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Functional Capacity in Anderson-Fabry Disease Patients (OPTIMA-FD)

S

San Donato Group (GSD)

Status

Enrolling

Conditions

Anderson-Fabry Disease

Study type

Observational

Funder types

Other

Identifiers

NCT06884358
OPTIMA-FD

Details and patient eligibility

About

The goal of this observational study is to observe the relation between excercise parameters - assessed by CPET - and rest/stress hemodynamic parameters - assessed by echocardiogram and CMR - in patients with a genetic diagnosis of Anderson-Fabry Disease.

Participants will undergo:

  • baseline evaluation: clinical evaluation, disease staging with FASTEX and MSSI, KCCQ for quality of life assessment, resting 12-leads ECG, 6MWT, CPET-ESE and contrast-enhanced CMR;
  • before 36 months from baseline: resting 12-leads ECG, 2D rest and stress echocardiogram, CPET-ESE, contrast-enhanced CMR, disease staging with FASTEX and MSSI and KCCQ for quality of life assessment;
  • up to 7 years from baseline: clinical follow-up.

Enrollment

100 estimated patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with a genetic diagnosis of AFD, according to current guidelines;
  • Informed written consent with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care (for patients age <18 years old, written consent from a caregiver is mandatory).

Exclusion criteria

  • eGFR <30 ml/min and other contraindications for CMR (relative controindication: patients with implantable device);
  • Musculoskeletal limitation for exercise test on the cyclo ergometer;
  • Pregnant or breastfeeding women;
  • Any serious medical or psychiatric illness that could, in the investigator's opinion, potentially interfere with a full comprehension of the written consent form.

Trial design

100 participants in 4 patient groups

Normal cardiac parameters and normal T1
Description:
AFD patients with normal cardiac parameters and normal T1.
Normal cardiac parameters and reduced T1
Description:
AFD patients with no LVH and myocardial reduced T1 .
LVH without LGE
Description:
Patients with LVH without LGE.
Advanced cardiomyopathy with LVH and LGE
Description:
AFD patients with advanced cardiomyopathy with LVH and LGE.

Trial contacts and locations

5

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Central trial contact

Massimo Piepoli, MD, PhD; Gianluigi Guida, MD

Data sourced from clinicaltrials.gov

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