NCT05368545

Brief Summary

This study assess in patients with stable chest pain and coronary artery disease (CAD) determined by coronary CTA whether cholesterol lowering with regression of coronary adverse plaque characteristics is associated with recovery of impaired flow

Trial Health

87
On Track

Trial Health Score

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

Enrollment
109

participants targeted

Target at P25-P50 for not_applicable coronary-artery-disease

Timeline
Completed

Started May 2020

Typical duration for not_applicable coronary-artery-disease

Geographic Reach
1 country

1 active site

Status
completed

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

May 15, 2020

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

May 6, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 10, 2022

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 17, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 17, 2024

Completed
Last Updated

April 3, 2025

Status Verified

April 1, 2025

Enrollment Period

3.9 years

First QC Date

May 6, 2022

Last Update Submit

April 1, 2025

Conditions

Keywords

fractional flow reserveCT derived fractional flow reservecoronary artery diseaseischemic heart diseasestable chest painstatinblood cholesterol level

Outcome Measures

Primary Outcomes (1)

  • Changes in FFRct values

    CT derived FFR

    18 months

Secondary Outcomes (2)

  • Changes in FFRct values

    9 months

  • Changes in low density plaque volumes

    0-9, and 0-18 months

Study Arms (2)

usual care lipid lowering

ACTIVE COMPARATOR

Usual care: atorvastatin 40 mg

Drug: High intensity lipid lowering

Intensive lipid lowering

EXPERIMENTAL

Intensive: rosuvastatin 40 mg + ezetimibe 10 mg

Drug: High intensity lipid lowering

Interventions

Two different regimens of drugs with different effects on LDL lowering

Also known as: Usual care lipid lowering
Intensive lipid loweringusual care lipid lowering

Eligibility Criteria

Age35 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥35 y
  • Symptoms suggestive of stable CAD
  • No pre-CTA known CAD
  • At least one lesion with FFRct \<0.81
  • Sinus rhythm
  • LDL cholesterol \>2.0 mM
  • Statin use \>2 months
  • Life expentancy \< 3 years
  • Signed informed consent

You may not qualify if:

  • Known CAD
  • Poor CTA image quality inadequiate for FFRct analysis (determined by corelab)
  • Significant CAD in the left main or proximal coronary segments
  • Referral to invasive catheterization
  • Statin intolerance
  • BMI \>40
  • Allergy to ionidated contrast
  • Pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Aarhus University Hospital

Aarhus, Denamrk, 8300, Denmark

Location

MeSH Terms

Conditions

Coronary Artery DiseaseMyocardial Ischemia

Condition Hierarchy (Ancestors)

Coronary DiseaseHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Study Officials

  • Bjarne Norgaard, MD, PhD

    Aarhus University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor, MD, DMSc, PhD

Study Record Dates

First Submitted

May 6, 2022

First Posted

May 10, 2022

Study Start

May 15, 2020

Primary Completion

April 17, 2024

Study Completion

April 17, 2024

Last Updated

April 3, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Locations