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Trial registered on ANZCTR
Registration number
ACTRN12609000283279
Ethics application status
Approved
Date submitted
30/03/2009
Date registered
15/05/2009
Date last updated
18/11/2019
Date data sharing statement initially provided
18/11/2019
Date results provided
18/11/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
1. ASPECT - ASIA PACIFIC EVALUATION OF CHEST PAIN TRIAL An observational study of the diagnostic utility of a biomarker panel in the assessment of patients presenting to asia-paciifc hospitals with chest pain of possible cardiac origin
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Scientific title
1. ASPECT - ASIA PACIFIC EVALUATION OF CHEST PAIN TRIAL An observational study of the diagnostic utility of a biomarker panel in the assessment of patients presenting to asia-paciifc hospitals with chest pain of possible cardiac origin
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Secondary ID [1]
263111
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ASPECT
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Universal Trial Number (UTN)
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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:
chest pain of possible cardiac origin
4540
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Condition category
Condition code
Cardiovascular
4829
4829
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0
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Coronary heart disease
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
ASPECT: The Triage multi-marker panel consists of measurements of Troponin I, Creatine Kinase MB (CKMB) and myoglobin levels using a point of care testing device for blood samples taken from people who present with probable ischaemic chest pain to the Emergency Department. A sample is tested on arrival and again 2 hours later.
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Intervention code [1]
4304
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Not applicable
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Comparator / control treatment
n/a
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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ASPECT:To prospectively validate an accelerated chest pain algorithm involving Troponin I, Creatine Kinase MB (CKMB) and Myoglobin Delta measurements over a 2 hour time period from presentation to the Emergency Department (ED) in patients with possible Acute Coronary Syndrome (ACS) using the Biosite Triage point of care multi-marker panel
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Assessment method [1]
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Timepoint [1]
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At presention to ethe emergency departmetn at Christchurch Hospital and again 2 hours later
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Secondary outcome [1]
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To determine the potential cost benefit of such a strategy in terms of case weight costing and bed days.
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Assessment method [1]
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Timepoint [1]
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From presenation to the Emergency Department at trial hospital , then at 30 days and 1 year for all cause readmission(s) and/or death.
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Eligibility
Key inclusion criteria
Adults presenting to the trial hospital Emergency Department with chest pain of possible cardiac origin
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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
Age < 18 years. Non-resident in country of recruitment. Patients for whom follow-up will not be possible either due to lack of onward contact address or because they will be overseas. Unable or unwilling to consent
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
6/11/2007
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Actual
6/11/2007
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Date of last participant enrolment
Anticipated
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Actual
31/07/2010
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Date of last data collection
Anticipated
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Actual
31/07/2010
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Sample size
Target
4000
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Accrual to date
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Final
3582
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
2637
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4029
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Recruitment outside Australia
Country [1]
1706
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New Zealand
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State/province [1]
1706
0
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Country [2]
1707
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India
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State/province [2]
1707
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Delhi
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Country [3]
1708
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Singapore
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State/province [3]
1708
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Singapore
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Country [4]
1709
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China
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State/province [4]
1709
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Beijing
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Country [5]
1710
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Hong Kong
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State/province [5]
1710
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Hong Kong
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Country [6]
1711
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Indonesia
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State/province [6]
1711
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Jakarta
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Country [7]
1712
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Thailand
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State/province [7]
1712
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Bangkok
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Country [8]
1713
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Taiwan, Province Of China
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State/province [8]
1713
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Taipei
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Country [9]
1714
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Korea, Democratic People's Republic Of
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State/province [9]
1714
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Seoul
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Funding & Sponsors
Funding source category [1]
4731
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Commercial sector/Industry
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Name [1]
4731
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Inverness Medical Innovations
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Address [1]
4731
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532 Seventeen Miles Rocks Rd
Sinnamon Park, QLD 4073
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Country [1]
4731
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Australia
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Funding source category [2]
269935
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Government body
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Name [2]
269935
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Health Research Council New Zealand
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Address [2]
269935
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PO Box 5541, Wellesley Street, Auckland 1141
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Country [2]
269935
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New Zealand
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Funding source category [3]
269936
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Government body
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Name [3]
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National Health and Medical Research (Australia)
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Address [3]
269936
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [3]
269936
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Australia
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Funding source category [4]
269937
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Charities/Societies/Foundations
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Name [4]
269937
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Christchurch Cardio-Endocrine Research Group
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Address [4]
269937
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Department of Medicine
Christchurch Hospital
New Zealand
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Country [4]
269937
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Inverness Medical Innovations
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Address
532 Seventeen Miles Rocks Rd
Sinnamon Park, QLD 4073
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Country
Australia
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Secondary sponsor category [1]
4273
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Charities/Societies/Foundations
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Name [1]
4273
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Emergency Care Foundation
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Address [1]
4273
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Emergency Department
Christchurch Hospital
PO Box 4710
Christchurch
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Country [1]
4273
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6772
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Upper South A Regional Ethics Committee
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Ethics committee address [1]
6772
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Ministry of health PO Box 3877 Christchurch
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Ethics committee country [1]
6772
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New Zealand
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Date submitted for ethics approval [1]
6772
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Approval date [1]
6772
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26/07/2007
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Ethics approval number [1]
6772
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Summary
Brief summary
This is a prospective observational study of the diagnostic utility of the "Triage" multi-marker point of care blood testing device to measure the levels of the cardiac markers Troponin I, Creatine Kinase MB and myoglobin: - in people presenting to the Emergency Deprtment with chest pain of probable caridac origin. Blood samples will be taken and tested on arrival and again at 2 hours. Participants will undergo risk evaluation by a means of a set series of questions. Participants will recieve a phone call at 45 days, 6 months and 1 year post discharge to record any major adverse cardiac event (MACE) they may have experienced.
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Trial website
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Trial related presentations / publications
Than, M. P., Cullen, L., Reid, C. M., Lim, S. H., Aldous, S., Ardagh, M. W., et al. (2011). A 2-h diagnostic protocol to assess patients with chest pain symptoms in the Asia-Pacific region (ASPECT): a prospective observational validation study. Lancet, 377(9771), 1077–1084. doi:10.1016/S0140-6736(11)60310-3
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Public notes
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Contacts
Principal investigator
Name
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Dr Martin Than
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Address
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Emergency Department
Christchurch Hospital
Private Bag 4710
Christchurch
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Country
29448
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New Zealand
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Phone
29448
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00643 364 0270
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Fax
29448
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Email
29448
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[email protected]
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Contact person for public queries
Name
12695
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Dr Martin Than
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Address
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Emergency Department
Christchurch Hospital
PO Box 4710
Christchurch
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Country
12695
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New Zealand
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Phone
12695
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+643 364 0270
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Fax
12695
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+643 364 0286
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Email
12695
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[email protected]
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Contact person for scientific queries
Name
3623
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Dr Martin Than
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Address
3623
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Emergency Department
Christchurch Hospital
PO Box 4710
Christchurch
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Country
3623
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New Zealand
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Phone
3623
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+643 364 0270
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Fax
3623
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+643 364 0286
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Email
3623
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
No ethics permission
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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
Source
Title
Year of Publication
DOI
Embase
Admission glycaemia and its association with acute coronary syndrome in Emergency Department patients with chest pain.
2015
https://dx.doi.org/10.1136/emermed-2014-204046
N.B. These documents automatically identified may not have been verified by the study sponsor.
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