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Trial registered on ANZCTR
Registration number
ACTRN12615000676516
Ethics application status
Approved
Date submitted
17/06/2015
Date registered
30/06/2015
Date last updated
3/08/2024
Date data sharing statement initially provided
16/04/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Multi-Ethnic New Zealand Study of Acute Coronary Syndromes
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Scientific title
Genetic and environmental factors contributing to acute coronary syndrome in New Zealand
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Secondary ID [1]
286921
0
Nil
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Universal Trial Number (UTN)
U1111-1171-2389
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Trial acronym
MENZACS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute coronary syndrome
295345
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Condition category
Condition code
Cardiovascular
295610
295610
0
0
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Coronary heart disease
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Human Genetics and Inherited Disorders
295611
295611
0
0
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This study will be a cohort study of 3000 patients admitted to hospital with first time acute coronary syndrome (ACS).
The protocol consists of a baseline visit during admission where clinical and dietary information will be collected along with a blood sample for genomic and biomarker analysis. Subsequent hospital admissions and mortality will be followed for up to 5 years.
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Intervention code [1]
292110
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Not applicable
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Comparator / control treatment
N/A
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
295326
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Primary composite endpoint of death, recurrent ACS, revascularisation, and readmission for a cardiac cause.
This is assessed via linkage of data with the All NZ Acute Coronary Syndrome Quality Improvement (ANZACS-QI) database (which will include outcomes) via encrypted patient national health identifier number.
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Assessment method [1]
295326
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Timepoint [1]
295326
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1, 3, and 5 years after baseline assessment
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Secondary outcome [1]
315360
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Whole-genome array-based genotyping will be performed on the DNA samples of participants to search for genetic variants affecting the risk of acute coronary syndromes.
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Assessment method [1]
315360
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Timepoint [1]
315360
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3 years after baseline assessment
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Eligibility
Key inclusion criteria
For cases - patients who are admitted to hospital with first time acute coronary syndrome.
Either
a) Myocardial infarction type 1 according to the Third Universal definition of myocardial infarction
or
b) Unstable angina
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Elevation of troponin and/or ECG changes not thought to be due to an ACS
2. End stage renal failure (eGFR<15 ml/min/m2) OR is receiving OR planned to receive renal replacement therapy
3. Patient is not resident in New Zealand
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Case control
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2015
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Actual
30/06/2015
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Date of last participant enrolment
Anticipated
30/09/2024
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
3000
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Accrual to date
2200
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Final
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Recruitment outside Australia
Country [1]
6981
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New Zealand
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State/province [1]
6981
0
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Funding & Sponsors
Funding source category [1]
291479
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Charities/Societies/Foundations
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Name [1]
291479
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National Heart Foundation of New Zealand
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Address [1]
291479
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PO Box 17-160
Greenlane
Auckland 1546
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Country [1]
291479
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New Zealand
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Primary sponsor type
University
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Name
The University of Auckland
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Address
The University of Auckland
Private Bag 92019
Auckland 1142
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
290165
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None
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Name [1]
290165
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Address [1]
290165
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Country [1]
290165
0
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Other collaborator category [1]
278499
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University
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Name [1]
278499
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The Christchurch Heart Institute, The University of Otago, Christchurch
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Address [1]
278499
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Christchurch Heart Institute
Department of Medicine
University of Otago, Christchurch
P.O. Box 4345
Christchurch 8140
New Zealand
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Country [1]
278499
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293026
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
293026
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Ministry of Health Ethics Department Freyberg Building Reception – Ground Floor 20 Aitken Street Wellington 6011
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Ethics committee country [1]
293026
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New Zealand
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Date submitted for ethics approval [1]
293026
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Approval date [1]
293026
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14/04/2015
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Ethics approval number [1]
293026
0
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Summary
Brief summary
This study will be a large scale, multicentre longitudinal casecontrol study with a long term follow up through the All NZ Acute Coronary Syndrome Quality Improvement (ANZACSQI) database. The aim is to determine how the genomic and envinronmental risk profiles differ according to ethnicity, age and gender. Patients with first time Acute Coronary Syndrome (ACS) will be eligible. A control population will be enrolled through collaboration with primary health care organisations. This will identify an age, gender and ethnicity matched population with no history of coronary disease or surgery. We hypothesise that: a) Genomic profiles of patients presenting with acute coronary syndromes will differ depending on ethnicity and age of onset of disease b) Different risk alleles will be identified in different ethnic groups and in younger individuals that will yield insights into underlying pathophysiology, and phenotypic differences in disease expression and progression c) Prognostic variables will be identified from genomic and biomarker analysis that will be able to be incorporated into risk prediction models for outcome
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
58134
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Prof Rob Doughty
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Address
58134
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Faculty of Medical and Health Sciences
Private Bag 92019
Auckland Mail Centre
Auckland 1142
New Zealand
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Country
58134
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New Zealand
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Phone
58134
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+64 9 9239804
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Fax
58134
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Email
58134
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[email protected]
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Contact person for public queries
Name
58135
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Malcolm Legget
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Address
58135
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Faculty of Medical and Health Sciences
Private Bag 92019
Auckland Mail Centre
Auckland 1142
New Zealand
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Country
58135
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New Zealand
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Phone
58135
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+64 9 923 6713
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Fax
58135
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Email
58135
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[email protected]
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Contact person for scientific queries
Name
58136
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Malcolm Legget
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Address
58136
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Faculty of Medical and Health Sciences
Private Bag 92019
Auckland Mail Centre
Auckland 1142
New Zealand
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Country
58136
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New Zealand
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Phone
58136
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+64 9 923 6713
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Fax
58136
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Email
58136
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The multi-ethnic new zealand study of acute coronary syndromes (Menzacs): Design and methodology.
2021
https://dx.doi.org/10.3390/cardiogenetics11020010
Embase
Prognostic modelling of clinical outcomes after first-time acute coronary syndrome in New Zealand.
2023
https://dx.doi.org/10.1136/heartjnl-2022-322010
N.B. These documents automatically identified may not have been verified by the study sponsor.
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