Clinical trial Recruiting at 1 site Observational Ages 18 and up

Identifying biomarkers for high-risk coronary plaques

Official title: Risk Evaluation by Coronary Imaging and Artificial Intelligence-Based Functional Analyzing Techniques: Plasma Proteomic Profiles of Atheroma Classified by Intracoronary Imaging.

Run by Ruijin Hospital · NCT06793787 · Data updated 2026-11-12

This study is trying to find new blood markers that can help predict dangerous heart plaque in patients with chronic heart issues or certain types of heart attacks.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorRuijin Hospital
Academic / other
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedJuly 1, 2024
Main results expectedDecember 31, 2025
Study endsDecember 31, 2027
Registry record updatedJanuary 27, 2025
Trial IDNCT06793787 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older diagnosed with chronic coronary syndrome or non-ST-segment elevation acute coronary syndrome who have specific coronary artery lesions.

Probably not a fit

Patients who have undergone recent coronary interventions, have a history of significant heart conditions, or have severe liver or kidney dysfunction may not benefit from this study.

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

What this trial studies

This observational study aims to identify novel circulating biomarkers that can predict high-risk coronary plaques in patients with chronic coronary syndrome or non-ST-segment elevation acute coronary syndrome. Patients will undergo noninvasive coronary CT angiography or invasive coronary angiography to detect lesions, followed by optical coherence tomography and potentially other imaging techniques to assess plaque characteristics. The study will utilize advanced methods like liquid chromatography-mass spectrometry and machine learning to analyze plasma proteomic profiles and their association with major adverse cardiovascular events over a two-year follow-up period.

Why it matters

Potential benefit: If successful, this study could lead to earlier detection and better management of high-risk coronary plaques, potentially reducing the incidence of major cardiovascular events.

How similar studies have gone: While the approach of using advanced imaging and biomarker analysis is promising, the specific combination of techniques in this study is relatively novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years
* Patients with CCS or NSTE-ACS
* Receive CCTA scan or ICA, with marginal lesions (DS between 40%-69%) or obstructive lesions (DS ≥70% or CT-FFR/FFR \<0.8) in major coronary arteries
* Receive invasive coronary angiography and OCT, with or without other intracoronary imaging techniques such as IVUS and NIRS

Exclusion Criteria:

* Receive percutaneous coronary intervention (PCI) within 6 months
* Prior history of myocardial infarction or heart failure
* Prior history of coronary artery bypass graft (CABG)
* Abnormal liver function (serum alanine aminotransferase \[ALT\] level exceeding 3 times the upper limit of normal) or abnormal kidney function (eGFR ≤30%)
* Familial hypercholesterolemia
* Estimated survival ≤ 1 year
* Malignant tumor
* Pregnant or lactation, or have the intention to give birth within one year
* Poor compliance, unable to follow-up

Where it's running

  • Ruijin Hospital, Shanghai Jiaotong University School of Medicine
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

Similar studies

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

  • Evaluating coronary artery plaque using advanced imaging techniques

    This study is testing new imaging techniques to better understand coronary artery plaque in patients with heart conditions and see if these methods can help predict serious heart problems in the future.

    Recruiting Ruijin Hospital · Shanghai, Shanghai Municipality · NCT06793774

  • Aspirin 50 mg vs 100 mg with a P2Y12 inhibitor after PCI

    This trial tests whether a 50 mg daily aspirin dose, when used with a P2Y12 inhibitor after PCI, works as well as 100 mg with similar safety for people staying on DAPT for 12 months.

    Recruiting Jilin University · Changchun, Jilin · NCT07846462

  • Can CZT-SPECT/CT quantify myocardial tracer uptake to match PET measurements in coronary artery disease?

    This study tests whether CZT-SPECT/CT can quantify heart blood flow at rest and stress and see if the results align with PET measurements for people with coronary artery disease.

    Recruiting Centre Hospitalier Régional d'Orléans · Orléans, Loiret · NCT07708805

  • AI-driven Medipixel fractional flow reserve to guide PCI

    This test checks whether an AI-based, angiography-derived Medipixel FFR method can guide PCI as safely and effectively as standard invasive pressure-wire FFR in adults with coronary artery disease.

    Recruiting at 23 sites Samsung Medical Center · Seoul, Select State and 22 other locations · NCT07329699

  • Microplastics and nanoplastics in people with chronic coronary syndromes

    This study will test whether tiny plastic particles (micro- and nanoplastics) can be detected in the coronary blood of adults with suspected or known chronic coronary syndromes who are having coronary CT and invasive angiography.

    Recruiting at 2 sites Azienda Ospedaliera "Sant'Andrea" · Caserta and 5 other locations · NCT07291609

  • Drug-coated balloon treatment versus medication for fat-rich coronary plaques

    This trial will test whether using a paclitaxel-coated balloon during PCI can reduce the fat content of dangerous coronary plaques in adults with acute coronary syndrome compared with standard medication alone.

    Recruiting Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Amsterdam · NCT07107971

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.