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Study of the Efficacy of Losartan on Aortic Dilatation in Patients With Marfan Syndrome

Information source: Assistance Publique - Hôpitaux de Paris
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Marfan Syndrome

Intervention: placebo (Drug); Losartan (Drug)

Phase: Phase 3

Status: Recruiting

Sponsored by: Assistance Publique - Hôpitaux de Paris

Official(s) and/or principal investigator(s):
Guillaume JONDEAU, MD, PhD, Principal Investigator, Affiliation: Assistance Publique - Hôpitaux de Paris

Overall contact:
Guillaume JONDEAU, MD,PhD, Phone: 01 40 25 68 11, Email: guillaume.jondeau@bch.aphp.fr

Summary

The purpose of this study is to evaluate if losartan limits aortic dilatation in patients with Marfan syndrome.

Clinical Details

Official title: Multicenter, Randomised, Double Blind Study of the Efficacy of Losartan on Aortic Dilatation in Patients With Marfan Syndrome

Study design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Efficacy Study

Primary outcome: normalised aortic diameter at the level of the sinus of valsalva

Secondary outcome: cardiac surgery, hospitalisation in cardiology ward, death

Detailed description: Aim : evaluate the efficacy of losartan for limiting aortic dilatation in patients with marfan syndrome receiving standard therapy

Inclusion criteria :

10 years or older Marfan syndrome according to international criteria Signed informed consent

Non inclusion :

Previous surgery of the ascending aorta, or surgery planned Non echogenicity Contre-indication lactose Pregnancy on going or planned within 3 years Breast feeding Participation in another clinical study Non member of the social security or CMU

Number of subjects : the number of subjects (150 per group) is derived from the study from Shores et al (1994) demonstrating the benefit of beta-blockade in Marfan patient and uses a decrease by half of the aortic dilatation with losartan

Follow-up is 3 years, after inclusion period of 2 years. A total of 5 years is expected

Methods : randomised double blind vs placebo study. All French centres de competence for marfan syndrome and the centre de reference are participating in the study.

End points : main endpoint is evolution of normalised aortic diameter. Secondary endpoints include clinical events (cardiac surgery or aortic dissection, hospitalisation in cardiology department, death), tolerance of the drug, and quality of life.

Eligibility

Minimum age: 10 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- 10 years or older

- Marfan syndrome according to international criteria Signed informed consent

Exclusion Criteria:

- Previous surgery of the ascending aorta, or surgery planned

- Non echogenicity

- Contre-indication lactose

- Pregnancy on going or planned within 3 years

- Breast feeding

- Participation in another clinical study

- Non member of the social security or CMU

Locations and Contacts

Guillaume JONDEAU, MD,PhD, Phone: 01 40 25 68 11, Email: guillaume.jondeau@bch.aphp.fr

Hôpital Bichat, Paris 75018, France; Recruiting
Guillaume JONDEAU, MD, PhD, Phone: 01 40 25 68 11, Email: guillaume.jondeau@bch.aphp.fr
Guillaume JONDEAU, MD,PhD, Principal Investigator
Additional Information

Starting date: September 2008
Ending date: September 2013
Last updated: April 1, 2009

Page last updated: October 19, 2009

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