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Hartbetrokkenheid bij de ziekte van Wilson (WIL-HEART)
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.
Studie Overzicht
Toestand
Conditie
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Amélie YAVCHITZ
- Telefoonnummer: 01 48 03 64 54
- E-mail: ayavhitz@for.paris
Studie Contact Back-up
- Naam: Aurélia POUJOIS
- Telefoonnummer: 01 48 30 66 56
- E-mail: apoujois@for.paris
Studie Locaties
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-
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Paris, Frankrijk, 75019
- Werving
- Fondation Adolphe de Rothschild
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Contact:
- Aurélia Poujois
- Telefoonnummer: 0148036656
- E-mail: apoujois@for.paris
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Ander: 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). |
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. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Contrast-enhanced cardiac MRI - Day 0
Tijdsspanne: Day 0
|
Percentage of patients with abnormal contrast-enhanced cardiac MRI results |
Day 0
|
|
Contrast-enhanced cardiac MRI - Day 0
Tijdsspanne: Day 0
|
Description of abnormalities (frequency and percentage) |
Day 0
|
|
Transthoracic echocardiography - Day 0
Tijdsspanne: Day 0
|
Percentage of patients with abnormal transthoracic echocardiography results |
Day 0
|
|
Transthoracic echocardiography - Day 0
Tijdsspanne: Day 0
|
Description of abnormalities (frequency and percentage) |
Day 0
|
|
Chest computed tomography scan without contrast - Day 0
Tijdsspanne: 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
Tijdsspanne: Day 0
|
Percentage of patients with abnormal electrocardiogram results |
Day 0
|
|
Electrocardiogram - Day 0
Tijdsspanne: Day 0
|
Description of abnormalities (frequency and percentage) |
Day 0
|
|
Clinical examination - Day 0
Tijdsspanne: Day 0
|
Percentage of patients with abnormal clinical examination |
Day 0
|
|
Clinical examination - Day 0
Tijdsspanne: Day 0
|
Description of abnormalities (frequency and percentage) |
Day 0
|
|
Blood and urine tests - Day 0
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: Day 0
|
Percentage of patients with abnormal blood pressure tests results |
Day 0
|
|
Lying and standing blood pressure tests - Day 0
Tijdsspanne: Day 0
|
Description of abnormalities (frequency and percentage) |
Day 0
|
|
Implantable loop recorder or ECG holter recorder- Day 21
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: Year 3
|
Percentage of patients with abnormal transthoracic echocardiography results |
Year 3
|
|
Transthoracic echocardiography - Year 3
Tijdsspanne: Year 3
|
Description of abnormalities (frequency and percentage) |
Year 3
|
|
Contrast-enhanced cardiac MRI - Year 3
Tijdsspanne: Year 3
|
Percentage of patients with abnormal contrast-enhanced cardiac MRI results |
Year 3
|
|
Contrast-enhanced cardiac MRI - Year 3
Tijdsspanne: Year 3
|
Description of abnormalities (frequency and percentage) |
Year 3
|
|
Chest computed tomography scan without contrast - Year 3
Tijdsspanne: 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
Tijdsspanne: Year 3
|
Percentage of patients with abnormal electrocardiogram results |
Year 3
|
|
Electrocardiogram - Year 3
Tijdsspanne: Year 3
|
Description of abnormalities (frequency and percentage) |
Year 3
|
|
Clinical examination - Year 3
Tijdsspanne: Year 3
|
Percentage of patients with abnormal clinical examination |
Year 3
|
|
Clinical examination - Year 3
Tijdsspanne: Year 3
|
Description of abnormalities (frequency and percentage) |
Year 3
|
|
Blood and urine tests - Year 3
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: Year 3
|
Percentage of patients with abnormal blood pressure tests results |
Year 3
|
|
Lying and standing blood pressure tests - Year 3
Tijdsspanne: Year 3
|
Description of abnormalities (frequency and percentage) |
Year 3
|
Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Hersenziekten
- Ziekten van het centrale zenuwstelsel
- Ziekten van het zenuwstelsel
- Metabolisme, aangeboren fouten
- Genetische ziekten, aangeboren
- Metabole ziekten
- Ziekten van het spijsverteringsstelsel
- Neurodegeneratieve ziekten
- Lever Ziekten
- Bewegingsstoornissen
- Heredodegeneratieve aandoeningen, zenuwstelsel
- Basale ganglia-ziekten
- Hersenziekten, metabolisch, aangeboren
- Hersenziekten, Metabool
- Metaalmetabolisme, aangeboren fouten
- Aangeboren, erfelijke en neonatale ziekten en afwijkingen
- Voedings- en stofwisselingsziekten
- Hepatolenticulaire degeneratie
Andere studie-ID-nummers
- APS_2021_9
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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