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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 35 Years to 79 Years |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Brigham and Women's Hospital Academic / other |
| Locations | 3 sites (Boston, Massachusetts and 2 other locations) |
| Status | Recruiting |
| Started | September 4, 2024 |
| Main results expected | March 4, 2028 |
| Study ends | March 4, 2028 |
| Registry record updated | July 14, 2026 |
| Trial ID | NCT07315997 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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.