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CompletedNCT02162992Updated Oct 28, 2019Results posted

Systemic Lupus Erythematous and Heart Conduction Disorders

An observational study in Lupus Erythematosus, Systemic, Atrioventricular Block and Sudden Death, sponsored by Germans Trias i Pujol Hospital. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-10-28.

Sponsored by Germans Trias i Pujol Hospital · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
151
Ages
18 Years and older
Sex
All
01

Study summary

Connective tissue diseases have been related to heart conduction disorders. The anti-Ro/SSA antibodies are thought to have a pathogenic role, and they most prevalent in systemic lupus erythematous (SLE). The aim of this study is to evaluate the relationship between SLE, arrhythmias and its serologic profile.

Read the detailed description

We designed a cross-sectional study for an observational analysis. The target population will be the group of SLE patients visited the service of Rheumatology hospitals in Catalonia (Spain).

The criteria for subjects selection to participate in our project are:

1 . Inclusion criteria: patients with SLE according to established diagnostic criteria in 1997 2. Exclusion criteria:

  • Presence of cardiac: Ischemic heart disease or congenital or acquired structural heart disease (hypertrophic cardiomyopathy, idiopathic dilated cardiomyopathy, valve disease with clinical significance).
  • Background heart surgery or cardiac ablation procedures.
  • Background in other pathological processes has been described affecting cardiac conduction tissue: Steinert's disease, Lyme disease, Chagas' disease with heart involvement or hypothyroidism.

The selection of patients and controls are done through a sampling of consecutive patients seen in our outpatient rheumatology center to achieve the sample size. This has been fixed in two subgroups: 100 patients with SLE and positive for anti-Ro (with positivity for anti-Ro only 52 or positivity for anti-Ro and anti-Ro 52 60) and 50 patients (controls ) with SLE and negative for anti-Ro (anti-Ro52 and anti-Ro 60).

As defined as primary variables, the study of cardiac conduction disorders will be done through the analysis of resting electrocardiogram (ECG) and a 24-hour Holter.

Other descriptive variables are listed below:

  • Collection of general medical history of patients, with emphasis on Rheumatology and cardiac involvement.
  • Check the current medication.
  • Height and weight.
  • Physical examination.
  • 12-lead resting ECG with analysis of rate base, as well as the duration of the PR interval, QRS and QT. Analysis of the presence of intraventricular conduction disorders and the presence of ectopic beats.
  • Record 24-hour Holter Presence and number of ventricular ectopic beats, classification of events according to the Lown's criteria. Presence of significant pauses (RR interval> 2000mseg). Measurement of corrected QT (QTc).
  • Presence of autonomic dysfunction parameters: time domain parameters such as the mean RR interval, standard deviation of all normal RR intervals (SDNN), the root of the mean difference between successive adjacent normal RR intervals (RMSSD ) and the percentage of adjacent intervals over 50mseg (PNN50)
  • Echocardiography to rule out structural heart disease: Analysis of ventricular diameters and systolic and diastolic function, presence of significant valve disease, pulmonary systolic pressure, pericardial effusion and other congenital or acquired structural heart disease.
  • Analysis with serologic immune profile, determining the degree of organic involvement by SLE
02

Conditions studied

  • Lupus Erythematosus, Systemic
  • Atrioventricular Block
  • Sudden Death

Keywords

  • Antibodies, Antinuclear
  • SS-A antigen
  • Lupus Erythematosus, Systemic
  • Atrioventricular Block
  • Sudden death
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In context

Lupus Erythematosus, Systemic

1,207 studies on the registry are indexed under Lupus Erythematosus, Systemic; 405 are open to participants now.

This study's enrollment of 151 is close to the median of 151 across 280 observational studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

Germans Trias i Pujol Hospital is the lead sponsor of 89 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with SLE visited in the rheumatology outpatient's area.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with SLE diagnosis, according to SLE diagnostic criteria.

Exclusion criteria

Exclusion Criteria:

  • Patients with previous cardiac diseases (ischemic heart disease, hypertrophic cardiomyopathy, dilated cardiomyopathy, valvular heart disease)
  • Clinical history of heart surgery or ablation procedures
  • Clinical history of other conditions that affect heart conduction:

    • Steinert Disease
    • Lyme Disease
    • Chagas Disease
    • Hypothyroidism
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
151 participants (actual)
Patient registry
No

Groups and cohorts

  • SLE and Anti-Ro antibodies Group

    Patients with SLE visited in the rheumatology outpatient's area. No intervention (only observational)

    Other: No intervention

  • SLE without Anti-Ro antibodies Group

    Patients with SLE visited in the rheumatology outpatient's area. No intervention (only observational)

    Other: No intervention

Interventions

  • OtherNo intervention

    Observational

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What researchers measure

Primary outcomes

  1. Presence of Conduction Disorders in Patients With SLE Regarding to Its Serologic Profile

    Conduction disorders will be evaluated by 12-lead ECG recordings an 24-hour Holter recordings. Measurements will include PR intervals (in msec), QRS duration (in msec) .

    Time frame: 24 hours

Secondary outcomes

  1. QT and Corrected QT Intervals

    Ventricular repolarization will be evaluated by 12-lead ECG recordings an 24-hour Holter recordings. Measurements will include QT and corrected QT intervals, and the presence of ventricular arrhythmia. Corrected QT (QTc) intervals will be obtained by measuring the QT interval (QTm) and the previous RR interval, following the Bazett formula (QTc=QTm divided by the square root of previous RR interval in seconds). A comparison will be made between the anti-Ro60 antibody positive patients and the anti-Ro60 antibody negative patients.

    Time frame: 24 hours

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Results

Posted Oct 28, 2019

Participant flow

Participant flow — Overall Study
MilestoneSLE and Anti-Ro Antibodies GroupSLE Without Anti-Ro Antibodies Group
Started51100
Completed4699
Not completed51

Outcome measures

PrimaryPresence of Conduction Disorders in Patients With SLE Regarding to Its Serologic Profile

Conduction disorders will be evaluated by 12-lead ECG recordings an 24-hour Holter recordings. Measurements will include PR intervals (in msec), QRS duration (in msec) .

Time frame:
24 hours
Reported as:
Mean · msec
Presence of Conduction Disorders in Patients With SLE Regarding to Its Serologic Profile
msecSLE and Anti-Ro Antibodies GroupSLE Without Anti-Ro Antibodies Group
QRS duration89.22 ± 8.591.41 ± 8.9
PR duration145.68 ± 21.1146.72 ± 18.4
SecondaryQT and Corrected QT Intervals

Ventricular repolarization will be evaluated by 12-lead ECG recordings an 24-hour Holter recordings. Measurements will include QT and corrected QT intervals, and the presence of ventricular arrhythmia. Corrected QT (QTc) intervals will be obtained by measuring the QT interval (QTm) and the previous RR interval, following the Bazett formula (QTc=QTm divided by the square root of previous RR interval in seconds). A comparison will be made between the anti-Ro60 antibody positive patients and the anti-Ro60 antibody negative patients.

Time frame:
24 hours
Reported as:
Mean · msec
QT and Corrected QT Intervals
msecSLE and Anti-Ro Antibodies GroupSLE Without Anti-Ro Antibodies Group
Corrected QT420.74 ± 24.3421.33 ± 22.1
QT dispersion8.25 ± 7.86.81 ± 5.9

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SLE and Anti-Ro Antibodies Group0/46 (0%)0/46 (0%)0/46 (0%)
SLE Without Anti-Ro Antibodies Group0/99 (0%)0/99 (0%)0/99 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)SLE and Anti-Ro Antibodies GroupSLE Without Anti-Ro Antibodies GroupTotal
Mean44.14 ± 11.7545.24 ± 12.8144.49 ± 12.06
Sex: Female, Male
Sex: Female, Male(Participants)SLE and Anti-Ro Antibodies GroupSLE Without Anti-Ro Antibodies GroupTotal
Female4291133
Male4812
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)SLE and Anti-Ro Antibodies GroupSLE Without Anti-Ro Antibodies GroupTotal
Ethnicity — Caucasian4291133
Ethnicity — Latin-American4610
Ethnicity — North-African022
Region of Enrollment
Region of Enrollment(participants)SLE and Anti-Ro Antibodies GroupSLE Without Anti-Ro Antibodies GroupTotal
Spain4699145
08

Study locations

1 site
  • Germans Trias i Pujol University Hospital
    Badalona, Barcelona 08916, Spain
09

References and documents

Publications

  • Lazzerini PE, Capecchi PL, Laghi-Pasini F. Anti-Ro/SSA antibodies and cardiac arrhythmias in the adult: facts and hypotheses. Scand J Immunol. 2010 Sep;72(3):213-22. doi: 10.1111/j.1365-3083.2010.02428.x. PubMed 20696018 ↗
  • Chameides L, Truex RC, Vetter V, Rashkind WJ, Galioto FM Jr, Noonan JA. Association of maternal systemic lupus erythematosus with congenital complete heart block. N Engl J Med. 1977 Dec 1;297(22):1204-7. doi: 10.1056/NEJM197712012972203. PubMed 917056 ↗
  • Seferovic PM, Ristic AD, Maksimovic R, Simeunovic DS, Ristic GG, Radovanovic G, Seferovic D, Maisch B, Matucci-Cerinic M. Cardiac arrhythmias and conduction disturbances in autoimmune rheumatic diseases. Rheumatology (Oxford). 2006 Oct;45 Suppl 4:iv39-42. doi: 10.1093/rheumatology/kel315. PubMed 16980722 ↗
  • Edwards CS, Mootoo R, Bhanji A. High grade heart block in association with SLE. Ann Rheum Dis. 2004 May;63(5):606. doi: 10.1136/ard.2002.005322. No abstract available. PubMed 15082501 ↗
  • Costedoat-Chalumeau N, Georgin-Lavialle S, Amoura Z, Piette JC. Anti-SSA/Ro and anti-SSB/La antibody-mediated congenital heart block. Lupus. 2005;14(9):660-4. doi: 10.1191/0961203305lu2195oa. PubMed 16218462 ↗
  • Santos-Pardo I, Martinez-Morillo M, Villuendas R, Bayes-Genis A. Anti-Ro antibodies and reversible atrioventricular block. N Engl J Med. 2013 Jun 13;368(24):2335-7. doi: 10.1056/NEJMc1300484. No abstract available. PubMed 23758256 ↗
  • Behan WM, Behan PO, Gairns J. Cardiac damage in polymyositis associated with antibodies to tissue ribonucleoproteins. Br Heart J. 1987 Feb;57(2):176-80. doi: 10.1136/hrt.57.2.176. PubMed 3493020 ↗
  • Logar D, Kveder T, Rozman B, Dobovisek J. Possible association between anti-Ro antibodies and myocarditis or cardiac conduction defects in adults with systemic lupus erythematosus. Ann Rheum Dis. 1990 Aug;49(8):627-9. doi: 10.1136/ard.49.8.627. PubMed 2396870 ↗
  • O'Neill TW, Mahmoud A, Tooke A, Thomas RD, Maddison PJ. Is there a relationship between subclinical myocardial abnormalities, conduction defects and Ro/La antibodies in adults with systemic lupus erythematosus? Clin Exp Rheumatol. 1993 Jul-Aug;11(4):409-12. PubMed 8403587 ↗
  • Lodde BM, Sankar V, Kok MR, Leakan RA, Tak PP, Pillemer SR. Adult heart block is associated with disease activity in primary Sjogren's syndrome. Scand J Rheumatol. 2005 Sep-Oct;34(5):383-6. doi: 10.1080/03009740510026661. PubMed 16234186 ↗
  • Costa M, Gameiro Silva MB, Silva JA, Skare TL. Anti-RO anti-LA anti-RNP antibodies and eletrocardiogram's PR interval in adult patients with systemic lupus erythematosus. Acta Reumatol Port. 2008 Apr-Jun;33(2):173-6. PubMed 18604183 ↗
  • Lazzerini PE, Capecchi PL, Guideri F, Acampa M, Galeazzi M, Laghi Pasini F. Connective tissue diseases and cardiac rhythm disorders: an overview. Autoimmun Rev. 2006 May;5(5):306-13. doi: 10.1016/j.autrev.2005.11.002. Epub 2005 Dec 9. PubMed 16782554 ↗
  • Lazzerini PE, Capecchi PL, Acampa M, Morozzi G, Bellisai F, Bacarelli MR, Dragoni S, Fineschi I, Simpatico A, Galeazzi M, Laghi-Pasini F. Anti-Ro/SSA-associated corrected QT interval prolongation in adults: the role of antibody level and specificity. Arthritis Care Res (Hoboken). 2011 Oct;63(10):1463-70. doi: 10.1002/acr.20540. PubMed 21739618 ↗
  • Villuendas R, Olive A, Junca G, Salvador I, Martinez-Morillo M, Santos-Pardo I, Pereferrer D, Zamora E, Bayes-Genis A. Autoimmunity and atrioventricular block of unknown etiology in adults: the role of anti-Ro/SSA antibodies. J Am Coll Cardiol. 2014 Apr 8;63(13):1335-1336. doi: 10.1016/j.jacc.2013.10.086. Epub 2014 Jan 30. No abstract available. PubMed 24486277 ↗
  • Gordon PA, Rosenthal E, Khamashta MA, Hughes GR. Absence of conduction defects in the electrocardiograms [correction of echocardiograms] of mothers with children with congenital complete heart block. J Rheumatol. 2001 Feb;28(2):366-9. Erratum In: J Rheumatol 2001 May;28(5):1200. PubMed 11246679 ↗
  • Villuendas R, Martinez-Morillo M, Junca G, Teniente-Serra A, Diez C, Heredia S, Riveros-Frutos A, Bayes-Genis A, Olive A. Usefulness of cardiac screening in patients with systemic lupus erythematosus and anti-Ro/SSA antibodies. Lupus. 2021 Sep;30(10):1596-1602. doi: 10.1177/09612033211027928. Epub 2021 Jul 1. PubMed 34192953 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 28, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02162992
Lead sponsor
Germans Trias i Pujol Hospital
Responsible party
Roger Villuendas Sabaté (Coordinator of the Electrophysiology and Cardiac Pacing Unit, Germans Trias i Pujol Hospital) — Principal investigator
First posted
Jun 13, 2014
Start date
Apr 2014
Primary completion
Nov 2017
Completion
Apr 2018
Results posted
Oct 28, 2019
Last update
Oct 28, 2019

Study contacts

Roger Villuendas
principal investigator · GTIPUH

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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