CClinicalTrials.gg
CompletedNCT05841719UNISCREENUpdated Mar 6, 2024

Universal Capillary Screening for Chronic Autoimmune, Metabolic and Cardiovascular Diseases: Feasibility and Acceptability Pilot Study.

An interventional study of Screening test in Cardiovascular Risk Factors and Autoimmune Diseases, sponsored by Emanuele Bosi. Completed at 1 site in Italy. Per ClinicalTrials.gov, last updated 2024-03-06.

Sponsored by Emanuele Bosi · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
1,535
Allocation
Not applicable
Sex
All
01

Study summary

This study represents a model for a public health program based on a general population screening for the most prevalent chronic metabolic, cardiovascular and autoimmune diseases across adulthood, childhood and adolescence. The main purpose is to assess feasibility and acceptability of using a capillary screening for this purpose. Secondly, it will be possibile to identify people at increased risk of developing one of these health conditions as well as those who are at pre-symptomatic clinical stages. Risk assessment is needed to identify prevention strategies; early diagnosis allows to start early treatment interventions aimed at reducing lifetime complications.This interventional study will enroll volunteers from Cantalupo, a locality belonging to the Municipality of Cerro Maggiore (Milan). Participants will be offered to undergo two capillary blood sampling to test blood glucose levels, glycated haemoglobin, total cholesterol, HDL-c, LDL-c, triglycerides and specific antibodies for type 1 diabetes and celiac disease. In case a participant screens positive for type I diabetes and/or celiac disease, they will be subsequently invited to undergo a new confirmatory blood draw on venous blood. Blood pressure will be also measured for each participant

Read the detailed description

This is a low-risk, single-center, interventional study, assessing whether capillary screening for an early staging of the most prevalent chronic metabolic, cardiovascular and autoimmune diseases is feasible at a population-based level. The study will enroll volunteers from Cantalupo, a locality of 3095 inhabitants belonging to the Municipality of Cerro Maggiore (Milan). The main purpose is to assess feasibility and acceptability of using this public intervention. Secondary outcomes are: (i) measurement of the specific disease markers; (ii) estimation of the prevalence of the identified diseases within the population; (iii) estimation of the prevalence of the identified diseases across age classes; (iv) correlation of study disease indicators with demographics, anthropometrics and clinical data of the population , v) multiparametric risk assessment. Participants will be offered to undergo a capillary blood sampling to test blood glucose levels, glycated haemoglobin, total cholesterol , HDL-c, LDL-c, triglycerides, Glutamic Acid Decarboxylase (GADA), Insulinoma-Associated-2/Tyrosine Phosphatase (IA-2A), Insulin (IAA), Zinc Transporter-8 Autoantibodies (ZnT8A) for type I diabetes and tissue transglutaminase antibodies for celiac disease. Glucose and lipid blood levels will be detected at the time of the screening. The results of autoantibodies research for celiac disease and type 1 diabetes will be available within a few days. In case a participant screens positive for type I diabetes and/or celiac disease, they will be subsequently invited to undergo a new confirmatory blood draw on venous blood. Blood pressure will be also measured for each participant.

02

Conditions studied

  • Cardiovascular Risk Factors
  • Autoimmune Diseases
03

In context

Cardiovascular Diseases

4,904 studies on the registry are indexed under Cardiovascular Diseases; 919 are open to participants now.

This study's enrollment of 1,535 is above the median of 100 across 2,738 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Emanuele Bosi is the lead sponsor of 2 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
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Residency in Cantalupo, locality of the Municipality of Cerro Maggiore (MI)
  • Age between 1 and 100 years
  • Ability to understand the purpose of the project and to sign the informed consent.

Exclusion criteria

Exclusion criteria:

No exclusion criteria.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1,535 participants (actual)

Study arms

  • Other
    Population from Cantalupo, locality of the Municipality of Cerro Maggiore (MI).

    capillary sampling and questionnaires to test feasibility and acceptability

    Other: Screening test

Interventions

  • OtherScreening test

    Capillary blood sampling by finger-prick devices and second confirmatory venous sampling when needed.

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What researchers measure

Primary outcomes

  1. feasibility and acceptability

    To assess feasibility and acceptability of the screening program

    Time frame: through study completion, an average of 1 year

  2. blood glucose and lipids level (mg/dl)

    Capillary blood sampling will be performed by finger-prick devices.

    Time frame: through study completion, an average of 1 year

  3. IAA, GADA65, ZnT8, IA2 autoantibodies (U/ml)

    Capillary blood sampling will be performed by finger-prick devices.

    Time frame: within a few days

  4. anti-transglutaminase autoantibodies (UA)

    Capillary blood sampling will be performed by finger-prick devices.

    Time frame: through study completion, an average of 1 year

  5. systolic and diastolic blood pressure (mmHg)

    Blood pressure measurement will be performed through a sphygmomanometer.

    Time frame: through study completion, an average of 1 year

  6. HbA1c (mmol/mol)

    Glycated hemoglobin will be measured by finger-prick devices.

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
  • Scuola dell'Infanzia Comunale Don Angelo Luzzini
    Cantalupo, Milan, Italy
08

References and documents

Publications

  • Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Back M, Benetos A, Biffi A, Boavida JM, Capodanno D, Cosyns B, Crawford C, Davos CH, Desormais I, Di Angelantonio E, Franco OH, Halvorsen S, Hobbs FDR, Hollander M, Jankowska EA, Michal M, Sacco S, Sattar N, Tokgozoglu L, Tonstad S, Tsioufis KP, van Dis I, van Gelder IC, Wanner C, Williams B; ESC National Cardiac Societies; ESC Scientific Document Group. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021 Sep 7;42(34):3227-3337. doi: 10.1093/eurheartj/ehab484. No abstract available. Erratum In: Eur Heart J. 2022 Nov 7;43(42):4468. doi: 10.1093/eurheartj/ehac458. PubMed 34458905 ↗
  • Ziegler AG, Hoffmann GF, Hasford J, Larsson HE, Danne T, Berner R, Penno M, Koralova A, Dunne J, Bonifacio E. Screening for asymptomatic beta-cell autoimmunity in young children. Lancet Child Adolesc Health. 2019 May;3(5):288-290. doi: 10.1016/S2352-4642(19)30028-8. Epub 2019 Feb 10. No abstract available. PubMed 30745054 ↗
  • Ziegler AG, Kick K, Bonifacio E, Haupt F, Hippich M, Dunstheimer D, Lang M, Laub O, Warncke K, Lange K, Assfalg R, Jolink M, Winkler C, Achenbach P; Fr1da Study Group. Yield of a Public Health Screening of Children for Islet Autoantibodies in Bavaria, Germany. JAMA. 2020 Jan 28;323(4):339-351. doi: 10.1001/jama.2019.21565. PubMed 31990315 ↗
  • US Preventive Services Task Force; Bibbins-Domingo K, Grossman DC, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, Ebell M, Epling JW Jr, Herzstein J, Kemper AR, Krist AH, Kurth AE, Landefeld CS, Mangione CM, Phipps MG, Silverstein M, Simon MA, Tseng CW. Screening for Celiac Disease: US Preventive Services Task Force Recommendation Statement. JAMA. 2017 Mar 28;317(12):1252-1257. doi: 10.1001/jama.2017.1462. PubMed 28350936 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05841719
Lead sponsor
Emanuele Bosi
Collaborators
Italian Diabetes Foundation
Responsible party
Emanuele Bosi (MD, Professor of Internal Medicine, Head, General Medicine, Diabetes & Endocrinology, IRCCS San Raffaele) — Sponsor-investigator
First posted
May 3, 2023
Start date
Apr 22, 2023
Primary completion
Dec 31, 2023
Completion
Jan 1, 2024
Last update
Mar 6, 2024

Study contacts

Emanuele Bosi, MD
principal investigator · San Raffaele Institute

Oversight

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 Mar 2024. You cannot join it, but the record below documents what was studied.

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