No registrations found.
ID
Source
Brief title
Health condition
atherosclerosis, MR Imaging, biomarkers, presence, progression, young adults
Sponsors and support
Intervention
Outcome measures
Primary outcome
(a) presence and (b) rate of change in atherosclerosis over time in young adulthood (visualized with state-of the-art magnetic resonance imaging techniques) predicted by certain biomarkers of circulating cells and systemic inflammation
Secondary outcome
aortic wall thickness and volume;
presence and number of aortic atherosclerotic plaques (luminal protrusion of > 1 mm in radial thickness);
the extent of aortic atherosclerosis (expressed as % of affected aorta as fraction of total aorta depicted)
Background summary
Rationale: the relevance of the proposed study lies in clarification of the interrelationship between biomarkers and the presence and (accelerated) progression of atherosclerosis shown with MR Imaging in young adults in order to identify individuals at highest risk of developing clinically manifest atherosclerosis
Objective: the overall objective of this project is to assess the interplay between classical risk factors, plasma markers, markers of activated circulating cells and atherosclerosis burden at MR imaging (expressed as aortic vessel wall thickness and presence of plaques) in the development of atherosclerosis in young adulthood to further elucidate key drivers of clinically manifest atherosclerosis later in life
Study design: a prospective, single center cohort study
Study population: The study population consists of 520 cardiovascular healthy participants between 25-35 years of age drawn from the region of Leidsche Rijn, Utrecht, the Netherlands.
Main study parameters/endpoints: the main study endpoints are twofold:
(1) the levels of markers of circulating cells that predict (a) presence and (b) rate of change in atherosclerosis (visualized with MR Imaging) over time in young adulthood to identify individuals at high risk to develop advanced atherosclerosis over classical cardiovascular risk factors;
(2) aortic wall thickness and presence of aortic plaques found at MR imaging of the thoracic and abdominal aorta
Study objective
the relevance of the proposed study lies in clarification of the interrelationship between biomarkers and the presence and (accelerated) progression of atherosclerosis shown with MR Imaging in young adults in order to identify individuals at highest risk of developing clinically manifest atherosclerosis.
Study design
baseline measurements: completed after 15 months
measurements repeated 3 years after baseline measurements: completed after 51 months
Intervention
Questionnaire: to obtain information regarding age, gender, race, medical history, medication use and lifestyle (smoking, alcohol consumption, dietary intake and social economic status),
Physical examination: measurements of height, weight, waist circumference and blood pressure
Blood sampling: obtained for biochemical analysis including plasma glucose and lipid profile and obtained for biomarker measurements
MR Imaging (with use of gadolinium contrast agent): imaging of thoracic and abdominal aorta, left ventricle function, pulse wave velocity
University Medical Center Utrecht
Room E.01.132
Heidelberglaan 100
A.L.M. Eikendal
Utrecht 3584 CX
The Netherlands
+31(0)88 75 503 55 / +31(0)6 219 786 19
a.l.m.eikendal@umcutrecht.nl
University Medical Center Utrecht
Room E.01.132
Heidelberglaan 100
A.L.M. Eikendal
Utrecht 3584 CX
The Netherlands
+31(0)88 75 503 55 / +31(0)6 219 786 19
a.l.m.eikendal@umcutrecht.nl
Inclusion criteria
no medical history of cardiovascular disease and no cardiovascular preventive medication;
between 25-35 years of age;
willing and be able to sign informed consent
Exclusion criteria
subjects with claustrophobia;
subjects with a history of allergic reactions to MR contrast fluids;
subjects with implanted electronic devices (i.e. pacemaker, internal cardioverter-defibrillator, cochlear implants, nerve- and bone stimulators);
subjects with ferromagnetic clips in brain, eyes or lungs;
subjects with a known reduced kidney function (GFR< 60 ml/min)
subjects who are pregnant
Design
Recruitment
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL3992 |
| NTR-old | NTR4164 |
| CCMO | NL44603.041.13 |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |
| OMON | NL-OMON40481 |