Using Gen 6 high-sensitivity Troponin T to rule out heart attack faster
Official title: Sixth Generation High-sensitivity Cardiac Troponin T for the Early Rule Out of Myocardial Infarction: a Controlled Before and After Study
Run by University of Edinburgh · NCT07636642 · Data updated 2026-11-12
This study tests whether switching to the sixth-generation high-sensitivity Troponin T blood test helps doctors decide more quickly which patients with suspected heart attack can go home.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 19500 (estimated) |
| Sponsor | University of Edinburgh Academic / other |
| Locations | 3 sites (Edinburgh, Midlothian and 2 other locations) |
| Status | Recruiting |
| Started | June 1, 2026 |
| Main results expected | May 2028 |
| Study ends | May 2029 |
| Registry record updated | July 7, 2026 |
| Trial ID | NCT07636642 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older with suspected acute coronary syndrome who have had at least one troponin measurement using Gen 5 or Gen 6 assays.
✕Probably not a fit
Patients whose care is not impacted by assay changes or whose diagnosis is driven by factors beyond troponin testing may not see a benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares the sixth-generation high-sensitivity cardiac troponin T assay with the fifth-generation assay in patients with suspected acute coronary syndrome. The goal is to see if the Gen 6 test shortens time to diagnosis and supports safer, earlier discharge decisions. Data will be drawn from routine clinical care within participating Scottish hospitals to evaluate workflow and patient outcomes. No randomized design is described; it appears to use a before-and-after approach to implement the Gen 6 assay across the health board. The study is led by the University of Edinburgh with Roche Diagnostics as a collaborator.
Why it matters
Potential benefit: If successful, patients may experience shorter waiting times and quicker, safer discharge decisions in emergency and acute care settings.
How similar studies have gone: Prior high-sensitivity troponin testing has shown promise in speeding rule-out decisions, though adoption of Gen 6 specifically is being evaluated in this setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18 years and over. * Attending clinician suspects acute coronary syndrome. * At least one measurement of cardiac troponin using the Gen 5 or Gen 6 hs-cTnT assay. Exclusion Criteria: * Insufficient clinical information to perform record linkage. * Not resident in Scotland. * Previous enrolment in the study.
Where it's running
-
The Royal Infirmary of Edinburgh
Edinburgh, Midlothian, United Kingdom Recruiting -
Western General Hospital
Edinburgh, Midlothian, United Kingdom Recruiting -
St. John's Hospital
Livingston, West Lothian, United Kingdom Recruiting
Study contacts
- Principal investigator: Andrew R Chapman, MD PhD — University of Edinburgh
- Study coordinator: Andrew R Chapman, MD PhD
- Email: a.r.chapman@ed.ac.uk
- Phone: +44131 242 6200
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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.