Clinical Studies

Active Clinical Studies

Thrombosis Genetics in African Americans: Russell Tracy

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This project aims to measure emerging thrombosis and inflammation biomarkers linked to increased thrombogenicity and CVD rates in African Americans, and to evaluate their association with genetic variants and CVD endpoints in the JHS and REGARDS cohorts.

Thrombosis and Bleeding Risk Assessment in Medical Patients: Neil Zakai

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The proposed study would develop and validate robust models to assess hospital-acquired bleeding and VTE risk, and determine the period of increased risk for bleeding and VTE after discharge from the hospital.

The Fragile Families Cardiovascular Health Follow Up Study: Russell Tracy

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This proposal aims to understand the role of early life adversity in the evolution of cardiovascular health and cardiovascular disease, and potential epigenetic mediation.

The Case-Control Study of Methamphetamine in Pulmonary Arterial Hypertension: Margaret Doyle

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This study examines the role of carboxyesterase 1, an enzyme expressed in the blood vessels of the lung, in methamphetamine associated pulmonary hypertension.

Cardiovascular Health Effects of the Great Recession: Peter Durda

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The “Great Recession” of 2008-2009/10 represents a “natural experiment”, offering enhanced opportunities to assess causal links between socioeconomic status and health. This study will investigate the impact of the Great Recession on the health trajectories of Americans using information on biological indicators of health risks, extent of sub-clinical atherosclerotic disease, and key health behaviors collected in the Multi-Ethnic Study of Atherosclerosis (MESA).

Identification of the Role of HDL Function in Human Cardiovascular Disease through Proteomics and Genetics: Neil Zakai

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The aim of this proposal is to assess the genetic and structural association between HDL and cardiovascular disease and stroke using a nested case-cohort study of Reasons for Geographic And Racial Differences in Stroke (REGARDS).

VCID and Stroke in a Biracial National Cohort: Mary Cushman

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A renewal of the Longitudinal Investigation of Thromboembolism Etiology (LITE), this study of venous thromboembolism (VTE) in the Atherosclerosis Risk in Communities (ARIC) Study and Cardiovascular Health Study (CHS) cohorts, comprises 21,680 participants followed for two decades.  LITE's overall objective is to identify risk factors for deep venous thromboembolism (DVT) and pulmonary embolism (PE), in order to better understand the etiology and possible prevention of VTE.

Risk Underlying Rural Areas Longitudinal Cohort (RURAL) Study: Russell Tracy

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This proposal will characterize a multilevel exposome (measures of cumulative chronic adverse exposures: macrosocial factors, group-level characteristics, individual exposures and behaviors), and relate it to the HLBS continuum (RF, subclinical and clinical disease) to understand differences in risk and resilience in RURAL.

Impact of Early Antiretroviral Therapy on Kidney Disease Outcomes: Russell Tracy

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This study plans to determine the long-term impact of immediate versus deferred antiretroviral therapy on clinically relevant markers of chronic kidney disease in HIV-positive persons with high CD4 followed for up to 5 years.

Jackson Heart Study - Specimen Repository: Russell Tracy

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The major goal of this project is to maintain storage of approximately 95,000 previously collected JHS specimen vials, and to insure the availability of the stored biospeciments for assays.

Epidemiology of Venous Thrombosis and Pulmonary Embolism: Mary Cushman

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A renewal of the Longitudinal Investigation of Thromboembolism Etiology (LITE), this study of venous thromboembolism (VTE) in the Atherosclerosis Risk in Communities (ARIC) Study and Cardiovascular Health Study (CHS) cohorts, comprises 21,680 participants followed for two decades.  LITE's overall objective is to identify risk factors for deep venous thromboembolism (DVT) and pulmonary embolism (PE), in order to better understand the etiology and possible prevention of VTE.

Determining true versus apparent treatment-resistant hypertension among African Americans in JHS: Margaret Doyle

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This study will determine the percentage of JHS participants with a treatment-resistant hypertension who are pseudoresistant versus without pseudoresistance.

Collaborative Cohort of Cohorts for COVID-19 Research (C4R): Russell Tracy

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This study aims to interact with C4R committees to develop an in-home dried blood spot and/or saliva collection program and facilitate interactions with REGARDS leadership to facilitate approval of all protocols as well as review and harmonize COVID-19 questionnaires with other cohorts for use in REGARDS interviews.

Role of peripheral immune cells in cognitive aging: the Farmingham Offspring Study: Margaret Doyle

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This study aims to profile circulating immune cell phenotypes in a community-based sample of men and women across a wide age range and identify cross-sectional correlates of the immune cell phenotypes including age, sex, and cytomegalovirus (CMV) status.

Vermont Center for Cardiovascular and Brain Health: Centers of Biomedical Research Excellence (COBRE): Mary Cushman

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The purpose of this proposal is to create a center to conduct research to reduce death and disability from the #1 and #5 causes of death in the US, coronary heart disease and stroke.

Subclinical Vascular Contributions to Alzheimer’s Disease: MESA: Nels Olson

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The purpose of this proposal is to investigate molecular and mechanical pathways linking vascular disease to Alzheimer’s Disease pathology.

The National Longitudinal Study of Adolescent Health Wave VI: Mary Cushman

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This study aims to coordinate and conduct collection of biological samples in ~7500 participants of the National Longitudinal Study of Adolescent Health Wave VI exam and measure metabolic, renal, hepatic, inflammation, and infectious disease biomarkers previously assayed at Wave V.

Microglial, Inflammatory and Omics Markers of Cerebral Small Vessel Disease in CHARGE Consortium: Russell Tracy

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This project aims to measure markers of microglial inflammation and astroglial injury in persons across 5 CHARGE cohorts and relate this to data on brain MRI, white matter hyper-intensities, lacunar brain infarcts and cerebral microbleeds, and assess the utility of these measures as biomarkers of cognitive impairment and as biomarkers of future stroke and dementia risk.

Molecular Transducers of Physical Activity Consortium Coordinator Center: Russell Tracy

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The goal of this proposal is to provide support for the organization, administration, planning, standardization, documentation, monitoring and reporting activities relating to the Molecular Transducers of Physical Activity Consortium (MoTrPAC).

ACTIV-IV Anticoagulation Trial Scientific Organization: Russell Tracy

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The purpose of this proposal is to perform randomized controlled clinical trials (RCTs) on anticoagulation in the setting of COVID-19, including the nature of the intervention, dosage, frequency, etc. for pre-hospital, hospitalized and post-hospital COVID-19 patients.

Contemporary Venous Thrombolism Treatment: Neil Zakai

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This grant uses data from two large U.S. commercial claims databases to see whether real-life outcomes differ between traditional treatment of VTE and novel treatments and if bleeding and recurrent thrombosis differ.