NCT03498040

Brief Summary

Carcinoid Heart Disease (CHD) is a rare form of heart disease, occurring in over 50% of the patients with carcinoid syndrome. Pathophysiology, prognostic factors of development of Carcinoid Heart Disease and progression of disease remain unclear. This observational multicenter cohort study is designed to study the occurrence of Carcinoid Heart Disease in patients with differentiated carcinoid tumors, to describe numerous factors influencing the occurrence, severity, progression and long-term survival of patients with Carcinoid Heart Disease. Basic informations and detailed diagnosis informations (oncological and cardiac parameters), are collected by professional doctors. Clinical outcomes (onset of Carcinoid Heart Disease, cardiac surgery, related death) will be followed up every year or every six/three months if clinically indicated.

Trial Health

75
On Track

Trial Health Score

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

Enrollment
670

participants targeted

Target at P75+ for all trials

Timeline
85mo left

Started Apr 2018

Longer than P75 for all trials

Geographic Reach
1 country

19 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 Progress54%
Apr 2018Apr 2033

First Submitted

Initial submission to the registry

March 23, 2018

Completed
21 days until next milestone

First Posted

Study publicly available on registry

April 13, 2018

Completed
3 days until next milestone

Study Start

First participant enrolled

April 16, 2018

Completed
15 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 16, 2033

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 16, 2033

Last Updated

December 3, 2024

Status Verified

November 1, 2024

Enrollment Period

15 years

First QC Date

March 23, 2018

Last Update Submit

November 28, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Carcinoid Heart Disease

    Percentage of patients with carcinoid heart disease at diagnosis and during follow-up (carcinoid heart disease diagnosis will be assessed by an annual echocardiography).

    10 years (at the end of study)

Secondary Outcomes (3)

  • Cardiac surgery

    10 years (at the end of study)

  • 5HIAA levels

    10 years (at the end of study)

  • Survival

    10 years (at death or at the end of study)

Study Arms (1)

Patients with or at risk of carcinoid heart disease

* Adult patients with well-differentiated metastatic ileum or bronchial neuroendocrine tumor * Adult patients with carcinoid syndrome or elevated urinary 5HIAA regardless of primary site

Other: Study of the occurrence of Carcinoid Heart Disease

Interventions

Patient at high risk of Carcinoid Heart Disease (metastatic ileum or bronchial well-differentiated neuroendocrine tumors, patients with high level of urinary 5HIAA or with carcinoid syndrome) are followed with annual echocardiography to detect the occurrence of carcinoid heart disease. In case of documented Carcinoid Heart Disease, a six or three months' cardiac follow-up is necessary to evaluate the progression and the severity of the disease. Investigators collect the data of clinical parameters (flushes, diarrhea, …) biological parameters (urinary 5HIAA, NT-ProBNP …) and cardiac parameters that may influence the occurrence, severity and progression of Carcinoid Heart Disease.

Patients with or at risk of carcinoid heart disease

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adult patients with metastatic well-differentiated ileum or bronchial neuroendocrine tumor, adult patients with carcinoid syndrome and/or urinary 5HIAA \> 2 fold the upper limit of normal regardless the primary site of the tumor, and therefore likely to develop Carcinoid Heart Disease (CHD).

You may qualify if:

  • Patients over 18 years
  • Patients followed in a NeuroEndocrine Tumor center with a reference cardiologist
  • Patient with:
  • Histologically documented metastatic well-differentiated ileum neuroendocrine tumor or
  • Histologically documented metastatic well-differentiated bronchial neuroendocrine tumor, or
  • Histologically documented well differentiated neuroendocrine tumor, regardless of the primitive site or unknown primitive site and presenting a carcinoid syndrome and / or an elevation of urinary 5HIAA \> 2 fold the upper limit of normal range
  • Information given to the patient and his documented non-opposition

You may not qualify if:

  • Poorly differentiated neuroendocrine carcinoma
  • Patient unable / unwilling to follow the cardiac monitoring recommended by good practice data
  • Any medical, geographical, sociological, psychological or legal situation that does not allow the patient to complete the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

CHU Amiens

Amiens, 80054, France

Location

CHU Angers

Angers, 49933, France

Location

CHU Bordeaux - Hopital Haut-Lévèque

Bordeaux, 33604, France

Location

APHP Beaujon

Clichy, 92118, France

Location

CHU Dijon

Dijon, France

Location

GHICL Lille

Lille, 59000, France

Location

Centre Oscar Lambret

Lille, 59020, France

Location

CHRU Lille

Lille, 59037, France

Location

Hôpital Edouard HERRIOT, Institut du Cancer - Hospices Civils de Lyon

Lyon, 69437, France

Location

Institut Paoli-Calmettes

Marseille, France

Location

APHP - Hopital Cochin

Paris, 75014, France

Location

APHP - Saint Antoine

Paris, 75571, France

Location

CHU Poitiers

Poitiers, 86021, France

Location

CHU Reims

Reims, France

Location

CHU Rennes

Rennes, 35000, France

Location

Hôpital Haute Pierre

Strasbourg, 67098, France

Location

CHU Rangueil

Toulouse, 31059, France

Location

CHRU Tours

Tours, 37044, France

Location

Institut Gustave Roussy

Villejuif, 94805, France

Location

MeSH Terms

Conditions

Carcinoid Heart Disease

Condition Hierarchy (Ancestors)

Malignant Carcinoid SyndromeCarcinoid TumorNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms, Nerve TissueHeart DiseasesCardiovascular Diseases

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 23, 2018

First Posted

April 13, 2018

Study Start

April 16, 2018

Primary Completion (Estimated)

April 16, 2033

Study Completion (Estimated)

April 16, 2033

Last Updated

December 3, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

Locations