Trial record 4 of 6 for:    "Arrhythmogenic right ventricular dysplasia"

Canadian National ARVC Registry

This study is not yet open for participant recruitment.
Verified April 2013 by University of British Columbia
Sponsor:
Collaborators:
Population Health Research Institute
Medtronic
Boston Scientific Corporation
Heart and Stroke Foundation of Ontario
Information provided by (Responsible Party):
University of British Columbia
ClinicalTrials.gov Identifier:
NCT01804699
First received: March 1, 2013
Last updated: April 3, 2013
Last verified: April 2013
  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:

  1. 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.
  2. 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).
  3. 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

Resource links provided by NLM:


Further study details as provided by University of British Columbia:

Primary Outcome Measures:
  • 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.


Secondary Outcome Measures:
  • 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).


Other Outcome Measures:
  • 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
Study Population

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/).

Criteria

IInclusion Requirements:

  1. 2010 Revised Task Force Criteria positive patients (please refer to Appendix 3.0)
  2. 2010 Revised Task Force Criteria borderline patients
  3. Disease causing ARVC pathogenic mutation* carriers with no TFC criteria for ARVC
  4. Variants of unknown significance carriers with ≥1 minor TFC criterion
  5. Age ≥ 2 years
  6. First-degree relatives of 2010 Revised Task Force Criteria positive or borderline patients
  7. 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:

  1. Known condition that mimics ARVC - sarcoidosis (biopsy proven or with lung involvement), familial dilated cardiomyopathy not compatible with an ARVC variant, hypertrophic cardiomyopathy
  2. Known inherited condition that predisposes to sudden death - Long or Short QT Syndrome, Catecholaminergic Polymorphic Ventricular Tachycardia and Brugada Syndrome
  3. Age < 2 years
  4. Life expectancy less than 1 year
  5. Unable and/or unwilling to provide informed consent
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01804699

Contacts
Contact: Karen A Gibbs, RN CCRP 604-682-2344 ext 63260 kgibbs@providencehealth.bc.ca

Locations
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            
Sponsors and Collaborators
University of British Columbia
Population Health Research Institute
Medtronic
Boston Scientific Corporation
Heart and Stroke Foundation of Ontario
Investigators
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