Diastolic RV EvAluation with Millar catheter to investigate the effect of Glucagon-Like Peptide-1 (GLP-1) on right ventricular function during elective coronary angioplasty and stenting

ISRCTN ISRCTN03253693
DOI https://doi.org/10.1186/ISRCTN03253693
ClinicalTrials.gov (NCT) NCT02236299
Protocol serial number 17088
Sponsor Papworth Hospital NHS Trust (UK)
Funder NIHR CSO Healthcare Science Fellowship; Grant Codes: NIHRHCSD120314
Submission date
22/10/2014
Registration date
22/10/2014
Last edited
07/06/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Clare East
Scientific

Papworth Everard
Cambridge
CB3 8RE
United Kingdom

Email clare.east@papworth.nhs.uk

Study information

Primary study designInterventional
Study designRandomised; Interventional; Design type: Treatment
Secondary study designRandomised controlled trial
Scientific titleDiastolic RV EvAluation with Millar catheter to investigate the effect of Glucagon-Like Peptide-1 (GLP-1) on right ventricular function during elective coronary angioplasty and stenting
Study acronymDREAM GLP-1
Study objectivesThe heart requires nutrients and oxygen carried in the blood to generate energy for healthy pump function. Blood is supplied via heart vessels called coronary arteries. When the arteries narrow we call this coronary artery disease. Narrowing and blockage of the coronary arteries can cause chest pain (angina), breathlessness (due to a reduction in pump function) and if prolonged even irreversible muscle damage known as a heart attack. We can treat patients with coronary artery disease with drugs that reduce the workload on the heart or with balloons and hollow metal tubes (stents) to open the narrowed coronary arteries and improve the blood supply. These treatments can relieve angina, improve breathlessness and avert heart muscle damage during a heart attack. A potential new mechanistic effect is emerging by modulating the type of fuel used by the heart to generate energy more efficiently has been tested in the left ventricle. This study is designed to see if mechanistic effect provides the same protection in the right ventricle. It is hoped that this may further improve heart pump function and reduce the size of a heart attack in patients with coronary artery disease.
Ethics approval(s)East of England - Cambridge South Research Ethics Committee, 13/06/2014, ref: 14/EE/0141
Health condition(s) or problem(s) studiedTopic: Cardiovascular disease; Subtopic: Cardiovascular (all Subtopics); Disease: Cardiovascular
InterventionGLP-1, GLP-1
Intervention typeOther
Primary outcome measure(s)

Improvement in RV diastolic dysfunction

Key secondary outcome measure(s)

Not provided at time of registration

Completion date22/03/2016

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration30
Key inclusion criteria1. Age over 18
2. Able to give informed consent
3. Elective percutaneous intervention for a single vessel right coronary artery stenosis >75%
4. Normal right ventricular function
Key exclusion criteria1. Severe comorbidity expected life (<6months)
2. Nicorandil or a GLP1 receptor agonist or DPP4 inhibitor use
3. Women of child bearing age
4. Myocardial infarction within the previous 3 months
5. Previous coronary artery bypass graft to the RCA
6. Significant known left to right shunt
7. Permanent pacemaker
8. Atrial fibrillation
Date of first enrolment22/09/2014
Date of final enrolment22/03/2016

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Papworth Everard
Cambridge
CB3 8RE
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

07/06/2019: No publications found. Verifying results with principal investigator.
15/05/2018: No publications found, verifying study status with principal investigator.