UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031390
Receipt number R000035841
Scientific Title The Relation between Impairment of Endothelium-dependent Coronary Blood Flow Volume Change and Higher Platelet Aggregability
Date of disclosure of the study information 2018/02/28
Last modified on 2018/02/20 17:00:58

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Basic information

Public title

The Relation between Impairment of Endothelium-dependent Coronary Blood Flow Volume Change and Higher Platelet Aggregability

Acronym

Endothelial function and platelet aggregability

Scientific Title

The Relation between Impairment of Endothelium-dependent Coronary Blood Flow Volume Change and Higher Platelet Aggregability

Scientific Title:Acronym

Endothelial function and platelet aggregability

Region

Japan


Condition

Condition

healthy person

Classification by specialty

Cardiology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Thrombus formation is one of the main pathogenesis of myocardial infarction. Previous studies have reported that atherosclerosis can increase platelet aggregability. Endothelial dysfunction reflects early change of atherosclerosis. However, the relation between coronary-endothelial dysfunction and platelet reactivity remains unclear. We investigated the relation between endothelium-dependent coronary blood flow volume change and platelet aggregability in non-obstructive ischemic heart disease (IHD) patients who did not take any anti-platelet therapy.

Basic objectives2

Others

Basic objectives -Others

Thrombus formation is one of the main pathogenesis of myocardial infarction. Previous studies have reported that atherosclerosis can increase platelet aggregability. Endothelial dysfunction reflects early change of atherosclerosis. However, the relation between coronary-endothelial dysfunction and platelet reactivity remains unclear. We investigated the relation between endothelium-dependent coronary blood flow volume change and platelet aggregability in non-obstructive ischemic heart disease (IHD) patients who did not take any anti-platelet therapy.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Consecutive 368 patients suspected angina with normal coronary arteries were initially enrolled. We performed coronary angiography and intracoronary acetylcholine-provocation test, and measured adenosine triphosphate-induced coronary flow reserve (CFR) to diagnose the presence of non-obstructive IHD by using Doppler FloWire at the proximal site of left anterior descending coronary artery before taking any vasodilators at the basal non-stress condition. Then, we excluded patients who take any anti-platelet agents from 62 patients with non-obstructive IHD. Finally, 25 non-obstructive IHD patients were assessed the relation between CBFV change and platelet aggregability as P2Y12 reaction unit (PRU) by VerifyNow P2Y12 assay system.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The study screened stable patients suspected angina who admitted Kumamoto Univercity Hospital between January 2002 to April 2011. We performed coronary angiography (CAG), intracoronary acetylcholine-provocation test and measured coronrary flow reserve (CFR) to diagnose angina, and we excluded patients with ischemic heart disease (IHD) and vasospastic angina. Then we also excluded patients with took antithrombotic drugs. We finally enrolled 25 patients without obstructive or spastic angina were assessed the relation between CBFV and platelet aggregability.

Key exclusion criteria

we excluded patients who take any anti-platelet agents from 62 patients with non-obstructive IHD.

Target sample size

25


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kenji Tsujita

Organization

Kumamoto univercity hospital

Division name

cardiology

Zip code


Address

1-1-1 Honjo Tyuouku Kumamotoshi

TEL

0963735175

Email

tsujita@kumamoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masafumi Takae

Organization

Kumamoto univercity hospital

Division name

cardiology

Zip code


Address

1-1-1 Honjo Tyuouku Kumamotoshi

TEL

0963735175

Homepage URL


Email

qqcv2t3d@yahoo.co.jp


Sponsor or person

Institute

Kumamoto univercity hospital

Institute

Department

Personal name



Funding Source

Organization

Kumamoto univercity hospital

Organization

Division

Category of Funding Organization

Other

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



Other administrative information

Date of disclosure of the study information

2018 Year 02 Month 28 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

2012 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2012 Year 04 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2018 Year 02 Month 20 Day

Last modified on

2018 Year 02 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035841


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name