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Comparison of anti-atheroslerotic effects between intensified multifactorial intervention and conventional therapy in patients with coronary artery disease and type 2 diabetes

Effect of intensified multifactorial intervention on coronary atherosclerosis in patients with coronary artery disease and type 2 diabetes (IMPACT-DM): an open-label, randomized controlled trial - IMPACT-DM

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCTs031200359
Enrollment
156
Registered
2021-02-12
Start date
2021-11-17
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Coronary artery disease with diabetes mellitus coronary artery disease, diabetes mellitus, dyslipidemia, hypertension

Interventions

Patients with coronary artery disease and diabetes mellitus aged 20-74 years with hypertension, dyslipidaemia, or both were randomly assigned to receive conventional therapy for glucose, blood pressur
randomization, intensive treatment, standard treatments

Sponsors

Hibi Kiyoshi
Lead Sponsor
Sugano Teruyasu
Collaborator

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients with coronary artery disease and diabetes mellitus who underwent sucessful PCI in the target lesions and had significant coronary plaques in non-target leisons

Exclusion criteria

Exclusion criteria: Patients with bypass graft, in-stent restenosis, lesions with previous PCI treatments, lesions with severe calcification, familial hypercholesterolemia, type 1 diabetes mellitus, insulin treatment, history of operation of gastrointestinal tracts, severe renal and/or liver dysfunction, severe cardiac dysfunction, cancer treatments, cerebrovascular disease within 3 months before the enrollment, treatments of infectious diseases or any operation within 3 months after the enrollment, treatments with immunosuppressants and prednisolone, active bleeding, allergy and/or adverse events to stduy drugs, asthma, or pregnant or lactating women

Design outcomes

Primary

MeasureTime frame
Absolute chagens in percent plaque volumes in non-target coronary lesions as assessed by IVUS from post-procedure to 18 months

Secondary

MeasureTime frame
- Percent chagens in percent plaque volumes in non-target coronary lesions as assessed by IVUS from post-procedure to 18 months - Changes in coronary tissue characteristics (percent lipid and fibrous volumes) from post-procedure to 18 months - Changes in risk factors (HbA1c, blood pressure, LDL-C, HDL-C, TG) and status of achivements of target goals of risk factors - Minimum lumen diameter and area, percent stenosis and lumen volumes of target lesions as assessed by IVUS and QCA - Associations of coronary plaque volumes and tissue characteristics of non-target lesions as well as lumen parameters of target lesions with changes in risk factors and status of achievements of target goals of risk factors - Safety profile (percentages of adverse events, and abnormalities of blood test: Cr, AST, ALT, CK, etc) - MACE: cardiovascular death, non-fatal myocardial infarction, non-fatal cerebral infarction, unplanned revascularization) - Association between AT1 receptor-associated protein (ATRAP) and changes in plaque volume and tissue characteristics

Contacts

Public ContactKozo Okada

Yokohama City University Medical Center

kokada2@yokohama-cu.ac.jp+81-45-261-5656

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026