Assessment of Coronary Endothelial Function in Diabetic Patients With Acute Coronary Syndrome Using 15O-water Positron Emission Tomography
D-TEP
1 other identifier
interventional
40
1 country
1
Brief Summary
Type 2 diabetes is associated with early and diffuse abnormalities of endothelial function, especially in the coronary arteries, which are a factor of poor prognosis. Following acute coronary syndrome, the endothelial function abnormalities usually persist for several weeks before regressing. Their persistence 6-8 weeks after myocardial infarction is a poor prognostic factor. Investigators assume that global abnormalities of endothelial function in patients with diabetes may be additive with segmental abnormalities in revascularized myocardium, and contribute to worsening the prognosis in these patients. Furthermore, there is no published data showing any relationship between calcium score and endothelial function abnormalities in these patients. The investigators seek a relationship between calcium score and persistence of abnormalities of coronary endothelial function in these patients. The main objective of this study was to compare coronary endothelial function by quantitative method (TEP at 15O-H2O) in diabetic patients and nondiabetic following acute coronary syndrome.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2011
Longer than P75 for not_applicable
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
March 1, 2011
CompletedFirst Submitted
Initial submission to the registry
July 27, 2015
CompletedFirst Posted
Study publicly available on registry
July 29, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2016
CompletedMarch 22, 2022
August 1, 2015
4.8 years
July 27, 2015
March 8, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Comparison of quantitative variables coronary endothelial function in PET according to the presence or absence of type 2 diabetes in patients investigated with the waning of a first heart attack
baseline
Study Arms (2)
Type 2 diabetes group
OTHERType 2 diabetes group
no diabetes
OTHERno diabetes
Interventions
Eligibility Criteria
You may qualify if:
- Patients with a first myocardial infarction, type 2 diabetic or non-diabetic treated by angioplasty in acute phase (TIMI 3)
- Myocardial viability test before discharge
- Age over 18 years
- Informed Consent dated and signed by the patient
- Written and spoken French
- Beneficiary of social security insurance
You may not qualify if:
- Hypertension\> 160/90 mmHg despite medical treatment
- Lack of effective revascularization in acute phase of myocardial infarction (TIMI grade \<3)
- Significant three-vessel coronary artery disease (\> 70% stenosis in the other two coronary arteries); occlusion of a coronary artery; schedule revascularization (percutaneous or surgical); left main coronary artery stenosis
- Previous history of myocardial infarction
- Mechanical complication (mitral regurgitation, ventricular septal rupture, left ventricular free wall rupture)
- Heart failure
- No myocardial viability test before discharge, for whatever reason
- Type 1 diabetes
- Pregnant and / or lactating
- Age under 18 years or guardianship
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Service de Cardiologie
Caen, 14000, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 27, 2015
First Posted
July 29, 2015
Study Start
March 1, 2011
Primary Completion
December 1, 2015
Study Completion
June 1, 2016
Last Updated
March 22, 2022
Record last verified: 2015-08