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Heart FailureNCT04064450

MyoVasc Study on the Development and Progression of Heart Failure

An observational study of Heart Failure, run by Johannes Gutenberg University Mainz at 1 site in Germany.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The MyoVasc - Study is an observational, prospective cohort study. The study is investigating the development and progression of the heart failure syndrome, phenotypes of the heterogeneous syndrome, and the interactions of phenotypes with the vasculature regarding their impact for the course of heart failure. Read more about this study

Who is it for?
Ages 35 to 84 yearsHealthy volunteers can take part
Conditions the study is for
Heart Failure
How many people
3,289 participants
Where
1 siteGermany
Study dates
Jan 2013to Dec 2028
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 35 to 84 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Individuals with asymptomatic and symptomatic heart failure and Population Controls

Who may be able to join

  • Asymptomatic heart failure or symptomatic heart failure
  • Written consent
  • Sufficient knowledge of the German language, in order to understand study documents and computer assisted interview without any translation

Who cannot join

  • Individuals who are not able to visit the study center due to psychological or physical impairment
  • STEMI within the last 4 months, NSTEMI within the last 3 months
  • Acute decompensated heart failure
  • Surgery, especially coronary artery bypass grafting within the last 3 months
  • Acute disease, especially acute infectious disease, endocarditis, myocarditis or pericarditis

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • University Medical Center of the Johannes Gutenberg-University Mainz

    Mainz, Rhineland-Palatinate, 55131

Other trials in Germany

About this study

Official title: MyoVasc - An Epidemiological Cohort Study to Investigate the Development and Progression of Heart Failure and the Interaction With Vascular Disease

The MyoVasc - Study is an observational, prospective cohort study. The study is investigating the development and progression of the heart failure syndrome, phenotypes of the heterogeneous syndrome, and the interactions of phenotypes with the vasculature regarding their impact for the course of heart failure.

Read the detailed description

"MyoVasc" is an observational cohort study investigating the development and progression of heart failure (HF). The primary objective of the study is: i, to advance the understanding of pathomechanisms of the heterogenous syndrome in the full range of clinical presentation, ii, to evaluate current clinical phenotypes of HF, and iii, to identify and describe homogenous subgroups with regard to disease development using a systems-oriented approach. A special focus is put on the investigation of heart failure with preserved ejection fraction in contrast to the more investigated and established phenotype with reduced ejection fraction. Further aspects comprise inter alia the relevance of metabolic dysregulation, inflammation and coagulation for the course of the disease.

The primary endpoint of the study is the combined outcome "worsening of heart failure" defined as transition from asymptomatic to symptomatic heart failure, hospitalization due to heart failure, or cardiac death. Secondary endpoints are the components of the primary endpoint, myocardial infarction, stroke, hospitalization due to cardiovascular disease, venous thromboembolism, atrial fibrillation, and all-cause death. Disease progression is monitored by a large panel of biomarkers for structure and function of cardiac and vascular systems and related organs.

Individuals aged 35- to 84-years with echocardiographic signs of heart failure irrespective of the clinical status are enrolled and a subsample of controls without heart failure. Individuals were recruited from health institutions and a population sample from the registration office. The study sample comprises approx. 3,200 individuals, of which N~2,700 individuals have heart failure and N~500 individuals are controls. Study participants receive a highly standardized 5-hour baseline examination in the study center with examinations of the cardiovascular system (e.g. anthropometrics, 2D- and 3D-echocardiography, carotid sonography, vascular function, ankle-brachial index, body plethysmography, capacity exercise testing, blood pressure measurements (resting, ABPM), ECG (12-lead, holter), computer-assisted personal interview, and venous blood withdrawal for bio banking). Annual follow-up examinations are performed via computer-assisted telephone interviews tracking comprehensively the participants´ health status, assessing current medication and recording clinical events. Every two years, the participant is invited again to the MyoVasc Study Center for the conduct of sequential follow-up investigations, which are identical to the initial examination.

Conditions
Heart Failure
Keywords
Heart Failure
Medical subject headings
Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT04064450
Study groupRoleWhat they receive
Heart FailureIndividuals with asymptomatic or symptomatic heart failure
Population ControlsIndividuals free of heart failure and echocardiographic cardiac dysfunction

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Worsening of Heart Failure

    The primary outcome "worsening of heart failure" differs between groups:

    • Population Controls: i.e. composite of cardiac death and incident heart failure (i.e. incident asymptomatic or symptomatic heart failure)
    • Individuals with asymptomatic heart failure: i.e. composite of cardiac death and transition from asymptomatic to symptomatic heart failure
    • Individuals with symptomatic heart failure: i.e. composite of cardiac death and hospitalization due to worsening of heart failure

    Measured: Assessment in annual follow-up contacts over a period of 10 years

Secondary outcomes (23)
  1. Incidence of Cardiac death

    Cardiac death

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  2. Incidence of Hospitalization due to heart failure

    Hospitalization due to heart failure

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  3. Incidence of transition from asymptomatic to symptomatic heart failure

    Transition from asymptomatic to symptomatic heart failure

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  4. Incidence of heart failure (i.e. incident asymptomatic or symptomatic heart failure) in controls

    Incident heart failure (i.e. incident asymptomatic or symptomatic heart failure) in controls

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  5. Incidence of death

    Death

    Measured: Follow-up of vital status for 10 years

  6. Incidence of hospitalization

    Hospitalization

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  7. Incidence of myocardial infarction

    Myocardial infarction

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  8. Incidence of stroke or transient ischemic attack

    Stroke or transient ischemic attack

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  9. Incidence of cardiac arrhythmia

    Cardiac arrhythmia

    Measured: Continuous assessment throughout the follow-up of the study

  10. Incidence of atrial fibrillation

    Atrial fibrillation

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  11. Incidence of angina pectoris

    Angina pectoris

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  12. Incidence of deep vein thrombosis

    Deep vein thrombosis

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  13. Incidence of pulmonary embolism

    Pulmonary embolism

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  14. Incidence of arterial hypertension

    Arterial hypertension

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  15. Incidence of peripheral artery disease

    Peripheral artery disease

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  16. Worsening of exercise capacity as assessed via peak oxygen uptake

    Assessment of peak oxygen uptake via cardiopulmonary exercise testing under consideration of the circulatory (blood pressure, heart rate, electrocardiogram) and respiratory response (ventilatory anaerobic threshold and reserve) by a trained physician

    Measured: Assessment in biannual follow-up contacts in a dedicated study center after 2, 4, 6, 8 and 10 years

  17. Worsening of systolic cardiac function assessed by ventricular ejection fraction

    Assessed via 2D/3D transthoracic cardiac echocardiography by a trained physician

    Measured: Assessment in biannual follow-up contacts in a dedicated study center after 2, 4, 6, 8 and 10 years

  18. Incidence of revascularization

    Revascularization

    Measured: Assessment in annual follow-up contacts over a period of 10 years

  19. Worsening of diastolic cardiac function assessed by mitral inflow signal and tissue doppler of the heart

    Assessed via 2D/3D transthoracic cardiac echocardiography by a trained physician

    Measured: Assessment in biannual follow-up contacts in a dedicated study center after 2, 4, 6 and 8 years

  20. Worsening of cardiac strain assessed by speckle-tracking of the heart

    Assessed via 2D/3D transthoracic cardiac echocardiography by a trained physician

    Measured: Assessment in biannual follow-up contacts in a dedicated study center after 2, 4, 6, 8 and 10 years

  21. Worsening of renal function as assessed by glomerular filtration rate

    Worsening of renal function as assessed by estimated glomerular Filtration rate (eGFR) as humoral biomarker of renal function

    Measured: Assessment in biannual follow-up contacts in a dedicated study center after 2, 4, 6, 8 and 10 years

  22. Worsening of pulmonary function as assessed by FEV1

    Worsening of forced expiratory volume in one second (FEV1) via body plethysmography

    Measured: Assessment in biannual follow-up contacts in a dedicated study center after 2, 4, 6, 8 and 10 years

  23. Worsening of vascular function as assessed by FMD/FMC

    Worsening of flow-mediated dilatation (FMD) and constriction (FMC) of the radial artery

    Measured: Assessment in biannual follow-up contacts in a dedicated study center after 2, 4, 6, 8 and 10 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Aug 2019
  2. Study startJan 2013
  3. Primary completionDec 2028 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
3,289 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04064450
Sponsor's protocol ID
837.319.12 (8420-F)
Status last verified
Aug 2024
First submitted
9 Aug 2019
Last updated
22 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Trobs SO, Prochaska JH, Schwuchow-Thonke S, Schulz A, Muller F, Heidorn MW, Gobel S, Diestelmeier S, Lerma Monteverde J, Lackner KJ, Gori T, Munzel T, Wild PS. Association of Global Longitudinal Strain With Clinical Status and Mortality in Patients With Chronic Heart Failure. JAMA Cardiol. 2021 Apr 1;6(4):448-456. doi: 10.1001/jamacardio.2020.7184.

    PubMed 33533883
  • Dahlen B, Schulz A, Gobel S, Trobs SO, Schwuchow-Thonke S, Spronk HM, Prochaska JH, Arnold N, Lackner KJ, Gori T, Ten Cate H, Munzel T, Wild PS, Panova-Noeva M. The impact of platelet indices on clinical outcome in heart failure: results from the MyoVasc study. ESC Heart Fail. 2021 Aug;8(4):2991-3001. doi: 10.1002/ehf2.13390. Epub 2021 May 3.

    PubMed 33939298
  • Eggebrecht L, Prochaska JH, Trobs SO, Schwuchow-Thonke S, Gobel S, Diestelmeier S, Schulz A, Arnold N, Panova-Noeva M, Koeck T, Rapp S, Gori T, Lackner KJ, Ten Cate H, Munzel T, Wild PS. Direct oral anticoagulants and vitamin K antagonists are linked to differential profiles of cardiac function and lipid metabolism. Clin Res Cardiol. 2019 Jul;108(7):787-796. doi: 10.1007/s00392-018-1408-y. Epub 2019 Jan 2.

    PubMed 30604046
  • Prochaska JH, Arnold N, Falcke A, Kopp S, Schulz A, Buch G, Moll S, Panova-Noeva M, Junger C, Eggebrecht L, Pfeiffer N, Beutel M, Binder H, Grabbe S, Lackner KJ, Ten Cate-Hoek A, Espinola-Klein C, Munzel T, Wild PS. Chronic venous insufficiency, cardiovascular disease, and mortality: a population study. Eur Heart J. 2021 Oct 21;42(40):4157-4165. doi: 10.1093/eurheartj/ehab495.

    PubMed 34387673
  • Zeid S, Buch G, Velmeden D, Sohne J, Schulz A, Schuch A, Trobs SO, Heidorn MW, Muller F, Strauch K, Coboeken K, Lackner KJ, Gori T, Munzel T, Prochaska JH, Wild PS. Heart rate variability: reference values and role for clinical profile and mortality in individuals with heart failure. Clin Res Cardiol. 2024 Sep;113(9):1317-1330. doi: 10.1007/s00392-023-02248-7. Epub 2023 Jul 9.

    PubMed 37422841
  • Heidorn MW, Steck S, Muller F, Trobs SO, Buch G, Schulz A, Schwuchow-Thonke S, Schuch A, Strauch K, Schmidtmann I, Lackner KJ, Gori T, Munzel T, Wild PS, Prochaska JH. FEV1 Predicts Cardiac Status and Outcome in Chronic Heart Failure. Chest. 2022 Jan;161(1):179-189. doi: 10.1016/j.chest.2021.07.2176. Epub 2021 Aug 17.

    PubMed 34416218
  • Mohr M, Zeid S, Buch G, Rausch F, Velmeden D, Kazemi-Asrar F, Fooss B, Lackner KJ, Gori T, Lurz P, Prochaska JH, Hardt R, Wild PS. Age-related differences in the intake of heart failure therapy among participants from the MyoVasc study. Eur Geriatr Med. 2026 Jul 14. doi: 10.1007/s41999-026-01553-4. Online ahead of print.

    PubMed 42446811
  • Gobel S, Prochaska JH, Trobs SO, Panova-Noeva M, Espinola-Klein C, Michal M, Lackner KJ, Gori T, Munzel T, Wild PS. Rationale, design and baseline characteristics of the MyoVasc study: A prospective cohort study investigating development and progression of heart failure. Eur J Prev Cardiol. 2021 Aug 9;28(9):1009-1018. doi: 10.1177/2047487320926438. Epub 2020 May 14.

    PubMed 34402876

Questions about this trial

What is this clinical trial studying?

An observational study of Heart Failure, run by Johannes Gutenberg University Mainz at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 22 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Worsening of Heart Failure (time frame: Assessment in annual follow-up contacts over a period of 10 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04064450, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Aug 2024.

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