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Trial registered on ANZCTR
Registration number
ACTRN12622000418774
Ethics application status
Approved
Date submitted
2/03/2022
Date registered
11/03/2022
Date last updated
14/07/2024
Date data sharing statement initially provided
11/03/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Discovery of New Biomarkers of Cardiac Susceptibility in adults with Fabry Disease that may be used to develop Targeted Fabry-Specific Therapy Delivery
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Scientific title
Discovery of New Biomarkers of Cardiac Susceptibility in Fabry Disease that may be used to Improve the Precision of Targeted Fabry-Specific Therapy Delivery
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Secondary ID [1]
304403
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fabry Disease
322197
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Condition category
Condition code
Human Genetics and Inherited Disorders
319887
319887
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0
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Other human genetics and inherited disorders
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Metabolic and Endocrine
322895
322895
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0
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Metabolic disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The BioHEART-Fabry study seeks to understand the prevalence of heart involvement in participants with Fabry disease. In addition, participants will undergo a research blood draw that will be used to generate a detailed molecular endotype of Fabry disease participants, including genomic, transcriptomic, proteomic, metabolomic, and cell biomic. The molecular analyses will be applied to an assay to identify "myocardial-vulnerable" Fabry patients.
BioHEART-Fabry participants will complete a questionnaire at the time of enrolment, which is expected to take approximately 10 minutes. If the participant is having a clinically indicated cardiac MRI (CMR), a blood draw of approximately 30mL will be completed at the time of the CMR. If the participant is not having a CMR, a blood draw will occur at the time of enrolment. Participants will not receive a copy of the results of the research blood draw.
Participants will follow-up with the research team one (1) year after enrolment and complete a second questionnaire, that is expected to take approximately 10 minutes.
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Intervention code [1]
320759
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary outcome of the study is the composite CMR endpoint for cardiac involvement: a) Elevated LV mass index; or b) Abnormal T1 or late gadolinium enhancement (LGE)
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Assessment method [1]
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Timepoint [1]
327764
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Assessed at the time of enrolment.
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Secondary outcome [1]
396507
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LV mass (indexed) by cardiac MRI
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Assessment method [1]
396507
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Timepoint [1]
396507
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Assessed at the time of enrolment
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Secondary outcome [2]
407150
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Late gadolinium enhancement (LGE) by cardiac MRI
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Assessment method [2]
407150
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Timepoint [2]
407150
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Assessed at the time of enrolment
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Secondary outcome [3]
407151
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T1 measurements by cardiac MRI
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Assessment method [3]
407151
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Timepoint [3]
407151
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Assessed at the time of enrolment
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Secondary outcome [4]
407152
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ECG evidence of conduction abnormality
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Assessment method [4]
407152
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Timepoint [4]
407152
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Assessed at the time of enrolment
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Secondary outcome [5]
407153
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Echocardiography parameters of circumference left ventricular scarring
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Assessment method [5]
407153
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Timepoint [5]
407153
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Assessed at the time of enrolment
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Secondary outcome [6]
407154
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Genomic, epigenetic, transcriptomic, proteomic, metabolic, cell bionic, and coagulomic data markers of Fabry-specific cardiac involvement
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Assessment method [6]
407154
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Timepoint [6]
407154
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Assessed at the time of enrolment
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Secondary outcome [7]
407313
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Echocardiography parameters of longitudinal left ventricular scarring
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Assessment method [7]
407313
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Timepoint [7]
407313
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Assessed at the time of enrolment
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Eligibility
Key inclusion criteria
a) Age 18 years or older
b) Males and females
c) Genetically confirmed Fabry disease
d) Indication for a CMR, or appropriate historical CMR study within 36-months of enrolment; and
e) Willing and able to provide informed consent by self
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
a) Patients highly dependent on medical care and unable to provide informed consent;
b) Unwilling or unable to participate in 1-year follow-up
c) People with cognitive impairment, intellectual disability, or mental illness that prevent them from providing informed consent for themselves.
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Study design
Purpose
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
2/05/2022
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Actual
20/06/2022
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Date of last participant enrolment
Anticipated
1/06/2024
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Actual
28/06/2024
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Date of last data collection
Anticipated
31/07/2025
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Actual
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
19627
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
34260
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2145 - Westmead
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Funding & Sponsors
Funding source category [1]
308771
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Commercial sector/Industry
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Name [1]
308771
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Sanofi-aventis Australia
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Address [1]
308771
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24 Talavera Road, Macquarie Park NSW 2113
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Country [1]
308771
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Australia
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Primary sponsor type
University
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Name
The University of Sydney
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Address
The University of Sydney, Camperdown NSW 2006
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Country
Australia
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Secondary sponsor category [1]
311001
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None
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Name [1]
311001
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Address [1]
311001
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Country [1]
311001
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308686
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Northern Sydney Local Health District - Human Research Ethics Committee
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Ethics committee address [1]
308686
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NSLHD Research Office, Level 13 Kolling Building, Royal North Shore Hospital, Reserve Road, St Leonards NSW 2065
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Ethics committee country [1]
308686
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Australia
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Date submitted for ethics approval [1]
308686
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17/03/2021
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Approval date [1]
308686
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25/05/2021
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Ethics approval number [1]
308686
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2021/ETH00499
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Summary
Brief summary
Cardiac involvement remains one of the biggest killers in Fabry disease. Yet our ability predict cardiac involvement before irreversible damage occurs remains limited. The chief reason for this is the differences in Fabry disease presentation that remains unexplained by biomarker or predictable natural history. Current tools, such as biomarkers (e.g., enzyme activity level, plasma Gb3, etc.) and genetic testing give a good measure of 'general' Fabry progression or diagnosis; but these are non-specific to phenotype or individual organ involvement. Further insight into which patients are at risk of developing heart complications would direct clinicians to consider commencement of Fabry-specific therapy in potentially high-risk patients. Markers and mechanistic insights that explain individual susceptibility to cardiac fibrosis and hypertrophy in the context of Fabry disease may also have broader implications to understanding heart failure and cardiomyopathy more broadly.
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Trial website
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Trial related presentations / publications
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Public notes
The BioHEART-Fabry study is an investigator-initiated study (ISS), with funding partially provided by Sanofi-aventis Australia through the ISS funding mechanism.
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Contacts
Principal investigator
Name
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Prof Gemma Figtree
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Address
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Level 12 Kolling Building, Royal North Shore Hospital, Reserve Road, St Leonards NSW 2065
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Country
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Australia
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Phone
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+61 2 9926 4915
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Fax
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Email
111554
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[email protected]
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Contact person for public queries
Name
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Gemma Figtree
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Address
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Level 12 Kolling Building, Royal North Shore Hospital, Reserve Road, St Leonards NSW 2065
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Country
111555
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Australia
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Phone
111555
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+61 2 9926 4915
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Fax
111555
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Email
111555
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[email protected]
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Contact person for scientific queries
Name
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Gemma Figtree
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Address
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Level 12 Kolling Building, Royal North Shore Hospital, Reserve Road, St Leonards NSW 2065
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Country
111556
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Australia
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Phone
111556
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+61 2 9926 4915
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Fax
111556
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Email
111556
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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