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Ventricular Tachyarrhythmia (VT) Storm, Gene Expression in Implantable Cardioverter Defibrillator (ICD) Patients With Electrical Storm

This study is currently recruiting participants.
Verified by University of Pittsburgh, June 2008

Sponsored by: University of Pittsburgh
Information provided by: University of Pittsburgh
ClinicalTrials.gov Identifier: NCT00284453
  Purpose

This is a study of ICD patients receiving multiple therapies from defibrillators that seeks to find triggers for such events and identification of markers that may aid in guiding therapy.


Condition Intervention
Arrhythmias
Procedure: Peripheral blood sampling

Genetics Home Reference related topics:   Brugada syndrome    short QT syndrome   

MedlinePlus related topics:   Arrhythmia   

U.S. FDA Resources

Study Type:   Observational
Study Design:   Cohort, Prospective
Official Title:   Gene Expression in ICD Patients With Electrical Storm

Further study details as provided by University of Pittsburgh:

Biospecimen Retention:   Samples With DNA

Biospecimen Description:

2 RNA samples are obtained and kept frozen on-site to be evalauted at a later date. A portion of this DNA will be used to analyze the structure of certain genes that are known to play a role in cardiac arrhythmias. We cannot at this time know exatly what genes will be tested.


Estimated Enrollment:   30
Study Start Date:   October 2005
Estimated Study Completion Date:   October 2009

Groups/Cohorts Assigned Interventions
1
Subjects that have received >2 appropriate ICD shock therapies
Procedure: Peripheral blood sampling
blood samples will be collected within 72 hours of subjects receiving >2 shock therapies and at 3 month follow-up MD appointment
2
Subjects that have received >2 inappropriate ICD shock therapies
Procedure: Peripheral blood sampling
blood samples will be collected within 72 hours of subjects receiving >2 shock therapies and at 3 month follow-up MD appointment

Detailed Description:

This is a study of patients with ICD implants who present with multiple shocks, termed electrical storm. The purpose of this pilot study is to identify factors which are associated with periods of high ventricular arrhythmia burden by looking at gene expression from peripheral blood, in addition to levels of known markers of CHF, including catecholamine levels, B-type natriuretic peptide, and troponin. This study hypothesizes that extrinsic or systemic factors play a role in triggering these events, and if true should yield candidate proteins which would spawn functional studies to prove a role in causation. Additionally, identification of a marker of increased recurrence of events may aid in guiding therapy (starting an anti-arrhythmic versus awaiting the next event).

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample

Study Population

Thirty men and women over age 18 with electrical strom that we hope will volunteer to participate in this genetic research study


Criteria

Inclusion Criteria:

  • ICD patients at least 18 years of age presenting with greater than 2 therapies for ventricular arrhythmias within a 72-hour period
  • Able to give informed consent

Exclusion Criteria:

  • Inability to give informed consent
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00284453

Contacts
Contact: Sandeep K. Jain, M.D.     412-647-6272     jainsk@upmc.edu    
Contact: Pamela M. White, BSN     412-647-2931     whitepm@upmc.edu    

Locations
United States, Pennsylvania
UPMC Presbyterian Hospital     Recruiting
      Pittsburgh, Pennsylvania, United States, 15213
      Principal Investigator: Sandeep Jain, M.D.            
UPMC Shadyside Hospital     Recruiting
      Pittsburgh, Pennsylvania, United States, 15216
      Principal Investigator: Sandeep K. Jain, M.D.            

Sponsors and Collaborators
University of Pittsburgh

Investigators
Principal Investigator:     Sandeep K. Jain, M.D.     University of Pittsburgh    
  More Information


Responsible Party:   University of Pittsburgh Cardiovascular Institute-Electrophysiology Department ( Sandeep Jain, MD )
Study ID Numbers:   0510087
First Received:   January 27, 2006
Last Updated:   June 16, 2008
ClinicalTrials.gov Identifier:   NCT00284453
Health Authority:   United States: Institutional Review Board

Keywords provided by University of Pittsburgh:
ventricular  
arrhythmias  
ICD  
VT storm  
ICD patients with VT storm  

Study placed in the following topic categories:
Heart Diseases
Tachycardia
Tachycardia, Ventricular
Arrhythmias, Cardiac

Additional relevant MeSH terms:
Pathologic Processes
Cardiovascular Diseases

ClinicalTrials.gov processed this record on October 10, 2008




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