Peripheral Endothelial Function and Coronary Status in Asymptomatic Diabetic Patients
PEFDIA
1 other identifier
observational
173
1 country
1
Brief Summary
Silent myocardial ischemia is usual in type 2 diabetic patients and associated with coronary stenoses and endothelial dysfunction or both. We therefore hypothesized that peripheral endothelial dysfunction is a marker of silent myocardial ischemia. The aim of the study is, in 120 asymptomatic type 2 diabetic patients, to evaluate the relations between coronary status, assessed with myocardial scintigraphy and subsequent coronary angiography in case of abnormality, and peripheral endothelial function, according to post-occlusive hyperaemia endothelium-dependent brachial artery dilation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jan 2008
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2008
CompletedFirst Submitted
Initial submission to the registry
May 26, 2008
CompletedFirst Posted
Study publicly available on registry
May 29, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2010
CompletedOctober 28, 2011
May 1, 2011
2.4 years
May 26, 2008
October 27, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Post-occlusive hyperaemia endothelium-dependent brachial artery dilation
immediate
Secondary Outcomes (4)
noninvasive coronary microcirculation assessed with transthoracic ECHODOPPLER
immediate
cardiac autonomic neuropathy
immediate
cardiac transthoracic echography
immediate
biologic markers of endothelial function
immediate
Study Arms (3)
1
2
3
Eligibility Criteria
* type 2 diabetes * overweight free of diabetes * control
You may qualify if:
- FOR TYPE 2 DIABETIC PATIENTS Asymptomatic:
- with normal resting ECG
- coronary primary prevention
- other cardiovascular risk factors justifying screening for silent myocardial ischemia and coronary stenoses in case of silent myocardial ischemia.
- FOR PATIENTS WITH OVERWEIGHT:
- Asymptomatic with normal resting ECG
- coronary primary prevention
- Body mass index 25-40 kg/m²
- Without diabetes.
- CONTROLS Asymptomatic:
- coronary primary prevention
- Body mass index 18-25 kg/m²
- Without diabetes
- Without cardiovascular risk factors including dyslipidemia, hypertension, smoking habits, No treatment
You may not qualify if:
- pregnancy
- renal failure
- acrosyndrome
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Assistance Publique - Hôpitaux de Parislead
- Alfediamcollaborator
Study Sites (1)
Hôpital Jean Verdier Service of Endocrinologie-Diabétologie-Nutrition
Bondy, 93140, France
Related Publications (3)
Cosson E, Pham I, Valensi P, Paries J, Attali JR, Nitenberg A. Impaired coronary endothelium-dependent vasodilation is associated with microalbuminuria in patients with type 2 diabetes and angiographically normal coronary arteries. Diabetes Care. 2006 Jan;29(1):107-12. doi: 10.2337/diacare.29.1.107.
PMID: 16373905RESULTPham I, Nguyen MT, Valensi P, Rousseau H, Nitenberg A, Vicaut E, Cosson E. Noninvasive study of coronary microcirculation response to a cold pressor test. Eur J Clin Invest. 2015 Feb;45(2):135-43. doi: 10.1111/eci.12389. Epub 2015 Jan 7.
PMID: 25490913DERIVEDNguyen MT, Pham I, Valensi P, Rousseau H, Vicaut E, Laguillier-Morizot C, Nitenberg A, Cosson E. Flow-mediated-paradoxical vasoconstriction is independently associated with asymptomatic myocardial ischemia and coronary artery disease in type 2 diabetic patients. Cardiovasc Diabetol. 2014 Jan 15;13:20. doi: 10.1186/1475-2840-13-20.
PMID: 24428877DERIVED
Biospecimen
whole blood, serum
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Emmanuel COSSON, MD phD
Hôpital Jean Verdier
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 26, 2008
First Posted
May 29, 2008
Study Start
January 1, 2008
Primary Completion
June 1, 2010
Study Completion
August 1, 2010
Last Updated
October 28, 2011
Record last verified: 2011-05