NCT05798637

Brief Summary

This is a prospective observational study aimed at testing the existence of an association between frailty, inflammatory status, and degree of platelet activation and reactivity in elderly subjects with type 2 diabetes or coronary artery disease or Alzheimer's disease.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
200

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Feb 2020

Typical duration for all trials

Geographic Reach
1 country

2 active sites

Status
unknown

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

February 10, 2020

Completed
3.1 years until next milestone

First Submitted

Initial submission to the registry

March 23, 2023

Completed
12 days until next milestone

First Posted

Study publicly available on registry

April 4, 2023

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2023

Completed
Last Updated

April 6, 2023

Status Verified

April 1, 2023

Enrollment Period

3.7 years

First QC Date

March 23, 2023

Last Update Submit

April 4, 2023

Conditions

Keywords

Coronary Artery DiseaseDiabetes Mellitus, Type 2Alzheimer DiseasePlatelets

Outcome Measures

Primary Outcomes (1)

  • Rate of platelet activation

    Platelet activation will be assessed in vivo, on circulating platelets, by flowcytometry measurement of p-selectin, integrin αIIbβ3, and tissue factor expression, and in vitro, on isolated platelets, by studying the response to agonists (thrombin, ADP, collagen) with lumiaggregometry and ATP secretion

    3 years

Secondary Outcomes (4)

  • Rate of systemic inflammation and oxidative stress

    3 years

  • Procoagulant platelet activity

    3 years

  • Rate of proinflammatory platelet activity

    3 years

  • Rate of platelet heterogeneity

    3 years

Study Arms (5)

Group A

Elderly subjects diagnosed with coronary syndrome ascertained by coronary angiography

Other: Standard of care

Group B

Frail elderly

Other: Standard of care

Group C

Elderly subjects with type 2 diabetes mellitus

Other: Standard of care

Group D

Elderly subjects with alzheimer's disease

Other: Standard of care

Group E

Not frail elderly subjects

Other: Standard of care

Interventions

No treatment other than clinical standard therapy is provided. Each subjects will perform a blood draw at enrollment and after 24 months of follow-up. Subjects will also be given a frailty status assessment questionnaire (according to the criteria of Fried)

Group AGroup BGroup CGroup DGroup E

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersYes
Age GroupsOlder Adult (65+)
Sampling MethodProbability Sample
Study Population

The study involves 5 cohorts of patients: * patients diagnosed with stable ischemic heart disease (CAD) * frail elderly patients * patients with type 2 diabetes (T2DM) * patients with Alzheimer's disease (AD) * not frail elderly subjects (control group).

You may qualify if:

  • age \> 65 years
  • low-dose aspirin therapy (100 mg)
  • belonging to each of the cohorts indicated

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

IRCCS Centro Cardiologico Monzino

Milan, Milan, 20138, Italy

RECRUITING

Univeristà di Pavia

Pavia, 27100, Italy

ACTIVE NOT RECRUITING

MeSH Terms

Conditions

Coronary Artery DiseaseDiabetes Mellitus, Type 2Alzheimer Disease

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular DiseasesDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesDementiaBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Paolo Gresele, Prof

    University Of Perugia

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Professor

Study Record Dates

First Submitted

March 23, 2023

First Posted

April 4, 2023

Study Start

February 10, 2020

Primary Completion

November 1, 2023

Study Completion

November 1, 2023

Last Updated

April 6, 2023

Record last verified: 2023-04

Locations