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Coronary Artery DiseaseCAD-detNCT03914079

Evaluation of the CAD-det System, a Novel Non-Invasive Acoustic Diagnostic for the Diagnosis of Coronary Artery Disease

An observational study of Coronary Artery Disease and Cardiovascular Disease, run by AusculSciences Canada Inc. at 3 sites in Canada.

Suspended

Paused. Enrolment is on hold for now and may resume.

Official record
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Trial summary

The primary purpose of this multi-center study is to collect and study the acoustic and electrical signals created by the heart during the cardiac cycle as a result of stenosis or plaque associated with coronary artery disease (CAD). Read more about this study

Who is it for?
Ages 19 years and older
How many people
2,000 participants
Where
3 sitesCanada
Study dates
5 Apr 2019to Dec 2022
How long will I take part?
1 Year
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Up to 2,000 men and women age 19 and over with suspected or known CAD referred for clinically indicated Invasive Coronary Angiography (ICA) or Coronary Computed Tomography Angiography (CCTA).

Who may be able to join

  • Age ≥ 19 years;
  • Suspected or known CAD;
  • Able and willing to comply with the study procedures;
  • Referred to ICA or CCTA for CAD characterization;
  • Willingness and ability to sign the Informed Consent Form.

Who cannot join

  • Unwillingness or inability to provide informed consent;
  • Age less than 19 years;
  • Pregnancy;
  • Skin injury/diseases/lesions that would preclude safe application of the CAD-det device.

Trial locations and contacts

3 sites in 1 country.

Canada3 sites
  • Foothills Medical Centre (University of Calgary)

    Calgary, Alberta, T2N 2T9

  • University of Ottawa Heart Institute

    Ottawa, Ontario, K1Y 4W7

  • Horizon Health Network, Saint John Regional Hospital

    Saint John, New Brunswick, E2L 4L5

Other trials in Canada

About this study

The primary purpose of this multi-center study is to collect and study the acoustic and electrical signals created by the heart during the cardiac cycle as a result of stenosis or plaque associated with coronary artery disease (CAD).

Read the detailed description

This research intends to evaluate acoustic and electrical cardiovascular signals in patients with known or suspected CAD and establish the ability of the CAD-det System to accurately and reliably detect them utilizing coronary computed tomography (CCTA) and invasive coronary angiography (ICA) as reference standards. In addition, this study will collect clinical and acoustic data of other cardiac pathologies to better understand their impact on the acoustic signatures associated with CAD.

Keywords
Coronary Artery Disease, Cardiovascular Disease, Atherosclerosis, Coronary Occlusion, Non-Invasive Medical Device, Cardiac Diagnostics
Medical subject headings
Coronary Artery Disease, Cardiovascular Diseases, Atherosclerosis, Coronary Occlusion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants suspected of having Coronary Artery Disease

    Collection of all acoustic cardiac data to allow for the acoustic discrimination of the presence and degree of CAD in diseased and healthy participants.

    Measured: up to 1 Year

Secondary outcomes (2)
  1. Estimation of coronary artery stenosis by the CAD-det device.

    CAD-det results will be categorized by sex as:

    1. Acoustic and electrical signals consistent with 0-30% diameter stenosis (Negative for CAD);
    2. Acoustic and electrical signals consistent with 31-49% diameter stenosis (Pr-clinical / Negative);
    3. Acoustic and electrical signals consistent with 50-69% diameter stenosis (Positive);
    4. Acoustic and electrical signals consistent with 70% or greater diameter stenosis (Positive); and
    5. Equivocal or non-diagnostic.

    Measured: up to 1 year

  2. Estimation of coronary artery stenosis by CCTA and ICA categorized by sex as:

    1. 0 - 30% diameter stenosis (Negative);
    2. 31 - 49% diameter stenosis (Negative / Pre-clinical);
    3. 50 - 69% diameter stenosis (Positive);
    4. 70% or greater diameter stenosis (Positive); and
    5. Equivocal

    In cases where a participant undergoes both CCTA and ICA, the ICA results shall serve as the reference method results used for statistical analysis of the diagnostic accuracy of CAD-det. In participants with equivocal ICA and when invasive coronary physiology or functional assessments (eg. FFR, iFR, Pd/Pa, RFR) are performed, these assessments will be used to ascertain if the CAD-det can determine functional (hemodynamically significant) CAD.

    Measured: up to 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Apr 2019
  2. Study start5 Apr 2019
  3. Primary completionDec 2022 (estimated)
  4. Study completionDec 2022 (estimated)

Why it stopped: Sponsor due to COVID-19

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
2,000 participants (estimated)
Target duration
1 Year
IDs, dates and publications
ClinicalTrials.gov ID
NCT03914079
Sponsor's protocol ID
CAD-det-Research-Study
Acronym
CAD-det
Status last verified
Jan 2021
First submitted
31 Jan 2019
Last updated
12 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Makaryus AN, Makaryus JN, Figgatt A, Mulholland D, Kushner H, Semmlow JL, Mieres J, Taylor AJ. Utility of an advanced digital electronic stethoscope in the diagnosis of coronary artery disease compared with coronary computed tomographic angiography. Am J Cardiol. 2013 Mar 15;111(6):786-92. doi: 10.1016/j.amjcard.2012.11.039. Epub 2013 Jan 1.

    PubMed 23290309

Questions about this trial

What is this clinical trial studying?

An observational study of Coronary Artery Disease and Cardiovascular Disease, run by AusculSciences Canada Inc. at 3 sites in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: paused, as of the sponsor's last update on 12 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants suspected of having Coronary Artery Disease (time frame: up to 1 Year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03914079, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2021.

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