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出境医 / 临床实验 / Prevalence of Wild Type Transthyretin Cardiac Amyloidosis in Patients Operated for Idiopathic Carpal Tunnel Syndrome

Prevalence of Wild Type Transthyretin Cardiac Amyloidosis in Patients Operated for Idiopathic Carpal Tunnel Syndrome

Study Description
Brief Summary:

Wild-type transthyretin cardiac amyloidosis is an underdiagnosed depository disease in which fibril monomers of misfolded amyloid protein accumulates in various tissues, including the heart, and cause tissue dysfunction.

Before onset of cardiac symptoms, many patients will have undergone surgery for idiopathic carpal tunnel syndrome since the protein also deposits in the transversal carpal ligament of the hand.

This study investigates patients previously operated for idiopathic carpal tunnel syndrome to determine if they display signs and symptoms of cardiac amyloidosis.


Condition or disease Intervention/treatment Phase
Amyloidosis Cardiac Carpal Tunnel Syndrome Diagnostic Test: DPD Scintigraphy Not Applicable

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 200 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Prevalence of Wild Type Transthyretin Cardiac Amyloidosis in Patients Operated for Idiopathic Carpal Tunnel Syndrome
Actual Study Start Date : June 17, 2019
Estimated Primary Completion Date : November 1, 2020
Estimated Study Completion Date : February 1, 2021
Arms and Interventions
Arm Intervention/treatment
Suspicion of cardiac amyloidosis
Patients who display signs of cardiac amyloidosis will be referred for further diagnosis.
Diagnostic Test: DPD Scintigraphy
Confirms/Refutes diagnosis of cardiac amyloidosis.

Outcome Measures
Primary Outcome Measures :
  1. Prevalence of cardiac amyloidosis. [ Time Frame: Through study completion, an average of 2 years. ]
    The prevalence of cardiac amyloidosis among patients previously operated for ipiopathic carpal tunnel syndrome.


Eligibility Criteria
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Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients above sixty years of age previously operated for idiopathic carpal tunnel syndrome within the Region of Central Denmark (Region Midtjylland) the last five years.
  • Informed written and verbal consent

Exclusion Criteria:

  • Operation by different indication such as

    • Fracture
    • Ganglion
    • Tumors
    • Osteophytes
    • Rheumatoid Arthritis
    • Persistent medial artery
    • Metabolic causes
  • Alcoholism
  • Hyperthyroidism
  • Myxedema

    • Hereditary Cardiac Amyloidosis
    • Known WT ATTR
    • AL Amyloidosis
    • Myelomatosis
    • MGUS and Morbus Waldenström
Contacts and Locations

Contacts
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Contact: Steen Hvitfeldt Poulsen +4530922309 steepoul@rm.dk
Contact: Bertil Ladefoged +4540927245 201307379@post.au.dk

Locations
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Denmark
Department of Heart Disease Recruiting
Aarhus, Denmark, 8200
Contact: Steen Hvitfeldt Poulsen, Professor    +4530922309    steepoul@rm.dk   
Sponsors and Collaborators
Aarhus University Hospital Skejby
Regional Hospital Holstebro
Tracking Information
First Submitted Date  ICMJE June 17, 2019
First Posted Date  ICMJE June 24, 2019
Last Update Posted Date February 19, 2020
Actual Study Start Date  ICMJE June 17, 2019
Estimated Primary Completion Date November 1, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: February 17, 2020)
Prevalence of cardiac amyloidosis. [ Time Frame: Through study completion, an average of 2 years. ]
The prevalence of cardiac amyloidosis among patients previously operated for ipiopathic carpal tunnel syndrome.
Original Primary Outcome Measures  ICMJE
 (submitted: June 21, 2019)
Diagnosis of cardiac amyloidosis. [ Time Frame: Through study completion, an average of 1 year. ]
Patients under suspicion of cardiac amyloidosis will have a 99mTc-DPD scintigraphy performed to confirm/refute the diagnosis. A Perugini score of 2-3 is considered diagnostic.
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Prevalence of Wild Type Transthyretin Cardiac Amyloidosis in Patients Operated for Idiopathic Carpal Tunnel Syndrome
Official Title  ICMJE Prevalence of Wild Type Transthyretin Cardiac Amyloidosis in Patients Operated for Idiopathic Carpal Tunnel Syndrome
Brief Summary

Wild-type transthyretin cardiac amyloidosis is an underdiagnosed depository disease in which fibril monomers of misfolded amyloid protein accumulates in various tissues, including the heart, and cause tissue dysfunction.

Before onset of cardiac symptoms, many patients will have undergone surgery for idiopathic carpal tunnel syndrome since the protein also deposits in the transversal carpal ligament of the hand.

This study investigates patients previously operated for idiopathic carpal tunnel syndrome to determine if they display signs and symptoms of cardiac amyloidosis.

Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Condition  ICMJE
  • Amyloidosis Cardiac
  • Carpal Tunnel Syndrome
Intervention  ICMJE Diagnostic Test: DPD Scintigraphy
Confirms/Refutes diagnosis of cardiac amyloidosis.
Study Arms  ICMJE Suspicion of cardiac amyloidosis
Patients who display signs of cardiac amyloidosis will be referred for further diagnosis.
Intervention: Diagnostic Test: DPD Scintigraphy
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Recruiting
Estimated Enrollment  ICMJE
 (submitted: June 21, 2019)
200
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE February 1, 2021
Estimated Primary Completion Date November 1, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Patients above sixty years of age previously operated for idiopathic carpal tunnel syndrome within the Region of Central Denmark (Region Midtjylland) the last five years.
  • Informed written and verbal consent

Exclusion Criteria:

  • Operation by different indication such as

    • Fracture
    • Ganglion
    • Tumors
    • Osteophytes
    • Rheumatoid Arthritis
    • Persistent medial artery
    • Metabolic causes
  • Alcoholism
  • Hyperthyroidism
  • Myxedema

    • Hereditary Cardiac Amyloidosis
    • Known WT ATTR
    • AL Amyloidosis
    • Myelomatosis
    • MGUS and Morbus Waldenström
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 60 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE
Contact: Steen Hvitfeldt Poulsen +4530922309 steepoul@rm.dk
Contact: Bertil Ladefoged +4540927245 201307379@post.au.dk
Listed Location Countries  ICMJE Denmark
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03996382
Other Study ID Numbers  ICMJE 1-10-72-330-18
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: Undecided
Responsible Party Steen Hvitfeldt Poulsen, Aarhus University Hospital Skejby
Study Sponsor  ICMJE Aarhus University Hospital Skejby
Collaborators  ICMJE Regional Hospital Holstebro
Investigators  ICMJE Not Provided
PRS Account Aarhus University Hospital Skejby
Verification Date February 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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