RECRUITING

Effect of Tirzepatide on Progression of Coronary Atherosclerosis Using MDCT

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

A multi-center, randomized, double-blind, placebo-controlled, parallel-group phase IV Study evaluating the effects of tirzepatide on atherosclerotic plaque progression assessed by coronary computed tomography angiography (CCTA) in participants with a diagnosis of type II Diabetes (T2DM) and atherosclerosis.

Official Title

Effect of Tirzepatide on Progression of Coronary Atherosclerosis Using MDCT

Quick Facts

Study Start:2024-01-02

Study Completion:2026-05

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT05708859

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:40 Years to 80 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
1. Male or female 40 years to 80 years of age at signing of informed consent 2. Type 2 DM of minimum 5 years duration with HbA1c ≥7.0% to ≤10.5% 3. Body mass index (BMI) ≥25 kilograms per meter squared (kg/m²) 4. Presence of two discrete coronary artery plaques with visual diameter stenosis \>20% on CCTA 5. At the baseline visit, participants must be on a stable (\>4 weeks) regiment of diabetes medications. 6. Patients using oral hormonal contraceptives must switch to a non-oral contraceptive method, or add a barrier method of contraception for 4 weeks after initiation and for 4 weeks after each dose escalation	1. Have had a major cardiovascular event within the last 60 days 2. Have type 1 diabetes mellitus 3. Current use of GLP1-RA 4. Have a history of severe hypoglycemia and/or hypoglycemia unawareness within the last 6 months 5. Are currently planning treatment for diabetic retinopathy and/or macular edema 6. Have history of, or currently planning a coronary, carotid, or peripheral artery revascularization (ie - stent, bypass) 7. Have a history of pancreatitis 8. Have a history of ketoacidosis or hyperosmolar state/coma 9. Have a known clinically significant gastric emptying abnormality, have undergone or currently planning any gastric outlet obstruction, or have undergone or currently planning any gastric bypass (bariatric) surgery or restrictive bariatric surgery 10. Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years 11. Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2) 12. Have had a blood transfusion or severe blood loss within 90 days prior to screening or have known hematological conditions that may interfere with HbA1c measurement 13. Planned or Prior Bypass surgery 14. Contradiction for CCTA (e.g. serious allergic reaction to the contrast dye) or CCTA not meeting entry standards after two attempts during the Baseline CCTA visit as assessed by the imaging core lab. 15. Uncontrolled severe hypertension: systolic blood pressure \> 180 mmHg or diastolic BP \> 100 mm Hg prior to randomization (assessed at the screening visit) despite antihypertensive therapy 16. Heart Failure NYHA Class III or IV at the screening visit 17. Renal insufficiency (eGFR \<40 ml/min/1.73m2) as measured by the Modification of Diet in Renal Disease (MDRD) formula at the screening visit. 18. Hospitalization for major cardiovascular event including heart failure in the past 2 months

Inclusion Criteria

Exclusion Criteria

1. Male or female 40 years to 80 years of age at signing of informed consent
2. Type 2 DM of minimum 5 years duration with HbA1c ≥7.0% to ≤10.5%
3. Body mass index (BMI) ≥25 kilograms per meter squared (kg/m²)
4. Presence of two discrete coronary artery plaques with visual diameter stenosis \>20% on CCTA
5. At the baseline visit, participants must be on a stable (\>4 weeks) regiment of diabetes medications.
6. Patients using oral hormonal contraceptives must switch to a non-oral contraceptive method, or add a barrier method of contraception for 4 weeks after initiation and for 4 weeks after each dose escalation

1. Have had a major cardiovascular event within the last 60 days
2. Have type 1 diabetes mellitus
3. Current use of GLP1-RA
4. Have a history of severe hypoglycemia and/or hypoglycemia unawareness within the last 6 months
5. Are currently planning treatment for diabetic retinopathy and/or macular edema
6. Have history of, or currently planning a coronary, carotid, or peripheral artery revascularization (ie - stent, bypass)
7. Have a history of pancreatitis
8. Have a history of ketoacidosis or hyperosmolar state/coma
9. Have a known clinically significant gastric emptying abnormality, have undergone or currently planning any gastric outlet obstruction, or have undergone or currently planning any gastric bypass (bariatric) surgery or restrictive bariatric surgery
10. Have a history of an active or untreated malignancy or are in remission from a clinically significant malignancy for less than 5 years
11. Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN-2)
12. Have had a blood transfusion or severe blood loss within 90 days prior to screening or have known hematological conditions that may interfere with HbA1c measurement
13. Planned or Prior Bypass surgery
14. Contradiction for CCTA (e.g. serious allergic reaction to the contrast dye) or CCTA not meeting entry standards after two attempts during the Baseline CCTA visit as assessed by the imaging core lab.
15. Uncontrolled severe hypertension: systolic blood pressure \> 180 mmHg or diastolic BP \> 100 mm Hg prior to randomization (assessed at the screening visit) despite antihypertensive therapy
16. Heart Failure NYHA Class III or IV at the screening visit
17. Renal insufficiency (eGFR \<40 ml/min/1.73m2) as measured by the Modification of Diet in Renal Disease (MDRD) formula at the screening visit.
18. Hospitalization for major cardiovascular event including heart failure in the past 2 months

Contacts and Locations

Study Contact

Sajad Hamal, MS

CONTACT

13109749336

shamal@lundquist.org

Ferdinand Flores, BS

CONTACT

13109749333

fflores@lundquist.org

Principal Investigator

Matthew A Budoff, MD

PRINCIPAL_INVESTIGATOR

The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Study Locations (Sites)

Lundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center (The Lundquist Institute)

Torrance, California, 90502

United States

Collaborators and Investigators

Sponsor: Matthew J. Budoff

Matthew A Budoff, MD, PRINCIPAL_INVESTIGATOR, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-01-02

Study Completion Date2026-05

Study Record Updates

Study Start Date2024-01-02

Study Completion Date2026-05

Terms related to this study

Additional Relevant MeSH Terms

Type II Diabetes
Atherosclerosis