A Study of Elecsys® Troponin T Hs Gen 6 in Participants with Symptoms of Acute Coronary Syndrome

Active, not recruiting
Conditions
Registration Number
NCT06734117
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This prospective, non-interventional, single arm, longitudinal cohort multicenter study will recruit approximately 5600 consecutive all-comers, consisting of patients with signs and symptoms of acute coronary syndromes (ACS) who present in the emergency department (ED). The main objective of the study is to determine the clinical performance of Elecsys Tropo...

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
5429
Inclusion Criteria
  • Age ≥20 years

  • Signed Informed Consent Form

  • Troponin or other cardiac marker determination planned as part of suspected acute coronary syndromes routine care

  • Demonstrating symptoms suggestive of acute coronary syndrome and/or myocardial ischemia, such as any of the following:

    1. Chest pain, pressure, or a burning sensation across the precordium and epigastrium;
    2. Pain that radiates to neck, shoulder, jaw, back, upper abdomen, or either arm;
    3. Acute onset or worsening dyspnea;
    4. Nausea, vomiting or indigestion;
    5. Lightheadedness or syncope;
    6. Diaphoresis;
    7. Generalized weakness or fatigue;
  • OR, asymptomatic subjects or patients with atypical symptoms in whom myocardial infarction is being suspected.

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Exclusion Criteria
  • None
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Sensitivity of Elecsys® Troponin T hs Gen 6 Against the Centrally Adjudicated Clinical Diagnosis at Timepoint T3aidT3aid (121 to 240 minutes) after participant presentation at the emergency department

The sensitivity of a diagnostic test is the percentage of true positive (TP) tests out of all patients with a condition. It is calculated as follows: (TP)/(TP + false negatives (FN))\*100%.

Secondary Outcome Measures
NameTimeMethod
Sensitivity of Elecsys® Troponin T hs Gen 6 Against the Centrally Adjudicated Clinical Diagnosis at Specified TimepointsT0aid (0 to 60 minutes), T1aid (61 to 120 minutes), T5aid (241 to 360 minutes), and T6+aid (>360 minutes) after participant presentation at the emergency department

The sensitivity of a diagnostic test is the percentage of true positive tests out of all patients with a condition. It is calculated as follows: (TP)/(TP + FN)\*100%.

Specificity of Elecsys® Troponin T hs Gen 6 Against the Centrally Adjudicated Clinical Diagnosis at Specified TimepointsT0aid (0 to 60 minutes), T1aid (61 to 120 minutes), T3aid (121 to 240 minutes), T5aid (241 to 360 minutes), and T6+aid (>360 minutes) after participant presentation at the emergency department

The specificity of a diagnostic test is the percentage of true negative (TN) tests out of all patients who do not have a condition. It is calculated as follows: (TN)/(TN + false positives (FP))\*100%.

Negative Predictive Value of Elecsys® Troponin T hs Gen 6 Against the Centrally Adjudicated Clinical Diagnosis at Specified TimepointsT0aid (0 to 60 minutes), T1aid (61 to 120 minutes), T3aid (121 to 240 minutes), T5aid (241 to 360 minutes), and T6+aid (>360 minutes) after participant presentation at the emergency department

The negative predictive value of a diagnostic test is the percentage of true negative tests out of all of the negative findings. It is calculated as follows: (TN)/(TN + FN)\*100%.

Positive Predictive Value of Elecsys® Troponin T hs Gen 6 Against the Centrally Adjudicated Clinical Diagnosis at Specified TimepointsT0aid (0 to 60 minutes), T1aid (61 to 120 minutes), T3aid (121 to 240 minutes), T5aid (241 to 360 minutes), and T6+aid (>360 minutes) after participant presentation at the emergency department

The positive predictive value of a diagnostic test is the percentage of true positive tests out of all of the positive findings. It is calculated as follows: (TP)/(TP + FP)\*100%.

Negative Predictive Value of Fast Rule-Out of Myocardial Infarction Using Elecsys® Troponin T hs Gen 6 and the European Society of Cardiology 0/1-Hour AlgorithmT0fast (0 to 60 minutes) after participant presentation at the emergency department and T1fast (30 to 90 minutes from T0fast sample)

The negative predictive value of a diagnostic test is the percentage of true negative tests out of all of the negative findings. It is calculated as follows: (TN)/(TN + FN)\*100%.

Trial Locations

Locations (28)

El Centro Regional Medical Center

🇺🇸

El Centro, California, United States

UCSD La Jolla ED

🇺🇸

La Jolla, California, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Tampa General Hospital

🇺🇸

Tampa, Florida, United States

Parkview Research

🇺🇸

Fort Wayne, Indiana, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

Henry Ford Health

🇺🇸

Detroit, Michigan, United States

Minneapolis Heart Institute Foundation

🇺🇸

Minneapolis, Minnesota, United States

University at Buffalo / Buffalo General Hospital

🇺🇸

Buffalo, New York, United States

University of Buffalo - Erie County Medical Center

🇺🇸

Buffalo, New York, United States

Long Island Jewish Medical Center

🇺🇸

New Hyde Park, New York, United States

Atrium Health

🇺🇸

Charlotte, North Carolina, United States

Duke Regional Hospital

🇺🇸

Durham, North Carolina, United States

Duke University

🇺🇸

Durham, North Carolina, United States

Atrium Health Wake Forest Baptist, High Point Medical Center

🇺🇸

High Point, North Carolina, United States

Wake Forest Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Oklahoma Heart Hospital

🇺🇸

Oklahoma City, Oklahoma, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

MUSC Health Florence Medical Center

🇺🇸

Florence, South Carolina, United States

Dallas VA Medical Center

🇺🇸

Dallas, Texas, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Inova Fairfax Hospital

🇺🇸

Falls Church, Virginia, United States

Sentara Norfolk General Hospital

🇺🇸

Norfolk, Virginia, United States

Eastside Research Associates

🇺🇸

Redmond, Washington, United States

MultiCare Institute for Research & Innovation

🇺🇸

Tacoma, Washington, United States

Aspirus Medical Group

🇺🇸

Wausau, Wisconsin, United States

Medical University Vienna

🇦🇹

Vienna, Austria

MHAT "Heart and Brain"

🇧🇬

Pleven, Bulgaria

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