UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005563
Receipt number R000006590
Scientific Title Effect of statin with ezetimibe versus statin alone on progression of coronary atherosclerotic plaque: Evaluate by Intravasclular ultrasound Virtual Histology and Optical Coherence Tomography
Date of disclosure of the study information 2011/05/07
Last modified on 2011/05/06 18:39:07

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Basic information

Public title

Effect of statin with ezetimibe versus statin alone on progression of coronary atherosclerotic plaque: Evaluate by Intravasclular ultrasound Virtual Histology and Optical Coherence Tomography

Acronym

ZEST registry

Scientific Title

Effect of statin with ezetimibe versus statin alone on progression of coronary atherosclerotic plaque: Evaluate by Intravasclular ultrasound Virtual Histology and Optical Coherence Tomography

Scientific Title:Acronym

ZEST registry

Region

Japan


Condition

Condition

Ischemic heart disease

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effect of statin with ezetimibe versus statin alone
on progression of coronary atherosclerotic plaque using by Intravasclular ultrasound Virtual Histology and optical coherence tomography

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

OCT and VH IVUS findings at one year.
1. Thickness of fibrous cap in OCT
2. %necrotic core volume in VH
3. the incidence of thin-cap fibroatheroma in OCT and VH findings

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

One year
Fluvastatin (30mg) and Ezetimibe (10mg)

Interventions/Control_2

One year
Fluvastatin (30mg) alone

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

85 years-old >=

Gender

Male and Female

Key inclusion criteria

1) Stable angina pectoris
2) All patients have 1 or 2-vessel diseases and were good candidates for percutaneous coronary intervention.
3) Target vessel for VH IVUS and OCT interrogation must not have undergone angioplasty or have more than 50% luminal narrowing throughout a target segment with a minimum length of 30mm
4) Target vessel for VH IVUS and OCT interrogation had mild-to-moderate vessel tortuosity and calcification
5) Left ventricular ejection fraction >30%

Key exclusion criteria

1) Unstable angina or myocardial infarction within the previous 4 weeks
2) Significant stenotic lesions in all coronary vessels
3) Target vessel for VH IVUS and OCT interrogation had lesions with angiographically detected thrombus
4) Contra-indications to IVUS and OCT examination
5) Other concomitant diseases or medical condition that could impact patient/procedural outcomes, such as history of bleeding diathesis,stroke, or transient ischemic neurological attacks within the past year or hypersensitivity to heparin, aspirin, ticlopidine, or X-ray contrast media
6) Secondary causes of hyperlipid-emia or uncontrolled triglyceride level above 500 mg/dl
7) A positive pregnancy test.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kenya Nasu

Organization

Toyohashi Heart Center

Division name

Cardiovascular Medicine

Zip code


Address

21-1 Gobudori, Oyama-cho, Toyohashi, JAPAN

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name

Organization

Toyohashi Heart Ceter

Division name

Cardiovascular Medicine

Zip code


Address

21-1 Gobudori, Oyama-cho, Toyohashi, JAPAN

TEL


Homepage URL


Email



Sponsor or person

Institute

Toyohashi Heart Ceter, Cardiovascular Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Vascular Disease Research Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

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

豊橋ハートセンター


Other administrative information

Date of disclosure of the study information

2011 Year 05 Month 07 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

Completed

Date of protocol fixation

2009 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2009 Year 04 Month 01 Day

Last follow-up date

2011 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 05 Month 06 Day

Last modified on

2011 Year 05 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006590


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name