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CompletedNCT03320408PARISUpdated Aug 22, 2023

Predicting Aneurysm Growth and Rupture With Longitudinal Biomarkers

An observational study in Abdominal Aortic Aneurysm and Abdominal Aortic Aneurysm, Ruptured, sponsored by Ron Balm. Completed at 2 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-08-22.

Sponsored by Ron Balm · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
790
Ages
18 Years and older
Sex
All
01

Study summary

First aim: PARIS study

The main aim of the current study is to determine the association between abdominal aortic aneurysm (AAA) progression and the evolution of proteases and cytokines levels.To achieve this aim, we will prospectively collect blood, aortic tissue, patient data, and imaging data. Aortic tissue will only be obtained when patients undergo conventional open repair. The other biomaterials will be collected during regular patient follow-up visits, with a maximum frequency of once per year.

Second aim: Pearl AAA biobank

For future research purposes, a new biobanking infrastructure will be created to collect and store additional blood and urine samples in a biobank. This biobank will be embedded within the infrastructure of the 'Parelsnoer Institute' (PSI) and will be called Pearl AAA. The Pearl AAA will be established in the extension of the PARIS study

Read the detailed description

The PARIS study aims to determine the correlation between AAA progression (growth or rupture) and the evolution of serum levels of proteases and cytokines over time. A repeated measures analysis will be done to use all longitudinal data available.

The Pearl AAA biobank will be established to enable the PARIS study, but also aims to facilitate future research. Such future research should fall under the scientific aims of the Pearl AAA, which are:

  • To gain insight in the pathogenesis of AAA
  • To gain more knowledge in the rupture risk of AAA
  • To evaluate and potentially improve treatment of AAA

The 'Parelsnoer Institute' will facilitate the biobank Pearl AAA with certain aspects such as, but not limited to the following:

  • Standardized operating procedures for the collection and storage of the biosamples across all participating hospitals
  • Information architect to establish a data dictionary in which all variables are defined
  • Standardized procedures for coding of patient data before storage
  • Standardized digital infrastructure to enhance storage of patient data and imaging data
02

Conditions studied

  • Abdominal Aortic Aneurysm
  • Abdominal Aortic Aneurysm, Ruptured

Keywords

  • biobank
  • pathogenesis
  • Aortic Aneurysm
03

In context

Aortic Aneurysm, Abdominal

467 studies on the registry are indexed under Aortic Aneurysm, Abdominal; 99 are open to participants now.

This study's enrollment of 790 is above the median of 165 across 217 observational studies indexed under Aortic Aneurysm, Abdominal.

Browse Aortic Aneurysm, Abdominal studies →

Lead sponsor

Ron Balm is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

All adult patients with an abdominal aortic aneurysm who present themselves in the participating hospitals.

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

  • Adult participant (18 years or older)
  • Participant has an AAA or has previously been treated for an AAA
  • Adequate comprehension of the Dutch language to provide written

Exclusion criteria

Exclusion Criteria:

  • A patient who is decisionally impaired. The only exception to this are the patients who are decisionally impaired due to the effects of an acute AAA. This particular group is eligible for which a separate recruitment and consent procedure exists.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
790 participants (actual)
Target follow-up
10 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • Asymptomatic AAA

    These patients will be included while their AAA is asymptomatic and while they are under surveillance by their vascular surgeon.

  • Acute AAA

    These are the patients that are included while they presented in the participating hospitals because either a symptomatic or ruptured AAA. For this group, a different recruitment procedure exists which has been approved by the appropriate medical ethical committee.

  • Repaired AAA

    These patients are included while they already had had AAA repair (both elective and emergency repair).

06

What researchers measure

Primary outcomes

  1. AAA growth

    Growth of abdominal aortic aneurysm, measured on imaging made for clinical purposes

    Time frame: Up to 10 years of follow-up

  2. AAA rupture

    Rupture of an abdominal aortic aneurysm

    Time frame: Up to 10 years of follow-up

  3. Death

    All-cause mortality

    Time frame: Up to 10 years of follow-up

  4. Evolution of serum levels of proteases

    Repeated measurements analysis of serum levels of proteases in cohort of asymptomatic AAAs

    Time frame: a maximum of 1 measurement annually up to 10 years of follow-up

  5. Evolution of serum levels of cytokines

    Repeated measurements analysis of serum levels of cytokines in cohort of asymptomatic AAAs

    Time frame: a maximum of 1 measurement annually up to 10 years of follow-up

  6. Protease levels in aortic tissue

    Protease levels in aortic tissue

    Time frame: If open AAA repair is performed and aortic tissue is collected, protease levels will then be measured. This is a one-time measurement.

  7. Cytokine levels in aortic tissue

    Cytokine levels in aortic tissue

    Time frame: If open AAA repair is performed and aortic tissue is collected, cytokine levels will then be measured. This is a one-time measurement.

Secondary outcomes

  1. Type of complications after AAA repair

    Type of complications using methodology from the Dutch committee of the "Nederlandse Vereniging voor Heelkunde," named the "Landelijke Heelkunde Complicatie Registratie" as found on www.lhcr.nl

    Time frame: Will be measured up to 10 years after AAA repair is performed

  2. Incidence of complications after AAA repair

    Number of complications after abdominal aortic aneurysm repair

    Time frame: Will be measured up to 10 years after AAA repair is performed

07

Study locations

2 sites
  • Leiden University Medical Center (LUMC)
    Leiden, Zuid-Holland 2333ZA, Netherlands
  • Department of Vascular Surgery, Amsterdam UMC, location AMC
    Amsterdam, 1105 AZ, Netherlands
08

References and documents

Publications

  • Jalalzadeh H, Indrakusuma R, Blankensteijn JD, Wisselink W, Yeung KK, Lindeman JHN, Hamming JF, Koelemay MJW, Legemate DA, Balm R. Design and protocol of a comprehensive multicentre biobank for abdominal aortic aneurysms. BMJ Open. 2019 Aug 1;9(8):e028858. doi: 10.1136/bmjopen-2018-028858. PubMed 31375618 ↗

Individual participant data

Plan to share: Yes — Researchers can initiate the procedure to request IPD for research that falls within the scientific scope of the biobank Pearl AAA.

Time frame: Depending on the specific study protocols that are submitted to the biobank Pearl AAA

Access criteria: Procedural criteria can be attained by contacting the researchers.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Aug 2023, 70 months.

Of 67 non-industry observational studies under Aortic Aneurysm, Abdominal, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 83. This study's 70 months is above that.

Counting every sponsor, half of 91 studies reached it within 48 months; a quarter within 24 and three quarters within 83.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 12, 2017
First posted
Oct 25, 2017
StartActual
Oct 4, 2017
Primary completionActual
Aug 4, 2023
CompletionActual
Aug 4, 2023
Last update
Aug 22, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03320408
Lead sponsor
Ron Balm
Responsible party
Ron Balm (Principal Investigator, Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)) — Sponsor-investigator
First posted
Oct 25, 2017
Start date
Oct 4, 2017
Primary completion
Aug 4, 2023
Completion
Aug 4, 2023
Last update
Aug 22, 2023

Study contacts

Ron Balm, MD PhD
principal investigator · Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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