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Trial registered on ANZCTR
Registration number
ACTRN12624000705583
Ethics application status
Approved
Date submitted
10/04/2024
Date registered
4/06/2024
Date last updated
4/06/2024
Date data sharing statement initially provided
4/06/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Outcomes of Surgery for Atrial Functional Mitral Regurgitation
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Scientific title
Outcomes of Surgery for Atrial Functional Mitral Regurgitation for 21 - 85 year old adults
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Secondary ID [1]
311929
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nil
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Universal Trial Number (UTN)
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Trial acronym
AFMR stress TTE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Atrial Functional Mitral Regurgitation
333514
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Condition category
Condition code
Cardiovascular
330195
330195
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0
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Other cardiovascular diseases
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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
Patients who underwent surgery for atrial functional mitral regurgitation from January 2020 to December 2022 will be enrolled in the trial.
Patients will undergo
- Transthoracic echocardiogram (TTE)
- Electrocardiogram (ECG)
- Kansas City Cardiomyopathy Questionnaire (KCCQ-12) (approximately 20 minutes)
Patients perioperative data (type of Surgery, concomitant procedure, cardiopulmonary bypass time (CPB) time, aortic cross clamp time) will be collected retrospectively from medical records.
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Intervention code [1]
328390
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Not applicable
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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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Mitral valve and left ventricular function on follow up study
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Assessment method [1]
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TTE
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Timepoint [1]
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upon recruitment. All patients are beyond 12 months post surgery.
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Primary outcome [2]
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evidence of heart failure
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Assessment method [2]
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New York Heart Association (NYHA) classification and serum B-Type Natriuretic Peptide (BNP)
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Timepoint [2]
337947
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upon recruitment. All patients are beyond 12 months post surgery.
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Primary outcome [3]
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Exercise tolerance
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Assessment method [3]
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NYHA classification
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Timepoint [3]
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upon recruitment. All patients are beyond 12 months post surgery.
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Secondary outcome [1]
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mortality
major adverse cardiac events (MACE)
reintervention rate
rate of readmission for heart failure
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Assessment method [1]
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all-cause mortality, stroke, worsening heart failure, hospitalization for congestive heart failure, need for reintervention, permanent pacemaker implantation and prosthetic valve infection.
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Timepoint [1]
433839
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The follow up timepoint will occur from date of mitral valve surgery for AFMR until when the patient is able to return to the hospital and attend the follow up, research related appointment (that is the follow-up timepoint). Upon recruitment, all postoperative events will be reviewed via the medical records.
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Secondary outcome [2]
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health status.
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Assessment method [2]
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Kansas City Cardiomyopathy Questionnaire (KCCQ-12)
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Timepoint [2]
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upon recruitment, at the time of TTE. All patients are beyond 12 months post surgery.
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Eligibility
Key inclusion criteria
Candidates must meet all of the following criteria to be enrolled in the study.
• Is ambulatory, able and willing to comply with the study protocol and has provided written informed consent
• Has undergone mitral valve surgery between January 2014 to December 2022 for AFMR.
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Minimum age
21
Years
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Maximum age
85
Years
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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
Candidates will be excluded from enrolment in the study if any of the following conditions apply.
• Patients who have already deceased (mortality will be included in the secondary outcome).
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Study design
Purpose
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Duration
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
Descriptive statistics will be analysed with parametric data reported as means (standard deviations), non-parametric data presented as median with an interquartile range, and categorical data presented as frequencies and percentages. Patient survival will be reported as hazard ratios (95% CI) and presented using a Kaplan-Meier curve.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
10/06/2024
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Actual
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Date of last participant enrolment
Anticipated
30/09/2024
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Actual
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Date of last data collection
Anticipated
31/10/2024
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
26386
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The Alfred - Melbourne
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Recruitment postcode(s) [1]
42360
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3004 - Melbourne
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Funding & Sponsors
Funding source category [1]
316274
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Hospital
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Name [1]
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Department of Cardiothoracic Surgery and Transplantation , Alfred Hospital
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Address [1]
316274
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Country [1]
316274
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Australia
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Primary sponsor type
Hospital
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Name
The Alfred
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
318463
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Country [1]
318463
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315093
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
315093
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https://www.alfredhealth.org.au/research/ethics-research-governance
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Ethics committee country [1]
315093
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Australia
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Date submitted for ethics approval [1]
315093
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01/12/2022
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Approval date [1]
315093
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22/05/2023
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Ethics approval number [1]
315093
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Summary
Brief summary
Functional mitral regurgitation in patients with or without atrial fibrillation without left ventricular dysfunction and/or dilatation, namely, atrial functional mitral regurgitation (AFMR), has been increasingly recognized. It occurs in the setting of left atrial dilatation and or atrial fibrillation in patients with heart failure with preserved ejection fraction (HFpEF). However, there are very limited published data regarding therapeutic strategies of AFMR. We aim to understand the optimal therapeutic options by investigating the outcomes of previously treated patients when this concept was not well recognized.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Atsuo Doi
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Address
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Alfred Hospital, 55 Commercial Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 03 90763684
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Atsuo Doi
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Address
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Alfred Hospital, 55 Commercial Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 03 90763684
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Atsuo Doi
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Address
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Alfred Hospital, 55 Commercial Road, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 03 90763684
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Fax
133656
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Email
133656
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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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