Clinical trial Recruiting at 3 sites Observational Ages 35 to 79

Coronary calcium and high-sensitivity troponin testing in people with rheumatoid arthritis

Official title: The Coronary Artery Calcium and Troponins in Rheumatoid Arthritis (CAT-RA) Study

Run by Brigham and Women's Hospital · NCT07315997 · Data updated 2026-11-12

This study will test whether measuring coronary artery calcium and high-sensitivity troponin can find people with rheumatoid arthritis who should start cholesterol-lowering treatment even if general risk calculators don't recommend it.

More Rheumatoid Arthritis (RA) trials

Quick facts

Study typeObservational
Ages35 Years to 79 Years
SexAll
Enrollment120 (estimated)
SponsorBrigham and Women's Hospital
Academic / other
Locations3 sites (Boston, Massachusetts and 2 other locations)
StatusRecruiting
StartedSeptember 4, 2024
Main results expectedMarch 4, 2028
Study endsMarch 4, 2028
Registry record updatedJuly 14, 2026
Trial IDNCT07315997 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults 40–79 with rheumatologist-diagnosed RA, at least one ASCVD risk factor, not diabetic, and not currently taking statins or other lipid-lowering medications.

Probably not a fit

People with diabetes, those already on statins or PCSK9 inhibitors or other lipid-lowering drugs, pregnant individuals, or those outside the 40–79 age range are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational, single-center study enrolls adults aged 40–79 with rheumatologist-diagnosed rheumatoid arthritis and at least one ASCVD risk factor but without diabetes or current statin therapy. Participants will have blood tests for high-sensitivity cardiac troponin and undergo coronary artery calcium scoring to see whether these markers identify higher cardiovascular risk than standard population risk calculators. Individuals on statins, on other lipid-lowering drugs, with diabetes, or who are pregnant are excluded. The aim is to determine whether these biomarkers can guide earlier initiation of lipid-lowering therapy in RA patients who would otherwise be missed.

Why it matters

Potential benefit: If successful, this approach could help identify people with RA who would benefit from earlier cholesterol-lowering treatment and reduce their risk of heart attacks.

How similar studies have gone: Coronary artery calcium scoring and high-sensitivity troponin have predicted cardiovascular risk in general populations, but applying both specifically to non-diabetic RA patients who are below standard treatment thresholds is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* RA diagnosed by a rheumatologist
* Age 40- 79
* ≥1 ASCVD risk factor including prediabetes, hypertension, BMI \>30, current or history of cigarette smoking

Exclusion Criteria:

* Patients on a statin or with a contraindication to statin, on a cholesterol absorption inhibitor, or on a PCSK9 inhibitor
* Patients with diabetes mellitus
* Pregnancy

Where it's running

  • Massachusetts General Hospital: Rheumatology
    Boston, Massachusetts, United States
    Recruiting
  • Brigham and Womens Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Brigham and Women's Faulkner Hospital
    Boston, Massachusetts, United States
    Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.