Risk Stratification in Children and Adolescents With Primary Cardiomyopathy

NCT ID: NCT03572569

Last Updated: 2018-06-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-01-31

Study Completion Date

2020-12-31

Brief Summary

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RIKADA is a prospective study performing systematic family screening including clinical and genetic testing in pediatric patients with primary cardiomyopathy and their first-degree relatives with the aim to facilitate risk stratification.

Detailed Description

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RIKADA is a long-term prospective study performing in-depth phenotype and genotype characterization in children and adolescents with primary cardiomyopathy and their first-degree family members. Family screening contains complete cardiac work-up with medical history, physical examination, 12-lead-/Holter-electrocardiogram, cardiopulmonary exercise testing, echocardiography, cardiovascular magnetic resonance (CMR) and laboratory including genetic testing. The aim is to facilitate early identification of at-risk individuals and contribute to patient-specific follow-up and therapy regimes preventing progressive heart failure and arrhythmia in pediatric CMP.

Conditions

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Primary Cardiomyopathy Dilated Cardiomyopathy Hypertrophic Cardiomyopathy Left Ventricular Noncompaction Restrictive Cardiomyopathy Arrhythmogenic Right Ventricular Cardiomyopathy

Study Design

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Observational Model Type

FAMILY_BASED

Study Time Perspective

PROSPECTIVE

Study Groups

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Index patients

Patients ≤18 years with primary cardiomyopathy

No interventions assigned to this group

First-degree family members

Parents and siblings of index patients

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Index patients:

* Age ≤18 years
* written informed consent of parents/legal guardians
* diagnosis of primary cardiomypathy:
* DCM: left ventricular (LV) systolic dysfunction and dilatation greater than two standard deviations (SD) above the mean of a normal population
* HCM: LV hypertrophy and septal wall thickness above two SD
* RCM: diastolic dysfunction and concordant atrial enlargement
* LVNC: separation of the myocardium into a compacted (C) and a non- compacted (NC) layer with an NC/C ratio \>2 in echocardiography and/or \>2.3 in CMR
* ARVC: according to the revised Task Force Criteria
2. First-degree family members (parents and siblings):

* Age ≥3 years
* written informed consent of parents/legal guardians and siblings ≥18 years

Exclusion Criteria

* unwillingness to give consent
* myocardial inflammation / myocarditis
* systemic disease with cardiac involvement (secondary cardiomyopathy)
* structural congenital heart disease
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Deutsches Zentrum für Herz-Kreislauf-Forschung (DZHK)

OTHER

Sponsor Role collaborator

German Heart Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Felix Berger, MD

Role: PRINCIPAL_INVESTIGATOR

German Heart Institute

Sabine Klaassen, MD

Role: STUDY_DIRECTOR

Charite University, Berlin, Germany

Locations

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Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status RECRUITING

German Heart Institute

Berlin, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Sabine Klaassen, MD

Role: CONTACT

+49 30 450 ext. 540656

Nadya Al-Wakeel-Marquard, MD

Role: CONTACT

+49 30 4593 ext. 2883

Facility Contacts

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Charité - Universitätsmedizin Berlin

Role: primary

German Heart Institute

Role: primary

References

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Al-Wakeel-Marquard N, Seidel F, Kuhnisch J, Kuehne T, Berger F, Messroghli DR, Klaassen S. Midwall Fibrosis and Cardiac Mechanics: Rigid Body Rotation Is a Novel Marker of Disease Severity in Pediatric Primary Dilated Cardiomyopathy. Front Cardiovasc Med. 2022 Feb 17;8:810005. doi: 10.3389/fcvm.2021.810005. eCollection 2021.

Reference Type DERIVED
PMID: 35252369 (View on PubMed)

Al-Wakeel-Marquard N, Degener F, Herbst C, Kuhnisch J, Dartsch J, Schmitt B, Kuehne T, Messroghli D, Berger F, Klaassen S. RIKADA Study Reveals Risk Factors in Pediatric Primary Cardiomyopathy. J Am Heart Assoc. 2019 Aug 6;8(15):e012531. doi: 10.1161/JAHA.119.012531. Epub 2019 Jul 23.

Reference Type DERIVED
PMID: 31333075 (View on PubMed)

Other Identifiers

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81Z3100331

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

A30127

Identifier Type: -

Identifier Source: org_study_id

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