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Trial registered on ANZCTR
Registration number
ACTRN12606000136505
Ethics application status
Approved
Date submitted
19/04/2006
Date registered
20/04/2006
Date last updated
20/04/2006
Type of registration
Retrospectively registered
Titles & IDs
Public title
Vasoactive peptides: regional plasma concentrations and correlation with cardiac haemodynamic status.
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Scientific title
An observational study of the regional concentrations of vasoactive neurohormones in patients with cardiovascular disease, and their assocation with concurrent haemodynamic status.
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Universal Trial Number (UTN)
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Trial acronym
GRADIENT study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cardiovascular disease
1104
0
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Condition category
Condition code
Cardiovascular
1184
1184
0
0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is a cross-sectional and observational study. Regional transorgan arterial and venous blood sampling during diagnostic and interventional coronary angiography will be performed. Plasma will be assayed for neurohormones. Results will be correlated with invasive haemodynamic measures taken at the time of the angiogram.
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Intervention code [1]
988
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None
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Comparator / control treatment
No comparator.
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Control group
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Outcomes
Primary outcome [1]
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To document the regional plasma concentrations of vasoactive peptides (including natriuretic peptides, angiotensin II, aldosterone and urocortin 1) in individuals with a spectrum of cardiovascular disease at a single time point.
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Assessment method [1]
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Timepoint [1]
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Secondary outcome [1]
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To document the transcardiac gradient of vasoactive neurohormones across a spectrum of cardiac and renal function at a single time point.
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Assessment method [1]
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Timepoint [1]
2893
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Eligibility
Key inclusion criteria
1) Individuals requiring diagnostic or interventional coronary angiogram.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
:1) Clinical contraindication to invasive coronary angiographic or percutaneous procedures2) Hypotension (systolic blood pressure<100mmHg)3) Anuria4) Requirement for emergency percutaneous intervention where obtaining research samples might delay treatment.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
31/03/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
302
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New Zealand
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State/province [1]
302
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Christchurch Cardioendocrine Research Group
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Address [1]
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Country [1]
1294
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New Zealand
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Funding source category [2]
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Government body
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Name [2]
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Health Research Council of New Zealand
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Address [2]
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Country [2]
1295
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New Zealand
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Primary sponsor type
Individual
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Name
Professor Mark Richards, Professor in Medicine, Christchurch School of Medicine and Health Sciences
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Address
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Country
New Zealand
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Secondary sponsor category [1]
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University
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Name [1]
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Christchurch School of Medicine and Health Sciences
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Address [1]
1144
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Country [1]
1144
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Chirstchurch School of Medicine and Health Scieinces
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Ethics committee address [1]
2624
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Ethics committee country [1]
2624
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New Zealand
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Date submitted for ethics approval [1]
2624
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Approval date [1]
2624
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Ethics approval number [1]
2624
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Ethics committee name [2]
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New Zealand Upper South B Regional Ethics Committee
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Ethics committee address [2]
2625
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Ethics committee country [2]
2625
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New Zealand
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Date submitted for ethics approval [2]
2625
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Approval date [2]
2625
0
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Ethics approval number [2]
2625
0
URB/06/02/010
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Summary
Brief summary
In 100 individuals with known or suspected heart disease we propose to describe the trans-cardiac (ie difference between circulation supplying heart and draining heart) and trans-organ (ie across the circulation of an organ) gradients of an array of circulating proteins of known and potential significance in heart disease. The study will determine whether these proteins are formed or eliminated by each organ studied and extend the knowledge of the metabolism of these proteins within the body.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Suetonia Palmer
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Address
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Department of Medicine
Christhcurch School of Medicine and Health Sciences
PO Box 4345
Christchurch 8001
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Country
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New Zealand
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Phone
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+64 3 3640496
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Fax
10177
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+64 3 3641115
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Email
10177
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[email protected]
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Contact person for scientific queries
Name
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Dr Suetonia Palmer
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Address
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Department of Medicine
Christchurch School of Medicine and Health Sciences
PO Box 4345
Christchurch
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Country
1105
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New Zealand
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Phone
1105
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+64 3 3641116
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Fax
1105
0
+64 3 3641115
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Email
1105
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Urotensin II Immunoreactivity in the Human Circulation: Evidence for Widespread Tissue Release
2009
https://doi.org/10.1373/clinchem.2009.131748
Dimensions AI
B-Type Natriuretic Peptide Forms within the Heart, Coronary Sinus, and Peripheral Circulation in Humans: Evidence for Degradation before Secretion
2014
https://doi.org/10.1373/clinchem.2013.210435
Embase
Regional Handling and Prognostic Performance of Circulating Insulin-Like Growth Factor Binding Protein-7 in Heart Failure.
2023
https://dx.doi.org/10.1016/j.jchf.2023.01.016
N.B. These documents automatically identified may not have been verified by the study sponsor.
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