The classic website will no longer be available as of June 25, 2024. Please use the modernized ClinicalTrials.gov.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu
Trial record 1 of 1 for:    iscad
Previous Study | Return to List | Next Study

International Spontaneous Coronary Artery Dissection (SCAD) "iSCAD" Registry

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04496687
Recruitment Status : Recruiting
First Posted : August 3, 2020
Last Update Posted : August 21, 2023
Sponsor:
Collaborator:
PERFUSE Study Group
Information provided by (Responsible Party):
SCAD Alliance

Tracking Information
First Submitted Date July 29, 2020
First Posted Date August 3, 2020
Last Update Posted Date August 21, 2023
Actual Study Start Date March 8, 2019
Estimated Primary Completion Date December 31, 2025   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 29, 2020)
  • Descriptive Data [ Time Frame: Continuous time frame following index event for an average of 3 years from study contact date ]
    Participant demographic, historical, clinical characteristics, and treatment data
  • Clinical Outcomes [ Time Frame: Continuous time frame following index event for an average of 3 years from study contact date ]
    Prospectively collected long-term outcomes including recurrent myocardial infarction, hospitalization, heart failure, stroke or transient ischemic attack, arrhythmia, and all cause mortality
  • Psychosocial Outcomes [ Time Frame: Continuous time frame following index event for an average of 3 years from study contact date ]
    Prospectively collected data on participant's mental health using validated questionnaires
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title International Spontaneous Coronary Artery Dissection (SCAD) "iSCAD" Registry
Official Title The International Spontaneous Coronary Artery Dissection "iSCAD" Registry (SCAD)
Brief Summary

The aim of "iSCAD," the International Spontaneous Coronary Artery Dissection (SCAD) Registry, is to serve as an internationally collaborative, multicenter registry coordinated by an experienced and centralized coordinating center in an effort to increase the pace of participant recruitment, and thereby increase statistical power of studies related to SCAD.

The ultimate goal of iSCAD Registry is to facilitate the development of best practices and clinical guidelines for preventing SCAD or its recurrence. This observational study will be prospective and retrospective in its recruitment and will collect clinical information to better understand the natural history and prognosis for SCAD.

Detailed Description

Spontaneous Coronary Artery Dissection (SCAD) is an under-diagnosed cause of acute coronary syndrome (ACS), myocardial infarction (MI) and sudden cardiac arrest. The inner lining of the coronary artery splits and allows blood to seep into the adjacent layer, forming a blockage (hematoma), or the artery continues to tear, creating a flap of tissue that blocks blood flow in the artery.

SCAD strikes generally healthy, younger individuals (average age 42) who do not have traditional cardiac risk factors. Warning signs of SCAD encompass the full range of ACS and MI symptoms, from vague to classic. The cause of SCAD is currently unknown and the psychosocial impact of SCAD is traumatizing. The work of the iSCAD Registry will encompass the physical and psychosocial study of SCAD.

Study Type Observational [Patient Registry]
Study Design Observational Model: Cohort
Time Perspective: Other
Target Follow-Up Duration 3 Years
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Spontaneous coronary artery dissection (SCAD) is defined as the non-traumatic, non-iatrogenic separation of the coronary arterial wall by intramural hemorrhage creating a false lumen, with or without an intimal tear. SCAD nearly always presents as an acute myocardial infarction. The prevalence of SCAD varies depending on the population studied. A goal of iSCAD Registry is to expand diversity of race, ethnicity, and sex of study participants. The mean age of SCAD presentation is 45-53 years of age, and appears to primarily affect women.
Condition Spontaneous Coronary Artery Dissection
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: July 29, 2020)
1000
Original Estimated Enrollment Same as current
Estimated Study Completion Date December 31, 2025
Estimated Primary Completion Date December 31, 2025   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

Participants with a new diagnosis of SCAD or a history of confirmed or suspected SCAD will be prospectively recruited from either:

  1. Inpatient wards of the enrolling medical centers during the acute presentation of SCAD, or
  2. Outpatient cardiovascular clinics of enrolling medical centers.

Participants must be:

  • 18 years of age or older
  • Diagnosis of SCAD or history of SCAD based on coronary angiography, either catheter-based or coronary CTA
  • Suspected SCAD by coronary angiography

Exclusion Criteria:

  1. Coronary dissection in association with atherosclerosis or as a result of iatrogenic injury
  2. Inability to provide informed consent
  3. Inability to complete study-related patient questionnaires
  4. Inability to understand and complete patient questionnaires independently
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Esther Kim, MD, MPH 704-373-0212 Soo.Kim@atriumhealth.org
Listed Location Countries Australia,   United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT04496687
Other Study ID Numbers 20190308
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Current Responsible Party SCAD Alliance
Original Responsible Party Same as current
Current Study Sponsor SCAD Alliance
Original Study Sponsor Same as current
Collaborators PERFUSE Study Group
Investigators
Study Chair: Esther Kim, MD Chair, Steering Committee
Principal Investigator: Malissa Wood, MD Member, Steering Committee
Principal Investigator: Sahar Naderi, MD Member, Steering Committee
PRS Account SCAD Alliance
Verification Date August 2023