Diagnostic Accuracy of Multi-Detector Spiral Computed Tomography Angiography Using 64 Detectors
CORE-64
Coronary Evaluation Using Multi-Detector Spiral Computed Tomography Angiography Using 64 Detectors: "CORE-64" Study
3 other identifiers
interventional
405
0 countries
N/A
Brief Summary
To compare the diagnostic ability of 64-detector MDCT coronary angiography with conventional invasive coronary angiography in patients with suspected coronary artery disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable coronary-artery-disease
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2007
CompletedFirst Submitted
Initial submission to the registry
August 19, 2008
CompletedFirst Posted
Study publicly available on registry
August 20, 2008
CompletedAugust 20, 2008
August 1, 2008
1.3 years
August 19, 2008
August 19, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Diagnostic Accuracy to detect significant coronary artery disease in an individual patient.
30 Days
Secondary Outcomes (1)
Diagnostic Accuracy to detect significant coronary artery disease in an individual vessel.
30 Days
Study Arms (1)
MDCT
OTHERSingle Arm study. All patients underwent MDCT.
Interventions
Multidetector computed tomography angiography
Eligibility Criteria
You may qualify if:
- Male or female patients, age 40 years or greater.
- Women of child bearing potential must demonstrate a negative pregnancy test within 24 hours of the study MDCT.
- Suspected coronary artery disease (i.e. symptoms, signs) with a clinical indication for coronary angiography; and planned coronary angiography within the next 30 days.
- Able to understand and willing to sign informed consent.
You may not qualify if:
- Known allergy to iodinated contrast media
- History of contrast-induced nephropathy
- History of multiple myeloma or previous organ transplantation
- Elevated serum creatinine (\> 1.5mg/dl) OR calculated creatinine clearance of \< 60 ml/min (using the Cockcroft-Gault formula
- Atrial fibrillation or uncontrolled tachyarrhythmia, or heart block
- Evidence of severe symptomatic heart failure; moderate or severe aortic stenosis
- Previous coronary artery bypass or other cardiac surgery
- Coronary artery intervention within the last 6 months
- Intolerance or contraindication to beta-blockers
- Body Mass Index \> 40.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Johns Hopkins Universitylead
- Toshiba America Medical Systems, Inc.collaborator
Related Publications (4)
Sara L, Rochitte CE, Lemos PA, Niinuma H, Dewey M, Shapiro EP, Gottlieb I, Mansur AP, Nicolau JC, Lardo AC, Azevedo CF, Kalil-Filho R, Vavere AL, Cohn S, Cox C, Brinker J, Miller JM, Lima JA. Accuracy of multidetector computed tomography for detection of coronary artery stenosis in acute coronary syndrome compared with stable coronary disease: a CORE64 multicenter trial substudy. Int J Cardiol. 2014 Dec 15;177(2):385-91. doi: 10.1016/j.ijcard.2014.08.130. Epub 2014 Aug 27.
PMID: 25281436DERIVEDYan RT, Miller JM, Rochitte CE, Dewey M, Niinuma H, Clouse ME, Vavere AL, Brinker J, Lima JA, Arbab-Zadeh A. Predictors of inaccurate coronary arterial stenosis assessment by CT angiography. JACC Cardiovasc Imaging. 2013 Sep;6(9):963-72. doi: 10.1016/j.jcmg.2013.02.011. Epub 2013 Aug 8.
PMID: 23932641DERIVEDGottlieb I, Miller JM, Arbab-Zadeh A, Dewey M, Clouse ME, Sara L, Niinuma H, Bush DE, Paul N, Vavere AL, Texter J, Brinker J, Lima JA, Rochitte CE. The absence of coronary calcification does not exclude obstructive coronary artery disease or the need for revascularization in patients referred for conventional coronary angiography. J Am Coll Cardiol. 2010 Feb 16;55(7):627-34. doi: 10.1016/j.jacc.2009.07.072.
PMID: 20170786DERIVEDMiller JM, Rochitte CE, Dewey M, Arbab-Zadeh A, Niinuma H, Gottlieb I, Paul N, Clouse ME, Shapiro EP, Hoe J, Lardo AC, Bush DE, de Roos A, Cox C, Brinker J, Lima JA. Diagnostic performance of coronary angiography by 64-row CT. N Engl J Med. 2008 Nov 27;359(22):2324-36. doi: 10.1056/NEJMoa0806576.
PMID: 19038879DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Joao AC Lima, M.D.
Johns Hopkins University
- PRINCIPAL INVESTIGATOR
Julie M Miller, M.D.
Johns Hopkins University
- STUDY CHAIR
Joao AC Lima, M.D.
Johns Hopkins University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
August 19, 2008
First Posted
August 20, 2008
Study Start
October 1, 2005
Primary Completion
February 1, 2007
Last Updated
August 20, 2008
Record last verified: 2008-08