Coronary Artery Disease Progression
Conditions
Brief summary
This study evaluates plaque progression and characteristics in patients with coronary atherosclerosis.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients between 50 and 75 years old * Subjects at intermediate to high risk for ASCVD * Asymptomatic patients without cardiac chest pain * Evidence of atherosclerosis on baseline CCTA
Exclusion criteria
* Renal insufficiency, defined as eGFR \< 30 ml/min * History of cardiovascular events (myocardial infarction, peripheral artery disease and ischemic stroke) * Use of lipid lowering therapy other than statin, ezetimibe or bempedoic acid monotherapy * Change in lipid lowering therapy in the last 6 months * Use of more than two antihypertensive agents * No coronary atherosclerosis at baseline imaging * Active malignancy requiring treatment * Atrial fibrillation * Any other treatment or clinically relevant condition that could interfere with the conduct or interpretation of the study in the opinion of the investigator * Inability or unwillingness to comply with the protocol requirements, or deemed by investigator to be unfit for the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Coronary Artery Disease Progression | Through study completion, between 130-156 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Progression in number of significant (>50%) and severe (>70%) stenoses | Through study completion, between 130-156 weeks |
| Total plaque volume progression | Through study completion, between 130-156 weeks |
| Calcified plaque volume progression | Through study completion, between 130-156 weeks |
| Non-calcified plaque volume progression | Through study completion, between 130-156 weeks |
| Presence of obstructive stenosis | Through study completion, between 130-156 weeks |
| Change in Pericoronary Adipose Tissue CT-Attenuation | Through study completion, between 130-156 weeks |
| CAD-RADS progression (yes/no) | Through study completion, between 130-156 weeks |
| Progression in number of high-risk plaque characteristics (yes/no) | Through study completion, between 130-156 weeks |
| Low-attenuation plaque volume progression | Through study completion, between 130-156 weeks |
Countries
Netherlands