UK CARDIOvascular Immune-Mediated Inflammatory Diseases (CARDIO-IMID) Registry Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Manchester

About this trial

The goal of this observational study is to develop a large, deeply characterised cohort that will be a platform for collaborative clinical and translational research into cardiovascular (CV) disease (CVD) and Immune-mediated-inflammatory-diseases (IMID). The main aim is to evaluate whether existing blood cardiac biomarkers predict adverse cardiovascular outcomes. The study will capture standard of care CV and associated health data (clinical, biochemistry/pathology and investigations) in patients across the IMIDs. Optional biological and/or imaging sub-studies will provide additional data and/or samples for associated analyses.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Written informed consent

Coronary artery disease (CAD): specifically, a high pre-test probability of CAD based on clinical risk factors (e.g. QRISK3 score ≥10%) and/or elevated biochemical markers (high-sensitivity C-reactive protein ≥2mg/L and/or Lipoprotein(a) ≥70mg/dL)

Myopericardial involvement: Specific IMID and/or cardiovascular indicators that place at increased risk e.g. autoantibody associations, presence of peripheral myositis or other major organ involvement; incidental raised serum cardiac biomarkers (troponin and/or NT-pro BNP), on routine testing

Deep vein thrombosis (VTE) and/or pulmonary embolism [PE].

Disqualifiers

Age less than 18 years

Unable to give informed consent

CMR: metal implant eg metal fragments in the eye, pacemaker; claustrophobia; inability to lie flat

Magnetic Resonance Imaging (MRI) contrast: renal failure with estimated glomerular filtration rate (eGFR) <30,

Trial population

Participants will be recruited from NHS secondary care in the United Kingdom. Potential participants may be identified from clinics, wards, diagnostic pathways and departments, electronic and paper-based health records, databases and waiting lists in secondary care. All individuals will be considered for inclusion in this study regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex, and sexual orientation, except where the study inclusion and exclusion criteria explicitly state otherwise.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Number of participants with abnormal high-sensitivity cardiac troponin I/T levels

The total number of participants with abnormal high-sensitivity troponin I/T levels (assessed by blood draw) will be measured. Unit: number of participants

Time frame
5 years
2

Number of participants with abnormal N-terminal pro B-type natriuretic peptide (NT-pro BNP) levels

The total number of participants with abnormal NT-pro BNP levels (assessed by blood draw) will be measured. Unit: number of participants

Time frame
5 years

Secondary outcomes

1

Number of participants with atherosclerotic cardiovascular disease (ASCVD)

Total number of participants with ASCVD ASCVD: Death due to acute myocardial infarction (MI), Sudden cardiac death, Death due to heart failure, Death due to stroke, Death due to cardiovascular procedures, Death due to cardiovascular haemorrhage, Death due to other cardiovascular causes: peripheral artery disease, Non-fatal MI, Non-fatal stroke of any classification, including reversible focal neurologic, defects with imaging evidence of a new cerebral lesion consistent with ischemia or haemorrhage. Unit: number of participants

Time frame
5 years
2

Number of participants with myopericardial involvement

Total number of participants with primary myocardial events such as myocarditis, pericarditis. Units: number of participants

Time frame
5 years
3

Number of participants with other cardiovascular events

The total number of participants with other cardiovascular events not already accounted for: Hospitalization for unstable angina; Coronary revascularization; Hospitalization for heart failure; Transient ischemic attack (TIA); Peripheral vascular disease (PVD); Venous thromboembolism (VTE) (deep vein thrombosis and/or pulmonary embolism \[PE\], all-cause mortality). Units: number of participants

Time frame
5 years
4

Atrial and ventricular volumetrics

Atrial and ventricular volumetrics will be continuously measured. Mean and median values will be reported. Units: mL/m2

Time frame
5 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Manchester

Lead sponsor

University of Cambridge

Collaborator

University of Oxford

Collaborator

University of Edinburgh

Collaborator

University of Leeds

Collaborator

Imperial College London

Collaborator

Medical Research Council

Collaborator

British Heart Foundation

Collaborator

Swansea University

Collaborator

British Heart Foundation Data Science Centre

Collaborator