Retinal Fundus Imaging and OCT Imaging for Ocular Detection of ATTR-CM
A Multicenter Pilot Study to Investigate Ocular Involvement and the Potential of Ocular Imaging for Non-invasive Screening for Transthyretin Amyloid Cardiomyopathy (ATTR-CM)
Studieoversigt
Status
Status
Betingelser
Betingelser
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: AstraZeneca Clinical Study Information Center
- Telefonnummer: 1-877-240-9479
- E-mail: information.center@astrazeneca.com
Studiesteder
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California
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Palo Alto, California, Forenede Stater, 94305
- Ikke rekrutterer endnu
- Research Site
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Florida
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Jacksonville, Florida, Forenede Stater, 32224
- Ikke rekrutterer endnu
- Research Site
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Illinois
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Chicago, Illinois, Forenede Stater, 60611
- Ikke rekrutterer endnu
- Research Site
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02114
- Ikke rekrutterer endnu
- Research Site
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Oregon
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Portland, Oregon, Forenede Stater, 97239-3098
- Ikke rekrutterer endnu
- Research Site
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Tennessee
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Germantown, Tennessee, Forenede Stater, 38138
- Ikke rekrutterer endnu
- Research Site
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Guimarães, Portugal, 4835-044
- Rekruttering
- Research Site
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Lisbon, Portugal, 1169-024
- Ikke rekrutterer endnu
- Research Site
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Lisbon, Portugal, 1649-028
- Ikke rekrutterer endnu
- Research Site
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Lisbon, Portugal, 2799-523
- Ikke rekrutterer endnu
- Research Site
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L'Hospitalet de Llobregat, Spanien, 08907
- Ikke rekrutterer endnu
- Research Site
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Madrid, Spanien, 28040
- Ikke rekrutterer endnu
- Research Site
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Palma de Mallorca, Spanien, 07198
- Ikke rekrutterer endnu
- Research Site
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Gothenburg, Sverige, 413 45
- Ikke rekrutterer endnu
- Research Site
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Solna, Sverige, 171 64
- Ikke rekrutterer endnu
- Research Site
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Vasterbottens Lan, Sverige, 907 37
- Ikke rekrutterer endnu
- Research Site
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Berlin, Tyskland, 13353
- Ikke rekrutterer endnu
- Research Site
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Essen, Tyskland, 45147
- Ikke rekrutterer endnu
- Research Site
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Frankfurt am Main, Tyskland, 60596
- Ikke rekrutterer endnu
- Research Site
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Würzburg, Tyskland, 97078
- Ikke rekrutterer endnu
- Research Site
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- 1. Participant must be 18 years and older at the time of signing the informed consent form.
- 2. Participants with either of the following:
- - Positive ATTR-CM cases: Participants with a clinical diagnosis of transthyretin amyloid cardiomyopathy (ATTR-CM) with amyloid deposits in cardiac or non-cardiac tissue confirmed by Congo Red (or equivalent) staining, or DPD-Tc, PYP-Tc, or HMDP-Tc scintigraphy with Grade 2 or 3 cardiac uptake in the absence of abnormal light chains ratio.
- - Control population: Participants with a clinical diagnosis of guideline-directed medical therapy-directed heart failure (HF) and either:
- a) Subgroup A: Definitively excluded ATTR-CM amyloidosis: negative cardiac or non-cardiac tissue biopsy for amyloid, or negative technetium scintigraphy within the past 2 years.
- b) Subgroup B: Low probability of ATTR-CM amyloidosis, not definitively excluded: absence of amyloid-suggestive features on echocardiography (ECHO), electrocardiography (ECG), or cardiac magnetic resonance imaging (MRI) within the past 2 years, with documented clinical assessment indicating HF etiology unlikely attributable to amyloidosis; no amyloid-specific testing (technetium scintigraphy or biopsy) performed.
- 3. Participant or legally authorized representative (LAR) must sign the informed consent form.
Exclusion Criteria:
- 1. Any known eye condition that may preclude clear imaging of the retina.
- 2. Any known history of amyloid light-chain (AL) amyloidosis.
- 3. Any ocular surgery that, in the opinion of the investigator, makes participation in the study undesirable.
- 4. Any medical condition that, in the opinion of the investigator, makes participation in the study undesirable, for example, if the participant is critically unwell or requires ongoing emergency treatment.
- 5. Involvement in the planning and/or conduct of the study.
- 6. In the opinion of the investigator, the participant is unlikely to comply with study procedures, restrictions, and requirements.
- 7. Previous enrollment in the present study.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
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ATTR-CM
Participants with a confirmed clinical diagnosis of transthyretin amyloid cardiomyopathy (ATTR-CM).
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HF Control
Participants with guideline-directed medical therapy-directed heart failure and documentation within the past 2 years that either excludes transthyretin amyloid cardiomyopathy (ATTR-CM) or indicates a low probability of ATTR-CM.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Comparison of per-participant confidence scores distributions between ATTR-CM cases and HF controls without ATTR-CM
Tidsramme: At a single assessment time point within 90 days following informed consent form signing
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Per-participant confidence score distributions generated by the machine learning (ML) model will be compared between participants with clinically confirmed transthyretin amyloid cardiomyopathy (ATTR-CM) and heart failure controls without ATTR-CM.
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At a single assessment time point within 90 days following informed consent form signing
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Qualitative assessment of features learned indicative of ATTR pathology
Tidsramme: At a single assessment time point within 90 days following informed consent form signing
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Features learned by the machine learning (ML) model that are indicative of transthyretin amyloid pathology will be qualitatively assessed.
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At a single assessment time point within 90 days following informed consent form signing
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Sensitivity, specificity, and Area Under the Receiver Operating Characteristic Curve (AUROC) of the ML model to correctly identify ATTR-CM cases based on ocular imaging data
Tidsramme: At a single assessment time point within 90 days following informed consent form signing
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Sensitivity, specificity, and area under the receiver operating characteristic curve will be used to describe the performance of the machine learning model for distinguishing participants with clinically confirmed transthyretin amyloid cardiomyopathy (ATTR-CM) from heart failure controls without ATTR-CM based on ocular imaging data.
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At a single assessment time point within 90 days following informed consent form signing
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Descriptive comparison of score distributions across study population strata and demographics
Tidsramme: At a single assessment time point within 90 days following informed consent form signing
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Score distributions generated by the machine learning model will be descriptively compared across study population strata and demographic groups.
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At a single assessment time point within 90 days following informed consent form signing
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- D8455R00001
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD-delingstidsramme
IPD-delingsadgangskriterier
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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