Ignite Creation Date:
2024-05-06 @ 7:44 PM
Last Modification Date:
2024-10-26 @ 3:12 PM
Study NCT ID:
NCT06112418
Status:
RECRUITING
Last Update Posted:
2024-05-29
First Post:
2023-10-02
Brief Title:
A Randomized Comparison of Stage-Based Care Versus Risk Factor-Based Care for Prevention of Cardiovascular Events
Sponsor:
Cleerly Inc
Organization:
Cleerly Inc
Study Overview
Official Title:
A Randomized Comparison of Cleerly Coronary Artery Disease Stage-Based Care Versus Risk Factor-Based Care for Primary Prevention of Cardiovascular Events
Status:
RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
TRANSFORM
Brief Summary:
TRANSFORM is a prospective randomized open blinded endpoint PROBE event-driven pragmatic trial in patients who are at increased risk for atherosclerotic cardiovascular CV disease but with no known symptomatic CV disease The trial tests the hypothesis that a Cleerly Coronary Artery Disease CAD Staging System-based care strategy reduces CV events compared with risk factor-based care
Detailed Description:
Cardiovascular disease CVD persists as the leading cause of morbidity and mortality worldwide at high societal cost The current primary CVD prevention strategy relies upon risk stratification using population health markers such as age sex diabetes hypertension dyslipidemia and tobacco use with preventive therapy intensified in higher risk strata Since these risk factors are indirect surrogate markers of the underlying disease atherosclerosis this strategy leads to treatment of individuals with risk factors who do not have atherosclerosis and failure to treat those with significant atherosclerosis who lack risk factors The current strategy also cannot determine which individuals are inadequately treated despite effective risk factor management residual risk With the current approach the CV death rate is trending upward in the US despite evidence that screening asymptomatic patients reduces CV events and the widespread availability of effective preventive therapies
This randomized controlled pragmatic trial is designed to address the unmet need for better strategies to identify asymptomatic individuals at increased risk for CV events due to atherosclerosis and to personalize their treatment based on CV risk estimates using coronary artery disease CAD visualization and quantification
This study enrolls patients without known symptoms of ASCVD but who are at increased risk for ASCVD due to their age and having diabetes prediabetes or metabolic syndrome and tests the hypothesis that a CAD Staging System-based care strategy reduces CV events compared with risk factor-based care The Cleerly CAD Staging System incorporates imaging-based evaluation for coronary atherosclerosis algorithm-supported pharmacotherapy and personalized education about their CAD
This randomized controlled pragmatic trial is designed to address the unmet need for better strategies to identify asymptomatic individuals at increased risk for CV events due to atherosclerosis and to personalize their treatment based on CV risk estimates using coronary artery disease CAD visualization and quantification
This study enrolls patients without known symptoms of ASCVD but who are at increased risk for ASCVD due to their age and having diabetes prediabetes or metabolic syndrome and tests the hypothesis that a CAD Staging System-based care strategy reduces CV events compared with risk factor-based care The Cleerly CAD Staging System incorporates imaging-based evaluation for coronary atherosclerosis algorithm-supported pharmacotherapy and personalized education about their CAD
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
True
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
False
Is an FDA AA801 Violation?:
None