Myocardial Ischemia
Conditions
Keywords
Acute Coronary Syndrome, Myocardial Infarction, Diagnosis, Prognosis, Risk stratification
Brief summary
The objective of the study is to assess the performance characteristics of Apo J-Glyc as a novel biomarker for the early detection of myocardial ischaemia in patients with suspected acute coronary syndromes.
Detailed description
This in vitro diagnosis clinical validation will test the Performance Characteristics of Apo J-Glyc measured with a novel in vitro diagnostic (IVD) test. Blood samples from eligible consenting subjects will be collected at hospital admission, throughout different post admission times (1h, 3h, 24h and 72h or discharge). The quantification of circulating Apo J-Glyc levels will be analysed in correlation with clinical data providing information about Apo J-Glyc as an ischaemia biomarker and its diagnostic and 6-months prognostic value.
Interventions
New biomarker test
Sponsors
Study design
Eligibility
Inclusion criteria
* Age equal or above 18 years old * Chest pain of suspected cardiac origin * Signature of informed consent * Able and willing to comply with study requirements
Exclusion criteria
* Prior inclusion in the same study * Life expectancy less than 6 months * Previous inclusion in a therapy-related clinical trial (except clinical trials testing Medical Devices such as stents and/or balloons)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity | 0 hours | Sensitivity results will be generated from subject's blood collected at different collection time points. |
| Cut-off value point of Apo J-Gly levels at admission for the early diagnosis of cardiac ischaemia | 0 hour | Cut-off value point of Apo J-Gly levels at admission for the early diagnosis of cardiac ischaemia as compared to final diagnosis at discharge following routine practice to manage chest pain patients with possible ACS. |
| Area under the Receiver Operating characteristic Curve (A-ROC curve) | 0 hour | Area under the Receiver Operating characteristic Curve will be used to determine the optimum clinical sensitivity and specificity. Results will be generated from subject's blood collected at different collection time points. |
| Positive Predictive Value (PPV) | 0 hour | Positive Predictive Value results will be generated from subject's blood collected at different collection time points. |
| Specificity | 0 hour | Specificity results will be generated from subject's blood collected at different collection time points. |
| Negative Predictive Value (NPV) | 0 hour | Negative Predictive Value results will be generated from subject's blood collected at different collection time points. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Prognosis and risk-stratification. Incidence of Major following Adverse Cardiac Event (MACE). | From admission to up to 6 months | Subjects will be assessed for the in-hospital and 6-month incidence of any Major following Adverse Cardiac Event (MACE). |
Countries
Spain, United Kingdom