- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07743021
Health for Hungary (H4H) - Longitudinal Collection of Blood Samples and Corresponding Data (H4H)
Health for Hungary - Longitudinal Collection of Blood Samples and Corresponding Data for Longterm Evaluation of Innovative Diagnostic Techniques in Subjects Without Clinically Relevant Disorders at Baseline to Institute Molecular Fingerprinting Reference Norms
The Health for Hungary (H4H) study collects blood samples and corresponding health data to investigate healthy aging and health-to-disease transitions in middle-aged and elderly participants.
Indications Studied:
Apparently healthy, symptom-free participants are enrolled and followed up to study the onset of new-onset diseases with special emphasis on non-communicable diseases (NCDs).
Study Design:
Single-country, multicenter, prospective, longitudinal survey.
Objectives:
The study aims to establish reference ranges of blood parameters using routine clinical blood tests and high-information-content methods, including proteomics, metabolomics and the so-called infrared molecular fingerprinting.
The study also aims to identify novel biomarkers of major non-communicable diseases, including atherosclerotic cardiovascular disease, cancer, diabetes and chronic respiratory disease.
연구 개요
상태
상세 설명
BACKGROUND
The H4H study monitors health changes for 10 years in participants who are healthy at the outset but are at risk to develop new-onset health conditions. It uses a prospective study design and encompasses over 100,000 person-years of follow-up, allowing close observation of disease trajectories in relation to risk factors and medication use. This provides a unique opportunity to collect data on current tendencies in non-communicable disease (NCD) presentation and management.
Major NCDs (i.e., cardiovascular disease, cancer, type 2 diabetes and chronic respiratory disease) cause a significant loss in quality of life and are responsible for over 90 percent of Hungary's all-cause mortality. Therefore, there is growing demand for screening tools that might be used at minimal expense to reduce the overall burden of diseases. 'Early diagnosis' and recognition of high-risk states prior to the development of overt clinical diseases would allow better therapeutic outcomes and help preserve quality of life longer in the society.
Blood tests are valuable screening tools for many conditions and may be used for population health monitoring. Better understanding of blood composition, along with establishing reference ranges for blood constituents, is essential for developing effective blood-based health monitoring strategies.
High-information-content detection methods, including molecular fingerprinting, proteomics and metabolomics are expected to promote the discovery of novel disease biomarkers. By assessing a wide range of molecules, multiple disease-specific variables may be recognized.
Apart from multimodal analysis of blood samples, aliquots of all samples are preserved in a dedicated biobank with a commitment to accommodate a comprehensive collection of biospecimens for decades and to facilitate long-term research arrangements with the intention to accelerate future discoveries.
OBJECTIVES
The study aims to address the following objectives:
A) Establish reference ranges for infrared molecular fingerprinting and other high-information-content analysis methods (i.e., proteomics and metabolomics) in a non-symptomatic population using a cross-sectional approach.
B) Define characteristics of healthy aging and establish personalized reference intervals for infrared molecular fingerprinting and other high-information-content analysis methods using a longitudinal approach.
C) Identify novel biomarkers for non-communicable diseases, including coronary artery disease, lung cancer and diabetes, using infrared molecular fingerprinting and other high-information-content analysis on blood samples.
D) Identify novel blood-based risk factors for non-communicable diseases and discover indicators of precursor diseases using infrared molecular fingerprinting and other high-information-content analysis methods.
The findings of the current study will be instrumental in identifying disease specific deviations of human blood composition. This could lead to the discovery of 'novel biomarkers'.
Overall, the study will determine whether the molecular composition of human plasma remains stable over time and will test whether deeper analysis of blood samples can form the basis of population health monitoring.
STUDY DESIGN
The project is conducted in a single-country, multicenter, prospective, longitudinal format. Sample collection is scheduled for ten years according to this protocol.
PARTICIPANTS
The study enrolls healthy subjects of > 40 years or > 50 years in low- or high-risk cohorts, respectively, who are followed up for ten years. Enrollment continues until 15,000 subjects are enrolled.
PROCEDURES:
Blood sample collection occurs in accordance with the clinical routine and plasma samples are processed for high-information-content analysis. Additional blood tubes are submitted to clinical laboratory testing. Health data collection utilizes self-report questionnaires and review of medical records.
In the high-risk cohort, a comprehensive medical examination is performed after the first 4 blood samples are collected, including screening tests for lung cancer and coronary artery disease, i.e., a low-dose CT scan of the chest and coronary artery calcium score test (heart scan). These investigations are repeated after a follow-up period of 5 years.
WITHDRAWAL OF CONSENT, DISCONTINUATION FROM THE STUDY
Participation in this sample and data collection project is voluntary, and each participant has the right to withdraw their consent at any time without any consequence concerning possible future treatment or future blood donations.
연구 유형
등록 (추정된)
연락처 및 위치
연구 연락처
- 이름: Center for Molecular Fingerprinting
- 전화번호: +36 30 084 7359
- 이메일: info@h4h.hu
연구 장소
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Balatonfüred, 헝가리, 8230
- 정지된
- 04_DRC Balatonfüred_Drug Research Center LLC
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Budapest, 헝가리, 1023
- 모병
- 31_TP Szt Magdolna_Trial Pharma Ltd. Magdalene Private Hospital
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연락하다:
- 31_TP Szt Magdolna
- 전화번호: +36 1 733 3444
- 이메일: recepcio@szentmagdolna.com
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Budapest, 헝가리, 1036
- 모병
- 08_Qualiclinic Budapest_Qualiclinic LLC
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연락하다:
- 08_Qualiclinic Budapest
- 전화번호: +36 80 496 050
- 이메일: info@qclinic.hu
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Budapest, 헝가리, 1062
- 모병
- 22_MÁV Budapest_Railway Health Care Nonprofit Public Benefit Ltd.
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연락하다:
- 22_MÁV Budapest
- 전화번호: +36 1 881 0100
- 이메일: info@vasuteu.hu
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Budapest, 헝가리, 1085
- 모집하지 않고 적극적으로
- 07_SE Budapest_Semmelweis University, Occupational Health Service
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Budapest, 헝가리, 1113
- 정지된
- 01_OVSZ Budapest_Hungarian National Blood Transfusion Service, Central Hungarian Regional Blood Transfusion Center
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Budapest, 헝가리, 1119
- 모집하지 않고 적극적으로
- 20_TP Budapest_Trial Pharma LLC Budapest
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Budapest, 헝가리, 1123
- 모병
- 32_OrthoSera_OrthoSera Medical Zrt.
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연락하다:
- 31_OrthoSera
- 전화번호: +36 70 770 7298
- 이메일: info@orthosera.com
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Budapest, 헝가리, 1152
- 모집하지 않고 적극적으로
- 11_UNO Med Budapest_UNO MEDICAL TRIALS LLC
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Budapest, 헝가리, 3527
- 모병
- 23_MÁV Miskolc_Hungarian State Railways Clinic in Miskolc
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연락하다:
- 23_MÁV Miskolc
- 전화번호: +36 46 505 023
- 이메일: info@h4h.hu
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Békéscsaba, 헝가리, 5600
- 모병
- 14_TP Békéscsaba_Trial Pharma LLC Békéscsaba
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연락하다:
- 14_TP Békéscsaba
- 전화번호: +36 20 398 2923
- 이메일: akiszabo@gportal.hu
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Csorna, 헝가리, 9300
- 정지된
- 19_TP Csorna_Trial Pharma LLC Csorna
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Debrecen, 헝가리, 4031
- 모집하지 않고 적극적으로
- 09_Derma-B Debrecen_DERMA-B LLC
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Debrecen, 헝가리, 4032
- 모집하지 않고 적극적으로
- 05_DE Debrecen_University of Debrecen Clinical Centre, Institute for Primary Care and Health Promotion of Debrecen
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Encs, 헝가리, 3860
- 모병
- 36_CRU Encs_CRU Hungary Healthcare and Service Provider LLC.
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연락하다:
- 36_CRU Encs
- 전화번호: +36 46 798 262
- 이메일: info@cruint.com
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Gyula, 헝가리, 5700
- 모병
- 16_TP Gyula_Trial Pharma LLC Gyula
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연락하다:
- 16_TP Gyula
- 전화번호: +36 20 824 4122
- 이메일: akos.szabo@smedical.hu
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Győr, 헝가리, 9026
- 정지된
- 13_TP Győr_Trial Pharma LLC Győr
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Hatvan, 헝가리, 3000
- 모병
- 34_BKS Hatvan_BKS Research Ltd. Albert Schweitzer Hospital and Outpatient Clinic
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연락하다:
- 34_BKS Hatvan
- 전화번호: +36 37 341 033
- 이메일: korhaz@askhatvan.hu
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Jászszentlászló, 헝가리, 6133
- 모병
- 33_TP Fitt Harmony_Fitt Harmony Ltd
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연락하다:
- 33_TP Fitt Harmony
- 전화번호: +36 20 404 6095
- 이메일: info@h4h.hu
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Kaposvár, 헝가리, 7400
- 모병
- 28_Kaposvár Kh_Somogy County Kaposi Mór Teaching Hospital
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연락하다:
- 28_Kaposvár Kh
- 전화번호: +36 82 501 300
- 이메일: korhaz@kmmk.hu
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Kecskemét, 헝가리, 6000
- 모병
- 30_TP Kék Pont Kecskemét_Blue Point Aquatherapy Ltd. (KomplexLabor site)
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연락하다:
- 28_TP Kék Pont Kecskemét
- 전화번호: +36 30 088 7333
- 이메일: vervetel.info@gmail.com
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Kecskemét, 헝가리, 6000
- 모병
- 39_TP Kecskemét_Trial Pharma Ltd. Kecskemét
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연락하다:
- 39_TP Kecskemét
- 전화번호: +36 20 404 6095
- 이메일: info@h4h.hu
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Miskolc, 헝가리, 3526
- 모병
- 26_BAZ Miskolc_Borsod-Abaúj-Zemplén County Central Hospital and University Teaching Hospital
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연락하다:
- 26_BAZ Miskolc
- 전화번호: 11846 +36 46 515 200
- 이메일: sajtoreferens@bazmkorhaz.hu
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Nyíregyháza, 헝가리, 4400
- 모집하지 않고 적극적으로
- 21_TP Nyíregyháza_Trial Pharma LLC Nyíregyháza
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Orosháza, 헝가리, 5900
- 모집하지 않고 적극적으로
- 15_TP Orosháza_Trial Pharma LLC Orosháza
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Orosháza, 헝가리, 5900
- 모병
- 25_DermaMed_DermaMed Research LCC.
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연락하다:
- 25_DermaMed
- 전화번호: +36 30 665 6711
- 이메일: dermamed.research@gmail.com
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Pécs, 헝가리, 7621
- 모병
- 38_Ganglion Orvosi Központ Nozologen Kft._Ganglion Medical Center
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연락하다:
- 38_Ganglion Orvosi Központ Nozologen Kft
- 전화번호: +36 30 539 2825
- 이메일: info@ganglion.hu
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Pécs, 헝가리, 7624
- 모집하지 않고 적극적으로
- 02_PTE Pécs_University of Pécs, Centre for Occupational Health and Hygiene of the University of Pécs Clinical Centre
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Sopron, 헝가리, 9400
- 모병
- 18_TP Sopron_Trial Pharma LLC Sopron
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연락하다:
- 18_TP Sopron
- 전화번호: +36 20 960 9400
- 이메일: diag@newmed.hu
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Szeged, 헝가리, 6724
- 모병
- 37_KomplexLabor_KomplexLabor Diagnostics Ltd.
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연락하다:
- 37_KomplexLabor
- 전화번호: +36 62 770 777
- 이메일: info@komplexlabor.hu
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Szeged, 헝가리, 6726
- 모병
- 17_TP Szeged_Trial Pharma LLC Szeged
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연락하다:
- 17_TP Szeged
- 전화번호: + 36 305 195 018
- 이메일: h4h2szeged@gmail.com
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Szeged, 헝가리, 6726
- 모병
- 24_MÁV_Szeged_Hungarian State Railways Clinic in Szeged
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연락하다:
- 24_MÁV_Szeged
- 전화번호: +36 62 548 055
- 이메일: info@h4h.hu
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Székesfehérvár, 헝가리, 8000
- 모병
- 03_VVM Veszprém_Vita Verum Medical LLP
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연락하다:
- 03_VVM Veszprém
- 전화번호: +36 22 999 555
- 이메일: info@doktorplusz.com
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
샘플링 방법
연구 인구
설명
Low- and Moderate-risk Cohort:
Inclusion Criteria:
- Signed informed consent form (ICF) of the study.
- Age > 40 years.
- Willingness to fill in the study questionnaire.
- No clinically relevant symptoms as assessed by the investigator, subjects with existing medical conditions may be eligible given that they are symptom free and that full treatment of the condition is medically confirmed.
- Willingness to participate in future visits.
Exclusion Criteria:
- Self-reported pregnancy (no test).
- Indications of clinically relevant medical conditions in self-reported healthy subjects.
- Self-reported symptom-free HIV, HCV and HBV infections. If HIV, HBV or HCV serology test is done and any of them are positive, the subject will be considered a screen failure.
- Any conditions preventing blood-draw.
- Vulnerable subjects.
- Foreseeable lack of compliance.
- Participation in another sample collection project of the same sponsor, in order to avoid double evaluation of the same subject.
- Participation (currently or in the past month) in an early phase clinical trial (phases I and II) involving testing of pharmaceutical products, if the last dose of pharmaceutical product administration was within 30 days of the first sample collection, and / or further pharmaceutical product administration is planned.
- Vaccination within the last 14 days.
High-risk Cohort:
Inclusion Criteria:
- Signed informed consent form (ICF) of the study.
- Age > 50 years.
- Willingness to fill in the study questionnaire.
- Willingness to participate in future visits and medical investigations, the presence of at least 2 of the following 3 risk factors (inclusion criteria #5-7):
- Hypertension, receiving antihypertensive treatment.
- Dyslipidemia/ Hypercholesterolemia (>5.2mmol/L total cholesterol level), on or not on statin-treatment.
- Active or former smoker, with smoking history of at least 20 pack-years, and/or the presence of intermediate lung nodule on prior LDCT testing.
- No clinically relevant symptoms as assessed by the investigator; subjects with existing medical conditions may be eligible given that they are symptom free and that treatment of the condition is well documented.
Exclusion Criteria:
- Self-reported pregnancy (no test).
- Cardiovascular disease (including obstructive coronary artery disease, peripheral artery disease, aortic aneurysm) or other clinically significant heart disease (congenital, valvular heart disease, cardiomyopathy, heart failure and heart disease requiring ICD [implantable cardioverter defibrillator] or pacemaker therapy).
- Interstitial lung disease or severe COPD (chronic obstructive pulmonary disease) in GOLD stages 3 or 4.
- Active cancer or malignant disease with less than 5 years history of remission.
- Indications of clinically relevant medical conditions in self-reported healthy subjects, especially if (a) the condition requires regular or constant specialist checkups, or (b) pharmacological therapy indicates the presence of significant NCDs or multimorbidity, i.e., chronic polypharmacy (use of 5 or more medications at enrollment or over the last 6 months), or drug therapy necessitating a specialist input for initiation or management (e.g., combined anti-diabetic treatment with two or more medications).
- Self-reported symptom-free HIV, HCV and HBV infections. If HIV, HBV or HCV serology test is done and any of them are positive, the subject will be considered a screen failure.
- Any conditions preventing blood-draw or CT scans.
- Vulnerable subjects.
- Foreseeable lack of compliance.
- Participation in another sample collection project of the same sponsor, in order to avoid double evaluation of the same subject. 'High-risk' subjects enrolled in the low- and moderate-risk arm of the H4H study might be reallocated to the high-risk study arm after the first 4-5 visits.
- Participation (currently or in the past month) in an early phase clinical trial (phases I and II) involving testing of pharmaceutical products, if the last dose of pharmaceutical product administration was within 30 days of the first sample collection, and/or further pharmaceutical product administration is planned.
- Vaccination within the last 14 days of sample collection.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
|---|
|
Low- and moderate-risk cohort
Apparently healthy, self-reportedly asymptomatic participants aged 40 years or more, who have 0-2 modifiable cardiovascular risk factors (hypertension, hypercholesterolemia, smoking)
|
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High-risk Cohort
Apparently healthy, self-reportedly asymptomatic participants, aged 50 years or more, who have 2(+) modifiable cardiovascular risk factors (hypertension, hypercholesterolemia, smoking)
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Healthy aging
기간: 10 years
|
Reference ranges of blood parameters are defined that are associated with healthy aging (participants who do not develop any health conditions during the respective follow-up period).
Populational normal ranges are established for the cohort and person-specific reference ranges are explored.
|
10 years
|
|
Coronary artery disease
기간: 10 years
|
Incidence of coronary artery disease is followed up with the aim to identify novel biomarkers of new-onset coronary artery disease based on parameters measured with high information content analytical methods.
|
10 years
|
|
Lung cancer
기간: 10 years
|
Incidence of lung cancer is followed up with the aim to identify novel biomarkers of new-onset lung cancer based on parameters measured with high information content analytical methods.
|
10 years
|
|
Type 2 Diabetes
기간: 10 years
|
Incidence of type 2 diabetes is observed with the aim to identify novel biomarkers of new-onset diabetes based on parameters measured with high information content analytical methods.
|
10 years
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Molecular fingerprints
기간: 10 years
|
Molecular fingerprints acquired from plasma samples.
|
10 years
|
공동 작업자 및 조사자
협력자
수사관
- 수석 연구원: Ferenc Krausz, Prof, PhD, Center for Molecular Fingerprinting Research Nonprofit LLC
- 수석 연구원: Domokos Gerő, MD, PhD, Center for Molecular Fingerprinting Research Nonprofit LLC
간행물 및 유용한 링크
유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
- 내분비계 질환
- 뇌혈관 장애
- 뇌 질환
- 중추신경계 질환
- 신경계 질환
- 혈관 질환
- 병리학적 과정
- 부위별 신생물
- 심장 질환
- 만성 질환
- 질병 속성
- 대사 질환
- 호흡기 질환
- 폐 질환
- 포도당 대사 장애
- 폐 질환, 폐쇄성
- 호흡기 신생물
- 흉부 신생물
- 기관지 암종
- 기관지 신생물
- 동맥 경화증
- 동맥 폐색 질환
- 말초 혈관 질환
- 관상 동맥 질환
- 심근 허혈
- 병리학적 상태, 징후 및 증상
- 영양 및 대사 질환
- 비전염성 질병
- 뇌졸중
- 신생물
- 폐질환, 만성 폐쇄성
- 폐 신생물
- 제2형 당뇨병
- 심혈관 질환
- 진성 당뇨병
- 암종, 비소세포폐
- 말초 동맥 질환
- 관상동맥 질환
- 죽상동맥경화증
- 당뇨병 전증 상태
기타 연구 ID 번호
- H4H_HU_2020_Sample Collection
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .