NCT04950218

Brief Summary

In a prospective cohort study (n = 1.000), the investigators aim to investigate the correlation between cardiac biomarkers and advanced echocardiography and determine whether these are prognostic markers of heart disease in patients suffering from psoriasis.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
102mo left

Started Sep 2021

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress36%
Sep 2021Oct 2034

First Submitted

Initial submission to the registry

December 8, 2020

Completed
7 months until next milestone

First Posted

Study publicly available on registry

July 6, 2021

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2021

Completed
13.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2034

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2034

Last Updated

September 15, 2025

Status Verified

September 1, 2025

Enrollment Period

13.1 years

First QC Date

December 8, 2020

Last Update Submit

September 9, 2025

Conditions

Keywords

PsoriasisEchocardiographyAdvanced echocardiographyBiomarkersMortalityCardiovascular mortality

Outcome Measures

Primary Outcomes (9)

  • Cardiovascular mortality

    2 year follow-up

  • Cardiovascular mortality

    5 year follow-up

  • Cardiovascular mortality

    10 year follow-up

  • Myocardial infarction

    2 year follow up

  • Myocardial infarction

    5 year follow up

  • Myocardial infarction

    10 year follow up

  • Coronary revascularization

    Percutaneous coronary intervention or coronary artery bypass graft

    2 year follow up

  • Coronary revascularization

    Percutaneous coronary intervention or coronary artery bypass graft

    5 year follow up

  • Coronary revascularization

    Percutaneous coronary intervention or coronary artery bypass graft

    10 year follow up

Secondary Outcomes (9)

  • All-cause mortality

    2 year follow up

  • All-cause mortality

    5 year follow up

  • All-cause mortality

    10 year follow up

  • Admission with cardiac heart failure (CHF)

    2 year follow up

  • Admission with cardiac heart failure (CHF)

    5 year follow up

  • +4 more secondary outcomes

Study Arms (2)

Psoriasis patients

Eligible psoriasis patients will be identified from the daily outpatient program, at the Department of Dermato-Allergology, that is the department will provide the patient's contact information to the project group. As most outpatient clinic psoriasis is classified as moderate to severe, in order to approximate a random sample as accurate as possible including patients with mild psoriasis, all people with a diagnosis of psoriasis will a general invitation to participate in the study through appropriate channels such as the Danish Psoriasis Foundation's newsletter.

Control group

The control group will consist of a retrospective random sample of around 1.000 patients from the general population examined in the 4th and 5th Copenhagen City Heart Study, 2001-2003 and 2011-2014 (ClinicalTrials.gov identifier NCT02993172, I-Suite no. 03741, National Committee on Health Research Ethics approval HEH-2015-045). Existing data from the Copenhagen City Heart Study will be transferred to the current study and will include personal identification number from the Central Office of Civil Registration, echocardiographic assessments, electrocardiograms as well as health related data (health conditions including symptoms, risk factors for cardiovascular disease, medication, prior clinical and/or paraclinical assessments including blood test results and procedures relevant to psoriasis and potential heart disease).

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Psoriasis patients will be recruited prospectively from the Outpatient Clinic, Department of Dermato- Allergology, Herlev and Gentofte University Hospital, and Bispebjerg \& Frederiksberg Hospital, Denmark. Eligible psoriasis patients will be identified from the daily outpatient program, at the Department of Dermato-Allergology. As most outpatient clinic psoriasis is classified as moderate to severe, in order to approximate a random sample as accurate as possible including patients with mild psoriasis, all people with a diagnosis of psoriasis will a general invitation to participate in the study through appropriate channels such as the Danish Psoriasis Foundation's newsletter.

You may qualify if:

  • Patients 18 years or older with a diagnosis of psoriasis will be invited to participate

You may not qualify if:

  • Patients not able to cooperate to the study
  • Patients unable understand and sign informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Cardiology, Herlev and Gentofte University Hospital, University of Copenhagen

Hellerup, Copenhagne, 2900, Denmark

RECRUITING

Related Publications (26)

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    PMID: 19479122BACKGROUND
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    PMID: 18216477BACKGROUND
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    PMID: 17553036BACKGROUND
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    PMID: 7751469BACKGROUND
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    PMID: 17052489BACKGROUND
  • Rocha-Pereira P, Santos-Silva A, Rebelo I, Figueiredo A, Quintanilha A, Teixeira F. Dislipidemia and oxidative stress in mild and in severe psoriasis as a risk for cardiovascular disease. Clin Chim Acta. 2001 Jan;303(1-2):33-9. doi: 10.1016/s0009-8981(00)00358-2.

    PMID: 11163020BACKGROUND
  • Shapiro J, Cohen AD, David M, Hodak E, Chodik G, Viner A, Kremer E, Heymann A. The association between psoriasis, diabetes mellitus, and atherosclerosis in Israel: a case-control study. J Am Acad Dermatol. 2007 Apr;56(4):629-34. doi: 10.1016/j.jaad.2006.09.017. Epub 2006 Dec 8.

    PMID: 17157411BACKGROUND
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    PMID: 17021763BACKGROUND
  • Tam LS, Tomlinson B, Chu TT, Li M, Leung YY, Kwok LW, Li TK, Yu T, Zhu YE, Wong KC, Kun EW, Li EK. Cardiovascular risk profile of patients with psoriatic arthritis compared to controls--the role of inflammation. Rheumatology (Oxford). 2008 May;47(5):718-23. doi: 10.1093/rheumatology/ken090. Epub 2008 Apr 9.

    PMID: 18400833BACKGROUND
  • Wu Y, Mills D, Bala M. Psoriasis: cardiovascular risk factors and other disease comorbidities. J Drugs Dermatol. 2008 Apr;7(4):373-7.

    PMID: 18459519BACKGROUND
  • Lindegard B. Diseases associated with psoriasis in a general population of 159,200 middle-aged, urban, native Swedes. Dermatologica. 1986;172(6):298-304. doi: 10.1159/000249365.

    PMID: 3089849BACKGROUND
  • Kaye JA, Li L, Jick SS. Incidence of risk factors for myocardial infarction and other vascular diseases in patients with psoriasis. Br J Dermatol. 2008 Sep;159(4):895-902. doi: 10.1111/j.1365-2133.2008.08707.x. Epub 2008 Jul 4.

    PMID: 18616778BACKGROUND
  • Brauchli YB, Jick SS, Miret M, Meier CR. Psoriasis and risk of incident myocardial infarction, stroke or transient ischaemic attack: an inception cohort study with a nested case-control analysis. Br J Dermatol. 2009 May;160(5):1048-56. doi: 10.1111/j.1365-2133.2008.09020.x. Epub 2009 Feb 4.

    PMID: 19210501BACKGROUND
  • Xiao J, Chen LH, Tu YT, Deng XH, Tao J. Prevalence of myocardial infarction in patients with psoriasis in central China. J Eur Acad Dermatol Venereol. 2009 Nov;23(11):1311-5. doi: 10.1111/j.1468-3083.2009.03318.x. Epub 2009 Jun 1.

    PMID: 19522710BACKGROUND
  • Kimball AB, Robinson D Jr, Wu Y, Guzzo C, Yeilding N, Paramore C, Fraeman K, Bala M. Cardiovascular disease and risk factors among psoriasis patients in two US healthcare databases, 2001-2002. Dermatology. 2008;217(1):27-37. doi: 10.1159/000121333. Epub 2008 Mar 18.

    PMID: 18349542BACKGROUND
  • Al-Mutairi N, Al-Farag S, Al-Mutairi A, Al-Shiltawy M. Comorbidities associated with psoriasis: an experience from the Middle East. J Dermatol. 2010 Feb;37(2):146-55. doi: 10.1111/j.1346-8138.2009.00777.x.

    PMID: 20175849BACKGROUND
  • Ahlehoff O, Gislason GH, Charlot M, Jorgensen CH, Lindhardsen J, Olesen JB, Abildstrom SZ, Skov L, Torp-Pedersen C, Hansen PR. Psoriasis is associated with clinically significant cardiovascular risk: a Danish nationwide cohort study. J Intern Med. 2011 Aug;270(2):147-57. doi: 10.1111/j.1365-2796.2010.02310.x. Epub 2010 Nov 29.

    PMID: 21114692BACKGROUND
  • Gelfand JM, Dommasch ED, Shin DB, Azfar RS, Kurd SK, Wang X, Troxel AB. The risk of stroke in patients with psoriasis. J Invest Dermatol. 2009 Oct;129(10):2411-8. doi: 10.1038/jid.2009.112. Epub 2009 May 21.

    PMID: 19458634BACKGROUND
  • Ahlehoff O, Gislason GH, Jorgensen CH, Lindhardsen J, Charlot M, Olesen JB, Abildstrom SZ, Skov L, Torp-Pedersen C, Hansen PR. Psoriasis and risk of atrial fibrillation and ischaemic stroke: a Danish Nationwide Cohort Study. Eur Heart J. 2012 Aug;33(16):2054-64. doi: 10.1093/eurheartj/ehr285. Epub 2011 Aug 12.

    PMID: 21840930BACKGROUND
  • Mehta NN, Azfar RS, Shin DB, Neimann AL, Troxel AB, Gelfand JM. Patients with severe psoriasis are at increased risk of cardiovascular mortality: cohort study using the General Practice Research Database. Eur Heart J. 2010 Apr;31(8):1000-6. doi: 10.1093/eurheartj/ehp567. Epub 2009 Dec 27.

    PMID: 20037179BACKGROUND
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    PMID: 20633008BACKGROUND
  • Horreau C, Pouplard C, Brenaut E, Barnetche T, Misery L, Cribier B, Jullien D, Aractingi S, Aubin F, Joly P, Le Maitre M, Ortonne JP, Paul C, Richard MA. Cardiovascular morbidity and mortality in psoriasis and psoriatic arthritis: a systematic literature review. J Eur Acad Dermatol Venereol. 2013 Aug;27 Suppl 3:12-29. doi: 10.1111/jdv.12163.

    PMID: 23845149BACKGROUND
  • Biering-Sorensen T, Mogelvang R, Pedersen S, Schnohr P, Sogaard P, Jensen JS. Usefulness of the myocardial performance index determined by tissue Doppler imaging m-mode for predicting mortality in the general population. Am J Cardiol. 2011 Feb 1;107(3):478-83. doi: 10.1016/j.amjcard.2010.09.044.

    PMID: 21257018BACKGROUND
  • Mogelvang R, Sogaard P, Pedersen SA, Olsen NT, Marott JL, Schnohr P, Goetze JP, Jensen JS. Cardiac dysfunction assessed by echocardiographic tissue Doppler imaging is an independent predictor of mortality in the general population. Circulation. 2009 May 26;119(20):2679-85. doi: 10.1161/CIRCULATIONAHA.108.793471. Epub 2009 May 11.

    PMID: 19433761BACKGROUND
  • Mogelvang R, Sogaard P, Pedersen SA, Olsen NT, Schnohr P, Jensen JS. Tissue Doppler echocardiography in persons with hypertension, diabetes, or ischaemic heart disease: the Copenhagen City Heart Study. Eur Heart J. 2009 Mar;30(6):731-9. doi: 10.1093/eurheartj/ehn596. Epub 2009 Jan 27.

    PMID: 19176536BACKGROUND

Biospecimen

Retention: SAMPLES WITHOUT DNA

Hemoglobin A1c (HbA1c), hemoglobin level, fasting plasma glucose, ALAT, cholesterol, triglyceride levels, creatinine, potassium, sodium, TSH Specific biomarkers: HsCRP, hsTNT and proBNP

MeSH Terms

Conditions

PsoriasisCardiovascular DiseasesGuttate PsoriasisVentricular Dysfunction, LeftMyocardial InfarctionMyocardial IschemiaHeart FailureStrokeHeart DiseasesHeart Failure, SystolicHeart Failure, Diastolic

Condition Hierarchy (Ancestors)

Skin Diseases, PapulosquamousSkin DiseasesSkin and Connective Tissue DiseasesVentricular DysfunctionVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosisCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Tor Biering-Sørensen, MD, PhD, MPH

    Department of Cardiology, Herlev and Gentofte University Hospital, University of Copenhagen

    STUDY DIRECTOR
  • Claus Zachariae, MD, DMSc

    Department of Dermato-Allergology, Herlev and Gentofte University Hospital, University of Copenhagen

    STUDY DIRECTOR
  • Lone Skov, MD, PhD, DMSc

    Department of Dermato-Allergology, Herlev and Gentofte University Hospital, University of Copenhagen

    STUDY DIRECTOR
  • Gunnar Gislason, MD, PhD

    Department of Cardiology, Herlev and Gentofte University Hospital, University of Copenhagen

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, fellow

Study Record Dates

First Submitted

December 8, 2020

First Posted

July 6, 2021

Study Start

September 1, 2021

Primary Completion (Estimated)

October 1, 2034

Study Completion (Estimated)

October 1, 2034

Last Updated

September 15, 2025

Record last verified: 2025-09

Locations