ClinicalTrials.gg
CompletedNCT03466255VIBEUpdated Jun 9, 2022

Early Detection of Cardiovascular Disease

An observational study in Atheroma, Cardiac Disease and Vascular Diseases, sponsored by Dr. Amer Johri. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-06-09.

Sponsored by Dr. Amer Johri · Observational

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
610
Ages
18 Years and older
Sex
All
01

Study summary

The investigators plan to evaluate the correlation between carotid plaque enhancement on Contrast-enhanced ultrasound (CEUS), significant coronary artery disease (CAD), and cardiovascular (CV) outcomes in a systematic manner. The investigators hypothesize that increased levels of CEUS-detected vulnerable carotid plaque will be predictive of CV risk determined by angiography and future cardiovascular events.

Read the detailed description

Study Design: The investigators will conduct a prospective, single-center, observational study at the Cardiovascular Imaging Network at Queen's (CINQ, www.CINQLab.com). This facility allows a CEUS protocol to be conducted on the same day as the angiogram. It is anticipated that 100 participants can be recruited per month with a total target enrolment of up to 1000 participants.

Objectives

  1. To determine the test characteristics (sensitivity, specificity, negative/positive predictive values) of carotid plaque by CEUS (Definity(R)) for predicting significant CAD (≥50% stenosis) in participants referred for angiography
  2. To determine the test characteristics (sensitivity, specificity, predictive values) of carotid plaque by CEUS for predicting future CV events, such as death, stroke, myocardial infarction, and cardiovascular interventions.
02

Conditions studied

  • Atheroma
  • Cardiac Disease
  • Vascular Diseases
  • Atherosclerosis
  • Myocardial Infarction
  • Acute Coronary Syndrome
03

In context

Plaque, Atherosclerotic

105 studies on the registry are indexed under Plaque, Atherosclerotic; 27 are open to participants now.

This study's enrollment of 610 is above the median of 146 across 50 observational studies indexed under Plaque, Atherosclerotic.

Browse Plaque, Atherosclerotic studies →

Lead sponsor

Dr. Amer Johri is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects referred for outpatient coronary angiography will be screened for inclusion.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. >18 years of age
  2. Outpatients referred for clinically indicated angiography for assessment of CAD
  3. Low - Intermediate Framingham risk (\<20%)
  4. Absence of clinical to angiography
  5. Able and willing to give

Exclusion criteria

Exclusion criteria:

  1. Patients presenting with acute coronary syndrome
  2. Patients with previously known significant CAD (any lesion >50%) or percutaneous coronary intervention or coronary artery bypass surgery
  3. Previous carotid surgery or angioplasty
  4. Documented allergy to echo contrast
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
610 participants (actual)
Patient registry
No

Groups and cohorts

  • Cardiac outpatients

    Subjects referred for outpatient coronary angiography.

    Other: Ultrasound

Interventions

  • OtherUltrasound

    Contrast-enhanced ultrasound (CEUS)

    Also known as: Contrast injection - Definity(R)

06

What researchers measure

Primary outcomes

  1. Maximum Plaque Height (physiological parameter)

    Caliper measurement of carotid plaque height on ultrasound images, using GE EchoPAC software. The maximum height of either side will be used to correlate to severity of angiographic CAD and neovascularization score.

    Time frame: 4 years

  2. Total Plaque Area (physiological parameter)

    Area measurement of carotid plaque on ultrasound images (right + left side), using GE EchoPAC software. The total plaque area will be used to correlate to severity of angiographic CAD and neovascularization score.

    Time frame: 4 years

  3. Neovascularization (contrast enhancement intensity) (physiological parameter)

    A neovascularization score will be used to grade the "activity" of the carotid plaque per participants and be correlated to angiographic CAD, visualized and manually counted using GE EchoPAC software.

    Time frame: 4 years

  4. Contrast wash-in time (physiological parameter)

    Time of contrast entering the plaque will be assessed to see if it correlates to severity of angiographic CAD, using GE EchoPAC software.

    Time frame: 4 years

Secondary outcomes

  1. Participants CV outcome follow-up (data linkage through the Institute for Clinical Evaluative Sciences: ICES)

    Participants will be followed for major adverse cardiac event over 5 years. Number of events will be correlated to carotid plaque measurements.

    Time frame: 5 years

07

Study locations

1 site
  • Queen's University, Cardiovascular Imaging Network at Queen's (CINQ), Kingston General Hospital
    Kingston, Ontario K7L 3N6, Canada
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2016 to primary completion in Jun 2021, 54 months.

Of 31 observational studies under Plaque, Atherosclerotic, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 105. This study's 54 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 27, 2018
First posted
Mar 15, 2018
StartActual
Dec 6, 2016
Primary completionActual
Jun 8, 2021
CompletionActual
Jan 11, 2022
Last update
Jun 9, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 9, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03466255
Lead sponsor
Dr. Amer Johri
Responsible party
Dr. Amer Johri (Associate Professor, Kingston Health Sciences Centre) — Sponsor-investigator
First posted
Mar 15, 2018
Start date
Dec 6, 2016
Primary completion
Jun 8, 2021
Completion
Jan 11, 2022
Last update
Jun 9, 2022

Study contacts

Amer M Johri, MD
principal investigator · Kingston Health Sciences Centre

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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