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Type 2 diabetic patients without coronary artery disease: cardiovascular prognosis
ISRCTN ISRCTN26970041
ClinicalTrials.gov identifier
Public title Type 2 diabetic patients without coronary artery disease: cardiovascular prognosis
Scientific title Hypotheses, rationale, design, and methods for prognostic evaluation in type 2 diabetic patients with angiographically normal coronary arteries: The MASS IV-DM Trial
Acronym MASS IV DM
Serial number at source N/A
Study hypothesis The aim of the MASS IV-DM Trial is to compare the clinical data, laboratory profile, and angiographic evolution at baseline with that at 5-year follow-up in patients with type 2 diabetes who have angiographically normal coronary arteries.
Lay summary
Ethics approval 1. Scientific and Ethics Committee of the Heart Institute (InCor), Hospital of the Faculty of Medicine, University of Sao Paulo, approved on 15/06/2009 (ref: 946/94/56)
2. Institutional Review Board (Comissão de Ética para Análise de Projetos de Pesquisa - CAPPesq) approved on 15/06/2009 (ref: 264/94)
Study design Observational longitudinal case-control single-centre study
Countries of recruitment Brazil
Disease/condition/study domain Prognosis of coronary artery disease in type 2 diabetic patients
Participants - inclusion criteria Type 2 diabetic patients (both males and females) with a clinical suspicion of coronary insufficiency and electrocardiographic evidence of myocardial ischaemia who have normal coronary angiographies and ventricular function.
Participants - exclusion criteria 1. Age under 18 years
2. Suspected or planned pregnancy
3. Cardiomyopathy
4. Coronary artery disease
5. Heart failure
6. Diabetic renal dysfunction
7. Neoplasy
8. Unable to give informed consent
Anticipated start date 03/11/2009
Anticipated end date 03/11/2016
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 600
Interventions This study is an observational case-control study with 5 years follow-up.

Diabetic patients with clinically suspected or electrocardiographically documented myocardial ischaemia will undergo coronary angiography, coronary artery calcium scan, doppler echocardiography, arterial stiffness evaluation, laboratory measurements and genetic analysis.
Primary outcome measure(s) Incidence of major cardiovascular events (myocardial infarction, death and heart failure).

All primary and secondary outcome measures will be assessed every six months for 5 years.
Secondary outcome measure(s) 1. Microalbuminuria and renal function
2. Stroke

All primary and secondary outcome measures will be assessed every six months for 5 years.
Sources of funding Zerbini Foundation of the Heart Institute, University of São Paulo (Brazil)
Trial website
Publications
Contact name Prof  Whady  Hueb
  Address Heart Institute
University of São Paulo
Av Dr Eneas de Carvalho Aguiar 44
AB sala 114
  City/town Sao Paulo
  Zip/Postcode 05403000
  Country Brazil
  Tel +55 11 3069 5032
  Fax +55 11 3069 5188
  Email whady.hueb@incor.usp.br
Sponsor Zerbini Foundation (Brazil)
  Address Heart Institute
University of São Paulo
Av Dr Eneas de Carvalho Aguiar 44
AB sala 114
  City/town Sao Paulo
  Zip/Postcode 05403000
  Country Brazil
  Tel +55 11 3069 5032
  Fax +55 11 3069 5188
  Email whady.hueb@incor.usp.br
  Sponsor website: http://www.incor.usp.br
Date applied 06/10/2009
Last edited 20/10/2009
Date ISRCTN assigned 20/10/2009
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