Status:

UNKNOWN

Unmasking the Prevalence of AC in an Unselected Echocardiographic Population

Lead Sponsor:

University of Trieste

Collaborating Sponsors:

Pfizer

Conditions:

Amyloid Cardiomyopathy

Eligibility:

All Genders

55-100 years

Brief Summary

This study will investigate the prevalence of echocardiographic red-flags of amyloid cardiomyopathy (AC) in patients undergoing clinically-indicated echocardiography (observational phase) and the prev...

Detailed Description

Prospective multicenter Italian survey consisting of two phases: observational (echocardiographic screening for amyloid cardiomyopathy among patients ≥ 55 years undergoing clinically-indicated echocar...

Eligibility Criteria

Inclusion

  • All the following:
  • Interventricular septum thickness ≥ 13 mm in men and ≥ 12 mm in women;
  • Left ventricular ejection fraction ≥ 50%;
  • Indexed end-diastolic left ventricular volume ≤ 85 mL/m2.
  • AND
  • At least one of the following criteria:
  • "Granular sparkling" appearance of the myocardium defined granular texture with uniform increased brightness of echo-reflections;
  • Pericardial effusion regardless of severity;
  • Increased interatrial septum thickness (\> 5 mm);
  • Restrictive filling pattern (Dec. Time E wave \<120 ms or Dec. Time E wave ≤150 ms e E/A ratio ≥2) or increased ventricular filling pressures (E/E'15);
  • Speckle tracking derived global longitudinal strain with apical sparing pattern;
  • Increased thickness (\> 5 mm) of mitral and tricuspid valve leaflets.

Exclusion

  • Patients aged \< 55 years or \> 100 years
  • Echocardiography performed due to known or suspected amyloid cardiomyopathy;
  • Echocardiography performed due to known hypertrophic cardiomyopathy or phenocopies;
  • Refuse to sign the informed consent to the study

Key Trial Info

Start Date :

November 20 2020

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

July 25 2021

Estimated Enrollment :

381 Patients enrolled

Trial Details

Trial ID

NCT04738266

Start Date

November 20 2020

End Date

July 25 2021

Last Update

February 4 2021

Active Locations (16)

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Page 1 of 4 (16 locations)

1

Emergency Department and Amyloid Research and Treatment Center, IRCCS Policlinico San Matteo Foundation, Department of Internal Medicine, University of Pavia

Pavia, Milano, Italy, 27100

2

Cardiology Unit, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro

Bari, Italy, 70121

3

Cardiovascular Department, Policlinico Sant'Orsola

Bologna, Italy, 40138

4

Cardiology, Department of Medical and Surgical Specialities, Radiological Sciences and Public Health - University of Brescia

Brescia, Italy, 25100