Celiprolol in Patients With Ehlers-Danlos Syndrome, Vascular Type
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Purpose
Ehlers-Danlos syndrome vascular type (EDS-IV) is caused by a genetic defect of collagen type III. Patient die (median 40 yrs) of vascular complications. There is no treatment. We showed that arteries are thin and overloaded in this patients. We test the protective effect of celiprolol on cardiovascular events in a 5 years, randomized, PROBE design
| Condition | Intervention | Phase |
|---|---|---|
|
EHLERS-DANLOS SYNDROME, TYPE IV, AUTOSOMAL DOMINANT CHROMOSOME 2q31.2 DELETION SYNDROME |
Drug: celiprolol Drug: Control |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Prevention of Vascular Complications by BetaBlocker Treatment in Vascular Ehlers-Danlos Syndrome |
- reduction in the rate of major cardiovascular events in the treated group during a 5 years follow-up [ Time Frame: during de study ] [ Designated as safety issue: Yes ]reduction in the rate of major cardiovascular events in the treated group during a 5 years follow-up
- Tolerance, effect of drug on arterial parameters : diameter, IMT, stiffness. [ Time Frame: during the study ] [ Designated as safety issue: Yes ]Tolerance, effect of drug on arterial parameters : diameter, IMT, stiffness.
| Enrollment: | 54 |
| Study Start Date: | October 2003 |
| Study Completion Date: | April 2011 |
| Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Treatment
Celiprolol
|
Drug: celiprolol
celiprolol
Other Names:
Drug: Control
Untreated controls excluding betablockers
|
Detailed Description:
100 patients with verified EDS-IV syndrome are included. Patients are randomized to either celiprolol (50 to 400 mg BID)or no treatment. Patients who are not randomized enter a longitudinal survey of events. The hypothesis is a 50% reduction in the occurrence of cardiovascular events under treatment, assessed by a blinded, independent events committee.
Eligibility| Ages Eligible for Study: | 15 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Proven disease,
- No betablocker at inclusion if previous CV event
Exclusion criteria:
Criteria of not inclusion for the RIGHTEOUS group:
- Patient having already presented an arterial break or a dissection and treated(handled) by bétâ-blocking(surrounding).
- Against indication in the use of CELIPROLOL:
- Unchecked cardiac insufficiency by the treatment
- cardiogenic shock
- BAV of 2nd and 3rd not sailed degrees
- angor of Prinzmetal
- disease of the sine
- bradycardia
- pheochromocytoma untreated
- low blood pressure
- sentimentality in the CELIPROLOL
- Antecedent of anaphylactic reaction
- myasthenia
- treatment by FLOCTAFENINE ( Idarac), Sultopride ( interactions ) In these two cases, the patient can be included in the group followed by troop.
Criteria of not inclusion for both groups:
- Refusal to participate in the study.
- Impossibility to move.
- Pregnancy
- Woman in age to procreate without means of effective contraception.
Contacts and Locations
More Information
No publications provided by Assistance Publique - Hôpitaux de Paris
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT00190411 History of Changes |
| Other Study ID Numbers: | P010309 |
| Study First Received: | September 13, 2005 |
| Last Updated: | January 15, 2013 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Arteries ultrasonography Ehlers Danlos syndrome Cardiovascular disease beta adrenergic antagonists |
Additional relevant MeSH terms:
|
Ehlers-Danlos Syndrome Hemostatic Disorders Vascular Diseases Cardiovascular Diseases Hemorrhagic Disorders Hematologic Diseases Skin Abnormalities Congenital Abnormalities Skin Diseases, Genetic Genetic Diseases, Inborn Collagen Diseases Connective Tissue Diseases Skin Diseases Adrenergic beta-Antagonists Celiprolol |
Adrenergic Antagonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs Antihypertensive Agents Cardiovascular Agents Therapeutic Uses Sympathomimetics Autonomic Agents Peripheral Nervous System Agents Vasodilator Agents Adrenergic beta-1 Receptor Antagonists Anti-Arrhythmia Agents |
ClinicalTrials.gov processed this record on May 16, 2013