Acute Myocarditis Registry With Prognostic, Histologic, Immunologic, Biological, Imaging and Clinical Assessment (AMPHIBIA)

The AMPHIBIA study is an observational ambispective and prospective cohort that aim to describe the histologic, immunologic, biological, imaging, genetic and clinical characteristics of the patients hospitalized for an acute myocarditis and to evaluate their association with prognosis.

Study Overview

Status

Recruiting

Conditions

Detailed Description

Acute myocarditis is an inflammatory disease of the heart muscle. Its clinical presentation and its etiologies are multiple and make it a complex disease to treat. Its course also varies, ranging from complete clinical recovery to recurrence of ventricular arrhythmia or progression to chronic dilated heart disease, while being difficult to predict. The long-term prognosis is poorly understood.

Consecutive patients hospitalized in a tertiary university referral center cohort from 2006 to 2041 for an acute myocarditis will be ambispectively or prospectively analyzed. This project will establish a registry including up to 400 patients in the ambispective analysis cohort from 2006 to 2021 and 1000 patients in the prospective analysis cohort during a 20 years inclusion period.

The aim of the study is to describe the characteristics of patients hospitalized for an acute myocarditis and to evaluate their association wih the long term (until 20 years) prognosis.

Features of interest will include :

  • Clinical
  • Biological
  • Etiological
  • Echocardiographic
  • Cardiac magnetic resonance imaging
  • Genetics (for the prospective cohort)
  • Anatomopathological

The collection of clinical, biological and radiological data will represent an unique source allowing research teams in the coming years to access the data necessary to answer various specific questions (pathophysiological, diagnostic, prognostic) relevant to the state of knowledge on this pathology.

Study Type

Observational

Enrollment (Estimated)

1400

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Paris, France, 75013
        • Recruiting
        • Hôpital Pitié-Salpêtrière
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

15 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Sampling Method

Probability Sample

Study Population

Patients hospitalised at Pitié-Salpêtrière hospital (Paris, France) for an acute myocarditis.

Description

Inclusion Criteria:

  • Acute myocarditis confirmed by cardiac magnetic resonance according to Lake Louise modified criteria or by endomyocardial biopsy according to histologic, immunologic and immunohistochemic criteria.
  • affiliation to the French Health Care System "Sécurité sociale"

Exclusion Criteria:

  • Severe valvulopathy
  • Complex congenital cardiopathy
  • Previous heart transplant
  • Known significative coronary disease

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Other

Cohorts and Interventions

Group / Cohort
Acute myocarditis
Patients hospitalized for an acute myocarditis.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Major cardiac events
Time Frame: up to 1 years

Defined as a composite of :

  • All cause death
  • Resuscitated cardiac arrest
  • Heart transplant
  • Longterm mechanical circulatory support
  • Ventricular arrhythmia after discharge
  • Hospitalization for heart failure
  • Hospitalization for myocarditis recurrence
up to 1 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Major cardiac events
Time Frame: up to 20 years

Defined as a composite of :

  • All cause death
  • Resuscitated cardiac arrest
  • Heart transplant
  • Longterm mechanical circulatory support
  • Ventricular arrhythmia after discharge
  • Hospitalization for heart failure
  • Hospitalization for myocarditis recurrence
up to 20 years
All cause death
Time Frame: up to 20 years
up to 20 years
Cardiovascular death
Time Frame: up to 20 years
up to 20 years
Heart transplant
Time Frame: up to 20 years
Number of patients with heart transplant
up to 20 years
Sustained ventricular arrhythmia after discharge
Time Frame: up to 20 years
Number of patients with sustained ventricular arrhythmia after discharge
up to 20 years
Resuscitated cardiac arrest
Time Frame: up to 20 years
Number of patients with resuscitated cardiac arrest
up to 20 years
Longterm mechanical circulatory support
Time Frame: up to 20 years
Number of patients implanted with a longterm mechanical circulatory support
up to 20 years
Hospitalization for myocarditis recurrence
Time Frame: up to 20 years
Number of patients hospitalized for myocarditis recurrence
up to 20 years
Hospitalization for heart failure
Time Frame: up to 20 years
Number of patients with hospitalization for heart failure
up to 20 years
Pericardial drainage
Time Frame: up to 20 years
Number of patients with a surgery of pericardial drainage
up to 20 years
Supra ventricular arrythmia
Time Frame: up to 20 years
Number of patients with a new onset of supra ventricular arrhythmia
up to 20 years
High grade atrioventricular block
Time Frame: up to 20 years
Number of patients with a new high grade atrioventricular block
up to 20 years
Pericarditis
Time Frame: up to 20 years
Number of patients with pericarditis diagnosed by the patient referring physician's
up to 20 years
Left ventricular systolic function under 50%
Time Frame: up to 20 years
Evaluated by transthoracic echocardiography
up to 20 years
Therapeutics during hospital stay
Time Frame: From the day of admission up to 90 days
Type and duration of therapeutics received during the initial hospital stay
From the day of admission up to 90 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Giles MONTALESCOT, MD, PhD, ACTION Study Group - Assistance Publique - Hôpitaux de Paris

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 23, 2022

Primary Completion (Estimated)

May 1, 2041

Study Completion (Estimated)

May 1, 2041

Study Registration Dates

First Submitted

February 24, 2021

First Submitted That Met QC Criteria

April 13, 2021

First Posted (Actual)

April 14, 2021

Study Record Updates

Last Update Posted (Actual)

June 6, 2025

Last Update Submitted That Met QC Criteria

June 3, 2025

Last Verified

June 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • APHP201197

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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