ClinicalTrials.gg
Status unknownNCT03498105VECTRAUpdated Mar 15, 2022

Utility of the Cardiac Electrical BiomarkerDisease

An observational study in Acute Chest Syndrome, sponsored by Joanne Turner. Status unknown at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-15.

Sponsored by Joanne Turner · Observational

The sponsor has not verified this record recently (last verified Feb 2022), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
800
Ages
18 Years and older
Sex
All
01

Study summary

This project is aiming to identify the diagnostic utility CEB (Cardiac Electrical Biomarker) in patients who are undergoing cardiac investigations.

Read the detailed description

This project is aiming to identify the diagnostic utility of an ECG derived measurement by a Medical device (Vectraplex by VectraCor ltd) in patients who are undergoing cardiac investigations. This technology is based on the principle of vector ECG and an analysing system that computes a composite score termed a Cardiac Electrical Biomarker (CEB TM).

CEB has been validated in the detection of STEMI with high sensitivity and specificity in the detection ECG changes characteristic to STEMI. The CEB may be a more accurate way of identifying heart injury and causes of chest pain compared to standard tests, which could lead to faster diagnosis and treatment of these patients.

The diagnostic utility of the CEBTM in the following:

  1. Acute chest pain assessment in the A\&E department.
  2. Acute chest pain assessment in the Primary Care Surgery.
  3. Performance of CEB during inducible ischaemia in patients with stable angina
  4. Performance of CEB during acute ischaemia in patients undergoing percutaneous coronary intervention (PCI)
  5. Performance of CEB in patients undergoing cardio-toxic treatment
02

Conditions studied

  • Acute Chest Syndrome

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Keywords

  • Acute Chest Syndrome
03

In context

Acute Chest Syndrome

40 studies on the registry are indexed under Acute Chest Syndrome; 11 are open to participants now.

This study's planned enrollment of 800 is above the median of 133 across 10 observational studies indexed under Acute Chest Syndrome.

Browse Acute Chest Syndrome studies →

Lead sponsor

Joanne Turner is the lead sponsor of 3 studies on the registry; none are 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

Patients undergoing investigations for Ischaemic heart disease and cardio-toxic effects of chemotherapy

Eligibility criteria

  1. Acute chest pain assessment in the Emergency department

    Inclusion criteria

    • Participant is willing and able to give for participation in the study
    • Male or Female, aged 18 years or above

    Exclusion criteria

    The participant may not enter the study if ANY of the following apply:

    • Unable or unwilling to give valid consent for participation in the study
    • Participant has been previously recruited to another module of the VECTRA study
    • Participant has history of allergy to ECG electrode
    • Noisy ECG trace in spite of appropriate preparation and elimination of mains artefact and muscle tremor
    • ECG tracing with a wandering baseline
    • Sustained or non-sustained ventricular/atrial arrhythmia (Ventricular tachycardia, supraventricular tachycardia, atrial fibrillation, bigeminy and trigeminy)
    • QRS duration greater than 120 milliseconds
    • Q waves (except positional Q waves checked by deep inspiration)
    • Suspected Septicaemia, pulmonary embolism or aortic dissection
    • Recent history of trauma to thorax
    • Severe renal impairment with \<30 ml/min
  2. Acute chest pain assessment in the Primary Care Surgery

    Inclusion criteria

    • Participant is willing and able to give informed consent for participation in the study.
    • Male or Female, aged 18 years or above.
    • Participants who have experienced chest pain more than 6 hours but less than 2 weeks of presentation to the surgery

    Exclusion criteria

    The participant may not enter the study if ANY of the following apply:

    • Unable or unwilling to give valid consent for participation in the study
    • Participant has been previously recruited to another module of the VECTRA ECG study
    • Participant has history of allergy to ECG electrode
    • Participants who have experienced 'Acute chest pain', defined as chest pain occurring less than 6 hours prior to presentation at the surgery
    • Participants whose initial Electrocardiogram reveals features compatible of ST elevation Myocardial Infarction
    • Participants whose initial Electrocardiogram reveals a Left Bundle branch block suspected to be of new onset
    • Noisy ECG trace in spite of appropriate preparation and elimination of mains artefact and muscle tremor
    • ECG tracing with a wandering baseline
    • Sustained or non-sustained ventricular/atrial arrhythmia (Ventricular tachycardia, Supraventricular tachycardia, atrial fibrillation, bigeminy and trigeminy)
    • QRS duration greater than 120 milliseconds
    • Q waves (except positional Q waves checked by deep inspiration)
    • Suspected Septicaemia, pulmonary embolism or aortic dissection
    • Recent history of trauma to thorax
    • Severe renal impairment with eGFR \<30ml/min
  3. Performance of CEB during inducible ischaemia in patients with stable angina

    Inclusion criteria

    • Participant is willing and able to give informed consent for participation in the study.
    • Male or Female, aged 18 years or above.

    Exclusion criteria

    The participant may not enter the study if ANY of the following apply:

    • Unable or unwilling to give valid consent for participation in the study
    • Participant has been previously recruited to another module of the VECTRA ECG study
    • Lack of adequate ultrasound acoustic window
    • to undergoing stress test using dobutamine
    • Participant has history of allergy to ECG electrode
    • Noisy ECG trace in spite of appropriate preparation and elimination of mains artefact and muscle tremor
    • ECG tracing with a wandering baseline
    • Sustained or non-sustained ventricular/atrial arrhythmia (Ventricular tachycardia, supraventricular tachycardia, atrial fibrillation, bigeminy and trigeminy)
    • QRS duration greater than 120milliseconds
    • Q waves (except positional Q waves checked by deep inspiration)
    • Suspected Septicaemia, pulmonary embolism or aortic dissection
    • Recent history of trauma to thorax
    • Severe renal impairment with eGFR \<30 ml/min
  4. Performance of CEB during acute ischaemia in patients undergoing percutaneous coronary intervention (PCI)

    Inclusion criteria

    • Participant is willing and able to give informed consent for participation in the study
    • Male or Female, aged 18 years or above
    • Participant diagnosed with stable CAD or stable ACS (unstable angina or NSTEMI with no pulmonary oedema or cardiogenic shock at the time of recruitment)
    • Participant with Single vessel coronary artery disease or multi- vessel disease for target vessel PCI

    Exclusion criteria

    The participant may not enter the study if ANY of the following apply:

    • Unable or unwilling to give valid consent for participation in the study
    • Participant has been previously recruited to another module of the VECTRA ECG study
    • Participant has history of allergy to ECG electrode
    • Participants known to have multi-vessel coronary artery disease with one or more Chronic Total Occlusive lesions
    • Severe Left main coronary artery stenosis
    • Noisy ECG trace in spite of appropriate preparation and elimination of mains artefact and muscle tremor
    • ECG tracing with a wandering baseline
    • Sustained or non-sustained ventricular/atrial arrhythmia (Ventricular tachycardia, supraventricular tachycardia, atrial fibrillation, bigeminy and trigeminy)
    • QRS duration greater than 120 milliseconds
    • Q waves (except positional Q waves checked by deep inspiration)
    • Suspected Septicaemia, pulmonary embolism or aortic dissection
    • Recent history of trauma to thorax
    • Severe renal impairment with eGFR \<30 ml/min
  5. Performance of CEB in patients undergoing cardio-toxic treatment (type 1 and type 2 cytostatic based treatments of haemo-oncological patients

Inclusion criteria

  • Participant is willing and able to give informed consent for participation in the study.
  • Male or Female, aged 18 years or above.
  • Participants who have been given a diagnosis of cancer and are being commenced on a chemotherapeutic drug deemed to be cardio-toxic

Exclusion criteria

The participant may not enter the study if ANY of the following apply:

  • Unable or unwilling to give valid consent for participation in the study
  • Participant has been previously recruited to another module of the VECTRA ECG study
  • Participant has history of allergy to ECG electrode
  • Participants previously diagnosed with Cardiomyopathy or Heart failure
  • Lack of adequate ultrasound acoustic window
  • Noisy ECG trace in spite of appropriate preparation and elimination of mains artefact and muscle tremor
  • ECG tracing with a wandering baseline
  • Sustained or non-sustained ventricular/atrial arrhythmia (Ventricular tachycardia, supraventricular tachycardia, atrial fibrillation, bigeminy and trigeminy)
  • QRS duration greater than 120milliseconds
  • Q waves (except positional Q waves checked by deep inspiration)
  • Suspected Septicaemia, pulmonary embolism or aortic dissection
  • Recent history of trauma to thorax
  • Severe renal impairment with eGFR \<30ml/min
Terms in these criteria, in plain language(4)

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.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
800 participants (estimated)
Patient registry
No

Groups and cohorts

  • Emergency Department (ED)

    450-500 participants who will; 1. self present to the Emergency Department (ED) will chest pain 2. be brought in by ambulance to ED with acute chest pain 3. be referred from Primary care or Urgent care centre with cardiac sounding chest pain

  • Community Cardiology Service (CCS)

    This study group will consist of between 80-100 participants who self present to the Community Cardiology Service (CCS) in Milton Keynes primary care surgery

  • Participants with stable angina

    This study group will consist of 450-500 participants with stable angina who have been referred for Stress Echocardiography.

  • Elective Coronary Angioplasty

    This study group will consist of between 50-100 participants who will have been referred for elective coronary angioplasty

  • Cardio-toxic Chemotherapy

    Consecutive patients being initiated on any of the following medication deemed as cardio toxic and requiring cardiac function will be approached to be recruited into the study.

  • Invasive Coronary Angiography

    The dynamics and performance characteristics of the CEB during acute coronary occlusion in patients undergoing invasive coronary angiography.

06

What researchers measure

Primary outcomes

  1. Diagnostic accuracy of CEB in detecting myocardial injury

    Metrics: sensitivity, specificity, PPV, NPV

    Time frame: Day 1

Secondary outcomes

  1. Correlation between CEB and cardiovascular mortality

    Cardiovascular death

    Time frame: 30 days and 12 months

  2. Correlation between CEB and non-fatal myocardial infarction

    Non-fatal myocardial infarction

    Time frame: 30 days and 12 months

  3. Correlation between CEB and readmission with progressive angina

    Readmission with angina after index admission

    Time frame: 30 days and 12 months

  4. Relationship between CEB and need for revascularisation

    Revascularisation (surgery or Percutaneous Coronary Intervention) from index admission

    Time frame: 30 days and 12 months

07

Study locations

1 of 1 sites recruiting
  • Milton Keynes University Hospital NHS Foundation Trust
    Milton Keynes, Bucks MK6 5LD, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2017 (actual). Primary completion is estimated for Jun 2023, 73 months after the start.

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

Registered
Sep 8, 2017
First posted
Apr 13, 2018
StartActual
May 22, 2017
Primary completionEst.
Jun 30, 2023
CompletionEst.
Jun 30, 2023
Last update
Mar 15, 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 Mar 15, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03498105
Lead sponsor
Joanne Turner
Responsible party
Joanne Turner (Academic Research Coordinator, Milton Keynes University Hospital NHS Foundation Trust) — Sponsor-investigator
First posted
Apr 13, 2018
Start date
May 22, 2017
Primary completion
Jun 30, 2023 (estimated)
Completion
Jun 30, 2023 (estimated)
Last update
Mar 15, 2022

Study contacts

Antoanela Colda
Contact
antoanela.colda@mkuh.nhs.uk
0044 1908 995136
Joanne Turner
Contact
joanne.turner@mkuh.nhs.uk
01908995136
Attila kardos
principal investigator · Milton Keynes University Hospital NHS Foundation Trust

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 status unknown, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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