Circulating Adenosine Levels Before and After Intravenous (IV) Persantine
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Purpose
Persantine is a drug that is routinely used to determine blood flow to the heart in the diagnosis of coronary heart disease. Persantine causes an increase in the adenosine level in the blood. Adenosine is a naturally occurring substance in the body that can increase blood flow. Adenosine is normally removed from the bloodstream by an adenosine transporter, which is a protein that takes up adenosine from the blood into cells. The increase in adenosine levels in the blood is variable, and the cause for this variability is unknown. A mutation for this transporter gene may contribute to this variability, and may alter its function. Thus, the purpose of this study is to determine the relationship between the mutation and the transporter function.
| Condition |
|---|
|
Ischemia Coronary Disease |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Circulating Adenosine Levels Before and After Intravenous (IV) Persantine |
- To determine functional significance and association of these polymorphisms with the ability of persantine to inhibit uridine (uridine uses the same transporter) uptake and platelet aggregation. [ Time Frame: 24 hours ] [ Designated as safety issue: No ]
- Investigators will study the association of these polymorphisms with any clinical characteristics such as the incidence of MI, acute coronary syndrome, coronary bypass or stenting procedures. These clinical outcomes are considered secondary endpoints. [ Time Frame: 2 years ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
whole blood
| Enrollment: | 221 |
| Study Start Date: | September 2005 |
| Study Completion Date: | December 2011 |
| Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
| undergoing persantine stress test |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Subjects undergoing a Persantine nuclear stress test for medically-indicated reasons. There are no control subjects.
Inclusion Criteria:
- Subjects with or without coronary artery disease undergoing a Persantine nuclear stress test
Exclusion Criteria:
- Oral persantine use within 24 hours
- Second or third degree AV block, or sick sinus syndrome without a functioning pacemaker
- Active asthma or bronchospasm
- Those with end-stage liver disease such as cirrhosis or active hepatitis such as > 5 fold liver enzyme elevation will not be included
- Anemia (Hct < 30)
- Myocardial infarction within 30 days
- Severe left ventricular dysfunction (EF < 30%)
Contacts and Locations| United States, Connecticut | |
| University of Connecticut Health Center | |
| Farmington, Connecticut, United States, 06032 | |
| Principal Investigator: | Bruce T Liang, MD | University of Connecticut Health Center |
More Information
No publications provided
| Responsible Party: | Bruce Liang, Professor of Medicine, Director Pat and Jim Calhoun Cardiovascular Center, University of Connecticut Health Center |
| ClinicalTrials.gov Identifier: | NCT00760708 History of Changes |
| Other Study ID Numbers: | 02-115-1, Proposal Number 04156012, Award NumberW81XWH-05-1-0060 |
| Study First Received: | September 24, 2008 |
| Last Updated: | January 16, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Connecticut Health Center:
|
nucleosides neurotransmitter myocardial ischemia Adenosine |
Additional relevant MeSH terms:
|
Coronary Disease Coronary Artery Disease Ischemia Myocardial Ischemia Heart Diseases Cardiovascular Diseases Vascular Diseases Arteriosclerosis Arterial Occlusive Diseases Pathologic Processes Adenosine Dipyridamole Analgesics Sensory System Agents |
Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Anti-Arrhythmia Agents Cardiovascular Agents Vasodilator Agents Phosphodiesterase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Platelet Aggregation Inhibitors Hematologic Agents |
ClinicalTrials.gov processed this record on May 21, 2013