Cardiovascular Health & Early Stress
1 other identifier
observational
120
1 country
1
Brief Summary
Childhood adversity is highly prevalent, with 59% of the U.S. population reporting at least one adverse childhood experience (ACE). Substantial evidence links childhood adversity to cardiometabolic disease later in the life course, including heart disease, diabetes, and stroke, which are 3 of the top 10 causes of mortality in the United States. ACEs encompass many possible traumatic and distressing experiences, including abuse, neglect, or severe household dysfunctions. It is not surprising that the experience of those extreme events during the first decade of life has tremendous implications for the individual's psychological and physical health.
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 Jan 2022
Longer than P75 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
Study Start
First participant enrolled
January 20, 2022
CompletedFirst Submitted
Initial submission to the registry
May 30, 2024
CompletedFirst Posted
Study publicly available on registry
August 16, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2028
September 4, 2025
August 1, 2025
5.9 years
May 30, 2024
August 27, 2025
Conditions
Outcome Measures
Primary Outcomes (3)
Vascular function
This test examines how the blood vessels respond to different challenges and expand. It is used to characterize the cardiovascular health of the subject's blood vessels. Different events and substances will be used (under an IND) to test how the blood vessels react. The test is completed using Laser Doppler Speckle Contrast. We will measure how much the blood vessels dilate. Greater dilation, better vascular function.
Baseline
Cardiac Function
An evaluation of cardiac response will be monitored non-invasively. We will use ultrasound to visualize the heart and the blood vessels.
Baseline
Cardiac MRI (CMR)
Cardiac MRI will be completed to monitor early signs of poor functionality.
Baseline
Secondary Outcomes (7)
Spirometry
Baseline
Lung Diffusing Capacity
Baseline
Complete blood count
Baseline
HbA1c
Baseline
C-Reactive protein
Baseline
- +2 more secondary outcomes
Study Arms (4)
Young individuals ACE (ages 18-30 years old)
Young individuals who experienced accumulative adverse childhood experiences
Children ACE (ages 9-17 years old)
Children who experienced accumulative adverse childhood experiences .
Young individuals No ACE (ages 18-30 years old)
Young individuals who have not experienced accumulative adverse childhood experiences
Children No ACE (ages 9-17 years old)
Children who have not experienced accumulative adverse childhood experiences.
Interventions
Based on stress-related information, participants will be divided into those who were exposed to adversity during childhood and those who were not exposed.
Eligibility Criteria
Children and young individuals who have been exposed to adversity during childhood
You may qualify if:
- Cohort 1
- Men and pre-menopausal women
- years old
- Cohort 2
- males and females
- years old
You may not qualify if:
- Cohort 1
- Evidence of cardiovascular, pulmonary, renal, hepatic or cerebral diseases
- Evidence of pregnancy or currently nursing.
- Having a history of chronic pain
- Having a history of rheumatoid arthritis
- Cohort 2
- Evidence of cardiovascular, pulmonary, renal, hepatic or cerebral diseases
- Evidence of pregnancy or currently nursing.
- Having a history of chronic pain
- Having a history of rheumatoid arthritis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Virginia Commonwealth University
Richmond, Virginia, 23298, United States
Biospecimen
Blood is collected for routinary biomarkers and exploratory biomarkers
Study Officials
- PRINCIPAL INVESTIGATOR
Paula Rodriguez Miguelez
Virginia Commonwealth University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 30, 2024
First Posted
August 16, 2024
Study Start
January 20, 2022
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
December 1, 2028
Last Updated
September 4, 2025
Record last verified: 2025-08