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Bicuspid Valve Aortopathy Feasibility Study

Completed
Conditions
Bicuspid Aortic Valve
Registration Number
NCT01920815
Lead Sponsor
Oregon Health and Science University
Brief Summary

In order to determine the effectiveness of medical therapy options to prevent enlargement of the aorta in patients with a bicuspid aortic valve, a randomized study will be planned. This feasibility study will gather accurate data on number needed to screen, changes in medication use over time, and variance of the intended study endpoint.

Detailed Description

The study will consider all patients with a bicuspid aortic valve and 1) determine the number of patients needed to be screened for a clinical trial, based on patient eligibility percentages applying specific inclusion and exclusion criteria, 2) for those meeting these criteria, follow changes in and compliance with medical therapy over two years, and 3) in a limited subset of eligible patients, perform MRI at baseline and after 2 years to measure the change in aortic area over time.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
500
Inclusion Criteria
  • Bicuspid aortic valve
  • Aortic measurement of 35 - 49 mm on prior imaging study
Exclusion Criteria
  • Prior aortic valve or thoracic aortic surgery
  • Prior aortic dissection
  • Other condition associated with enlarged aorta including Coarctation, Marfans, Turner syndrome, Loeys-Dietz, etc.
  • Severe aortic stenosis or regurgitation
  • Contraindication to MRI such as claustrophobia or implanted pacer/defibrillator
  • Anticipated pregnancy, surgery, or move outside the area within 2 years

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in aortic area measured by MRI24 months

Patients will have a baseline and follow up MRI per a specific protocol to measure area of the ascending thoracic aorta. All measurements will be performed by a core imaging lab

Secondary Outcome Measures
NameTimeMethod
Clinical events involving the aorta, including change in medical therapy24 months

We will observe for any major clinical events over time such as need for surgery, as well as changes in medical therapy over time.

Trial Locations

Locations (6)

University of California

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

University of Colorado

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Emory University

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Oregon Health and Science University

πŸ‡ΊπŸ‡Έ

Portland, Oregon, United States

Penn State

πŸ‡ΊπŸ‡Έ

Hershey, Pennsylvania, United States

Baylor College of Medicine

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

University of California
πŸ‡ΊπŸ‡ΈLos Angeles, California, United States

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