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CompletedNCT06463275HEAT-3Updated Jan 26, 2026

SpinChip Hs-cTnI Determination of the 99th Percentile URL

An observational study in Acute Myocardial Infarction, sponsored by SpinChip Diagnostics ASA. Completed at 4 sites in Sweden. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-26.

Sponsored by SpinChip Diagnostics ASA · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
1,355
Ages
18 Years to 80 Years
Sex
All
01

Study summary

During a heart attack, the protein troponin I is released from the heart muscle into the bloodstream. Measurements of cardiac troponin in blood are used as an aid in the diagnosis of heart attack. Low levels of troponin are also present in the blood stream of healthy individuals and can be detected by high-sensitive troponin tests. The SpinChip hs-cTnI test is a new high-sensitive test for measuring the amount of cardiac troponin I in the bloodstream as an aid in the diagnosis of heart attack.

The purpose of this study is to determine the upper reference limits (URLs) for the SpinChip hs-cTnI test in a healthy population.

Read the detailed description

Cardiac troponins are widely used as a biomarker to aid in the diagnosis of Acute myocardial infarction (AMI). These structural proteins are essential in regulating contraction in cardiac muscle cells, and they are sensitive and specific biochemical markers of myocardial damage.

During a heart attack, cardiac muscle cells are injured and release the cardiac marker troponin I (cTnI) into the bloodstream. High-sensitive troponin tests may detect the increase of cardiac troponin in blood within hours after the symptoms of a heart attack has started.

According to the European Society of Cardiology (ESC) 2023 guideline for acute coronary syndrome (ACS) in patients presenting without persistent ST-segment elevation, an elevated cTn value above the 99th percentile upper reference limit (URL) indicates myocardial injury, and when accompanied by evidence of acute myocardial ischemia, the disease is defined as AMI. The diagnostic threshold (99th percentile URL) for each hs-cTn test method must be specifically established.

The SpinChip high-sensitivity cardiac troponin I (hs-cTnI) test is a new high-sensitive test for measuring troponin I in blood samples, and the analysis may be performed close to the patient (near-patient test). The results may be obtained within 10 minutes, compared to approximately 1 hour for normal laboratory analysis using fresh venous whole blood and plasma samples.

The SpinChip Platform consists of the SpinChip hs-cTnI test and the SpinChip Analyzer and may be used at the emergency department to evaluate patients presenting with symptoms of acute myocardial infarction (chest pain). The test can use blood from finger prick or venous blood samples, either as whole blood or separated into plasma.

This study is a multicentre, prospective, observational, non-randomised, clinical performance study in healthy subjects to determine the 99th percentile URLs for the SpinChip hs-cTnI test according to recommendations from the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC).

02

Conditions studied

  • Acute Myocardial Infarction

Keywords

  • Acute Myocardial Infarction
  • High-sensitive
  • Point of Care
  • Troponin I
  • Near-patient test
  • Heart attack
  • 99th percentile upper reference limit
03

In context

Myocardial Infarction

2,744 studies on the registry are indexed under Myocardial Infarction; 418 are open to participants now.

This study's enrollment of 1,355 is above the median of 500 across 983 observational studies indexed under Myocardial Infarction.

Browse Myocardial Infarction studies →

Lead sponsor

SpinChip Diagnostics ASA is the lead sponsor of 4 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 to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

A minimum of 800 healthy subjects with a balanced gender distribution (minimum 400 females and 400 males).

Inclusion criteria

  • Able and willing to provide signed written informed consent
  • 18-80 years old
  • Estimated glomerular filtration rate (eGFR) > 60 mL/min/1.73 m2 for subjects 18-65 years and > 50 mL/min/1.73 m2 for subjects > 66 years
  • Haemoglobin A1c (HbA1c) \< 6.5% (\< 48 mmol/mol)
  • NT-proBNP (N-terminal prohormone of brain natriuretic peptide) \< 125 ng/L or BNP (brain natriuretic peptide) \< 35 ng/L

Exclusion criteria

Exclusion Criteria:

  • All known cardiovascular or cardiac diseases (evaluated using questionnaire; personal history of acute myocardial infarction (AMI) or other cardiac diseases (angina, stroke, atrial fibrillation, peripheral vascular disease (PVD), deep vein thrombosis (DVT), pulmonary embolism (PE), cardiac valve disease, heart failure)
  • Treatment for hyperlipidaemia (medication reported in questionnaire)
  • Hypertension (as judged by the investigator) or use of medication for hypertension (medication reported in questionnaire)
  • Treatment for diabetes, including dietary treatment (reported in questionnaire)
  • Abnormal BMI (body mass index) (\< 18 kg/m2 or > 35 kg/m2), calculated from data collected during enrolment visit
  • Current smokers (reported in questionnaire)
  • Major illness or chronic disease that could affect the heart (lung, liver, unstable or nontreated thyroid disease, or autoimmune diseases (evaluated using questionnaire)
  • History of cancer within the last 5 years (based on questionnaire) except basal cell carcinoma (in situ)
  • Recent acute hospitalisation (within last 3 months, reported in questionnaire)
  • Pregnancy (reported in questionnaire)
  • Already included in the study
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
1,355 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • Diagnostic testSpinChip hs-cTnI

    SpinChip Platform, consisting of the SpinChip hs-cTnI test (self-contained cartridge) and SpinChip Analyzer (instrument).

06

What researchers measure

Primary outcomes

  1. Overall 99th percentile URL

    Determine the overall 99th percentile URL of the SpinChip hs-cTnI test using cTnI results obtained from analysis of Li-Heparin whole blood and Li-Heparin plasma samples using the non-parametric method

    Time frame: 1 day

Secondary outcomes

  1. Sex-specific 99th percentile URLs

    Calculate the sex-specific 99th percentile URLs of the SpinChip hs-cTnI test using cTnI results obtained from analysis of Li-Heparin whole blood and Li-Heparin plasma samples using the non-parametric method.

    Time frame: 1 day

  2. Percentage of measurable values above LoD

    To assess the sensitivity of the SpinChip hs-cTnI test quantified as the percentage (%) of measurable values (\>limit of detection, LoD) for males, females, and the overall population, for each sample type (Li-Heparin whole blood and Li-Heparin plasma).

    Time frame: 1 day

  3. Incidence of AEs, ADEs, and DDs

    Assess safety of the SpinChip Platform, as measured by adverse events (AEs), adverse device effects (ADEs) and device deficiencies (DDs).

    Time frame: 1 day

07

Study locations

4 sites
  • Clinical Trial Consultants (CTC) GoCo
    Mölndal, Gothenburg 431 53, Sweden
  • CTC Clinical Trial Consultants AB
    Uppsala, Uppsala County 752 37, Sweden
  • Clinical Trial Consultants (CTC) Ebbepark
    Linköping, 58213, Sweden
  • Phase I-IV Research Unit Karolinska
    Solna, 171 64, Sweden
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06463275
Lead sponsor
SpinChip Diagnostics ASA
Collaborators
Aurevia, CTC Clinical Trial Consultants AB
Responsible party
Sponsor
First posted
Jun 17, 2024
Start date
May 20, 2024
Primary completion
Jul 22, 2025
Completion
Sep 19, 2025
Last update
Jan 26, 2026

Study contacts

Johan Nilsson, MD/PhD
principal investigator · CTC Clinical Trial Consultants AB

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 Jan 2026. You cannot join it, but the record below documents what was studied.

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