Could less heart screening be safer for kidney transplant patients?
NCT ID NCT03674307
First seen Jul 06, 2026 · Last updated Jul 07, 2026 · Updated 1 time
Summary
This trial investigates whether kidney transplant candidates on dialysis can safely skip routine heart screening after being placed on the waiting list. Participants are randomly assigned to either no further screening or regular annual screening for hidden coronary artery disease. The study compares rates of major cardiac events like heart attacks and cardiac death between the two groups. If no screening proves non-inferior, it could change standard care and reduce unnecessary procedures.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- What this could lead to
- If skipping routine heart screening proves safe, it could simplify care for kidney transplant candidates and reduce unnecessary tests.
- What could go wrong
- This is a large trial, but it only tests a screening strategy, not a treatment. The results may not apply to all patients, and there is a risk that less screening could miss hidden heart problems.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
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Locations
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Barts Health NHS Trust
London, E1 4UJ, United Kingdom
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CHU de Quebec-Universite Laval's L'Hotel-Dieu de Quebec
Laval, Quebec, Canada
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Charité Universitätsmedizin
Berlin, Germany
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Dalhousie University
Halifax, Nova Scotia, B3H 1V8, Canada
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Epsom and St Helier University Hospitals NHS Trust
Carshalton, SM5 1AA, United Kingdom
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King's College Hospital NHS Foundation Trust
Brixton, SW9 8RR, United Kingdom
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Kingston Health Science Centre
Kingston, Ontario, Canada
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London Health Science Centre
London, Ontario, Canada
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McGill University Health Centre
Montreal, Quebec, Canada
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St George's University Hospital NHS Trust Foundation
London, United Kingdom
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St Michael's Hospital
Toronto, Ontario, Canada
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St. Joseph's Healthcare
Hamilton, Ontario, L8N 4A6, Canada
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St. Paul's Hospital, University of Saskatchewan
Saskatoon, Saskatchewan, Canada
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Sussex Brighton R&D
Brighton, BN2 1ES, United Kingdom
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The George Washington University
Washington D.C., District of Columbia, 20052, United States
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The Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 7W9, Canada
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Universite de Montreal, Hopital Maisonneuve-Rosemont
Montreal, Quebec, Canada
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University Health Network
Toronto, Ontario, M5G 2N2, Canada
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University of Alberta
Edmonton, Alberta, Canada
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University of Arizona
Tucson, Arizona, 85724, United States
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University of British Columbia
Vancouver, British Columbia, V6Z 1Y6, Canada
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University of Montreal, Maisonneuve-Rosemont Hospital
Montreal, Quebec, H1T 2M4, Canada
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