Application of Linkage Analysis in the Identification of Novel Hereditary Factors in Familial Aneurysms (ORPHADIAG)

November 9, 2026 updated by: Alessandro Pini, IRCCS Policlinico S. Donato

The aim of this study is to describe the effectiveness of the application of Linkage Analysis, compared to the standard procedures currently provided by the italian NHS, in the identification of thoracic aortic aneurysms and dissection (TAAD) transmission markers in individuals with familial TAAD.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

According to current guidelines, it is important to screen first-degree relatives of patients with familial thoracic aortic aneurysm and dissection (FTAAD) using imaging techniques in order to detect any undiagnosed or asymptomatic cases. The current diagnostic methods for FTAAD involve clinical and instrumental diagnosis. In addition to these methods, genetic analysis through DNA testing, using a blood sample has become an essential tool. The use of massive parallel sequencing (NGS) of multiple genes or the entire exome (Whole Exome Sequencing - WES) is considered the gold standard for genetic diagnosis of FTAAD. However, it should be noted that linkage studies are not currently included in the diagnostic protocols of the Italian National Health System, although they may be helpful in complex familial cases where DNA sequencing has not provided conclusive evidence.

Study Type

Observational

Enrollment (Estimated)

20

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 Contact Backup

Study Locations

    • Milan
      • San Donato Milanese, Milan, Italy, 20097
        • Not yet recruiting
        • Cardiovascular Genetic Centre
        • Contact:
        • Contact:
          • Nathasha S Udugampolage
      • San Donato Milanese, Milan, Italy, 20097
        • Recruiting
        • Cardiovascular Genetic Centre
        • Contact:
        • Contact:
          • Nathasha S Udugampolage

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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Families of patients with FTAAD in follow-up in an italian reference centre for genetic aorthopathies.

Description

Inclusion Criteria:

  • Patients with ascending thoracic aortic aneurysms in the absence of a mutation identified by WES
  • Subjects with small and medium artery aneurysms in the absence of a mutation identified by WES
  • Relatives of individuals with ascending thoracic aortic aneurysms in the absence of a mutation identified by WES
  • Relatives of individuals with ascending thoracic aortic aneurysms in the absence of a mutation identified by WES
  • Signed informed consent

Exclusion Criteria:

  • Subjects wit syndromic FTAAD with WES identified gene mutation
  • Subjects wit non-syndromic FTAAD with WES identified gene mutation

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: FAMILY_BASED
  • Time Perspectives: CROSS_SECTIONAL

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
FTAAD

members of families with FTAAD

WES-Linkage analysis in families with FTAAD in follow-up in an Italian reference centre for genetic aorthopathies

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
DNA sequences in FTAAD
Time Frame: 16 months

Identify those chromosome regions containing the DNA sequences responsible for each enrolled member of FTAAD families

16 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Mutations associated with Mendelian and monogenic diseases
Time Frame: 24 months

Identification of potential sites for the location of the responsible gene and mutations associated with Mendelian and monogenic diseases.

24 months

Collaborators and Investigators

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

Sponsor

Collaborators

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.

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)

June 15, 2024

Primary Completion (Estimated)

May 1, 2029

Study Completion (Estimated)

June 1, 2029

Study Registration Dates

First Submitted

January 14, 2025

First Submitted That Met QC Criteria

January 14, 2025

First Posted (Actual)

January 20, 2025

Study Record Updates

Last Update Posted (Actual)

November 12, 2026

Last Update Submitted That Met QC Criteria

November 9, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • ORPHADIAG

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

IPD will be considered for sharing after data collection and analysis

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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.