Study Stopped
Difficulty in patient recruitment
Fabry's Disease and Pregnancy (PREFAB)
PREFAB
Description of Obstetrical Care, Mainly Anesthesic, in Patients With Fabry's Disease
1 other identifier
observational
12
1 country
1
Brief Summary
Fabry's disease is a progressive systemic disease X-linked which combines neurological (Fabry's pain crises), dermatologic (angiokeratomas), renal (renal failure), cardiovascular (hypertrophic cardiomyopathy, valvular disease, conduction disorder, coronary heart disease) and cerebral vascular (stroke) symptoms . It is a glycosphingolipid metabolism disorder due to deficient or absent activity of the alpha-galactosidase A, causing accumulation of globotriaosylceramide in the lysosomes. The incidence is estimated being 1/40 000. Some patients suffering from Fabry's disease today are of childbearing age and their multidisciplinary care (by neurologists, obstetricians and anesthetists) raises several questions. About the anesthetic, the question of epidural block is debated in patients with neurological diseases and recommendations are not unequivocal. Indeed one of the problems of the management in those conditions is the potential worsening of the disease because of the anesthetic procedure. In addition, the possibility of an antiplatelet and / or an anticoagulant treatment in these patients may also contre-indicate an epidural block. The rate of epidural block achieved in patients with Fabry's disease is not currently known. Moreover, only sparse data on pregnancy outcomes in these patients are reported.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Oct 2015
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 15, 2015
CompletedFirst Posted
Study publicly available on registry
October 21, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2018
CompletedFebruary 15, 2019
February 1, 2019
2.7 years
October 15, 2015
February 14, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Proportion of Fabry's disease patients having had an epidural block in childbirth.
The duration of the interview for this study with women with Fabry disease's will be one hour
Interventions
Eligibility Criteria
Fabry's disease patients having had at least one childbirth
You may qualify if:
- Fabry's disease patients, aged 18 years or more, having had at least one childbirth
You may not qualify if:
- Patient under a legal protection procedure
- Patient denying to participate to the study
- Lack of affiliation to a social security system
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Groupe hospitalier Diaconesses Croix Saint Simon
Paris, Île-de-France Region, 75020, France
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 15, 2015
First Posted
October 21, 2015
Study Start
October 1, 2015
Primary Completion
June 1, 2018
Study Completion
June 1, 2018
Last Updated
February 15, 2019
Record last verified: 2019-02