Single-cell Multi-omics Analyses of OCT-diagnosed Plaque Subtypes in Coronary Artery Disease (MOOP-CAD) (MOOP-CAD)
Single-cell Multi-omics Analyses of OCT-diagnosed Plaque Subtypes in Coronary Artery Disease - a Prospective, Observational Study
Study Overview
Status
Status
Conditions
Conditions
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Bo Yu, MD,PhD
- Phone Number: 86-045186605180
- Email: yubodr@163.com
Study Contact Backup
- Name: Maomao Zhang, MD,PhD
- Phone Number: 15145106466
- Email: maomaolp1983@163.com
Study Locations
-
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Heilongjiang
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Harbin, Heilongjiang, China, 150081
- Recruiting
- The Second Affiliated Hospital of Harbin Medical University
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Principal Investigator:
- Bo Yu, MD,PhD
-
Contact:
- Bo Yu, MD,PhD
- Phone Number: 86-045186605180
- Email: yubodr@163.com
-
Principal Investigator:
- Jingbo Hou, MD,PhD
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Principal Investigator:
- Maomao Zhang, MD,PhD
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Principal Investigator:
- Jiannan Dai, MD,PhD
-
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Jilin
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Changchun, Jilin, China, 130033
- Recruiting
- China-Japan Union Hospital of Jilin
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Principal Investigator:
- Yuquan He, MD,PhD
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Contact:
- Yuquan He, MD,PhD
- Phone Number: 86-043184645407
- Email: heyq@jlu.edu.cn
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Male or female, Age ≥ 18 years and ≤ 85 years.
- Ability to understand the requirements of the study and to provide informed consent.
Control group:
Patients with coronary angiographic diameter stenosis <20%.
Stable plaque group:
- Have been clinically stable for at least 6 months.
- Presence of ≥1 lesion with angiographic diameter stenosis >50% with no TCFA lesions in the most severely narrowed native coronary artery (target vessel). TCFA was defined as a lipidic plaque with the thinnest FCT <75 mm and maximum lipid arc >180°.
- Rule out elevation of troponin or myocardial enzymology.
Vulnerable plaque group:
- Have been clinically stable for at least 6 months.
- Presence of ≥1 lesion with angiographic diameter stenosis >50% with TCFA lesions in the most severely narrowed native coronary artery (target vessel).
- Rule out elevation of troponin or myocardial enzymology.
Plaque rupture group:
- Persistent chest pain for 30 minutes, arrival at the hospital within 24 hours from symptom onset. ST-segment elevation of >0.1 mV in ≥2 contiguous leads or new-onset left bundle branch block, and high sensitive Troponin T or I or CK/CK-MB above upper reference value.
- Exist clearly identified culprit lesion.
- Plaque rupture was defined by the presence of a discontinuity of the fibrous cap with a cavity formed inside the plaque.
Plaque erosion group:
- Persistent chest pain for 30 minutes, arrival at the hospital within 24 hours from symptom onset. ST-segment elevation of >0.1 mV in ≥2 contiguous leads or new-onset left bundle branch block, and high sensitive Troponin T or I or CK/CK-MB above upper reference value.
- Exist clearly identified culprit lesion.
- Plaque erosion was defined by the presence of the attached thrombus overlying the intact fibrous cap of the atherosclerotic plaque, luminal surface irregularity at the culprit lesion in the absence of thrombus, or attenuation of the underlying plaque by thrombus without superficial lipid or calcium at the site of the thrombus.
Exclusion Criteria:
- Cardiogenic shock or circulatory depression,life-threatening arrhythmia.
- Known systolic heart failure with LVEF ≤30%.
- Severe systemic diseases (end-stage renal disease, serious liver dysfunction, chronic active inflammatory diseases, active oncologic diseases, autoimmune diseases).
- Septicemia, acute inflammatory event with fever.
- Patients with organ transplants or patients on the waiting list for an organ transplant.
- Previous CABG treatment, PCI treatment of the target vessel, and PCI treatment of non-target vessels within 1 year.
- Thrombolysis before PCI.
- Stenosis of the left main artery ≥50%.
- Characteristics rendering high-quality OCT imaging unlikely such as chronic total occlusion, pronounced tortuosity, heavily calcified vessels.
- Infarcted vessel with a diameter >4mm or <2.5mm.
- "No-reflow" (TIMI 0-1) after thrombus aspiration or predilatation.
- Other subjects deemed unsuitable for study by investigators.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
|
Plaque rupture group
Patient diagnosed as AMI with plaque rupture detected by OCT.
|
|
Plaque erosion group
Patient diagnosed as AMI with plaque erosion detected by OCT.
|
|
Control group
Patients with angiographic diameter stenosis <20%
|
|
Stable plaque group
Angiographic diameter stenosis >50% with no TCFA lesions in the most severely narrowed native coronary artery (target vessel).
|
|
Vulnerable plaque group
Angiographic diameter stenosis >50% with TCFA lesions in the most severely narrowed native coronary artery (target vessel).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of MACE
Time Frame: 1 year following hospital discharge
|
The incidence of major adverse cardiovascular events in patients (Major adverse cardiovascular events is defined as the composite of all-cause death, recurrent myocardial infarction, revascularization, unplanned readmission for angina exacerbation or unstable angina)
|
1 year following hospital discharge
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of SCD
Time Frame: 1 year following hospital discharge
|
The incidence of sudden cardiac death in patients
|
1 year following hospital discharge
|
|
Incidence of nonfatal myocardial infarction
Time Frame: 1 year following hospital discharge
|
The incidence of nonfatal myocardial infarction in patients
|
1 year following hospital discharge
|
|
Incidence of target vessel revascularization
Time Frame: 1 year following hospital discharge
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The incidence of target vessel revascularization in patients
|
1 year following hospital discharge
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- KY2024-084
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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