NCT01980797

Brief Summary

Bicuspid aortic valve (BAV) disease is the most frequent congenital cardiac malformation, occurring in 0.5-1.2% of the US population. In young adults, it is generally a benign abnormality; but in older adults it is associated with thoracic aortic aneurysm or dissection in 20-30% of those with BAV. BAV is strongly associated with early development of aortic valve calcification or incompetence in \>50% of BAV patients, and accounts for \~40% of the \>30,000 aortic valve replacements (AVR) performed in the US each year. Yet, we know little of the etiology, cellular events and modifiers of progression of BAV to calcific aortic valve disease and we still do not understand the genetic cause(s) of BAV despite evidence for its high heritability. The Specific Aims of this study are:

  1. 1.To identify the genetic causes of bicuspid aortic valve disease and its associated thoracic aortic disease.
  2. 2.To identify potential pathways to predict the clinical course of BAV disease and for treating human BAV disease.

Trial Health

82
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
6,464

participants targeted

Target at P75+ for all trials

Timeline
31mo left

Started Nov 2013

Longer than P75 for all trials

Geographic Reach
5 countries

12 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress83%
Nov 2013Nov 2028

Study Start

First participant enrolled

November 1, 2013

Completed
4 days until next milestone

First Submitted

Initial submission to the registry

November 5, 2013

Completed
6 days until next milestone

First Posted

Study publicly available on registry

November 11, 2013

Completed
15 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2028

Last Updated

April 1, 2026

Status Verified

March 1, 2026

Enrollment Period

15 years

First QC Date

November 5, 2013

Last Update Submit

March 27, 2026

Conditions

Keywords

Bicuspid aortic valve diseaseThoracic aortic diseaseGeneticsEchocardiographyCardiac CTCardiac MRI

Outcome Measures

Primary Outcomes (1)

  • Bicuspid aortic valve disease

    The first specific aim is to identify the genetic causes of bicuspid aortic valve disease.

    10 years

Secondary Outcomes (1)

  • The development of thoracic aortic disease in patients with bicuspid aortic valve disease

    10 years

Study Arms (2)

Bicuspid aortic valve disease

Group/Cohort Label - Bicuspid aortic valve Group/Cohort Description - * Patients diagnosed with bicuspid aortic valve * All ages ≥8 years * Able to provide fully informed consent

Tricuspid aortic valve control patients

Group/Cohort Label - Tricuspid aortic valve control patients Group/Cohort Description -Control patients will come from approximately matched patients without an identified bicuspid aortic valve who are trace, gender and geographically matched. * Patients not diagnosed with bicuspid aortic valve * All ages ≥8 years * Able to provide fully informed consent

Eligibility Criteria

Age8 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

Patients with and without bicuspid aortic valves disease

You may qualify if:

  • Patients diagnosed as having a bicuspid aortic valve
  • All ages ≥8 years
  • Able to provide fully informed consent

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (12)

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

Boston Medical Center

Boston, Massachusetts, 02218, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Mayo Clinic

Rochester, Minnesota, 55905, United States

Location

University of Texas Health Science Center at Houston

Houston, Texas, 77030, United States

Location

Laval University

Québec, Quebec, G1V 4G5, Canada

Location

Istituto Policlinico San Donato

San Donato Milanese, Milan, 20097, Italy

Location

Monaldi Hospital

Naples, 80100, Italy

Location

Second University of Naples

Naples, 80131, Italy

Location

University of Salerno

Salerno, 36-83023, Italy

Location

Hospital Vall d'Hebron

Barcelona, 08035, Spain

Location

University of Oxford

Oxford, OX3 9DU, United Kingdom

Location

Biospecimen

Retention: SAMPLES WITH DNA

We are collecting DNA from either saliva or blood.

MeSH Terms

Conditions

Bicuspid Aortic Valve Disease

Condition Hierarchy (Ancestors)

Heart Defects, CongenitalCardiovascular AbnormalitiesCardiovascular DiseasesHeart DiseasesAortic Valve DiseaseHeart Valve DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

  • Simon C. Body, MD, MPH

    Boston University School of Medicine, Anesthesiology Department

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
20 Years
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2013

First Posted

November 11, 2013

Study Start

November 1, 2013

Primary Completion (Estimated)

November 1, 2028

Study Completion (Estimated)

November 1, 2028

Last Updated

April 1, 2026

Record last verified: 2026-03

Locations