跳至主要内容
临床试验/NCT07086989
NCT07086989招募中不适用

Cardiovascular Risk in Children With Chronic Conditions Study

Semmelweis University3 个研究点 分布在 1 个国家目标入组 300 人开始时间: 2025年4月1日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
300
试验地点
3
主要终点
Arterial stiffness

研究概览

简要总结

Children living with chronic health conditions face a higher risk of developing cardiovascular diseases than their peers, largely due to the accelerated aging of the heart and blood vessels. Although experts recognize this elevated risk and recommend close monitoring and early intervention, the underlying mechanisms driving this phenomenon remain poorly understood. At present, no effective interventions specifically target its root causes.

Recent research shows that both large blood vessels (such as the carotid artery) and small vessels (such as those in the retina) can display early signs of damage decades before clinically apparent heart or vascular disease emerges. This accelerated vascular aging can result from multiple factors - including disease-related processes such as persistent inflammation and metabolic disturbances, treatment-related effects such as chemotherapy or long-term steroid use, and lifestyle changes associated with chronic illness, such as reduced physical activity and altered eating habits. However, it is still unclear how these factors influence the development and progression of vascular changes in children as they grow. Importantly, these changes can be monitored through non-invasive methods, offering a unique opportunity to study at-risk patients many years before overt cardiovascular disease develops.

Identifying these early changes may enable us to detect and track individuals at heightened risk well in advance of clinical disease. This study aims to deepen our understanding of the causes of increased cardiovascular risk in children with chronic conditions and to lay the groundwork for earlier, more targeted prevention strategies.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
6 Years 至 25 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • 未提供

结局指标

主要结局

Arterial stiffness

时间窗: At baseline and at the time of annual follow-up

Assessed by carotid-femoral pulse wave velocity

Endothelial function of the brachial artery

时间窗: At baseline and at the time of annual follow-up

Evaluated using flow-mediated dilation measured by ultrasound

Retinal vessel diameter

时间窗: At baseline and at the time of annual follow-up

Assessed by static retinal vessel analysis

Retinal vessel fractal dimension and tortuosity

时间窗: At baseline and at the time of annual follow-up

Assessed by static retinal vessel analysis

次要结局

  • Endothelial function in capillaries(At baseline and at the time of annual follow-up)
  • Retinal neurovascular coupling(At baseline and at the time of annual follow-up)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Dr. Kiss Tamás

Principal Investigator

Semmelweis University

研究点 (3)

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