TEST

Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS

Glaucoma

Group Type OTHER

Optical coherence tomography(-angiography) OCT(A)

Intervention Type DIAGNOSTIC_TEST

OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood.

Fundus pictures

Intervention Type DIAGNOSTIC_TEST

Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue)

DVA 3.0

Intervention Type DIAGNOSTIC_TEST

IMEDOS GmbH

Hyperspectral retinal images

Intervention Type DIAGNOSTIC_TEST

Ximea SNm4x4 hyperspectral snapshot camera

SphygmoCor

Intervention Type DIAGNOSTIC_TEST

Sphygmocor Excell

Sphygmomanometer

Intervention Type DIAGNOSTIC_TEST

For the measurement of the blood pressure.

Blood sample

Intervention Type DIAGNOSTIC_TEST

For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA).

Skin biopsy

Intervention Type DIAGNOSTIC_TEST

Spatial proteomics and transcriptomics for endothelial function.

Neuropsychological examination

Intervention Type DIAGNOSTIC_TEST

Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS

Healthy patients

Group Type OTHER

Optical coherence tomography(-angiography) OCT(A)

Intervention Type DIAGNOSTIC_TEST

OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood.

Fundus pictures

Intervention Type DIAGNOSTIC_TEST

Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue)

DVA 3.0

Intervention Type DIAGNOSTIC_TEST

IMEDOS GmbH

Hyperspectral retinal images

Intervention Type DIAGNOSTIC_TEST

Ximea SNm4x4 hyperspectral snapshot camera

SphygmoCor

Intervention Type DIAGNOSTIC_TEST

Sphygmocor Excell

Sphygmomanometer

Intervention Type DIAGNOSTIC_TEST

For the measurement of the blood pressure.

Blood sample

Intervention Type DIAGNOSTIC_TEST

For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA).

Skin biopsy

Intervention Type DIAGNOSTIC_TEST

Spatial proteomics and transcriptomics for endothelial function.

Neuropsychological examination

Intervention Type DIAGNOSTIC_TEST

Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS

Interventions

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Optical coherence tomography(-angiography) OCT(A)

OCTA is a non-invasive diagnostic tool capable of generating cross-sectional coupes of the retina and choroid. Novel algorithms allow to render a 3-dimensional model of the ocular microcirculation based merely on the motion contrast of the circulating blood.

Intervention Type DIAGNOSTIC_TEST

Fundus pictures

Visucam (Zeiss), Topcon NW8 fundus camera, NFC 600 (Crystalvue)

Intervention Type DIAGNOSTIC_TEST

DVA 3.0

IMEDOS GmbH

Intervention Type DIAGNOSTIC_TEST

Hyperspectral retinal images

Ximea SNm4x4 hyperspectral snapshot camera

Intervention Type DIAGNOSTIC_TEST

SphygmoCor

Sphygmocor Excell

Intervention Type DIAGNOSTIC_TEST

Sphygmomanometer

For the measurement of the blood pressure.

Intervention Type DIAGNOSTIC_TEST

Blood sample

For both routine cardiovascular health biomarkers as well as genetic markers (DNA, mRNA, miRNA).

Intervention Type DIAGNOSTIC_TEST

Skin biopsy

Spatial proteomics and transcriptomics for endothelial function.

Intervention Type DIAGNOSTIC_TEST

Neuropsychological examination

Moca, Stroop color word test, concept shifting test, COWAT, (R)AVLT, Beck depression inventory, GDS

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Adult patients with a confirmed or suspect diagnosis of glaucoma based on intra-ocular eye pressure, visual field defect and structural optic nerve changes, regardless their age.
* Adult patients with chronic kidney disease regardless their age.
* Adult patients with heart failure with preserved ejection fraction (HFpEF), regardless their age: symptomatic heart failure with Left Ventricle Ejection Fraction \> 50% AND BNP \> 35 pg/ml (or NT-proBNP\>125 pg/ml) OR signs of diastolic dysfunction according to the European Society of Cardiology guidelines 2016
* Adult patients with confirmed small vessel disease as is diagnosed on routine neurological imaging, regardless their age.
* People without history or track record of any relevant pathology, including cardiovascular and renal diseases, regardless their age
* Capable and willing to participate (informed consent)

Exclusion Criteria

* Diabetes
* Personal medical history of retinal neovascularization.
* Unable or unwilling to give consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ingeborg Stalmans, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Universitaire Ziekenhuizen KU Leuven

Locations

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Universitaire Ziekenhuizen UZ/KU Leuven

Leuven, Vlaams-Brabant, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Jan Van Eijgen, MD

Role: CONTACT

+32 16 34 56 28

Sarah Spileers, SC

Role: CONTACT

+32 16 34 03 91

Facility Contacts

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Sarah Spileers, SC

Role: primary

+32 16 34 03 91

Other Identifiers

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S63649

Identifier Type: -

Identifier Source: org_study_id

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