UnknownNot Applicable

HIV Infection And Evolvement of Atherosclerotic Plaque

Russia1,000 participantsStarted 2020-01-05

Plain-language summary

In a prospective multi-center observational study, 200 HIV-infected patients treated with antiretroviral treatment (ART) and who suffered from coronary artery disease (CAD) will be enrolled. Blood samples for biological parameters will be collected with all participants: lipid profile and markers of systemic inflammation specific for HIV-infection (lipopolysaccharide-binding protein; cytokines: IL-1β, IL-6, IL-8, IL-10, TNF -α, INF-γ, INF-α; procalcitonin; inflammatory hsCRP). All of them will undergo functional testing (Echo, CMR both at rest and stress if necessary) and invasive imaging with QCA, FFR, QFR, OCT, IVUS, VH-IVUS, NIRS. Patients will be treated according to the current and previous recommendations. Both medical treatment and percutaneous transluminal coronary angioplasty (PTCA) with or without stenting will be done. Collected data will be analyzed: correlation between ART, blood test results, coronary angiography results, including performed PTCA, history of myocardial infarctions, and other cardiovascular events. The follow-up period will achieve 12 months prospectively with collected clinical events and imaging outcomes which will be determined at the baseline and 12-month follow-up. The independent ethics expertise will be provided by the Central Clinical Hospital of the Russian Academy of Sciences (Moscow, Russia). The monitoring of the clinical data with imaging will be provided by The Ethics Board of Central Clinical Hospital of the Russian Academy of Sciences.

Who can participate

Age range21 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * all HIV-positive patients with chronic coronary syndrome or angina equivalent consistent with the manifestation of the stable coronary artery disease (in accordance with the 2019 Guidelines on Chronic Coronary Syndromes); * patients who underwent CCTA (index procedure) with or without further PCI; * age above 21 years old; * patients must receive antiretroviral medications (in accordance to the 2019 HIV Russian National Guidelines; EACS Guidelines 2020); * lesions may be either de novo or restenotic; * patient must have one or two-vessel disease in a native coronary vessel requiring or not requiring PCI without indications for immediate bypass surgery with any SYNTAX score; * successful uncomplicated PCI could be performed in the culprit vessels and all culprit lesions, but there should be no events or complications between the procedures of PCI in the past and 6 months prior to admission to the Chest Pain Center * the non-culprit vessel should have no flow-limiting lesions (diameter stenosis \<39%, but any plaque burden) and must be available for imaging.The non-culprit vessel must be considered safe for imaging evaluation; Exclusion Criteria: * any acute comorbidities; * patient has had a documented ST-elevation acute myocardial infarction within the 24 hours prior to admission to the Chest Pain Center; * unprotected left main lesion location; * culprit lesion is located within or distal to an arterial or saphenous vein graft; * untreated significan…

What they're measuring

Change of per cent of plaque burden from baseline to follow-up as assessed by QCA

Timeframe: At 12 months after the baseline imaging procedure

Number of participants with major adverse cardiac events that are related to plaque burden

Timeframe: At 12 months after the baseline imaging procedure

Diagnostic value of systemic inflammation markers for risk stratification

Timeframe: At 12 months after the blood testing and the baseline imaging procedure

Invasive assessment of fractional flow reserve for risk stratification

Timeframe: At 12 months after the baseline imaging procedure

Trial details

NCT IDNCT04810364

SponsorCentral Clinical Hospital of the Russian Academy of Sciences

Sponsor typeOTHER_GOV

Study typeOBSERVATIONAL

Primary completion2022-12-05

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