Canadian National ARVC Registry
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Purpose
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) is an inherited condition that may cause life threatening irregular heart rhythms that often manifest as unexpected cardiac arrest or sudden death in early adulthood. The condition is difficult to diagnose and often is not noticed until a family member suffers a cardiac arrest or death.
The Canadian National ARVC registry will collect data from Inherited Heart Rhythm Clinics across Canada.
STUDY OBJECTIVES:
Primary:
- To determine the natural history of ARVC (short/intermediate term), including risk of symptomatic arrhythmias and sudden death, for patients with the phenotype and those gene positive patients without phenotype evidence of disease.
- To understand risk factors for sudden death/appropriate ICD use in ARVC, including test characteristics/performance and their relationship to outcomes (ECG, Holter, signal averaged ECG, loop recorders, imaging, voltage mapping, T wave alternans, cardiac biopsy and biomarkers).
- To establish a phenotype genotype correlation, including comparison of patients with disease causing mutations, variants of unknown significance (VUS) and Task Force Criteria (TFC) positive, gene negative patients
| Condition |
|---|
|
Arrhythmogenic Right Ventricular Cardiomyopathy |
| Study Type: | Observational [Patient Registry] |
| Study Design: | Observational Model: Family-Based Time Perspective: Prospective |
| Target Follow-Up Duration: | 3 Years |
| Official Title: | Canadian National Arrhythmogenic Right Ventricular Cardiomyopathy |
- Natural History of ARVC [ Time Frame: Three years ] [ Designated as safety issue: No ]To determine the natural history of ARVC (short/intermediate term), including risk of symptomatic arrhythmias and sudden death, for patients with the phenotype and those gene positive patients without phenotype evidence of disease.
- Risk Factors and Sudden Death [ Time Frame: Three Years ] [ Designated as safety issue: Yes ]To understand risk factors for sudden death/appropriate ICD use in ARVC, including test characteristics/performance and their relationship to outcomes (ECG, Holter, signal averaged ECG, loop recorders, imaging, voltage mapping, T wave alternans, cardiac biopsy and biomarkers).
- Establishing a phenotype genotype correlation [ Time Frame: Three Years ] [ Designated as safety issue: No ]To establish a phenotype genotype correlation, including comparison of patients with disease causing mutations, variants of unknown significance (VUS) and Task Force Criteria (TFC) positive, gene negative patients
Biospecimen Retention: Samples With DNA
If the participant consents to the biobanking arm of the study an additional blood sample (Please see the ARVC Lab Manual for details) will be collected at baseline and stored for subsequent analysis. These analyses may include measurement of serum Troponin T, NT-pro-BNP, C-reactive protein and other biomarkers to determine their association with the progression of disease; both in terms of cardiac structure (i.e. change in right ventricular volume) and electrical substrate (i.e. number of ICD shocks) over time.
| Estimated Enrollment: | 1500 |
| Study Start Date: | July 2013 |
| Estimated Primary Completion Date: | January 2017 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Proband
Probands - Participants diagnosed with ARVC according to the 2010 Task Force Criteria
|
|
Family
First Degree Family member (blood related mother, father, sister, brother, child) of the proband
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 2 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Probability Sample |
Patients will be identified from centers that form the Canadian Genetics Heart Rhythm (CGHR) Network of Inherited Heart Rhythm Clinics across Canada 25 (http://www.heartrhythmresearch.ca/).
IInclusion Requirements:
- 2010 Revised Task Force Criteria positive patients (please refer to Appendix 3.0)
- 2010 Revised Task Force Criteria borderline patients
- Disease causing ARVC pathogenic mutation* carriers with no TFC criteria for ARVC
- Variants of unknown significance carriers with ≥1 minor TFC criterion
- Age ≥ 2 years
- First-degree relatives of 2010 Revised Task Force Criteria positive or borderline patients
Able and willing to provide informed consent, or has a parent/guardian able and willing to provide informed consent and/or able to sign an assent form
- A pathogenic mutation is a DNA alteration associated with ARVC/D that alters or is expected to alter the encoded protein in a significant way, is unobserved or rare in a large non-ARVC/D control population, and either alters or is predicted to alter the structure or function of the protein (by computational (in silico) predictions and/or functional validation in a biological model system) or has demonstrated linkage to the disease phenotype in a conclusive pedigree 4. Mutation carriers by definition have a single major Task Force criterion.
EXCLUSION CRITERIA:
Exclusion Requirements:
- Known condition that mimics ARVC - sarcoidosis (biopsy proven or with lung involvement), familial dilated cardiomyopathy not compatible with an ARVC variant, hypertrophic cardiomyopathy
- Known inherited condition that predisposes to sudden death - Long or Short QT Syndrome, Catecholaminergic Polymorphic Ventricular Tachycardia and Brugada Syndrome
- Age < 2 years
- Life expectancy less than 1 year
- Unable and/or unwilling to provide informed consent
Contacts and Locations| Contact: Karen A Gibbs, RN CCRP | 604-682-2344 ext 63260 | kgibbs@providencehealth.bc.ca |
| Canada, Alberta | |
| Foothills Hospital | Not yet recruiting |
| Calgary, Alberta, Canada | |
| Contact: Tiffany Yuen 403-220-2656 tyeu@ucalgary.ca | |
| Principal Investigator: Brenda Gerull, PHD | |
| Canada, British Columbia | |
| St. Paul's Hospital | Recruiting |
| Vancouver, British Columbia, Canada | |
| Contact: Karen Gibbs, RN 604-682-2344 ext 63260 kgibbs@providencehealth.bc.ca | |
| Principal Investigator: Andrew D Krahn, MD | |
| Canada, Newfoundland and Labrador | |
| Health Sciences Centre, Newfounland | |
| Saint John's, Newfoundland and Labrador, Canada | |
| Canada, Nova Scotia | |
| QEII Health Siences Centre | Recruiting |
| Halifax, Nova Scotia, Canada | |
| Contact: Vicki Newman, RN 902-473-5768 vicki.newman@cdha.nshealth.ca | |
| Principal Investigator: Martin Gardner, MD | |
| Canada, Ontario | |
| Hamilton Health Sciences Centre | Not yet recruiting |
| Hamilton, Ontario, Canada | |
| Contact: Wendy Meyer, RN 905-527-4322 meyerw@hhsc.ca | |
| Principal Investigator: Jeffrey Healey, MD | |
| University of Western Ontario | Not yet recruiting |
| London, Ontario, Canada | |
| Contact: Laura Moxey lwood44@uwo.ca | |
| Principal Investigator: George Klein, MD | |
| Children's Hospital of Eastern Ontario | Not yet recruiting |
| Ottawa, Ontario, Canada | |
| Principal Investigator: Robert Gow, MD | |
| Ottawa Heart Institute | Not yet recruiting |
| Ottawa, Ontario, Canada | |
| Principal Investigator: Michael Gollob, MD | |
| Sunnybrook Hospital | Not yet recruiting |
| Toronto, Ontario, Canada | |
| Contact: Meena Lakhanpal, MD 416-480-6172 meenakshi.lakhanpal@sunnybrook.ca | |
| Principal Investigator: Eugene Crytstal, MD | |
| Toronto General Hospital | Not yet recruiting |
| Toronto, Ontario, Canada | |
| Contact: Adam Herman (416) 340-3535 adam.herman@uhn.ca | |
| Principal Investigator: Danna Spears, MD | |
| Sick Children's Hospital | Not yet recruiting |
| Toronto, Ontario, Canada | |
| Contact: Maryam Rarhan 416-813-7654 ext 28171 maryam.farhan@sickkids.on.ca | |
| Principal Investigator: Robert Hamilton, MD | |
| St. Michael's Hospital | Not yet recruiting |
| Toronto, Ontario, Canada | |
| Principal Investigator: Kamran Ahmad, MD | |
| Canada, Quebec | |
| Montreal Heart Institute | Not yet recruiting |
| Montreal, Quebec, Canada | |
| Contact: Diane David 514-376-3330 ext 2884 diane.david@icm-mhi.org | |
| Principal Investigator: Mario Talijic, MD | |
| Canada | |
| Quebec Heart Institute Laval Hospital | Not yet recruiting |
| Quebec, Canada | |
| Contact: Paule Banville, RN 418-656-8711 ext 2131 paule.banville@criucpq.ulaval.ca | |
| Principal Investigator: Francois Philippon, MD | |
| Principal Investigator: | Andrew D Krahn, MD | University of British Columbia, Dept of Medicine, Head of Cardiology |
More Information
No publications provided
| Responsible Party: | University of British Columbia |
| ClinicalTrials.gov Identifier: | NCT01804699 History of Changes |
| Other Study ID Numbers: | 27Dec2012v4 |
| Study First Received: | March 1, 2013 |
| Last Updated: | April 3, 2013 |
| Health Authority: | Canada: Health Canada |
Keywords provided by University of British Columbia:
|
ARVC, Cardiomyopathy |
Additional relevant MeSH terms:
|
Arrhythmogenic Right Ventricular Dysplasia Cardiomyopathies Heart Defects, Congenital Cardiovascular Abnormalities |
Cardiovascular Diseases Heart Diseases Congenital Abnormalities |
ClinicalTrials.gov processed this record on May 19, 2013