Latin-American Von Willebrand Disease Registry
Establish a Latin-American network of centers and professionals with the aim of:
- To register VWD patients in retrospective/prospective study, using a database, available online, common to all
- To register the bleeding history, the treatment and the events of VWD patients in the region
- To investigate the influence of VWD on quality of life
調査の概要
詳細な説明
von Willebrand disease (VWD) is the most common autosomal bleeding disorder, mostly inherited as dominant trait. VWD is due to deficiency/abnormality of von Willebrand factor (VWF). The prevalence of VWD is unknown, but estimated as 0.1% to 1% of the general population. Although the autosomal inheritance pattern would suggest an equal distribution of male and female patients, the disease is diagnosed in more females because of female-specific hemostatic challenges: menses, ovulation, pregnancy and childbirth. Diagnosis of VWD is made by assessing personal and family history of bleeding, physical examination and completed with specific laboratory tests.
There is limited information on the epidemiology of VWD in developing countries. Some countries in Latin America have registries of severe disease that, although it is the rarest form, carries the highest costs for regional health systems. So that the prevalence of clinical symptoms and laboratory features of the disease as well as the management of the disease in Latin America is unknown.
The present project aims to establish a network of centers and professionals with the objective to register and investigate all patients with VWD in Latin America, using a database available online common to all, to gain understanding about phenotype, genotype and management of VWD in the region.
研究の種類
入学 (予想される)
連絡先と場所
研究連絡先
- 名前:Analia Sanchez Luceros, PhD, MD
- 電話番号:+5491152203235
- メール:sanchezluceros@gmail.com
研究連絡先のバックアップ
- 名前:Analia Kinen
- メール:analiakinen@hotmail.com
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Historically lowest VWF:Ag and/or VWF:RCo and/or VWF:CB < 0.50 IU/ml and/or FVIII:C < 0.50 IU/ml
- All types of VWD
- All ages
Exclusion Criteria:
- Patient without consent to participate
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 観測モデル:コホート
- 時間の展望:断面図
コホートと介入
グループ/コホート |
介入・治療 |
---|---|
Subjects with von Willbrand Disease Acquired
|
介入は計画されていません:治療/責任医師の裁量による患者の治療
|
Subjects with von Willbrand Disease Congenital
|
介入は計画されていません:治療/責任医師の裁量による患者の治療
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Register of VWD patients in Latin America
時間枠:assessed up to 33 months
|
Clinical presentation in hereditary/acquired VWD.
Phenotype and genetic diagnosis.
|
assessed up to 33 months
|
Registration of the bleeding history
時間枠:From date of selection until the date registration, assessed up to 33 months.
|
Bleeding history is an essential component in the diagnosis of von Willebrand disease (VWD).
ISTH Bleeding Assessment Tool (ISTH-BAT) is used to assist the diagnosis.
|
From date of selection until the date registration, assessed up to 33 months.
|
Response to Treatment: Follow up of FVIII, VWF:Ag and VWF:RCo
時間枠:Until the end of the registry, an average of 33 months.
|
The aim of therapy is to correct the dual hemostatic defect, due to defective platelet adhesion-aggregation and abnormal coagulation due to Factor VIII (FVIII) deficiency.
The choice of treatment depends on a number of factors, including the severity of the bleed, the procedure planned, the subtype and severity of the disease and the age and morbidity of the patient.
The evaluation of the response to the treatment is going to be through the measure of FVIII, vWF Antigen (VWF:Ag) and vWF ristocetin cofactor (vWF:RCo).
|
Until the end of the registry, an average of 33 months.
|
Adverse Events: Number of patients with bleeding events
時間枠:until the end of the registry, an average of 33 months.
|
Bleeding disorders and their treatment impact on patients, especially in women, can affect the everyday life of patients and their families.
Measure of number of bleeding events, laboratory results such as Sodium.
|
until the end of the registry, an average of 33 months.
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
Pregnancy outcome: Follow up of FVIII, VWF:Ag and VWF:RCo
時間枠:Through study completion, an average of 2 years
|
For many women with VWD, pregnancy is a time of few bleeding problems.
Women with Type 3 von Willebrand disease seem to have more frequent miscarriages, especially during the first trimester.
The evaluation of the response to the treatment is going to be through the measure of FVIII, vWF Antigen (VWF:Ag) and vWF ristocetin cofactor (vWF:RCo).
|
Through study completion, an average of 2 years
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (予想される)
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- Protocol_3081
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD 共有サポート情報タイプ
- 研究プロトコル
- 臨床試験報告書(CSR)
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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フォン・ヴィレブランド病の臨床試験
-
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