Statin Effect on Arrhythmogenic Cardiomyopathy Disease Progression (SEARCH)

NCT ID: NCT06922994

Last Updated: 2025-07-03

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

Clinical Phase

PHASE2

Total Enrollment

102 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-31

Study Completion Date

2026-11-30

Brief Summary

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The goal of this clinical trial is to learn if Atorvastatin 80 mg is effective to avoid functional right ventricular deterioration in patients affected by Arrhythmogenic Cardiomyopathy. It will also learn about the safety of Atorvastatin 80 mg in this type of patients. The main questions it aims to answer are:

1. Does Atorvastatin 80 mg prevent worstening of the right ventricular functioning?
2. Does Atorvastatin 80 mg prevent the worsening of electric, morphological and biomarkers deterioration?
3. What medical problems do participants have when taking Atorvastatin 80 mg?

Researchers will compare Atorvastatin 80 mg to a placebo (a look-alike substance that contains no drug) to see if the drug works to treat Arrhythmogenic Cardiomyopathy.

Participants will:

1. Take Atorvastatin 80 mg or a placebo every day for 18 months;
2. Visit the clinic at the enrollment and after 2, 4, 9 and 18 months for checkups and tests;
3. Make a phone call for safety check after 12, 15 and 19 months since the enrollment;
4. Fill out psychological questionnaires

Detailed Description

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Conditions

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Arrhythmogenic Cardiomyopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a multicenter, prospective, randomized, clinical study: Atorvastatin 80mg/day or placebo will be administered for 18 months to 102 ACM patients, and the endpoints will be tested.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Atorvastatin

Atorvastatin arm will be composed by 51 patients affected by Arrhythmogenic Cardiomyopathy.

Group Type ACTIVE_COMPARATOR

Atorvastatin 80 mg/day

Intervention Type DRUG

Atorvastatin 80mg/day will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy

Placebo

Placebo arm will be composed by 51 patients affected by Arrhythmogenic Cardiomyopathy.

Group Type PLACEBO_COMPARATOR

Placebo atorvastatin

Intervention Type DRUG

One tablet of placebo will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy

Interventions

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Atorvastatin 80 mg/day

Atorvastatin 80mg/day will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy

Intervention Type DRUG

Placebo atorvastatin

One tablet of placebo will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Participant must be at least 18 years of age, at the time of signing the informed consent
2. Participants affected by Arrhythmogenic Cardiomyopathy as defined by task force criteria

Exclusion Criteria

1. Known hypersensitivity to atorvastatin or any of the excipients
2. Moderate or severe liver disease
3. Muscle disease
4. Left ventricular ejection fraction \<35%
5. Congestive heart failure defined by the New York Heart Association (NYHA) as class III or IV.
6. Known cardiomyopathy of other origin: post ischemic, hypertrophic, idiopathic dilated, restrictive; known moderate-to-severe mitral or aortic valvulopathy; pulmonary hypertension; congenital cardiac abnormalities
7. Hypercholesterolemic patients that require the use of lipid lowering drugs.
8. Heart transplantation
9. Estimated life expectancy of less than 2 years
10. Any other medical condition that, in the judgment of the investigator, places the patient at risk or makes the patient unreliable or limits the patient's ability to complete the study
11. Potent CYP3A4 modifiers such as Erythromycin, Clarithromycin Azole antifungals, Protease inhibitors , Gemfibrozil, Ciclosporin, Danazol
12. Fusidic acid (drug for bacterial infections)
13. Hepatitis C antivirals as telaprevir, boceprevir, glecaprevir/pibrentasvir and ledipasvir/sofosbuvir combination
14. Any other lipid lowering drugs such as Statins, Cholesterol absorption inhibitors, Bile acid sequestrants , PCSK9 inhibitors, Adenosine triphosphate-citrate lyase inhibitors , Fibrates, Omega-3 fatty acid ethyl esters
15. Drugs primary indicated as antioxidants
16. Enrollment in another clinical trial or past clinical trial in which an investigational drug was administered within 30 days of Visit 1 or within the 5 half-lives of the investigational drug, whichever is longer.
17. Pregnant or lactating women
18. Women of childbearing age who are not using adequate contraception
19. Known dependency on alcohol - drug abuse.
20. Contraindications to cardiac magnetic resonance
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federico II University

OTHER

Sponsor Role collaborator

Università Politecnica delle Marche

OTHER

Sponsor Role collaborator

Ospedali dei Colli

OTHER

Sponsor Role collaborator

Centro Cardiologico Monzino

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Claudio Tondo

Role: PRINCIPAL_INVESTIGATOR

Centro Cardiologico Monzino IRCCS

Locations

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Fondazione I.R.C.C.S. Policlinico San Matteo

Pavia, PV, Italy

Site Status RECRUITING

Università Politecnica delle Marche

Ancona, , Italy

Site Status RECRUITING

Centro Cardiologico Monzino IRCSS

Milan, , Italy

Site Status RECRUITING

AORN - Ospedali dei Colli

Napoli, , Italy

Site Status RECRUITING

Università degli Studi di Napoli Federico II

Napoli, , Italy

Site Status NOT_YET_RECRUITING

Countries

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Italy

Central Contacts

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Elena Sommariva

Role: CONTACT

+39 0258002752

Claudio Tondo

Role: CONTACT

+39 0258002275

Facility Contacts

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Annalisa Turco

Role: primary

+390382503158

Michela Casella

Role: primary

+39 0715965324

Claudio Tondo

Role: primary

+39 0258002275

Giuseppe Limongelli

Role: primary

+39 0817062211

Raffaella Lombardi

Role: primary

+39 081676541

References

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Sommariva E, Stadiotti I, Casella M, Catto V, Dello Russo A, Carbucicchio C, Arnaboldi L, De Metrio S, Milano G, Scopece A, Casaburo M, Andreini D, Mushtaq S, Conte E, Chiesa M, Birchmeier W, Cogliati E, Paolin A, Konig E, Meraviglia V, De Musso M, Volani C, Cattelan G, Rauhe W, Turnu L, Porro B, Pedrazzini M, Camera M, Corsini A, Tondo C, Rossini A, Pompilio G. Oxidized LDL-dependent pathway as new pathogenic trigger in arrhythmogenic cardiomyopathy. EMBO Mol Med. 2021 Sep 7;13(9):e14365. doi: 10.15252/emmm.202114365. Epub 2021 Aug 2.

Reference Type BACKGROUND
PMID: 34337880 (View on PubMed)

Other Identifiers

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PNRR-MCNT2-2023-12376978

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2024-514643-28-00

Identifier Type: CTIS

Identifier Source: secondary_id

SEARCH

Identifier Type: -

Identifier Source: org_study_id

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