PREdisposition Genetical in Cardiac Insufficiency = Genetic Predisposition to Heart Failure

NCT ID: NCT01113268

Last Updated: 2023-08-25

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: NA
• Total Enrollment: 658 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-09-30
• Study Completion Date: 2023-08-23

Brief Summary

Our main goal is to create a prospective cohort of 1500 patients with a first large myocardial infarction allowing us, in a second step, to identify susceptibility genes for the progression of patients towards chronic heart failure using a candidate gene/candidate pathway approach. Our main hypothesis is that there is, for a given initial biomechanical stress (duration of the ischemic episode, size of the infarcted area, etc.), a variation in the individual susceptibility to develop left ventricular remodelling and to progress towards heart failure, and that this variation is linked to genetic variants between individuals.

Detailed Description

The research program comprises 4 phases: a selection phase at D0-D1, a pre-inclusion and an inclusion phase at D4±2, a visit at M6, and a 5 year follow up phase.

Visit at Day 0 - Day 1:

• The first 12-lead ECG, to be included in the observation book, is performed.
• The first blood sample is taken.

Visit at Day 4±2:

• The first transthoracic echocardiography is performed in all patients selected.
• In the presence of at least 3 akinetic LV segments at the transthoracic echocardiography, the patient is included.
• Demographic data, medical and surgical anteriority, detailed circumstances of occurrence of the MI and any other relevant information is obtained during an interview.
• The second 12-lead ECG is performed.
• The second blood sample is taken.
• The first MRI is performed (optional)

Visit at 6 months:

• The second transthoracic echocardiography is performed.
• The third 12-lead ECG is performed.
• The third blood sample is taken.
• A 24-hour Holter-ECG monitoring is performed (optional)
• The second MRI is performed (optional)

Five year follow up (phone contact until 7 years after inclusion):

Each patient included at day 4±2 will be contacted by phone 1, 2, 3, 4 and 5 years post-MI to obtain information regarding cardiovascular events and hospitalizations. If the patient cannot be contacted directly, we will try to contact a member of his/her family or his/her family physician.

Conditions

ST Elevation (STEMI) Myocardial Infarction of Other Sites

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

1:cohort

Our main goal is to create a prospective cohort of 1500 patients with a first large myocardial infarction allowing us, in a second step, to identify susceptibility genes for the progression of patients towards chronic heart failure using a candidate gene/candidate pathway approach.

Group Type: OTHER

Cohort

Intervention Type: OTHER

Our main goal is to create a prospective cohort of 1500 patients with a first large myocardial infarction allowing us, in a second step, to identify susceptibility genes for the progression of patients towards chronic heart failure using a candidate gene/candidate pathway approach.

Interventions

Cohort

Our main goal is to create a prospective cohort of 1500 patients with a first large myocardial infarction allowing us, in a second step, to identify susceptibility genes for the progression of patients towards chronic heart failure using a candidate gene/candidate pathway approach.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

*Selection criteria

Any patient hospitalised in the CCU of the participating centers:

• with a diagnosis of a first MI
• with ST segment elevation and/or Q wave at admission
• with troponin elevation
• seen within the first 24 hours after symptom onset
• aged between 18 and 80 years is selected.
• consent emergency clause: His/her informed consent is obtained and he/she signs the consent form or However, if a member of the patients' family is present, his/her consent must be obtained or no consent

*Inclusion

• The first transthoracic echocardiography is performed at day 4±2 in all patients selected.
• In the presence of at least 3 akinetic LV segments at the transthoracic echocardiography, the patient is included.

Exclusion Criteria

*Non-selection criteria:

• Informed consent not obtained.
• Patients with diagnosis of previous MI, hypertrophic or dilated cardiomyopathy, significant valvular heart disease, chronic atrial fibrillation, or pace maker or any permanently implanted device susceptible to interfere with LV remodelling.
• Patients with preexisting heart failure.
• Patients having undergone previous cardiac surgery.
• Patients having received chemotherapy susceptible to induce LV remodeling (anthracyclines).
• Patients with an associated short-time life-threatening disease.
• Patients with poor echogenicity.
• Patients without health insurance.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Damien LOGEART, MD,PhD

Role: STUDY_DIRECTOR

Assistance Publique - Hôpitaux de Paris

Locations

Pr Damien LOGEART

Paris, , France

Countries

France

References

Masurkar N, Bouvet M, Logeart D, Jouve C, Drame F, Claude O, Roux M, Delacroix C, Bergerot D, Mercadier JJ, Sirol M, Gellen B, Livrozet M, Fayol A, Robidel E, Tregouet DA, Marazzi G, Sassoon D, Valente M, Hulot JS. Novel Cardiokine GDF3 Predicts Adverse Fibrotic Remodeling After Myocardial Infarction. Circulation. 2023 Feb 7;147(6):498-511. doi: 10.1161/CIRCULATIONAHA.121.056272. Epub 2022 Dec 9.

Reference Type: DERIVED

PMID: 36484260 (View on PubMed)

Other Identifiers

2010-A00156-33

Identifier Type: OTHER

Identifier Source: secondary_id

P081116

Identifier Type: -

Identifier Source: org_study_id