- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05588895
Picture of Incidental Calcium To Understand Risk Estimate (PICTURE) Trial (PICTURE)
NOTIFY 2: Picture of Incidental Calcium To Understand Risk Estimate
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Shiqin Xu
- Phone Number: 919-412-1939
- Email: shiqinxu@stanford.edu
Study Locations
-
-
California
-
Stanford, California, United States, 94305
- Recruiting
- Stanford University
-
Contact:
- Fatima Rodriguez
- Phone Number: 650-497-0881
- Email: frodrigu@stanford.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 and above and <85
- Non-gated chest CT with CAC
An encounter after July 1, 2021 with a Stanford-affiliated clinician from one of the following clinics:
- Stanford Internal Medicine (includes University affiliated clinics)
- Stanford Family Medicine (includes University affiliated clinics)
- Non-EP cardiologist
Exclusion Criteria:
- Advanced or poor-prognostic cancer
- No active primary care or cardiology care at Stanford Health Care
- Primary language other than English, Spanish, Vietnamese, Cantonese, or Mandarin
- Baseline statin or non-statin lipid lowering therapy
- Allergy to statin medication or identification of statin-associated muscle symptom
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Usual Care
The usual care arm will have its CT scans interpreted and reported according to standard clinical practice. This may mention the presence of CAC in the official radiology imaging report, per usual practice. The usual care arm will not receive any notification beyond this standard of care. We intend to notify patients in the usual care arm at the end of 6 months if we determine that notification is effective at increasing statin rates. |
|
Experimental: Notification
The notification arm will have its CT scans interpreted and reported according to standard clinical practice.
A standardized notification message using the EHR will be sent to the patient's Stanford affiliated non-EP cardiologist, if present, or the primary care clinician if there is no non-EP cardiologist.
After a two week delay from notifying the patient's non-EP cardiologist or PCP, a standardized notification message will be sent to the patient.
The message will include an image of the CAC from the chest CT.
All communications will be signed by the Principal Investigator.
Any treatment decisions will be made by the patient and their clinician.
|
For patients randomized to notification, the affiliated non-EP cardiologist, if present, or if patient does not have one, the PCP will be notified and will receive an electronic health record (EHR) message notifying them of the presence of CAC (with images) and the ACC/AHA guideline recommendation to consider starting statin therapy. Simultaneously, the patient will be notified via a MyHealth message describing the presence of CAC with personalized scan images, its significance, and the recommendation that statin therapy should be considered. For the notification arm, we will check for either statin prescription or a documented discussion in the EHR at 2 months. For those not prescribed a statin and without a documented discussion in Epic at 2 months follow-up, we will send a repeat notification to their home address and to their affiliated clinician. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of new statin prescriptions or increased dose prescriptions
Time Frame: Baseline through Month 6
|
6-month new statin prescription rate or increase in dosage if baseline statin use
|
Baseline through Month 6
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants using statin medication
Time Frame: Month 6
|
6-month assessment of statin prescription rates/dose
|
Month 6
|
Change in Low-density lipoprotein (LDL) cholesterol
Time Frame: Baseline and Month 6
|
Baseline and Month 6
|
|
Change in 10-Year Atherosclerotic Cardiovascular Disease (ASCVD) Pooled Cohort Equation
Time Frame: Baseline and Month 6
|
This outcome measures the 10 year risk of ASCVD events.
|
Baseline and Month 6
|
Number of events requiring primary care intervention, cardiology referrals, or cardiac testing
Time Frame: Baseline through Month 6
|
This outcome assesses healthcare resource use (primary care clinical encounters, cardiology referrals, cardiac testing).
|
Baseline through Month 6
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Fatima Rodriguez, MD, Stanford University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 67227
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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