NCT04197453

Brief Summary

cvMOBIUS is a North American registry of patients with ASCVD aimed at understanding patterns of care in ASCVD while evaluating the real world effectiveness of PCSK9 inhibitors.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
752

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2019

Geographic Reach
2 countries

164 active sites

Status
terminated

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

First Submitted

Initial submission to the registry

December 5, 2019

Completed
1 day until next milestone

Study Start

First participant enrolled

December 6, 2019

Completed
7 days until next milestone

First Posted

Study publicly available on registry

December 13, 2019

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 21, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 21, 2020

Completed
Last Updated

October 15, 2021

Status Verified

October 1, 2021

Enrollment Period

1 year

First QC Date

December 5, 2019

Last Update Submit

October 8, 2021

Conditions

Keywords

LipidsLipid-lowering therapyCoronary heart diseasePeripheral arterial diseaseProprotein convertase subtilisin/kexin type 9 inhibitionEffectiveness

Outcome Measures

Primary Outcomes (1)

  • Incident event rate for the composite of all-cause mortality, non-fatal myocardial infarction (MI), and non-fatal ischemic stroke (IS).

    Number of incident all-cause deaths, non-fatal MI, and non-fatal IS events (whichever occurs first) divided by the person-time at risk

    Through study completion, a minimum of 4.5 years and maximum of 5 years

Secondary Outcomes (10)

  • Incident event rate for all-cause mortality

    Through study completion, a minimum of 4.5 years and maximum of 5 years

  • Incident event rate for non-fatal MI

    Through study completion, a minimum of 4.5 years and maximum of 5 years

  • Incident event rate for non-fatal IS

    Through study completion, a minimum of 4.5 years and maximum of 5 years

  • Incident rate of coronary or peripheral or carotid revascularication procedures

    Through study completion, a minimum of 4.5 years and maximum of 5 years

  • Incident event rate for major adverse limb events (MALE) including amputation

    Through study completion, a minimum of 4.5 years and maximum of 5 years

  • +5 more secondary outcomes

Study Arms (2)

Consented Arm

Subjects with a recent (within 18 months) hospitalization for myocardial infarction, unstable angina, ischemic stroke, or critical limb ischemia, and subjects undergoing coronary, peripheral, or carotid revascularization, including surgical and percutaneous revascularization, with an LDL-C greater than or equal to 70 mg/dL who may be eligible for PCSK9 inhibitor therapy.

Electronic Health Record (EHR) arm

Subjects with an inpatient or outpatient diagnosis of clinical ASCVD within the prior 12 months including coronary heart disease, ischemic cerebrovascular disease, atherosclerotic peripheral arterial disease, or prior coronary or peripheral or carotid revascularization.

Eligibility Criteria

Age40 Years - 99 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Subjects with a recent ASCVD event or coronary, peripherial or carotid revascularization (in the prior 18 months). All subjects must have an LDL-C \>=70 mg/dL or have initiated a PCSK9 inhibitor in the 6 months prior to enrollment.

You may qualify if:

  • Adults age ≥ 40 years
  • One or both of the following:
  • Hospitalization for a clinical ASCVD event: acute (MI), UA, IS, or critical limb ischemia (CLI) within 18 months of enrollment NOTE: subjects must have been admitted to the hospital. Those who are admitted and discharged in less than 24 hours are eligible for the study. Subjects who have been admitted to the ER for a clinical ASCVD event and not admitted to the hospital are not eligible for enrollment.
  • Coronary, peripheral, or carotid revascularization including percutaneous or surgical revascularization in the past 18 months Note: Revascularization procedures can occur in the inpatient or outpatient setting.
  • One of the following:
  • Low-density lipoprotein (LDL) ≥ 70 mg/dL (1.81 mmol/L) with no plans for immediate initiation or titration of statin therapy (Note: Subjects should not be enrolled into study during initiation/titration of statins until they have a stable LDL-C measurement \> 4 weeks after their last statin change and no immediate plans for future titration).
  • Newly started on PCSK9i after the index hospitalization/procedure and prior to enrollment (but no more than 6 months prior to enrollment) with pre-PCSK9i treatment LDL-C value available and known background LLT any time prior to PCSK9i initiation.
  • Planned follow-up within the health system.

You may not qualify if:

  • Unable or unwilling to provide informed consent, including but not limited to cognitive or language barriers (reading or comprehension)
  • Lack of phone or email for contact
  • Evidence of end stage renal disease (ESRD) or stage 5 chronic kidney disease (CKD)
  • Anticipated life expectancy less than 6 months
  • EHR Arm Criteria:
  • Subjects are eligible to be included in the "EHR arm" of the registry if they are:
  • Adults age ≥ 40 years of age
  • Have at least 1 inpatient or outpatient diagnosis of clinical ASCVD within 12 months prior to enrollment including CHD, ischemic cerebrovascular disease, atherosclerotic PAD, or prior coronary or peripheral or carotid revascularization.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (164)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

Mercy Gilbert Medical Center

Gilbert, Arizona, 85297, United States

Location

Old Pueblo Cardiology

Tucson, Arizona, 85712, United States

Location

Cardiovascular Research Foundation of Southern California

Beverly Hills, California, 90210, United States

Location

Los Alamitos Cardiovascular

Los Alamitos, California, 90720, United States

Location

Consortium of Attending Physicians for Research Investigations LLC

Los Angeles, California, 90448, United States

Location

Nanavati Critical Care Cardiology Clinic

National City, California, 91950, United States

Location

Rancho Cucamonga Clinical Trials

Rancho Cucamonga, California, 91730, United States

Location

Eisenhower Desert Cardiology Center

Rancho Mirage, California, 92270, United States

Location

San Diego Cardiac Center

San Diego, California, 92123, United States

Location

Millennium Clinical Trials

Thousand Oaks, California, 91360, United States

Location

Central Coast Cardiovascular

Ventura, California, 93003, United States

Location

University of Colorado Memorial Health System

Colorado Springs, Colorado, 80909, United States

Location

Hartford Hospital

Hartford, Connecticut, 06102, United States

Location

Cardiology Associates of Fairfield County, PC

Stamford, Connecticut, 06905, United States

Location

Bay Area Cardiology

Brandon, Florida, 33511, United States

Location

Holy Cross Hospital Inc

Fort Lauderdale, Florida, 33308, United States

Location

The Cardiac and Vascular Institute Research

Gainesville, Florida, 32605, United States

Location

Baptist Heart Specialists

Jacksonville Beach, Florida, 32250, United States

Location

Southwest Florida Research LLC

Naples, Florida, 34102, United States

Location

Ocala Cardiovascular Research

Ocala, Florida, 34474, United States

Location

Palm Harbor Medical Associates

Palm Harbor, Florida, 34684, United States

Location

Cardiology Consultants

Pensacola, Florida, 32501, United States

Location

Genesis Clinical Research Inc

Tampa, Florida, 33614, United States

Location

Interventional Cardiac Consultants

Trinity, Florida, 34655, United States

Location

Albany Internal Medicine

Albany, Georgia, 31707, United States

Location

Piedmont Heart Institute

Atlanta, Georgia, 30309, United States

Location

Accel Research Sites

Atlanta, Georgia, 30342, United States

Location

First Georgia Physicians Group

Fayetteville, Georgia, 30214, United States

Location

Northwest Heart Clinical Research LLC

Arlington Heights, Illinois, 60005, United States

Location

John H Stroger Jr Hospital of Cook County

Chicago, Illinois, 60612, United States

Location

Evanston Premier Healthcare Research LLC

Evanston, Illinois, 60201, United States

Location

Advocate Lutheran General Hospital

Park Ridge, Illinois, 60068, United States

Location

Prairie Cardiovascular Consultants

Springfield, Illinois, 62701, United States

Location

Indiana University

Indianapolis, Indiana, 46202, United States

Location

Saint Vincent Heart Center

Indianapolis, Indiana, 46290, United States

Location

Reid Physician Associates

Richmond, Indiana, 47374, United States

Location

Midwest Cardiovascular Research Foundation

Davenport, Iowa, 52803, United States

Location

MercyOne Iowa Heart Center

West Des Moines, Iowa, 50266, United States

Location

The University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

Location

Midwest Heart and Vascular Specialists

Overland Park, Kansas, 66211, United States

Location

Premier Medical Group

Owensboro, Kentucky, 42303, United States

Location

Grace Research LLC

Bossier City, Louisiana, 71111, United States

Location

Heart Clinic of Hammond

Hammond, Louisiana, 70403, United States

Location

Clinical Trials of America Inc

Monroe, Louisiana, 71201, United States

Location

University Medical Center-New Orleans

New Orleans, Louisiana, 70112, United States

Location

Ochsner Health Systems

New Orleans, Louisiana, 70121, United States

Location

Willis Knighton Cardiology

Shreveport, Louisiana, 71103, United States

Location

Grace Research LLC

Shreveport, Louisiana, 71105, United States

Location

Louisiana Heart Center

Slidell, Louisiana, 70458, United States

Location

MedStar Health Research Institute Chesapeake Cardiovascular Associates

Hyattsville, Maryland, 20782, United States

Location

TidalHealth Peninsula Regional, Inc

Salisbury, Maryland, 21804, United States

Location

McLaren Health

Bay City, Michigan, 48708, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Genesys Regional Medical Center

Grand Blanc, Michigan, 48439, United States

Location

Michigan Heart

Ypsilanti, Michigan, 48197, United States

Location

Minneapolis Heart Institute Foundation

Minneapolis, Minnesota, 55407, United States

Location

Jackson Heart

Jackson, Mississippi, 39216, United States

Location

Missouri Cardiovascular Specialists

Columbia, Missouri, 65201, United States

Location

University of Missouri Health Care

Columbia, Missouri, 65212, United States

Location

Cox Medical Centers

Springfield, Missouri, 65807, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

Saint Louis Heart and Vascular PC

St Louis, Missouri, 63136, United States

Location

Methodist Physicians Clinic Heart Consultants

Omaha, Nebraska, 68114, United States

Location

Palm Research Center Inc

Las Vegas, Nevada, 89128, United States

Location

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, 03756, United States

Location

Advanced Heart Care LLC

Bridgewater, New Jersey, 08807, United States

Location

Advanced Cardiology LLC

Cedar Knolls, New Jersey, 07927, United States

Location

Overlook Hospital

Summit, New Jersey, 07901, United States

Location

Virtua Health, Inc.

Voorhees Township, New Jersey, 08043, United States

Location

Albany Medical College

Albany, New York, 12206, United States

Location

Bassett Healthcare

Cooperstown, New York, 13326, United States

Location

Long Island Cardiovascular Consultants

Lake Success, New York, 11042, United States

Location

SJH Cardiology Associates

Liverpool, New York, 13088, United States

Location

Winthrop University Hospital

Mineola, New York, 11501, United States

Location

Northwell Health

New York, New York, 10011, United States

Location

DiGiovanna Institute for Medical Education and Research

North Massapequa, New York, 11758, United States

Location

Circuit Clinic

Orchard Park, New York, 14127, United States

Location

Saratoga Clinical Research, LLC

Saratoga Springs, New York, 12866, United States

Location

Stony Brook University Hospital

Stony Brook, New York, 11794, United States

Location

Montefiore Medical Center - Bronx

The Bronx, New York, 10467, United States

Location

Duke Heart Center Clinical Research

Durham, North Carolina, 27710, United States

Location

Cone Health

Greensboro, North Carolina, 27401, United States

Location

Medication Management, LLC

Greensboro, North Carolina, 27405, United States

Location

Vidant Cardiology

Greenville, North Carolina, 27834, United States

Location

Novant Health Heart and Vascular Institute

Monroe, North Carolina, 28112, United States

Location

Coastal Carolina Health Care PA

New Bern, North Carolina, 28562, United States

Location

Pinehurst Medical Clinic, Inc

Pinehurst, North Carolina, 28374, United States

Location

WakeMed

Raleigh, North Carolina, 27610, United States

Location

Sanford Cardiology

Sanford, North Carolina, 27330, United States

Location

PMG Research of Piedmont HealthCare

Statesville, North Carolina, 28625, United States

Location

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44106, United States

Location

The Ohio State University, Wexner Medical Center

Columbus, Ohio, 43210, United States

Location

Premier Cardiovascular

Dayton, Ohio, 45414, United States

Location

Kettering Medical Center

Kettering, Ohio, 45429, United States

Location

Heart House Research Foundation

Springfield, Ohio, 45504, United States

Location

Saint Vincent Medical Center

Toledo, Ohio, 43608, United States

Location

Central Oklahoma Early Detection Center

Edmond, Oklahoma, 73034, United States

Location

Ascension St John Clinical Research Institute

Tulsa, Oklahoma, 74104, United States

Location

Oklahoma State University Health Science Center

Tulsa, Oklahoma, 74127, United States

Location

Lynn Institute of Tulsa

Tulsa, Oklahoma, 74135, United States

Location

Central PA Physicians Group

Altoona, Pennsylvania, 16602, United States

Location

Capital Area Research LLC

Camp Hill, Pennsylvania, 17011, United States

Location

Chambersburg Hospital

Chambersburg, Pennsylvania, 17201, United States

Location

Doylestown Health Cardiology

Doylestown, Pennsylvania, 18901, United States

Location

The Heart Group of Lancaster General Health

Lancaster, Pennsylvania, 17603, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15213, United States

Location

Kent Hospital

Warwick, Rhode Island, 02886, United States

Location

AnMed Health

Anderson, South Carolina, 29621, United States

Location

PMG Research of Charleston

Charleston, South Carolina, 29407, United States

Location

Columbia Heart

Columbia, South Carolina, 29203, United States

Location

Upstate Cardiology

Greenville, South Carolina, 29607, United States

Location

Monument Health Clinical Research

Rapid City, South Dakota, 57701, United States

Location

Diagnostic Cardiology Group

Chattanooga, Tennessee, 37404, United States

Location

Stern Cardiovascular Foundation Inc

Germantown, Tennessee, 38138, United States

Location

Parkway Cardiology Associates

Oak Ridge, Tennessee, 37830, United States

Location

Seton Heart Institute

Austin, Texas, 78705, United States

Location

Thyroid Endocrinology and Diabetes

Dallas, Texas, 75208, United States

Location

Southwest Family Medicine Associates

Dallas, Texas, 75235, United States

Location

Baylor College of Medicine

Houston, Texas, 77030, United States

Location

Northwest Houston Cardiology

Houston, Texas, 77070, United States

Location

North Dallas Research Associates

McKinney, Texas, 75069, United States

Location

CardioVoyage

McKinney, Texas, 75071, United States

Location

Texas Institute of Cardiology

McKinney, Texas, 75071, United States

Location

Southern Endocrinology Associates PA

Mesquite, Texas, 75149, United States

Location

Permian Research Foundation

Odessa, Texas, 79761, United States

Location

Consano Clinical Research

San Antonio, Texas, 78258, United States

Location

San Antonio Endovascular and Heart Institute

San Antonio, Texas, 78258, United States

Location

Village Medical Centers

The Woodlands, Texas, 77382, United States

Location

Northwest Houston Heart Center

Tomball, Texas, 77375, United States

Location

Tyler Cardiovascular Consultants

Tyler, Texas, 75701, United States

Location

Cardiology Consultants of Danville, Inc

Danville, Virginia, 24541, United States

Location

Virginia Heart

Falls Church, Virginia, 22042, United States

Location

Stroobants Cardiovascular Center

Lynchburg, Virginia, 24501, United States

Location

Carient Heart and Vascular

Manassas, Virginia, 20109, United States

Location

Cardiovascular Associates of Virginia

Midlothian, Virginia, 23114, United States

Location

Tidewater Physicians Multispecialty Group Clinical Research

Newport News, Virginia, 23606, United States

Location

York Clinical Research LLC

Norfolk, Virginia, 23510, United States

Location

Multicare Institute for Research and Innovation

Puyallup, Washington, 98372, United States

Location

Washington University

Seattle, Washington, 98014, United States

Location

Marshall Cardiology

Huntington, West Virginia, 25701, United States

Location

West Virginia University

Morgantown, West Virginia, 26506, United States

Location

Fraser River Endocrinology

Surrey, British Columbia, V3V 0C6, Canada

Location

Cardio Metabolic Collaborative Clinic

Victoria, British Columbia, V8T 5G1, Canada

Location

Discovery Clinical Services Ltd

Victoria, British Columbia, V8T 5G4, Canada

Location

Winnipeg Clinic

Winnipeg, Manitoba, R3C 0N2, Canada

Location

South Sherbrook Health Centre and Pharmacy

Winnipeg, Manitoba, R3C 2B3, Canada

Location

Cardio 1

Winnipeg, Manitoba, R3L 1Z5, Canada

Location

Brampton Clinical Trials

Brampton, Ontario, L6Z 4N5, Canada

Location

Cambridge Cardiac Care Centre

Cambridge, Ontario, N1R 6V6, Canada

Location

Saul Vizel Professional Medicine Corporation â€" Vizel Cardiac Research

Cambridge, Ontario, N1R 7R1, Canada

Location

Cardiovasular Clinical Research Organization Limited

Greater Sudbury, Ontario, P3E 5M4, Canada

Location

Curnew Medicine Professional Corporation

Hamilton, Ontario, L8L 0A9, Canada

Location

Partners in Advanced Cardiac Evaluation

Newmarket, Ontario, L3Y 2P6, Canada

Location

Oakville Cardiovascular Research Limited Partnership

Oakville, Ontario, L6K 3W7, Canada

Location

Rhema Research Institute

Owen Sound, Ontario, N4K 3H1, Canada

Location

Heart Health Institute Research Incorporated

Scarborough Village, Ontario, M1B 4Z8, Canada

Location

Sewa Ram Singal Medicine Professional Corporation

Toronto, Ontario, M3N 2V6, Canada

Location

Mohan Babapulle Medicine Professional Corporation

Waterloo, Ontario, N2T 0C1, Canada

Location

Ecogene-21

Chicoutimi, Quebec, G7H 7K9, Canada

Location

McGill University Health Centre - Montreal General Hospital

Montreal, Quebec, H3G 1A4, Canada

Location

Applied Medical Informatics Research Incorporated

Montreal, Quebec, H4A 3T2, Canada

Location

CardioVasc HR Incorporated

Saint-Jean-sur-Richelieu, Quebec, J3A 1J2, Canada

Location

Related Links

MeSH Terms

Conditions

Coronary DiseasePeripheral Arterial Disease

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesAtherosclerosisArteriosclerosisArterial Occlusive DiseasesPeripheral Vascular Diseases

Study Officials

  • MD

    Amgen

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
5 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 5, 2019

First Posted

December 13, 2019

Study Start

December 6, 2019

Primary Completion

December 21, 2020

Study Completion

December 21, 2020

Last Updated

October 15, 2021

Record last verified: 2021-10

Locations