NCT05699044

Brief Summary

The investigators will nationally investigate the prevalence of Transthyretin Amyloidosis wildtype (ATTRwt) in patients of ≥ 65 years with left ventricular hypertrophy who present with high degree atrioventricular block (AV-block) and are admitted for pacemaker implantation. The investigators aim to characterize the group of patients with positive screening of ATTR and compare the ATTRwt disease stage at time of diagnosis for patients identified with ATTR at screening with a control group of routinely clinically diagnosed ATTRwt patients.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
170

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Oct 2022

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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 Start

First participant enrolled

October 1, 2022

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

October 4, 2022

Completed
4 months until next milestone

First Posted

Study publicly available on registry

January 26, 2023

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2025

Completed
Last Updated

June 2, 2023

Status Verified

May 1, 2023

Enrollment Period

2.8 years

First QC Date

October 4, 2022

Last Update Submit

May 31, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Diagnosis of ATTRwt in study cohort.

    Number of participants with a diagnosis of ATTRwt in the study cohort based on DPD-scintigraphy or if necessary, a cardiac biopsy.

    3 years

Secondary Outcomes (4)

  • Characteristics of patients with ATTRwt

    3 years

  • Clinical Stage of time of diagnosis in patients with ATTRwt

    3 years

  • Number of heart-failure associated hospitalization among ATTRwt patients

    5 years

  • All-cause mortality among ATTRwt patients.

    5 year

Study Arms (1)

Amyloidosis Screening

Patients fulfilling eligibility criteria will screened for Cardiac Amyloidosis.

Diagnostic Test: Amyloidosis screening (bloodtest, DPD-scintigraphy, potentially endomyocardial biopsy)

Interventions

Bloodtest: Troponin I, NT-pro-BNP, electrolyte status, renal function, kampda/lambda free chain + ratio, M-komponent. DPD-scintigraphy. (Echocardiography)

Amyloidosis Screening

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodProbability Sample
Study Population

Patients admitted for pacemakerimplantation with advanced AV-block fulfilling eligibility criteria as described.

You may qualify if:

  • Men ≥65years or women ≥75years with unexplained AV-block with pacemaker indication, as decided per treating physician and presence of left ventricular hypertrophy ≥12mm.

You may not qualify if:

  • Reversible causes for AV-block, som as AV-node disturbing medicament, ion-disturbances, hypothyroidism, hypoxia, ischemia, new heart surgery \<1month, endocarditis.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Cardiology, Aarhus University Hospital

Aarhus, 8200, Denmark

RECRUITING

Biospecimen

Retention: SAMPLES WITHOUT DNA

Bloodtest

MeSH Terms

Conditions

Amyloid Neuropathies, FamilialAtrioventricular Block

Condition Hierarchy (Ancestors)

Heredodegenerative Disorders, Nervous SystemNeurodegenerative DiseasesNervous System DiseasesAmyloid NeuropathiesPeripheral Nervous System DiseasesNeuromuscular DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesAmyloidosis, FamilialMetabolism, Inborn ErrorsMetabolic DiseasesNutritional and Metabolic DiseasesAmyloidosisProteostasis DeficienciesHeart BlockArrhythmias, CardiacHeart DiseasesCardiovascular DiseasesCardiac Conduction System DiseasePathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Steen Poulsen, MD

    Department of Cardiology, Aarhus University Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Jens Skov, MD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Prof. Poulsen

Study Record Dates

First Submitted

October 4, 2022

First Posted

January 26, 2023

Study Start

October 1, 2022

Primary Completion

August 1, 2025

Study Completion

October 1, 2025

Last Updated

June 2, 2023

Record last verified: 2023-05

Locations