UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053628
Receipt number R000061194
Scientific Title The prevalence and clinical prognosis of myocardial infarction with non-obstructive coronary arteries: a prospective multicenter observational study (REVEIL-MINOCA study)
Date of disclosure of the study information 2024/02/16
Last modified on 2024/02/15 22:40:36

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Basic information

Public title

The prevalence and clinical prognosis of myocardial infarction with non-obstructive coronary arteries: a prospective multicenter observational study (REVEIL-MINOCA study)

Acronym

REVEIL-MINOCA study

Scientific Title

The prevalence and clinical prognosis of myocardial infarction with non-obstructive coronary arteries: a prospective multicenter observational study (REVEIL-MINOCA study)

Scientific Title:Acronym

REVEIL-MINOCA study

Region

Japan


Condition

Condition

Acute coronary syndrome

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

The purpose of this study is to understand the current status and prognosis of MINOCA.
Specifically, it will focus on

Elucidation of epidemiological features of MINOCA
In this study, we will clarify the epidemiological characteristics of MINOCA, including the incidence of MINOCA, the age/gender distribution of patients, coexisting risk factors and their relevance to INOCA, and gain a more detailed understanding of the spread of MINOCA and associated factors.

Elucidation of clinical features of MINOCA
To investigate the pathophysiological features of MINOCA patients, including clinical features, symptom severity, electrocardiogram findings, and cardiovascular biomarker abnormalities. To clarify the clinical picture of MINOCA and contribute to the improvement of differential diagnosis from other cardiovascular diseases.

Prognostic assessment of MINOCA
In this study, we will assess the long-term outcome of patients with MINOCA and follow prognostic events such as recurrent myocardial infarction, cardiovascular events, heart failure, and death. It will contribute to the establishment of prognostic factors and risk assessment strategies for MINOCA patients.

Planning MINOCA's management strategy
We aim to develop an evidence-based approach based on study results to establish appropriate management strategies for MINOCA patients.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of major cardiovascular events in MINOCA and non-MINOCA cases at 1 year follow-up
MACCE, major adverse cardiovascular and cerebrovascular event. composite endpoint of all-cause mortality, myocardial infarction, revascularization, stroke, systemic embolism, heart failure readmission

Key secondary outcomes

Secondary endpoints
Rate of MINOCA cases to all enrolled ACS cases
Breakdown by onset mechanism in MINOCA cases
The incidence of MACCE events over time in MINOCA and non-MINOCA cases
MACCE, major adverse cardiovascular and cerebrovascular event.composite endpoint of all-cause death, myocardial infarction, revascularization, stroke, systemic embolism, heart failure readmission
Incidence of MACCE items over time in MINOCA and non-MINOCA cases
Incidence of the following clinical outcomes over time in MINOCA and non-MINOCA cases
Death
Myocardial infarction
Stent thrombosis
Revascularization
Emergency revascularization
Bleeding events
Stroke
Systemic embolism
Ischemic cardiomyopathy
Hospitalization for heart failure
Other all endpoints defined in ARC-25


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

Patients diagnosed with ACS who visited or were admitted hospitals in this study between study initiation and March 2028 and who meet the following eligibility criteria and do not meet any of the exclusion criteria.
Eligibility criteria
Patients undergoing emergency coronary angiography for the diagnosis of acute coronary syndrome, including unstable angina, ST-segment elevation myocardial infarction, non-ST-segment elevation myocardial infarction
Patients who are 18 years of age or older
Patients who can be followed up regularly once a year

Key exclusion criteria

Exclusion criteria
Patients who declared non-participation in the study
Patients who are regarded as inappropriate to participate in the study by the investigators

Target sample size

5000


Research contact person

Name of lead principal investigator

1st name Yasushi
Middle name
Last name Sakata

Organization

Graduate School of Medicine, Osaka University

Division name

Department of Cardiovascular Medicine

Zip code

565-0871

Address

2-15 Yamadaoka, Suita, Osaka, Japan

TEL

06-6879-3631

Email

sakata.yasushi.med@osaka-u.ac.jp


Public contact

Name of contact person

1st name Yohei
Middle name
Last name Sotomi

Organization

Osaka University Graduate School of Medicine

Division name

Department of Cardiovascular Medicine

Zip code

565-0871

Address

2-15 Yamadaoka, Suita, Osaka, Japan

TEL

06-6879-3631

Homepage URL


Email

sotomiyohei@gmail.com


Sponsor or person

Institute

Osaka University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Abbott Medical Japan

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Oaka university medical hospital

Address

2-2 Yamadaoka, Suita, Osaka, Japan

Tel

06-6210-8290

Email

jim-chiken@hp-crc.med.osaka-u.ac.jp


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

Osaka University Hospital、Osaka Rosai Hospital、Kinki Central Hospital、Higashiosaka City Medical Center、
Sakai Medical Center、Minoh City Hospital、Osaka Police Hospital、NHO Osaka Minami Medical Center、
Kansai Rosai Hospital、Sumitomo Hospital、Osaka General Medical Center、
Japan Community Heath care Organization Osaka Hospital、Suita Municipal Hospital、
Kawanishi City General Medical Center、Hyogo Prefectural Nishinomiya Hospital、
Japan Community Heath care Organization Osaka Minato Central Hospital、NHO Osaka Medical Center、
Rinku General Medical Center、Amagasaki Chuo Hospital、Saiseikai Senri Hospital、Yao Municipal Hospital、
Toyonaka Municipal Hospital、Sakurabashi Watanabe Hospital、Kawasaki Hospital、Kobe Ekisaikai Hospital、
Ikeda City Hospital


Other administrative information

Date of disclosure of the study information

2024 Year 02 Month 16 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

Preinitiation

Date of protocol fixation

2023 Year 08 Month 01 Day

Date of IRB

2023 Year 07 Month 27 Day

Anticipated trial start date

2024 Year 02 Month 16 Day

Last follow-up date

2031 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a planned analysis using data from a portion of the REVEIL-ACS study and will be conducted in a manner that is fully inclusive of the REVEIL-ACS study.
Ethical review of the study has been approved as a REVEIL-ACS study.


Management information

Registered date

2024 Year 02 Month 15 Day

Last modified on

2024 Year 02 Month 15 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061194


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name