UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005597
Receipt number R000006151
Scientific Title Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction after Coronary Stenting, A Randomized Controlled Trial
Date of disclosure of the study information 2011/05/13
Last modified on 2014/05/14 11:56:57

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Basic information

Public title

Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting,
A Randomized Controlled Trial

Acronym

Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting
(CuVIC Trial)

Scientific Title

Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting,
A Randomized Controlled Trial

Scientific Title:Acronym

Effect of Cholesterol Absorption Inhibitor Usage on Target Vessel Dysfunction
after Coronary Stenting
(CuVIC Trial)

Region

Japan


Condition

Condition

Ischemic heart disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The objective of this study is to elucidate among high risk patients after coronary stenting, whether combination therapy ezetimibe and statin is more effective in improving endotherial function comparing with statin monotherapy, through improvement of lipids profile and lowering oxidative lipids in blood. And whether combination therapy is effective in inhibiting TVD (Target Vessel Dysfunction, as a composit end point, cardiovascular events relating to target coronary vessel and hypercontraction of target coronay vessel).
Then we will contribute to optimization of pharmocological therapy after coronary stenting.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Phase IV


Assessment

Primary outcomes

Target Vessel Dysfunction, 6-8 months after coronary stenting.
Definition of Target Vessel Dysfunction(TVD) is a composite end point, target vessel-related cardiac death and target vessel-related myocardial infarction and ischemia-driven target vessel revascularization (TVF, Target Vessel Failure) and coronary endotherial dysfunction (positive for Acetylcholine provocation test performed, if no TVF).

Key secondary outcomes

(1) Clinical course
Target Vessel Failure, all cause death, cardiovascular death, cardiac death, coronary artery disease death, resuscitated cardiac arrest, myocardial infarction (MI), non-fatal MI, procedure related MI, non-procedure related MI, revascularization for coronary artery disease, binary restenosis, Canadian Cardiovascular Society Scale and revascularization for peripheral arterial disease
(2) Coronary arterial endotherial function, Peripheral arterial endotherial function
coronary arterial endotherial dysfunction (positive for Acetylcholine provocation test performed, if no TVF)
Ach-related coronary arterial contraction/dilation
endotherial function measured using Endo-PAT (FMD)
(3) Surrogate markers
oxidized cholesterol, oxidized LDL, oxidative stress (TBARS)
lipid profile (T-Chol, TG, LDL, HDL, ApoB, ApoA1)
inflammation marker (hCRP, MCP-1), adiponectine, ROCK activity, PAI-1
(4) Assessment of atherosclerosis
coronary angiogram, in-stent late lumen loss, stenosis at non-target lesion
IVUS. plaque volume, plaque phenotype
PWV/ABI
carotid ultrasound, IMT
coronay CT angiogram, plaque volume, plaque phenotype, perfusion image, pericardial adipose tissue
(5) Assessment of peripheral artery disease
WIQ score, Treadmill test, ABI
(6) Stratified analysis according to the type of stent and subgroup analysis according to the patient backgrounds and things listed above.
(7) Clinical follow-up during 24 months after registration.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Statin monotherapy

Interventions/Control_2

Combination therapy ezetmibe 10mg and statin

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Satisfy the all conditions below.
(1)After successful coronary stenting(target lesion stenosis<20%).
(2)Written informed consent for this study.
(3)Possible to undertake 6-8 month follow-up coronary angiography at our institutions.
(4)Over 20 years old, male and female.

Key exclusion criteria

Statisfy even one of the conditions below.
(1)Not completed all planned PCI.
(2)Participant of other clinical trial interfering with this study.
(3)Chronic dialysis, chronic liver cirrhosis.
(4)Severely impaired LV function, EF<30%.
(5)Contraindication for statins or ezetimibe.

Target sample size

260


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kenji Sunagawa

Organization

Kyushu University Graduate School of Medical Sciences

Division name

Department of Cardiovascular Medicine

Zip code


Address

3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582, Japan

TEL

092-642-5370

Email

cuvic@med.kyushu-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tetsuya Matoba

Organization

Kyushu University Graduate School of Medical Sciences

Division name

Department of Cardiovascular Medicine

Zip code


Address

3-1-1 Maidashi, Higashi-ku, Fukuoka-shi, Fukuoka 812-8582, Japan

TEL

092-642-5370

Homepage URL

http://www.cuvictrial.com/

Email

cuvic@med.kyushu-u.ac.jp


Sponsor or person

Institute

Department of Cardiovascular Medicine
Kyushu University Graduate School of Medical Sciences

Institute

Department

Personal name



Funding Source

Organization

Department of Cardiovascular Medicine
Kyushu University Graduate School of Medical Sciences

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

九州大学病院(福岡県)、麻生飯塚病院(福岡県)、国立病院機構九州医療センター(福岡県)、九州厚生年金病院(福岡県)、佐賀県立病院好生館(佐賀県)、聖マリア病院(福岡県)、浜の町病院(福岡県)、福岡市民病院(福岡県)、福岡赤十字病院(福岡県)、済生会二日市病院(福岡県)、済生会福岡総合病院(福岡県)、原三信病院(福岡県)


Other administrative information

Date of disclosure of the study information

2011 Year 05 Month 13 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2011 Year 01 Month 31 Day

Date of IRB


Anticipated trial start date

2011 Year 05 Month 01 Day

Last follow-up date

2014 Year 04 Month 19 Day

Date of closure to data entry

2014 Year 05 Month 09 Day

Date trial data considered complete

2014 Year 06 Month 10 Day

Date analysis concluded

2014 Year 10 Month 30 Day


Other

Other related information



Management information

Registered date

2011 Year 05 Month 13 Day

Last modified on

2014 Year 05 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006151


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name