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Hjerteinddragelse i Wilsons sygdom (WIL-HEART)

30. september 2026 opdateret af: Fondation Ophtalmologique Adolphe de Rothschild

Heart damage by copper accumulation has been reported in Wilson's Disease. However, the disease epidemiology is still poorly understood. A number of studies on pediatric populations have not shown any significant cardiac involvement apart from early dysautonomia. This could suggest that the clinical manifestations related to the copper accumulation in the heart appears with the duration of the disease. Case-control studies on adult populations have highlighted various electrocardiographic (ECG) abnormalities more frequent in patients with Wilson's Disease than in healthy volunteers, but all these studies involved small number of patients (maximum 60). The hypothesis is that there is cardiac involvement in Wilson's Disease, requiring screening, follow-up and appropriate support.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

150

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Frankrig
      • Paris, Frankrig, 75019
        • Rekruttering
        • Fondation Adolphe de Rothschild
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Adult patient with Wilson's disease confirmed by a Leipzig score ≥ 4
  • Express consent to participate in the study by the patient or legal guardian in the case of patients under guardianship or by the patient assisted by his curator in the case of patients under guardianship
  • Member of or beneficiary of a Social Security scheme

Exclusion Criteria:

  • Absolute or relative contraindication to MRI or contrast media
  • Pregnant, parturient or breast-feeding women: a urine pregnancy test will be carried out in women of childbearing age
  • Patient with hepatic decompensation (Child-Pugh score stage C)
  • Patient in neuro-psychiatric decompensation

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Andet
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: Cases

The intervention consists in setting up a morphological and rhythmological cardiological follow-up patients with confirmed Wilson disease. It will require the wearing of a long Holter duration (21 days) and for some patients the installation of an implantable cardiac monitor.The long-time ECG holter is used to record heart rhythm for 21 days and detect possible arrhythmias (accelerations of the heart) or conduction disorders (slowdowns of the heart).
Procedure: Delivery of a long-term Holter 21 days Or placement of an implantable holter from the outset so syncope

The intervention consists of setting up a morphological and rhythmological cardiological follow-up of patients with confirmed Wilson's disease. It will require the wearing of a long-term Holter (21 days) and for some patients the installation of an implantable cardiac monitor.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Contrast-enhanced cardiac MRI - Day 0
Tidsramme: Day 0

Percentage of patients with abnormal contrast-enhanced cardiac MRI results
Day 0
Contrast-enhanced cardiac MRI - Day 0
Tidsramme: Day 0

Description of abnormalities (frequency and percentage)
Day 0
Transthoracic echocardiography - Day 0
Tidsramme: Day 0

Percentage of patients with abnormal transthoracic echocardiography results
Day 0
Transthoracic echocardiography - Day 0
Tidsramme: Day 0

Description of abnormalities (frequency and percentage)
Day 0
Chest computed tomography scan without contrast - Day 0
Tidsramme: Day 0

Percentage of patients with abnormal coronary artery calcium score

Calcium score : The higher the coronary calcium score, the greater the cardiovascular risk. A score of 0 (min) means that no calcium is seen in the heart. A score greater than 300 is a sign of very high to severe disease.
Day 0
Electrocardiogram - Day 0
Tidsramme: Day 0

Percentage of patients with abnormal electrocardiogram results
Day 0
Electrocardiogram - Day 0
Tidsramme: Day 0

Description of abnormalities (frequency and percentage)
Day 0
Clinical examination - Day 0
Tidsramme: Day 0

Percentage of patients with abnormal clinical examination
Day 0
Clinical examination - Day 0
Tidsramme: Day 0

Description of abnormalities (frequency and percentage)
Day 0
Blood and urine tests - Day 0
Tidsramme: Day 0

Percentage of patients with abnormal blood and urine tests results Blood tests performed : lipid profile, glycosylated hemoglobin (HbA1C), cardiac enzymes (troponin C, NT-proBNP), ultra-sensitive C-reactive protein, sodium level, potassium level, urea and creatinine clearance, TSH, fibrinogen Urine test performed : proteinuria
Day 0
Blood and urine tests - Day 0
Tidsramme: Day 0

Description of abnormalities (frequency and percentage) Blood tests performed : lipid profile, glycosylated hemoglobin (HbA1C), cardiac enzymes (troponin C, NT-proBNP), ultra-sensitive C-reactive protein, sodium level, potassium level, urea and creatinine clearance, TSH, fibrinogen Urine test performed : proteinuria
Day 0
Lying and standing blood pressure tests - Day 0
Tidsramme: Day 0

Percentage of patients with abnormal blood pressure tests results
Day 0
Lying and standing blood pressure tests - Day 0
Tidsramme: Day 0

Description of abnormalities (frequency and percentage)
Day 0
Implantable loop recorder or ECG holter recorder- Day 21
Tidsramme: Day 21

Percentage of patients with abnormal implantable loop record (or ECG holter record) The device will record from Day 0 to Day 21 Implantable loop recorder assessment will be only performed on patients with syncope.
Day 21
Implantable loop recorder or ECG holter recorder- Day 21
Tidsramme: Day 21

Description of abnormalities (frequency and percentage) The device will record from Day 0 to Day 21 Implantable loop recorder assessment will be only performed on patients with syncope.
Day 21
Transthoracic echocardiography - Year 3
Tidsramme: Year 3

Percentage of patients with abnormal transthoracic echocardiography results
Year 3
Transthoracic echocardiography - Year 3
Tidsramme: Year 3

Description of abnormalities (frequency and percentage)
Year 3
Contrast-enhanced cardiac MRI - Year 3
Tidsramme: Year 3

Percentage of patients with abnormal contrast-enhanced cardiac MRI results
Year 3
Contrast-enhanced cardiac MRI - Year 3
Tidsramme: Year 3

Description of abnormalities (frequency and percentage)
Year 3
Chest computed tomography scan without contrast - Year 3
Tidsramme: Year 3

Percentage of patients with abnormal coronary artery calcium score

Calcium score : The higher the coronary calcium score, the greater the cardiovascular risk. A score of 0 (min) means that no calcium is seen in the heart. A score greater than 300 is a sign of very high to severe disease.
Year 3
Electrocardiogram - Year 3
Tidsramme: Year 3

Percentage of patients with abnormal electrocardiogram results
Year 3
Electrocardiogram - Year 3
Tidsramme: Year 3

Description of abnormalities (frequency and percentage)
Year 3
Clinical examination - Year 3
Tidsramme: Year 3

Percentage of patients with abnormal clinical examination
Year 3
Clinical examination - Year 3
Tidsramme: Year 3

Description of abnormalities (frequency and percentage)
Year 3
Blood and urine tests - Year 3
Tidsramme: Year 3

Percentage of patients with abnormal blood or urine tests results Blood tests performed : lipid profile, glycosylated hemoglobin (HbA1C), cardiac enzymes (troponin C, NT-proBNP), ultra-sensitive C-reactive protein, sodium level, potassium level, urea and creatinine clearance, TSH, fibrinogen Urine test performed : proteinuria
Year 3
Blood and urine tests - Year 3
Tidsramme: Year 3

Description of abnormalities (frequency and percentage) Blood tests performed : lipid profile, glycosylated hemoglobin (HbA1C), cardiac enzymes (troponin C, NT-proBNP), ultra-sensitive C-reactive protein, sodium level, potassium level, urea and creatinine clearance, TSH, fibrinogen Urine test performed : proteinuria
Year 3
Lying and standing blood pressure tests - Year 3
Tidsramme: Year 3

Percentage of patients with abnormal blood pressure tests results
Year 3
Lying and standing blood pressure tests - Year 3
Tidsramme: Year 3

Description of abnormalities (frequency and percentage)
Year 3

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Fondation Ophtalmologique Adolphe de Rothschild

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

2. marts 2023

Primær færdiggørelse (Anslået)

1. marts 2029

Studieafslutning (Anslået)

1. marts 2029

Datoer for studieregistrering

Først indsendt

21. juli 2022

Først indsendt, der opfyldte QC-kriterier

8. august 2022

Først opslået (Faktiske)

9. august 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

1. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • APS_2021_9

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