The Role of Glycoxidation on Arterial Biomechanics and Target Organ Damage in Patients With Moderate to High Cardiovascular Risk. The GlycOxiTod Observational Multicentric Registry

Status: Recruiting
Location: See location...
Study Type: Observational
SUMMARY

Vascular target organ damage (TOD), defined as structural or functional deleterious changes in large and small arteries, is related to unfavorable arterial biomechanics, atherosclerosis and arteriosclerosis. Endothelial dysfunction due to unfavorable redox and glycation states on the bases of these phenomena. However, little is known about the role of glycoxidation on arterial biomechanics and TOD in apparently healthy individuals. The main hypothesis is that glycation and glycoxidation status are associated with arterial biomechanical abnormalities and TOD in patients with moderate to high cardiovascular risk. This is an observational, ambispective, and multicenter project that will include non-smoking patients over 18 years, without diabetes mellitus or established cardiovascular disease. Demographic, epidemiological, and clinical-anthropometric variables will be collected, including data from ambulatory blood pressure monitoring. The investigators will measure the serum percentage of glycated hemoglobin, glycated albumin, and fructosamine levels; along with quantification of skin advanced glycation and glycoxidation end productos (AGEs). Plasma concentration, activity, and structure of catalase, glutathione peroxidase, and superoxide dismutase in relation to the patient's glycation and glycoxidation status will be also evaluated. Concurrently, several biomechanical parameters will be assessed in the Common, Internal Carotid Artery, and distal limb arteries using ultrasound exploration. Incipient microvasculature damage will be also evaluated by retinal image. Patients will be followed up for the development of arterial biomechanical abnormalities and TOD, along with cardiovascular events.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: t
View:

• Patients aged 18 years or older.

• Moderate to high Cardiovascular Risk estimated by SCORE2OP.

• Signed written consent for participation in the study.

Locations
Other Locations
Spain
Complejo Hospitalario Universitario de Santiago de Compostela
RECRUITING
Santiago De Compostela
Contact Information
Primary
Nestor Vazquez-Agra, PhD
nestor.vazquez.agra@sergas.es
0034981950000
Time Frame
Start Date: 2024-01-01
Estimated Completion Date: 2029-12-31
Participants
Target number of participants: 500
Treatments
Controls
Patients with~Arterial biomechanics values lower than or equal to the 50th percentile of the distribution (measured as carotid stiffness by ultrasound elastography, distensibility and stress, flow velocity and vascular resistance),~AND~Absence of vascular target organ damage (considered as carotid intima-media thickness \>0.9 mm, cholesterol plaque, carotid stenosis, carotid-femoral pulse wave velocity \>10 m/s, pulse pressure \>60 mmHg, ankle-Brachial Index \<0.9 or \>1.3, hypertensive retinopathy)~AND~Absence of cardiovascular disease (cardiovascular events, cerebrovascular events, hospital admissions, consultations, death, disability)
Cases
Patients with~Arterial biomechanics values higher than the 50th percentile of the distribution (measured as carotid stiffness by ultrasound elastography, distensibility and stress, flow velocity and vascular resistance),~OR~Presence of vascular target organ damage (considered as carotid intima-media thickness \>0.9 mm, cholesterol plaque, carotid stenosis, carotid-femoral pulse wave velocity \>10 m/s, pulse pressure \>60 mmHg, ankle-Brachial Index \<0.9 or \>1.3, hypertensive retinopathy)~OR~Presence of cardiovascular disease (cardiovascular events, cerebrovascular events, hospital admissions, consultations, death, disability)
Sponsors
Collaborators: Instituto de Investigación Sanitaria de Santiago de Compostela, University of Santiago de Compostela, Hospital de Barbanza, Instituto de Salud Carlos III
Leads: Complejo Hospitalario Universitario de Santiago

This content was sourced from clinicaltrials.gov

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