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Cardiovascular DiseasesNCT07359768

Non-invasive Microvascular Assessment in Individuals at High Risk of Cardiovascular Disease From the SCAPIS2 Study

An observational study of Cardiovascular Diseases and Microvascular Complications, run by HJN Sverige AB/Neko Health at 1 site in Sweden.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Microvascular dysfunction, particularly endothelial dysfunction, is increasingly recognized as a key mechanism underlying various cardiovascular diseases (CVD), including heart failure, ischemic heart disease, atherosclerosis, stroke, dementia, and kidney failure. Read more about this study

Who is it for?
Any age
How many people
900 participants
Where
1 siteSweden
Study dates
18 Mar 2024to 29 Dec 2026
Phase
Observational
Are there results?
Not yet: the study is under way

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: SCAPIS 2 General cohort

Who may be able to join

  • Participated in the SCAPIS baseline (SCAPIS 1 study, 10 years ago)
  • Cohort specific inclusion criteria apply, as stated in 'groups' section
  • Has been invited to SCAPIS 2 core Singed informed consent to SCAPIS 2 core

Who cannot join

  • Scarring, tattoos, or amputations that preclude device examination
  • Cohort specific exclusion criteria apply, as stated in 'groups' section

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Mattias Windå, Chief Science and Innovation Officer contact

+46703169040

mattias@nekohealth.com

Sweden1 site, 1 recruiting
  • Danderyd Hospital

    Stockholm, Danderyd

    Sara Tehrani, Principal Investigator, MD, Ph.D, +46736797074, sara.tehrani@regionstockholm.se

    Recruiting

Other trials in Sweden

About this study

Official title: SCAPIS 2 - Spectrum Study -CVD Risk Based on Microvascular Dysfunction

Microvascular dysfunction, particularly endothelial dysfunction, is increasingly recognized as a key mechanism underlying various cardiovascular diseases (CVD), including heart failure, ischemic heart disease, atherosclerosis, stroke, dementia, and kidney failure. Chronic low-grade inflammation linked to metabolic syndrome may further drive systemic microvascular impairment. Early detection of these subclinical processes using non-invasive assessments could facilitate timely interventions to prevent disease progression.

SCAPIS 2 Spectrum is a prospective observational sub-study of the Swedish Cardiopulmonary Bioimage Study (SCAPIS-2), recruiting approximately 900 subjects aged 60-75 years. The study is organized into five arms-obstructive coronary artery disease (O-CAD), angina with nonobstructive coronary arteries (ANOCA), metabolic syndrome with diabetes, left ventricular systolic dysfunction, and left ventricular diastolic dysfunction-each defined by specific inclusion and exclusion criteria. Participants will undergo a comprehensive microvascular assessment using investigational devices (including Perimed Periflux EPOS, PeriCam MultiFlow, and TCI P4) alongside stress cardiac magnetic resonance imaging (stress-CMR) for cardiac-specific evaluation.

Read the detailed description

Non-invasive microvascular Assessment A comprehensive microvascular evaluation is performed using three investigational devices designed to capture detailed information on dermal perfusion. The Perimed Periflux 6000 EPOS employs diffuse reflectance spectroscopy (DRS) and laser Doppler flowmetry (LDF) for a single-point multi-modal assessment. The PeriCam MultiFlow performs imaging of dermal perfusion using multi-exposure laser contrast imaging (MELSCI) and measures blood oxygen saturation via multispectral imaging (MSI). Additionally, the TCI P4 utilizes spatial frequency domain imaging technology for quantification of perfusion and chromophore concentrations in the skin. Functional methods, including Post-Occlusive Reactive Hyperemia (PORH), Flow-Motion Analysis, and Thermal Provocation, are applied to assess dynamic microvascular responses.

Cardiac Magnetic Resonance Imaging (CMR) Stress#CMR is conducted using adenosine infusion and contrast enhancement to evaluate cardiac-specific microvascular function. This approach includes first-pass perfusion imaging and quantitative myocardial blood flow analyses, which allow for calculation of myocardial perfusion reserve.

Keywords
microvascular, non-invasive, microcirculation, spatial frequency domain imaging, cardiac magnetic resonance imaging, laser speckle contrast imaging, laser doppler flowmetry
Medical subject headings
Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07359768
Study groupRoleWhat they receive
O-CADO-CAD arm inclusion is based on burden of coronary atherosclerosis measure in computer tomography of coronary arteries (CCTA) as measured by coronary artery disease reporting and data system (CADRADS). If CAD-RADS is above or equal to 3, participant may be eligible for inclusion in O-CAD arm.
ANOCAANOCA arm inclusion is dictated by presence of cardiac angina as defined by the rose questionnaire and CAD-RADS <3. Exclusion criteria are similar as to those for stress-CMR.
MetabolicInclusion is dictated by prevalence of diabetes mellitus concomitantly present with metabolic syndrome with metabolic syndrome severity score higher than 4. Exclusion criteria are similar as to those for stress-CMR, alongside CAD RADS < 3 and no angina as defined by rose questionnaire.
Left ventricular diastolic dysfunctionInclusion is dictated by diastolic dysfunction as defined by British Society of Echocardiography. Exclusion criteria are similar as to those for stress- CMR, alongside CAD RADS < 3 and no angina as defined by rose questionnaire.

What is being measured

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

  1. Correlation between device-derived skin microcirculation variables and CCTA severity metrics including CAD-RADS (0-5) and plaque burden

    Assess the correlation between skin microcirculation parameters measured by investigational devices (icluding PORH; 42°C local heat plateau; flow-motion endothelial-band power; iontophoresis acetylcholine response), coronary CT angiography (CCTA) severity metrics: CAD-RADS score, 0-5, zero is equivalent to no plaque and 5 indicates complete occlusionan (fully blocked) and Plaque burden indices (e.g., Segment Involvement Score [SIS])

    The device-derived microcirculation parameters are:

    Baseline perfusion, Perfusion after provocation, Peak perfusion, Time to peak, Recovery time, Capillary recruitment and Oxygen saturation (StO₂)

    The goal is to determine if these microcirculation measurements reflect coronary disease severity.

    Measured: Baseline

  2. Discriminative performance of device-derived microcirculatory variables for significant coronary stenosis

    Evaluate the ability of microcirculatory variables measured by investigational devices to discriminate between patients with and without significant coronary stenosis, defined as CAD-RADS ≥ 3 (≥50% luminal narrowing on coronary CT angiography).

    Measured: Baseline

  3. Proportion of ANOCA participants (CAD-RADS <3 with angina per Rose questionnaire) who meet CMD criteria on stress-cardiac MRI using perfusion assessment

    Calculate the proportion of participants classified as ANOCA (defined as CAD-RADS < 3 and angina symptoms per Rose Angina Questionnaire) who fulfill criteria for coronary microvascular dysfunction (CMD) based on stress cardiac MRI perfusion assessment according to site-standard protocols

    Measured: Baseline

  4. Proportion of INOCA participants (CAD-RADS <3 with ishemia per Rose questionnaire) who meet CMD criteria on stress-cardiac MRI using perfusion assessment.

    Calculate the proportion of participants classified as INOCA (CAD-RADS < 3 and objective ischemia evidence) who fulfill CMD criteria based on stress cardiac MRI perfusion assessment..

    Measured: Baseline and at stress cardiac MRI- visit within 3 months

  5. Proportion of ANOCA participants who have INOCA

    Among participants identified with ANOCA (non-obstructive coronary artery disease on CT angiography), the proportion who demonstrate myocardial ischemia (INOCA) will be calculated. Ischemia will be assessed using cardiac MRI stress perfusion imaging, which is considered the gold standard for myocardial microcirculatory dysfunction

    Measured: Baseline and at stress cardiac MRI- visit within 3 months

  6. Assess whether peripheral microvascular function reflects myocardial perfusion abnormalities in CMD and mild CAD

    This outcome examines whether skin microcirculation parameters measured by investigational devices correlate with quantitative/ semiquantitative myocardial perfusion metrics obtained from stress cardiac-MRI in participants with:

    Coronary Microvascular Dysfunction (CMD) Non-obstructive coronary disease (CAD-RADS <3)

    Measured: Baseline and at stress cardiac MRI- visit within 3 months

  7. Correlation between investigational device variables and presence of Coronary Microvascular Dysfunction (CMD).

    Evaluate whether distinct cut-off values in device-derived microvascular parameters correlate with significant CMD. CMD will be defined by cardiac MRI stress perfusion imaging. The following variables will be assessed using investigational devices

    Measured: Baseline and at stress cardiac MRI- visit within 3 months

  8. Correlation of skin microcirculation variables with echocardiographic marker for diastolic function

    Assess the general correlation between investigational device variables and E/é ratio (echocardiographic marker) to assess diastolic function.

    A high E/é ratio suggests elevated left atrial pressure and impaired relaxation (diastolic dysfunction).

    A low E/é ratio indicates normal filling pressures.

    Measured: Baseline

  9. Association of skin microcirculation variables with elevated echocardiographic marker for diastolic dysfunction.

    Determine whether investigationnal device-derived variables correlate with E/é > 15, indicative of increased left ventricular filling pressures.

    Measured: Baseline

  10. Correlation of skin microcirculation variables with biomarker for cardiac stress

    Assess general correlation between investigationnal device-derived variables and ProBNP as a biomarker of cardiac stress.

    Measured: Baseline

  11. Association of skin microcirculation variables with elevated biomarker for measuring cardiac stress

    Assess general correlation between investigationnal device-derived variables s and ProBNP as a biomarker of cardiac stress.

    Measured: Baseline

  12. Identification of device variable thresholds predicting diastolic dysfunction/heart failure

    Evaluate whether specific cut-off values of investigational device-derived microcirculation variables are associated with confirmed dysfunction/heart failure

    Measured: Baseline and at stress cardiac MRI- visit within 3 months

  13. Correlation of skin microcirculation variables with high levels of a biomarker for average blood glucose

    Calculate the correlation between the respective variables of the investigational devices and the incidence of HbA1c being > 65 mmol/mol.

    Measured: Baseline

  14. Correlation of device-derived microcirculation variables with nephropathy

    Calculate the correlation between the respective variables of the investigational devices and the incidence of nephropathy

    Measured: Baseline

  15. Correlation betweed device-derived microcirculatory variables with endothelial/glycocalyx/inflammation biomarkers

    Correlation between microcirculatory variables from investigational devices and biomarker panels (thrombomodulin, circulating endothelial cells, VE-cadherin, syndecan-1, hyaluronan, hsCRP, IL-6, GlycA).

    Measured: Baseline

Secondary outcomes (4)
  1. Correlation of Myogenic Response with Cardiovascular Disease

    Asses the association between myogenic response from device-derived variables and cardiovascular disease incidence; includes incidence of myogenic vs endothelial dysfunction.

    Measured: Baseline

  2. Association of Vascular Inflammation with Microcirculatory Variables

    Correlation between systemic inflammation biomarkers (e.g., hsCRP, IL-6, GlycA) and device-derived microcirculatory measures; exploratory detection of early inflammatory alterations.

    Measured: Baseline

  3. Mechanisms of endothelial damage and Cardiovascular Disease devlopment

    Analysis of biomarker panels (endothelial/glycocalyx damage: thrombomodulin, VE-cadherin, syndecan-1, hyaluronan) to identify progression patterns and explore the correlation with device-derived microcirculatory variables.

    Measured: Baseline

  4. Development of multi-modal Cardiovascular Disease risk score

    Creation and validation of a composite risk score integrating microcirculatory variables derived from investigationa devices and biomarker data; evaluation of predictive performance for Cardiovascular Disease endpoints.

    Measured: Baseline

Timeline

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

  1. First posted22 Jan 2026
  2. Study start18 Mar 2024
  3. Primary completion1 Jun 2026 (estimated)
  4. Study completion29 Dec 2026 (estimated)

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
900 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07359768
Sponsor's protocol ID
2024-01937-01
Other IDs
CIV-23-12-045355
Status last verified
Jan 2026
First submitted
13 Jan 2026
Last updated
22 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Widaeus J, Schef KW, Jernberg T, Winda M, Salomonsson F, Johansson H, Nickander J, Brandberg H, Cronhjort M, Tehrani S. SCAPIS 2 spectrum: rationale, objectives and design of a microvascular dysfunction sub-study within the Swedish CArdioPulmonary bioImage study. Front Cardiovasc Med. 2026 Sep 24;13:1899591. doi: 10.3389/fcvm.2026.1899591. eCollection 2026.

    PubMed 42851777

Questions about this trial

What is this clinical trial studying?

An observational study of Cardiovascular Diseases and Microvascular Complications, run by HJN Sverige AB/Neko Health at 1 site in Sweden.

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 3 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 22 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Mattias Windå, Chief Science and Innovation Officer (+46703169040, mattias@nekohealth.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Correlation between device-derived skin microcirculation variables and CCTA severity metrics including CAD-RADS (0-5) and plaque burden (time frame: Baseline). The study lists 15 primary outcomes in all. 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 NCT07359768, 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 22 Jan 2026.

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