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Trial registered on ANZCTR
Registration number
ACTRN12605000431628
Ethics application status
Approved
Date submitted
13/09/2005
Date registered
16/09/2005
Date last updated
22/05/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Acute Coronary Syndrome Study
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Scientific title
Hormones and echo as indicators of diastolic function and outcomes in cardiac disease.
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Secondary ID [1]
294381
0
none
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Universal Trial Number (UTN)
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Trial acronym
The ACS Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Coronary Syndrome
541
0
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Condition category
Condition code
Cardiovascular
620
620
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
None
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Intervention code [1]
540
0
None
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Comparator / control treatment
not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
725
0
Establish relationships between plasma concentrations of known and newly discovered candidate marker peptides and established and newly validated echocardiographic indicators of left ventricular diastolic function in patients (with a spectrum of systolic function) surviving admission with an acute coronary syndrome.
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Assessment method [1]
725
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Timepoint [1]
725
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3 years
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Secondary outcome [1]
1490
0
Establish relationships of plasma marker peptides to changes in ventricular and systolic structure and function (i.e. remodelling).
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Assessment method [1]
1490
0
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Timepoint [1]
1490
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3 years
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Secondary outcome [2]
1491
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Establish relationships of peptide and echo indicators to clinical outcomes including recurrent ischaemic syndromes, heart failure and mortality.
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Assessment method [2]
1491
0
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Timepoint [2]
1491
0
3 years
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Eligibility
Key inclusion criteria
Ischaemic discomfort plus one or more of ECG changes (ST segment depression or elevation of at least 0.5mm, T-wave inversion of at least 3mm in at least 3 leads, or left bundle branch block), elevated levels of cardiac markers, a history of coronary disease, or age of at least 65 years in patients with diabetes or vascular disease (i.e. the identical criteria as those used in the recent OPUS-TIMI 16 trial and reiterated in the recent New England Journal article by De Lemos et al on the prognostic value of B-type natriuretic peptide in patients with acute coronary syndromes [43a]). The deliberate aim is to include a broad spectrum of age, both genders and significant sub-groups with the important antecedent risk factors and disease processes such as hypertension and diabetes.
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Minimum age
65
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
Severe co-morbidity limiting life expectancy to less than 3 years. Unable to provide written informed consent. Unable to attend for follow-up.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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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
Completed
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Date of first participant enrolment
Anticipated
1/07/2002
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Actual
1/07/2002
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Date of last participant enrolment
Anticipated
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Actual
12/02/2009
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Date of last data collection
Anticipated
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Actual
15/03/2018
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Sample size
Target
2000
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Accrual to date
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Final
2203
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Recruitment outside Australia
Country [1]
209
0
New Zealand
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State/province [1]
209
0
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Funding & Sponsors
Funding source category [1]
678
0
Government body
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Name [1]
678
0
NZ Health Research Council
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Address [1]
678
0
PO Box 5541, Wellesley Street, Auckland 1141
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Country [1]
678
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New Zealand
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Primary sponsor type
Government body
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Name
NZ Health Research Council
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Address
PO Box 5541, Wellesley Street, Auckland 1141
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Country
New Zealand
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Secondary sponsor category [1]
567
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None
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Name [1]
567
0
n/a
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Address [1]
567
0
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Country [1]
567
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1858
0
Chrischurch
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Ethics committee address [1]
1858
0
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Ethics committee country [1]
1858
0
New Zealand
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Date submitted for ethics approval [1]
1858
0
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Approval date [1]
1858
0
24/06/2002
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Ethics approval number [1]
1858
0
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Ethics committee name [2]
1859
0
Auckland
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Ethics committee address [2]
1859
0
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Ethics committee country [2]
1859
0
New Zealand
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Date submitted for ethics approval [2]
1859
0
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Approval date [2]
1859
0
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Ethics approval number [2]
1859
0
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Summary
Brief summary
Measurement of blood levels of hormones produced by the heart in response to stress or injury have been shown to predict the risk of death or deterioration in heart function in patients with heart disease. Recently validated techniques in echocardiography for grading heart function also stand as strong clinical indicators We propose to apply both methods of assessment to a broad range of patients who have all survived a recent crisis from coronary artery disease and are at the point of discharge (or within 8 weeks after discharge) from hospital. Positive results should enable targeting of intensified follow-up and medical treatment aimed at improving outcomes in those demonstrated to be at high risk for later problems
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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
35749
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Prof Mark Richards
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Address
35749
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Department of Medicine
University of Otago, Christchurch
PO Box 4345
Christchurch 8041
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Country
35749
0
New Zealand
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Phone
35749
0
+6433641063
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Fax
35749
0
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Email
35749
0
[email protected]
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Contact person for public queries
Name
9729
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Professor Mark Richards
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Address
9729
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Christchurch Cardioendocrine Research Group
Department of Medicine
Christchurch School of Medicine & Health Sciences
University of Otago
PO Box 4345
Christchurch
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Country
9729
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New Zealand
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Phone
9729
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+64 3 3641063
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Fax
9729
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+64 3 3641115
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Email
9729
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[email protected]
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Contact person for scientific queries
Name
657
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Lorraine Skelton
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Address
657
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Department of Medicine
Christchurch School of Medicine & Health Sciences
University of Otago
PO Box 4345
Christchurch
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Country
657
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New Zealand
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Phone
657
0
+64 3 2641063
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Fax
657
0
+64 3 3641115
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Email
657
0
[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
Embase
Circulating miR-323-3p and miR-652: Candidate markers for the presence and progression of acute coronary syndromes.
2014
https://dx.doi.org/10.1016/j.ijcard.2014.07.068
Dimensions AI
Betaine and Trimethylamine-N-Oxide as Predictors of Cardiovascular Outcomes Show Different Patterns in Diabetes Mellitus: An Observational Study
2014
https://doi.org/10.1371/journal.pone.0114969
Embase
Plasma levels of soluble VEGF receptor isoforms, circulating pterins and VEGF system SNPs as prognostic biomarkers in patients with acute coronary syndromes.
2018
https://dx.doi.org/10.1186/s12872-018-0894-1
Dimensions AI
Convalescent troponin and cardiovascular death following acute coronary syndrome
2019
https://doi.org/10.1136/heartjnl-2019-315084
Embase
Vascular endothelial growth factor-A promoter polymorphisms, circulating VEGF-A and survival in acute coronary syndromes.
2021
https://dx.doi.org/10.1371/journal.pone.0254206
Dimensions AI
Identifying Candidate Circulating RNA Markers for Coronary Artery Disease by Deep RNA-Sequencing in Human Plasma
2022
https://doi.org/10.3390/cells11203191
N.B. These documents automatically identified may not have been verified by the study sponsor.
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