DZHK TORCH-Plus is a Registry for Patients With Cardiomyopathies and Serves as Source for Cardiovascular Research Studies

NCT ID: NCT04265040

Last Updated: 2023-11-30

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

RECRUITING

Total Enrollment

2040 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-08-18

Study Completion Date

2027-12-31

Brief Summary

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The DZHK TranslatiOnal Registry for CardiomyopatHies (DZHK TORCH) represents a unique resource of clinical data and high quality biological samples to enable innovative clinical and molecular studies on cardiomyopathies (CMP). As a multi-center German cardiomyopathy registry, TORCH has been prospectively admitting patients since December 2014. 2,300 patients were recruited as planned. Taken together, patient data showed that the prevalence of these diseases is much higher in men than in women, atrial fibrillation is common in all forms of CMPs as well as rare forms of disease indicate a higher risk and higher morbidity.

This DZHK TORCH register is now to be expanded with a second phase (DZHK TORCH-Plus). The second phase DZHK TORCH-Plus consists of 4 main modules: 1. "Clinical phenotyping, follow-up \& biosampling" 2. "Genomics", 3. "Inflammation" and 4. "Biomarker". The central aims are 1) to significantly increase the number of probands (n = 4340) in order to better address the different types of CMPs, especially patients with rare CMP forms such as LVNC and ARVC or with probably molecularly explainable cardiomyopathies (familial DCM), 2) to prolong the longitudinal with a further follow-up to achieve sufficient events and thereby derive clinical recommendations for risk assessment, 3) to increase the number of probands with state-of-the-art phenotyping, 4) to pinpoint the effect of myocardial inflammation, fibrosis, gender and to determine or predict genotypes based for outcome, 5) to validate novel biomarkers developed in other DZHK studies, and 6) to foster active cooperation with international CMP registries and partners from industry.

Detailed Description

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Conditions

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Non-ischemic Cardiomyopathy DCM - Dilated Cardiomyopathy HCM - Hypertrophic Cardiomyopathy HOCM - Hypertrophic Obstructive Cardiomyopathy Arrhythmogenic Right Ventricular Cardiomyopathy Left Ventricular Noncompaction Cardiomyopathy Amyloidosis Inflammatory Cardiomyopathy

Keywords

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Cardiomyopathies, registry, data, biomaterial, genetics

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Non-ischemic structural cardiomyopathies
* Age ≥ 18 or ≤ 80 years
* The patient is able to understand the declaration of consent and to sign it dated
* At least one of the following diagnoses depending on the specific TORCH-

Plus inclusion / exclusion - SOP:

Dilated Cardiomyopathy (DCM)

* family / genetic
* inflammatory / persistent myocarditis
* idiopathic (after exclusion secondary cause)
* left sided systolic dysfunction (EF ≤ 45%)

Left ventricular hypertrophy

* sarcomere hypertrophic cardiomoypathia (HCM, HOCM)
* amyloid (AL: light chains, TTR: transthyretin, wild type)

Left ventricular non-compaction cardiomyopathy (LVNC)

Arrhythmogenic right ventricular cardiomyopathy (ARVC / D)

Exclusion Criteria

* Age: \<18 years or\> 80 years
* Patient has other (cardiac) previous illnesses:

* uncontrollable arterial hypertension
* primary pulmonary arterial hypertension
* radiation therapy in the chest area
* addiction (drug or alcohol abuse)
* life expectancy \<1 year due to non-cardiological pre-existing conditions
* significant heart valve disease
* ischemic diseases and severe congenital heart diseases (including VSD, Fallot tetralogy, Ebstein anomaly)
* chemotoxic cardiomyopathy
* condition after myocarditis
* combination of several traditional risk factors (e.g. hypertension and diabetes mellitus)
* advanced chronic non-cardiac disease (e.g. chronic hepatitis or HIV)
* Tachymyopathy
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medicine Greifswald

OTHER

Sponsor Role collaborator

Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

German Heart Center

OTHER

Sponsor Role collaborator

University of Mannheim

OTHER

Sponsor Role collaborator

University Hospital Schleswig-Holstein

OTHER

Sponsor Role collaborator

Medical University of Hannover

OTHER

Sponsor Role collaborator

Goethe University

OTHER

Sponsor Role collaborator

Universitätsklinikum Hamburg-Eppendorf

OTHER

Sponsor Role collaborator

University Medical Center Mainz

OTHER

Sponsor Role collaborator

University Medical Center Goettingen

OTHER

Sponsor Role collaborator

Deutsches Herzzentrum Muenchen

OTHER

Sponsor Role collaborator

Technical University of Munich

OTHER

Sponsor Role collaborator

University Hospital Munich

OTHER

Sponsor Role collaborator

Kerckhoff Klinik

OTHER

Sponsor Role collaborator

University Hospital Heidelberg

OTHER

Sponsor Role lead

Responsible Party

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Benjamin Meder

Deputy Director - Clinic of Cardiology, Angiology and Pneumology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University Hospital Heidelberg - Clinic of Cardiology, Angiology and Pneumology

Heidelberg, Baden-Wurttemberg, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Farbod Sedaghat-Hamendani, Dr.

Role: CONTACT

Phone: +496221/56-8676

Email: [email protected]

Johannes Trebing, Dr.

Role: CONTACT

Email: [email protected]

Facility Contacts

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Farbod Sedaghat-Hamedani, Dr.

Role: primary

Johannes Trebing, Dr.

Role: backup

Other Identifiers

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TORCH-Plus DZHK21

Identifier Type: -

Identifier Source: org_study_id