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Exploratory Study of Coronary Flow Reserve Measurements, a Non-Invasive Method for Coronary Function Measurements

Primary Purpose

Atherosclerosis, Inflammatory Activity in Coronary Arteries

Status
Completed
Phase
Early Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
Rosuvastatin
Placebo
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Atherosclerosis focused on measuring TTDE-CFR, coronary artery function, cardiovascular biomarkers, rosuvastatin, Crestor

Eligibility Criteria

45 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males aged 45-75 years or females aged 60-75 years inclusive
  • Carotid and/or femoral atherosclerotic plaque, as assessed by carotid ultrasound examination within the last 5 years
  • Abnormal concentrations of lipids or lipoproteins in the blood
  • Provision of signed informed consent

Exclusion Criteria:

  • Treatment with statins or other lipid-lowering drugs, e.g. fibrates, nicotinic acid, cholesterol absorption inhibitor, within the last 6 months before randomisation
  • Current smoking or snuff tobacco use
  • Major CV event (myocardial infarction (MI), stroke/ transitory ischemic attack (TIA), Acute Coronary Syndrome (ACS), revascularisation) within the last 6 months before randomisation
  • Symptomatic carotid stenosis, atrioventricular (AV) block, QT-prolongation, atrial fibrillation, sinus node disease (such as sick sinus syndrome or symptomatic bradycardia), chronic obstructive pulmonary disease (COPD) or asthma

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

Change in CFR peak velocity within rosuvastatin group after 1 month of treatment compared to baseline
Comparison of treatment effects on CFR peak velocities between groups after 1 month of treatment

Secondary Outcome Measures

Changes in CFR peak velocity within the rosuvastatin group after 3 months compared to baseline and to 1 month
Changes in other CFR parameters after one month rosuvastatin or placebo treatment; comparisons within groups and between groups
Changes in plasma lipids, lipoproteins and other cardiovascular biomarkers after 1 month of treatment with rosuvastatin or placebo; comparisons within groups and between groups

Full Information

First Posted
October 30, 2008
Last Updated
June 29, 2009
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT00783042
Brief Title
Exploratory Study of Coronary Flow Reserve Measurements, a Non-Invasive Method for Coronary Function Measurements
Official Title
A Randomised, Double-Blind, Placebo-Controlled Study to Evaluate the Transthoracic Doppler Echocardiography Method as a Non-Invasive Method for Coronary Function Measurements; Ability to Detect Short-Term Statin Effects in Patients With Increased Cardiovascular Risk
Study Type
Interventional

2. Study Status

Record Verification Date
June 2009
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
May 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
AstraZeneca

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to investigate whether the non-invasive ultrasound method for assessment of coronary blood flow, transthoracic Doppler echocardiography-coronary flow reserve (TTDE-CFR), can be used to measure drug effects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atherosclerosis, Inflammatory Activity in Coronary Arteries
Keywords
TTDE-CFR, coronary artery function, cardiovascular biomarkers, rosuvastatin, Crestor

7. Study Design

Primary Purpose
Basic Science
Study Phase
Early Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Active Comparator
Arm Title
2
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
Rosuvastatin
Other Intervention Name(s)
Crestor
Intervention Description
40 mg, tablet, oral, once daily for 1 (double blind) +2 months (open).
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Tablet, oral, once daily for 1 month (double blind)
Primary Outcome Measure Information:
Title
Change in CFR peak velocity within rosuvastatin group after 1 month of treatment compared to baseline
Time Frame
Baseline and after 1 month of treatment
Title
Comparison of treatment effects on CFR peak velocities between groups after 1 month of treatment
Time Frame
Baseline and after 1 month of treatment
Secondary Outcome Measure Information:
Title
Changes in CFR peak velocity within the rosuvastatin group after 3 months compared to baseline and to 1 month
Time Frame
Bseline, after 1 month and after 3 months of treatment
Title
Changes in other CFR parameters after one month rosuvastatin or placebo treatment; comparisons within groups and between groups
Time Frame
Baseline and after 1 month of treatment
Title
Changes in plasma lipids, lipoproteins and other cardiovascular biomarkers after 1 month of treatment with rosuvastatin or placebo; comparisons within groups and between groups
Time Frame
Baseline and after 1 month of treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
45 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males aged 45-75 years or females aged 60-75 years inclusive Carotid and/or femoral atherosclerotic plaque, as assessed by carotid ultrasound examination within the last 5 years Abnormal concentrations of lipids or lipoproteins in the blood Provision of signed informed consent Exclusion Criteria: Treatment with statins or other lipid-lowering drugs, e.g. fibrates, nicotinic acid, cholesterol absorption inhibitor, within the last 6 months before randomisation Current smoking or snuff tobacco use Major CV event (myocardial infarction (MI), stroke/ transitory ischemic attack (TIA), Acute Coronary Syndrome (ACS), revascularisation) within the last 6 months before randomisation Symptomatic carotid stenosis, atrioventricular (AV) block, QT-prolongation, atrial fibrillation, sinus node disease (such as sick sinus syndrome or symptomatic bradycardia), chronic obstructive pulmonary disease (COPD) or asthma
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Björn Fagerberg, MD, Professor
Organizational Affiliation
Wallenberg LaboratorySahlgrenska University Hospital, S-413 45 Göteborg
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Maria Leonsson-Zachrissson, MD
Organizational Affiliation
AstraZeneca R&D Mölndal
Official's Role
Study Chair
Facility Information:
Facility Name
Research Site
City
Goteborg
Country
Sweden

12. IPD Sharing Statement

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Exploratory Study of Coronary Flow Reserve Measurements, a Non-Invasive Method for Coronary Function Measurements

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