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Trial registered on ANZCTR
Registration number
ACTRN12611000786998
Ethics application status
Approved
Date submitted
27/07/2011
Date registered
27/07/2011
Date last updated
15/05/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Cardiovascular Magnetic Resonance Imaging study assessing myocardial ischemia in patients with end-stage renal disease and renal transplant - evaluation for renal transplant cohort
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Scientific title
Study of myocardial ischemia post renal transplant as assessed by Cardiac MRI in patients with end-stage renal disease - evaluation for renal transplant cohort
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Secondary ID [1]
262692
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None
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Universal Trial Number (UTN)
U1111-1122-1549
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
myocardial ischaemia in patients with renal disease
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Condition category
Condition code
Cardiovascular
268535
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0
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Coronary heart disease
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Renal and Urogenital
270568
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Framingham's risk score at baseline (race, age, smoking history, family history of cardiac disease, cardiac risk factors)
Blood tests at baseline - biochemical markers (hsCRP); markers of fibrosis (MMP); troponin T, BNP and homocysteine levels.
Cardiac MRI at baseline - cine images; Blood oxygen level dependent MRI (BOLD) rest and stress using adenosine 140mcg/kg/min for 3-6 minutes.
These patients will then undergo dobutamine stress echocardiography (40 patients) or coronary angiography (40 patients) at the discretion of their cardiologist or renal physician as part of routine work up for transplant.
Clinic visit at 12 months for repeat bloods. A subset of 50% of these patients who have been transplanted will have follow-up BOLD-MRI imaging performed 3 months after transplant, and delayed enhancement CMR imaging. Final phone follow up at 24 months.
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Intervention code [1]
267042
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Diagnosis / Prognosis
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Intervention code [2]
267063
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Early detection / Screening
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Comparator / control treatment
nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Major Adverse Cardiac Events including angina, myocardial infarction, rehospitalisation with cardiac event, cerebrovascular event, heart failure and death assessed by reviewing patients medical records and phone call
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Assessment method [1]
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Timepoint [1]
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6, 12 and 24 months
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Secondary outcome [1]
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BOLD, Delayed Enhancement-CMR as predictors of Major Adverse Cardiac Events
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Assessment method [1]
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Timepoint [1]
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6, 12 and 24 months
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Secondary outcome [2]
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Troponin T and hsCRP as predictors of Major Adverse Cardiac Events
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Assessment method [2]
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Timepoint [2]
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6, 12 and 24 months
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Eligibility
Key inclusion criteria
All patients placed on renal transplant waiting list and referred for cardiac assessment, regardless of their symptoms will be recruited in this study. 40 patients who have undergone DSE and 40 patients who have undergone coronary angiography
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Inability to give informed consent; Extreme Claustrophobia; Implantable cardiac devices and other contra-indications to MRI (i.e. metal in eyes); Asthma or other reversible bronchospasm; Patients on theophylline; Inability to lie flat for 1 hour
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Flinders Medical Centre
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Address [1]
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1 Flinders Drive
BEDFORD PARK
SA 5042
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Joseph Selvanayagam
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Address
Dept Cardiovascular Medicine
Flinders Medical Centre
1 Flinders Drive
BEDFORD PARK
SA 5042
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
266555
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Adelaide Clinical Human Research Ethics Committee
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Ethics committee address [1]
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Flinders Medical Centre 1 Flinders Drive BEDFORD PARK SA 5042
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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02/09/2010
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Approval date [1]
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14/02/2011
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Ethics approval number [1]
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1/10/0380
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Summary
Brief summary
This project is designed to assess myocardial ischemia in various populations of patients with renal disease. These cohorts of patients have significant cardiovascular morbidity and mortality. It is believed that apart from epicardial coronary disease, they also have microvascular or small vessel ischemia. Dialysis is thought to be a major contributor in acceleration of their cardiovascular disease, however even after renal transplantation, there cardiovascular morbidity and mortality does not mirror the general population. We are going to assess myocardial ischemia using cardiac MRI and blood oxygen level dependent imaging. This uses intrinsic contrast of deoxy-hemoglobin to assess ischemia. We are going to assess it in patients on dialysis regardless of their cardiovascular symptoms as this group of patients have significant disease despite lack of traditional cardiac symptoms. We are also going to look at patients being evaluated for renal transplant. In this population, we can directly compare this relatively new technique with traditional method of ischemia assessment. We believe this technique will provided added information to already existing imaging modalities as it looks at oxygenation of the myocardium, which precedes development of ischemia. Our third study, evaluates patients after their renal transplant, examining markers that may predict cardiovascular morbidity and mortality in this group. This study is the evaluation for renal transplant cohort and is associated with ACTRN12611000783921 and ACTRN12611000785909
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Christine Edwards
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Address
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Flinders Clinical Research
Level 3A
Mark Oliphant Building
Laffer Drive
BEDFORD PARK
SA 5042
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Country
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Australia
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Phone
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+61 8 8201 5656
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor Joseph Selvanayagam
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Address
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Dept Cardiovascular Medicine
Flinders Medical Centre
1 Flinders Drive
BEDFORD PARK
SA 5042
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Country
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Australia
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Phone
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+61 8 8404 3971
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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