Tryptase and Coronary Heart Disease
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The main aim of this study will evaluate differences in serum levels of tryptase in study population. Will be selected a number of 350 patients hospitalized for coronary heart disease.
Condition |
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Acute Coronary Syndrome With ST Elevation on Electrocardiogram Acute Coronary Syndrome Without ST Elevation on Electrocardiogram Noncritical Coronary Artery Disease With Coronary Stenosis <50% Aortic Aneurysms |
Study Type: | Observational |
Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
Official Title: | Evaluation of Tryptase as a Biomarker of Coronary Heart Disease |
- serum level of tryptase as a biomarker in coronary [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]dose level of serum tryptase already performed by venipuncture from diagnostic practices
- Tryptase and major cardiovascular events [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]correlation between the level of tryptase and probable major cardiovascular events (death, myocardial infarction or reinfarction and stroke)
- Tryptase and major cardiovascular events [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]cut-off level of tryptase distinguishing between the study population and identified individuals at risk of major cardiovascular events
Biospecimen Retention: Samples Without DNA
Venous blood
Estimated Enrollment: | 350 |
Study Start Date: | July 2012 |
Estimated Study Completion Date: | July 2013 |
Estimated Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
Groups/Cohorts |
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Tryptase
Patients with clinical manifestations have been discovered and documented symptoms of coronary heart
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Detailed Description:
A series of scientific studies have evaluated the tryptase as a biomarker of coronary plaque instability, in the course of ischemic heart disease. Among these, the most recent and 'outcome' is better defined by Meixiang Xiang study, which has been conducted in 2011 on 270 patients. This study evaluated and compared the levels of tryptase in four populations:
- acute myocardial infarction (31 subjects)
- unstable angina (108 subjects)
- stable angina (36 subjects)
- coronary artery disease with coronary stenosis <50% (95 subjects). In this Chinese population the final evaluations have led to define the tryptase as a marker independent of instability of the atheromatous plaque.
In reference to the fact that there is still some correlation between tryptase and coronary plaque instability and clinical symptoms, we propose a verification study of the role of tryptase as a biomarker in acute coronary conditions by studying a large population of Italian subjects in the acute phase of pathology and follow up.
The work will be conducted on 4 patient population:
- acute coronary syndrome with ST elevation on electrocardiogram;
- acute coronary syndrome without ST elevation on electrocardiogram (acute myocardial infarction with ST-segment depression on electrocardiogram and unstable angina)
- noncritical coronary artery disease with coronary stenosis <50%;
- aortic aneurysms. Secondary endpoints will evaluate the role of tryptase in the event of major cardiovascular events.
Ages Eligible for Study: | 18 Years to 80 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Italian subjects in the acute phase of disease and follow up. The work will be on 4 patient populations:
- sindrome coronary acute ST elevation on electrocardiogram
- sindrome ACS without ST elevation on electrocardiogram (acute myocardial infarction with ST-segment depression on electrocardiogram and unstable angina)
- malattia critical coronary artery stenosis <50%
- aneurismi aorta.
Inclusion Criteria:
- male and female subjects aged 18 to 80 years
- patients with clinical manifestations have been discovered and documented symptoms of coronary heart disease
- all patients with these characteristics will necessarily have to sign the informed consent for inclusion in the study
Exclusion Criteria:
- patients with allergy symptoms in place (hives, uncontrolled asthma) autoimmune diseases, mastocytosis, hypereosinophilia, myelodysplastic syndrome, cancer, kidney failure
- those who deny consent to participate
Contact: Elide Anna Pastorello, MD, Professor | +39026444 ext 4414 | elide.pastorello@ospedaleniguarda.it |
Contact: Laura M Losappio, MD | +39026444 ext 4414 | laura.losappio@ospedaleniguarda.it |
Principal Investigator: | Elide Anna Pastorello, MD, Professor | Azienda Ospedaliera Ospedale Niguarda Ca' Granda |
No publications provided
Responsible Party: | Niguarda Hospital |
ClinicalTrials.gov Identifier: | NCT01618279 History of Changes |
Other Study ID Numbers: | 193_05/2012 |
Study First Received: | June 11, 2012 |
Last Updated: | June 12, 2012 |
Health Authority: | Italy: Ethics Committee |
Keywords provided by Niguarda Hospital:
tryptase coronary stemi nstemi |
Additional relevant MeSH terms:
Aneurysm Aortic Aneurysm Coronary Artery Disease Myocardial Ischemia Coronary Disease Heart Diseases Coronary Stenosis Acute Coronary Syndrome Vascular Diseases |
Cardiovascular Diseases Aortic Diseases Arteriosclerosis Arterial Occlusive Diseases Angina Pectoris Chest Pain Pain Signs and Symptoms |
ClinicalTrials.gov processed this record on October 17, 2012