- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02111538
Body Composition in Systemic Amyloidosis (BIVAmyloid)
April 29, 2025 updated by: Riccardo Caccialanza, Fondazione IRCCS Policlinico San Matteo di Pavia
Prognostic Value of Phase Angle in Systemic Immunoglobulin Light-chain (AL) Amyloidosis
Malnutrition is a prominent clinical feature of patients affected by systemic immunoglobulin light-chain amyloidosis (AL), with a prevalence ranging between 25-50%.
Although the prognosis predominantly depend on the presence and severity of cardiac involvement, it was shown that malnutrition is an independent predictor of survival and quality of life.
However, the assessment of nutritional status by common indices based on anthropometry is not always feasible and accurate due to reduced performance status and/or the presence of fluid imbalances (for example edema and ascites).
Several recent studies have demonstrated the prognostic value of the phase angle.
Moreover, the value is supported by its applicability to patients who are bedridden or present alterations in the state of hydration.
Study Overview
Study Type
Observational
Enrollment (Actual)
127
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Pavia, Italy, 27100
- Fondazione IRCCS Policlinico San Matteo
-
-
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
Sampling Method
Probability Sample
Study Population
Consecutive adult patients affected by systemic immunoglobulin light-chain (AL) amyloidosis attending the Amyloidosis Research and Treatment Center (Fondazione IRCCS Policlinico San Matteo)
Description
Inclusion Criteria:
- Diagnosis of systemic immunoglobulin light-chain (AL) amyloidosis
- Written informed consent
Exclusion Criteria:
- Age <18 years
- Ongoing artificial nutrition
- Unavailability to planned measurements
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: Case-Only
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Amyloidosis
Consecutive adult patients affected by systemic immunoglobulin light-chain (AL) amyloidosis
|
Standard dietary advice are provided to all patients at baseline and during the follow-up to all requiring or asking for
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mortality
Time Frame: 12 months
|
All-cause mortality at 12 months since baseline assessment
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Quality of life
Time Frame: 6 months
|
Association between phase angle and quality of life at baseline and 6 months.
Association between changes in phase angle and in quality of life at 6 months.
|
6 months
|
|
Mortality
Time Frame: 12 months
|
Association between phase angle and its changes at 6 months and mortality at 12 months.
|
12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Riccardo Caccialanza, MD, Nutrition and Dietetics Service, Fondazione IRCCS Policlinico San Matteo
- Study Director: Giampaolo Merlini, MD, PhD, Amyloidosis Research and Treatment Center, Fondazione IRCCS Policlinico San Matteo
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
- Caccialanza R, Palladini G, Klersy C, Cereda E, Bonardi C, Cameletti B, Quarleri L, Montagna E, Foli A, Milani P, Lavatelli F, Marena C, Merlini G. Malnutrition at diagnosis predicts mortality in patients with systemic immunoglobulin light-chain amyloidosis independently of cardiac stage and response to treatment. JPEN J Parenter Enteral Nutr. 2014 Sep;38(7):891-4. doi: 10.1177/0148607113501328. Epub 2013 Sep 26.
- Caccialanza R, Palladini G, Klersy C, Cereda E, Bonardi C, Cameletti B, Montagna E, Russo P, Foli A, Milani P, Lavatelli F, Merlini G. Nutritional status independently affects quality of life of patients with systemic immunoglobulin light-chain (AL) amyloidosis. Ann Hematol. 2012 Mar;91(3):399-406. doi: 10.1007/s00277-011-1309-x. Epub 2011 Aug 9.
- Caccialanza R, Palladini G, Klersy C, Cena H, Vagia C, Cameletti B, Russo P, Lavatelli F, Merlini G. Nutritional status of outpatients with systemic immunoglobulin light-chain amyloidosis 1. Am J Clin Nutr. 2006 Feb;83(2):350-4. doi: 10.1093/ajcn/83.2.350.
- Sattianayagam PT, Lane T, Fox Z, Petrie A, Gibbs SD, Pinney JH, Risom SS, Rowczenio DM, Wechalekar AD, Lachmann HJ, Gilbertson JA, Hawkins PN, Gillmore JD. A prospective study of nutritional status in immunoglobulin light chain amyloidosis. Haematologica. 2013 Jan;98(1):136-40. doi: 10.3324/haematol.2012.070359. Epub 2012 Sep 14.
- Norman K, Stobaus N, Pirlich M, Bosy-Westphal A. Bioelectrical phase angle and impedance vector analysis--clinical relevance and applicability of impedance parameters. Clin Nutr. 2012 Dec;31(6):854-61. doi: 10.1016/j.clnu.2012.05.008. Epub 2012 Jun 12.
- Caccialanza R, Cereda E, Klersy C, Milani P, Cappello S, Martinelli V, Turri A, Basset M, Borioli V, Nuvolone M, Caraccia M, Lavatelli F, Masi S, Lobascio F, Foli A, Merlini G, Palladini G. Bioelectrical impedance vector analysis-derived phase angle predicts survival in patients with systemic immunoglobulin light-chain amyloidosis. Amyloid. 2020 Sep;27(3):168-173. doi: 10.1080/13506129.2020.1737004. Epub 2020 Mar 26.
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)
February 1, 2014
Primary Completion (Actual)
April 1, 2019
Study Completion (Actual)
April 1, 2019
Study Registration Dates
First Submitted
February 24, 2014
First Submitted That Met QC Criteria
April 9, 2014
First Posted (Estimated)
April 11, 2014
Study Record Updates
Last Update Posted (Actual)
May 1, 2025
Last Update Submitted That Met QC Criteria
April 29, 2025
Last Verified
April 1, 2025
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 20130026923
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.
Clinical Trials on Amyloidosis
-
Chulalongkorn UniversityCompleted
-
AstraZenecaICON plcRecruiting
-
First Affiliated Hospital of Chongqing Medical...Not yet recruitingPrimary Cutaneous Amyloidosis
-
Yale UniversityAlnylam Pharmaceuticals IncWithdrawnTransthyretin AmyloidosisUnited States
-
Millennium Pharmaceuticals, Inc.CompletedLight-Chain AmyloidosisUnited States, Canada, France, Germany, Italy
-
Boston UniversityCorino Therapeutics, Inc.CompletedTransthyretin Amyloidosis | Amyloidosis, Leptomeningeal, Transthyretin-RelatedUnited States
-
Peking Union Medical College HospitalXian-Janssen Pharmaceutical Ltd.Active, not recruitingAmyloidosis; SystemicChina
-
Hospital 9 de Julio de Las BreñasInstituto de Cardiología de CorrientesRecruitingHereditary Amyloidosis, Transthyretin-RelatedArgentina
-
Hospital General de Niños Pedro de ElizaldeActive, not recruitingHereditary Amyloidosis, Transthyretin-Related | Amyloidosis in Transthyretin (TTR)Argentina
-
Peking Union Medical College HospitalRecruitingLight Chain (AL) AmyloidosisChina
Clinical Trials on Dietary advice
-
Bournemouth UniversityEnrolling by invitationDietary Behavior | Free Sugar | Sweet TasteUnited Kingdom
-
VU University of AmsterdamAmsterdam UMC, location VUmc; University of HelsinkiCompletedPhysical Disability | Protein-Energy MalnutritionFinland, Netherlands
-
University Hospital, ToursNot yet recruiting
-
University of Auckland, New ZealandEnrolling by invitation
-
Endocrinology and Clinical Nutrition Research Center...CompletedFrail Elderly Syndrome | SarcopeniaSpain
-
Bournemouth UniversityActive, not recruiting
-
Federal University of Health Science of Porto AlegreConselho Nacional de Desenvolvimento Científico e TecnológicoCompletedAnemia | Overweight and Obesity | Breast Feeding, ExclusiveBrazil
-
Federal University of Health Science of Porto AlegreCompletedPregnancy Complications | Weight GainBrazil
-
Bournemouth UniversityActive, not recruiting