Atherothrombosis Markers in Diabetics
MADI
Comparison of Atherothrombosis Markers From Aortic Atheroma in Diabetic and Non-diabetic Patients
1 other identifier
observational
100
1 country
1
Brief Summary
Intraplaque hemorrhage is the driving force of atherothrombotic plaque vulnerability to rupture and associated clinical complications. Polymorphonuclear neutrophils (PMNs) represent about 70% of leukocytes and may constitute a source of proteases and oxidants that favour plaque rupture. Our objective is to evaluate PMN activation in atherosclerotic plaque of non-diabetic versus type 2 diabetic patients. For this purpose, investigators will quantify the presence of cell-free DNA, that reflect the formation of neutrophil extracellular traps (NETs) in carotid endarterectomy samples.
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 Oct 2016
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
First Submitted
Initial submission to the registry
September 8, 2016
CompletedFirst Posted
Study publicly available on registry
September 13, 2016
CompletedStudy Start
First participant enrolled
October 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2019
CompletedSeptember 13, 2016
September 1, 2016
2.1 years
September 8, 2016
September 12, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Neutrophile activation assessed by free DNA levels in atherothrombotic plaques
Ability of cfDNA concentration in the conditioned medium to discriminate atherothrombotic plaques from diabetic vs non-diabetic patients
On day 1 (day of the surgery)
Secondary Outcomes (4)
Neutrophile activation assessed by other makers than free DNA levels in atherothrombotic plaques
On day 1 (day of the surgery)
Intraplaque hemorrhage and oxidative stress assessed in plasma and aortic tissue
From day 0 (day before the surgery) to day 1 (day of the surgery)
Correlation between plasma and atherothrombotic plaque markers assessement
From day 0 (day before the surgery) to day 1 (day of the surgery)
Atherothrombosis characterization assessed by histological analysis
On day 1 (day of the surgery)
Other Outcomes (1)
Banking of biological samples
From day 0 (day before the surgery) to day 1 (day of the surgery)
Study Arms (2)
diabetics
Type 2 diabetic patients exhibiting fasting glycemia value over 7 mmol/L or glycated hemoglobin value over 6.5% or type 2 diabetic patients under oral anti-diabetic treatment or type 2 diabetic patient under insulin treatment and in which diabetes has been diagnosed after the age of 45 y
non-diabetics
patients without diagnosed diabetes exhibiting fasting glycemia value under 7 mmol/L
Interventions
additional blood and urine collection during usual medical care endarterectomy samples during usual medical care
additional blood and urine collection during usual medical care endarterectomy samples during usual medical care
Eligibility Criteria
Diabetics and non-diabetics with planned endartectomy
You may qualify if:
- Adult patients with planned endarterectomy
- Affiliated to social security rights
- Signed inform consent
You may not qualify if:
- pregnancy
- Autoimmune disease, chronic inflammatory disease, neoplasia
- Type 1 diabetes
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of endocrinology, University Hospital Reunion Island - Felix Guyon Site
Saint Denis de La Réunion, 97405, France
Biospecimen
plasma and serum samples carotid endarterectomy samples urinary samples
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
XAVIER DEBUSSCHE, MD
CHU DE LA REUNION
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 8, 2016
First Posted
September 13, 2016
Study Start
October 1, 2016
Primary Completion
November 1, 2018
Study Completion
June 1, 2019
Last Updated
September 13, 2016
Record last verified: 2016-09
Data Sharing
- IPD Sharing
- Will not share