Evaluating Atherosclerotic Disease Progression in Patients With Diabetes Mellitus
EVOLVE
1 other identifier
observational
1,000
1 country
2
Brief Summary
People with type 2 diabetes have a much higher risk of heart disease. One common problem is when the blood vessels that supply the heart become narrowed or blocked by fatty deposits, called plaque. This makes it harder for blood to reach the heart and can lead to serious problems such as chest pain, heart attacks, or even death. This study will follow people with type 2 diabetes who have already had a special heart scan called a coronary CT angiography. This scan takes detailed pictures of the heart's blood vessels. The goal is to understand how heart disease changes over time in people with type 2 diabetes, by looking at repeat scans and other health information. By learning more about how plaque builds up or gets worse, researchers hope to find better ways to identify which patients are most at risk for future heart problems.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2025
Longer than P75 for all trials
2 active sites
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
June 6, 2025
CompletedFirst Submitted
Initial submission to the registry
September 24, 2025
CompletedFirst Posted
Study publicly available on registry
November 20, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2036
November 20, 2025
November 1, 2025
1.3 years
September 24, 2025
November 18, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
progression of total coronary plaque volume (mm3)
The primary study parameter will be the progression of total coronary plaque volume (mm3). This will be calculated by subtracting the coronary plaque volume measured in the first CCTA from the total plaque volume measured in the follow-up CCTA. The plaque volume will be determined by dividing the total plaque volume by the total vesssel volume
Between baseline (retrospective) and follow up CCTA (interval 2-5 years).
Secondary Outcomes (9)
Changes in Coronary Artery Disease Reporting and Data Scale(CAD-RADS) scores
Between baseline (retrospective) and follow up CCTA (interval 2-5 years)
Progression of calcified plaque volume (mm3)
Baseline (retrospective) and follow up CCTA (interval 2-5 years)
Progression of non-calcified plaque volume (mm3)
Baseline (retrospective) and follow up CCTA (interval 2-5 years)
Progression of low attenuation plaque volume (mm3)
Baseline (retrospective) and follow up CCTA (interval 2-5 years)
Changes in coronary artery calcium score
Baseline (retrospective) and follow up CCTA (interval 2-5 years)
- +4 more secondary outcomes
Eligibility Criteria
In this study, patients with T2D who previously undergone CCTA for CAD assessment will be recruited. Patients will be included at three clinical sites: Amsterdam UMC, Cardiology centre Netherlands (CCN), University hospital of Salamanca - Fundacion Instituto de Estudios de ciencias de la salud de castilla y leon (IBSAL).
You may qualify if:
- Age over 18 years
- Previous completion of CCTA scan for CAD assessment
- Diagnosed with Type 2 Diabetes and currently receiving glucose lowering treatment
- Sufficient image quality of the CCTA scan (at least 2/3 vessels of sufficient quality for assessment).
You may not qualify if:
- Inability to provide written informed consent
- Presence of an unstable condition
- Ingeligibility for CCTA acquisition due to severe renal dysfunction (eGFR ≤ 30 mL/min/1.73m²) or known hypersensitivity or contraindication to CT contrast agents
- Any other treatment or clinically relevant condition that could interfere with the conduct or interpretation of the study in the opinion of the investigator
- inability or unwillingness to comply with the protocol requirements, or deemed by investigator to be unfit for the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Amsterdam University Medical Centers
Amsterdam, Netherlands
Cardiology Centers of the Netherlands
Amsterdam, Netherlands
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
September 24, 2025
First Posted
November 20, 2025
Study Start
June 6, 2025
Primary Completion (Estimated)
October 1, 2026
Study Completion (Estimated)
October 1, 2036
Last Updated
November 20, 2025
Record last verified: 2025-11