ReGistry of hypeRtrophic cArDIomyopathy: Regional fEatures, geNeTics and Course
GRADIENT
Multicenter Prospective Registry of Patients With Hypertrophic Cardiomyopathy
1 other identifier
observational
1,400
1 country
2
Brief Summary
This study is envisioned as the very first of its kind in the Russian Federation, aiming to provide a comprehensive characterization of the clinical spectrum and disease burden, focusing on the epidemiology and progression of HCM in the largest cohort of adult and pediatric patients from this region. This registry will help increase knowledge of the epidemiology and prevalence of HCM, ultimately improving diagnosis and management. To assess the feasibility of new interventions, understanding the epidemiological profile of patients with HCM is essential. Clinical characteristics, imaging patterns, and outcomes may vary across different geographic regions. Completing this registry will enhance our understanding of the disease in Russia, and promote measures that modify the natural history of HCM
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2023
Longer than P75 for all trials
2 active sites
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
November 1, 2023
CompletedFirst Submitted
Initial submission to the registry
April 13, 2025
CompletedFirst Posted
Study publicly available on registry
December 19, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2028
December 19, 2025
December 1, 2025
3.9 years
April 13, 2025
December 16, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
all-cause mortality
death from any cause
3 years
Secondary Outcomes (1)
nonfatal events
3 years
Eligibility Criteria
adult and pediatric patients with HCM
You may qualify if:
- Any age
- Signed informed consent form (ICF) for participation in the study, including genetic testing
- Meets the criteria for HCM HCM Criteria for Probands ≥ 18 Years Based on ECHO or CMR
- End-diastolic LV wall thickness ≥ 15mm in any segment of the LV HCM Criteria for Probands ≥ 18 Years with Arterial Hypertension
- st degree of AH: The same ECHO/CMR criteria as patients without AH
- nd and 3rd degrees of AH:
- Asymmetric LV hypertrophy: the ratio of septum / LV PW ≥ 1.5 or apical HCM
- If asymmetry \< 1.5, the wall thickness must be ≥ 20mm
- For all patients with arterial hypertension, the presence of at least one of the following ECG changes is obligatory:
- Pathological "dagger" Q wave
- T-wave inversion ≥ 3mm in ≥ 2 adjacent leads
- Poor R progression / QS / RV1 \> RV2 \< RV3 in V1-V4
- HCM Criteria for First-degree Relatives ≥ 18 Years Based on ECHO or CMR and ECG:
- End-diastolic LV wall thickness ≥ 13mm in any segment and/or ECG changes in the absence of CAD, such as (at least one of the following):
- Quantitative signs of LV hypertrophy\* + repolarization changes
- +9 more criteria
You may not qualify if:
- Uncontrolled arterial hypertension of 2nd - 3rd degree with mild/moderate (\< 20mm) or symmetric LV hypertrophy or a "normal" ECG
- Hemodynamically significant congenital or acquired valve heart disease
- Established diagnosis of metabolic, infiltrative, endocrine, or other diseases known as "phenocopies of HCM"
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Central State Medical Academy
Moscow, Moscow Reg, 1213059, Russia
CGMA
Moscow, Russia
Biospecimen
Blood samples for subsequent DNA extraction and genetic analysis can be collected at any time of the day, regardless of food intake. Venous blood is collected from the cubital vein in sterile vacutainer tubes with EDTA reagent (purple caps). It is optimal to use 3 4.5 ml tubes. The tubes should be labeled with the patient\&amp;amp;#39;s last name and initials, individual code at the participating center, collection date, and sample type (A, B, or C). After blood collection, the tubes should be frozen at an optimal temperature of (-) 200C. The blood is not centrifuged.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 1 Year
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- head of the department of therapy, cardiology and functional diagnostic
Study Record Dates
First Submitted
April 13, 2025
First Posted
December 19, 2025
Study Start
November 1, 2023
Primary Completion (Estimated)
October 1, 2027
Study Completion (Estimated)
October 1, 2028
Last Updated
December 19, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share