Now closed to recruitment, EMERGE are delighted to be leading the RAPID-CTCA trial with the Edinburgh Clinical Trials Unit (ECTU). This is a pragmatic study that has recruited 1,749 adult patients admitted with suspected or confirmed Acute Coronary Syndrome.
The study is taking place throughout the UK and is now in the follow up stage which will be completed in Summer 2020.
This website provides some key information and contacts for participating sites, including recruitment figures and is a source of information for medical professionals who may be interested in the trial.
This is a synopsis of the RAPID-CTCA trial based upon the current version of the trial Protocol, version 6, 19-07-2018, which may be subject to change.
The trial aims to evaluate role of early CT Coronary Angiography in the evaluation, intervention and outcome of patients presenting to the Emergency Department with suspected or confirmed Acute Coronary Syndrome.
The trial is funded by the NIHR Health Technology Assessment Programme. The trial has been adopted onto the NIHR portfolio and therefore is eligible to receive CRN support.
Open parallel group randomised controlled trial of early computed tomography coronary angiography (CTCA) in patients presenting with suspected/confirmed acute coronary syndrome (ACS) to Emergency Departments (ED) and Medical Assessment Units (MAUs).
~30 EDs, acute medical services, radiology and cardiology departments in tertiary/district general NHS hospitals.
Patients with suspected or confirmed ACS
Health technologies being assessed:
Early use of ≥64-slice CTCA as part of routine assessment compared to standard care.
The primary end-point will be all-cause death or recurrent non-fatal type 1 or type 4b MI at one year and time to first such event.
Royal Infirmary of Edinburgh – Professor Alasdair Gray
Sheffield Teaching Hospitals Trust – Professor Steve Goodacre
Derriford Hospital, Plymouth – Professor Carl Roobottom and Surgeon Captain Jason Smith
Torbay Hospital, Torquay – Dr Dirk Felmeden
Victoria Hospital, Kirkcaldy – Dr Andy Kinnon
Royal Berkshire Hospital, Reading – Dr Liza Keating
Russells Hall, Hospital, Dudley – Dr Robert Huggett
Royal Bournemouth & Christchurch Hospitals – Dr Jehangir Din
Borders General Hospital – Dr Anne Scott
Lewisham Hospital – Dr Khaled Alfakih
Jersey General Hospital – Dr Andrew Mitchell
Bradford Teaching Hospital – Dr Sudantha Bulugahapitiya
Sandwell Hospital – Dr Derek Connolly
Milton Keynes Hospital – Dr Atilla Kardos
University Hospital Southampton – Professor Nick Curzen
Guys & St Thomas NHS Foundation Trust – Dr Ronak Rajani
Leeds Teaching Hospitals NHS Trust – Dr Saif-El-Dean Abdel-Rahman
Queen Elizabeth Hospital, Birmingham – Dr Ben Holloway
Royal London Hospital – Dr Ceri Davies
Ninewells Hospital – Dr John Irving
University Hospital of North Tees – Dr Justin Carter
New Cross Hospital, Woverhampton – Dr Elsa McAlindon
Basildon and Thurrock University Hospital – Dr. Jason Dungu
University hospital of South Manchester – Dr. Matthias Schmitt
Ulster Hospital – Dr. Patrick Donnelly
Raigmore Hospital, Inverness – Dr. Jonathon Watt
Queen Elizabeth University Hospital, Glasgow – Dr. Claire McGroarty
Worcestershire Acute Hospitals NHS Trust – Dr Will Roberts
East Surrey Hospital – Dr Ansuman Saha
Rotherham NHS Trust – Dr Rangasamy Muthusamy
Royal Victoria Infirmary, Newcastle – Dr Anna Beattie
Glasgow Royal Infirmary – Dr Adrian Brady and Dr David Lowe
Royal Stoke University Hospital- Dr Hefin Jones
Luton & Dunstable Hospital- Dr Christopher Travill
Whipps Cross Hospital- Professor Tim Harris
Queen Alexandra, Portsmouth- Dr Chris Vorweck
Wrexham Mealor Hospital- Dr Ash Basu
Patient ≥18 years with symptoms mandating investigation for suspected or confirmed ACS with at least one of:
(NB troponin assays will vary from site to site; local laboratory reference standards will be used).
GDPR Privacy Statement
If you have participated in the RAPID CTCA study and would like to read how the study complies with GDPR, please click on this link: RAPID CTCA GDPR Privacy Statement v1 13 06 2018
Trauma remains a major cause of mortality and morbidity. 10% of blunt force trauma patients admitted to a major trauma centre will have sustained one or more fractured ribs, which may cause significant pain and problems with breathing.
To establish the outcome of rib fractures and their treatments it is important to know what to measure, and how to measure this accurately. A patient reported outcome measure (PROM) is a questionnaire used to measure patient reported outcomes, to show how the patient is doing from their perspective.
Whilst there is ongoing interest in surgery to fix broken ribs, there is no PROM specifically designed for patients with broken ribs following chest trauma. Therefore, it is not clear whether the symptoms that are most important to these patients are being represented by the current outcome measures. This study aims to create a PROM specific to rib fracture patients to give us a better understanding of whether a new treatment actually makes a difference to the patient’s recovery.
The 1st part of the study involves asking patients with rib fractures to help design a new PROM. This will be conducted through focus groups at a site in Nottingham. The 2nd part of the study entails field testing, whereby patients with rib fractures will be asked to test this new PROM. This will be conducted across multiple secondary care settings in the UK, including the Royal Infirmary of Edinburgh. The study is expected to run for approximately 2 years, with recruitment targets of 50 patients for the PROM Creation phase and 250 for the Field Testing phase.
Diagnostics devices play an important part in the clinical assessment of a patient’s health and treatment. The purpose of the study is the evaluation of a new diagnostic platform developed by LumiraDx. The evaluation is focused around various biomarkers useful in the emergency settings.
Collection of venous and capillary blood samples for the evaluation of new diagnostic devices for cardiovascular conditions