Montalcino Aortic Consortium: Precision Medicine for Heritable Thoracic Aortic Disease
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 5,000
- 试验地点
- 20
- 主要终点
- Number of participants with aortic dissection
研究概览
简要总结
The Montalcino Aortic Consortium (MAC) will provide the infrastructure to assemble large cohorts of patients with mutations in known heritable thoracic aortic disease (H-TAD) genes, define the phenotype associated with these genes, and determine genetic and environmental modifiers of H-TAD.
详细描述
The MAC will provide the infrastructure to assemble large cohorts of patients with mutations in known H-TAD genes, define the phenotype associated with these genes, and determine genetic and environmental modifiers and other biomarkers of H-TAD. Recruitment of large numbers of patients world-wide will improve the precision of data used to predict disease risks. Retrospective and prospective study designs will be used to fully characterize the different stages of H-TAD (i.e. susceptibility, presymptomatic, and symptomatic) and other complications associated with the H-TAD genes, and examine clinical and environmental factors that define risk of aortic dissections. The data from MAC will provide the critical clinical information for precise management of thoracic aortic disease and other complications caused by mutations of these genes and improve the medical management and outcome of patients with genetically triggered, lethal vascular diseases.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients and their relatives with a confirmed pathogenic, likely pathogenic variant, or variant of unknown clinical significance in at least one of the H-TAD genes (i.e. TGFBR1, TGFBR2, SMAD3, TGFB2, TGFB3, ACTA2, MYH11, MYLK, PRKG1, MAT2A, MFAP5, LOX, COL3A1, FOXE3, and FBN1).
- •Patients of all ages, sex and race for which informed consent can be obtained.
排除标准
- •Patients without a confirmed causative variant for H-TAD.
研究组 & 干预措施
Patients with causal mutations in the known H-TAD genes
结局指标
主要结局
Number of participants with aortic dissection
时间窗: 20 years
Aortic Dissection
Number of participants with aortic dilation
时间窗: 20 years
Aortic dilation
Rate of aortic growth
时间窗: 20 years
Aortic diameter
Number of participants with aortic aneurysm requiring repair
时间窗: 20 years
Aortic repair
Number of participants who died due to an aortic dissection/rupture or postoperative complications
时间窗: 20 years
Mortality due to aortic disease
次要结局
- Number of participants with other cardiovascular complications(20 years)
研究者
Dianna M Milewicz
Professor and President George Bush Chair In Cardiovascular Medicine
The University of Texas Health Science Center, Houston
