HCMR - Novel Predictors of Outcome in Hypertrophic Cardiomyopathy

ISRCTN ISRCTN87982915
DOI https://doi.org/10.1186/ISRCTN87982915
ClinicalTrials.gov number NCT01915615
Secondary identifying numbers 16889
Submission date
22/10/2014
Registration date
22/10/2014
Last edited
10/04/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Michelle Darling
Scientific

Suite 300, 79 TW Alexandar Drive 4401 Research Commons
Durham
NC 27709
United States of America

Phone +1 615 309 4200
Email Michelle.Darling@iconplc.com

Study information

Study designNon-randomised; Interventional; Design type: Prevention
Primary study designInterventional
Secondary study designNon randomised controlled trial
Study setting(s)Hospital
Study typePrevention
Scientific titleHCMR - Novel Predictors of Outcome in Hypertrophic Cardiomyopathy
Study acronymHCMR Study
Study objectivesHypertrophic cardiomyopathy (HCM) is a condition, mostly inherited, in which the heart muscle becomes thickened. People with this condition usually do not have symptoms. However, in some people with this condition, there is a risk of developing complications such as failure of the heart to pump blood and sudden death. Currently doctors do not know much about why some people develop these complications. The purpose of this study is to find ways of predicting the risk of developing these problems, so that appropriate treatment can be given. This study will carry out a careful and thorough assessment of people with HCM using new sophisticated tests to identify markers that are associated with these complications. This information will help doctors to identify people with HCM who are at higher risks of developing complications in the future as a result of the disease.

The University of Oxford, UK, in collaboration with the University of Virginia, US are organising this research. The research taking place in Europe is the responsibility of the University of Oxford, while that taking place in North America is the responsibility of the University of Virginia. There will be 40 sites involved in this study as follow:

1. UK: 11 sites
2. Germany: 3 sites
3. Italy: 4 sites
4. The Netherlands: 2 sites
5. USA: 17 sites
6. Canada: 3 sites
Ethics approval(s)14/SC/0190; First MREC approval date 20/05/2014
Health condition(s) or problem(s) studiedTopic: Cardiovascular disease; Subtopic: Cardiovascular (all Subtopics); Disease: Cardiovascular
Intervention1. Cannula and venous blood sampling (~80mls);
2. Medical history and physical examination
3. Echocardiogram. Ultrasound images of the heart using standard clinical scanners. This will only be done if there is no echocardiogram done in the last 12 months.
4. Electrocardiogram (ECG). Attaching surface electrodes on the chest to monitor electrical properties of the heart. This will only be done if there is no ECG done in the last 12 months.
5. Cardiovascular magnetic resonance (CMR) imaging of the heart acquired using standard clinical scanners.
6. Gadolinium contrast dye injected via a cannula in the participant's arm to enhance images during MRI scans.
Intervention typeOther
Primary outcome measureThe composite of cardiac death due to sudden cardiac death (SCD) and congestive heart failure (CHF)
Secondary outcome measures1. Aborted SCD including appropriate intracardiac defibrillator (ICD) firing
2. Need for heart transplantation
Overall study start date30/06/2014
Completion date30/06/2016

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participantsPlanned Sample Size: 2750; UK Sample Size: 600
Key inclusion criteria1. Male or Female, aged 18-65
2. Established diagnosis of HCM defined as unexplained LVH defined as any segment = 15mm thick
3. Signed informed consent
4. Able (in the investigator's opinion) and willing to comply with all study requirements;

1300-1500 recruited in the Europe, of which 600-1000 recruited in the UK. A further 1250 will be recruited in the US and Canada and these sites have sought and received separate IRB approvals in the US and Canada.
Key exclusion criteria1. Uncontrolled hypertension as judged by the investigator
2. Atrial fibrillation at time of enrollment
3. Angiographically documented >50% coronary stenosis
4. Prior septal myectomy or alcohol septal ablation
5. Prior myocardial infarction
6. Incessant ventricular arrhythmias
7. Diabetes with end organ damage
8. Stage IV/V chronic kidney disease (eGFR <30ml/min)
9. Inability to tolerate MRI scanning (severe claustrophobia, inability to lie flat)
10. Contraindications to CMR imaging (implantable devices or other metal implants, cranial aneurysm clips, metallic ocular foreign bodies, hypersensitivity to gadolinium)
11. Female participant who is pregnant or lactating
12. Malignancy or other serious medical condition expected to limit lifespan <5 years
13. Any other significant disease or disorder which, in the opinion of the investigator, might influence the participant’s ability to participate in the study.
14. Involvement in other studies thought to compromise resulting study data or the health of the participant.
15. Inability to give informed consent.
Date of first enrolment30/06/2014
Date of final enrolment30/06/2016

Locations

Countries of recruitment

  • United Kingdom
  • United States of America

Study participating centre

Suite 300, 79 TW Alexandar Drive 4401 Research Commons
Durham
NC 27709
United States of America

Sponsor information

University of Oxford (UK)
University/education

Research Services
Clinical Trials and Research Governance
Headley Way
Headington
Oxford
OX3 9DU
England
United Kingdom

ROR logo "ROR" https://ror.org/052gg0110

Funders

Funder type

Government

National Institutes of Health (NIH); Grant Codes: 1U01HL117006-01A1
Government organisation / National government
Alternative name(s)
Institutos Nacionales de la Salud, US National Institutes of Health, NIH
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 01/08/2015 10/04/2019 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

10/04/2019: Publication reference added.
07/03/2016: Verifying study status with principal investigator.