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Status unknownNCT03703947BIOMArCS-AAAUpdated Jul 16, 2024

Biomarker Profiling in Abdominal Aortic Aneurysm Patients

An observational study in Abdominal Aortic Aneurysm, sponsored by Erasmus Medical Center. Status unknown at 2 sites in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-16.

Sponsored by Erasmus Medical Center · Observational

The sponsor has not verified this record recently (last verified Jul 2024), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
440
Ages
18 Years and older
Sex
All
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Study summary

The BIOMArCS-AAA study aims to investigate the associations of (temporal patterns of) blood biomarkers with aneurysm growth in patients with abdominal aortic aneurysm (AAA), with particular attention to biomarkers that have demonstrated prognostic value for adverse disease outcomes in coronary artery disease and biomarkers for the main genetic pathways associated with AAA.

Read the detailed description

BIOMArCS-AAA is an observational, multicenter study. Patients with an abdominal aortic aneurysm (AAA) will be recruited through the vascular surgery outpatient clinic of Erasmus MC and Maasstad Ziekenhuis, the Netherlands. The prospective, longitudinal part of the study will include an arm with 120 AAA watchful waiting patients and an arm with 120 AAA patients undergoing endovascular aneurysm repair (EVAR), both with a 24-month follow-up period. Clinical data collection, and blood sampling will be conducted at baseline, at 1 month after EVAR and at 6, 12, 18 and 24 months for all patients. CT will be conducted at baseline and 12 and 24 months, plus at 1 month in the EVAR patients. Quality of life and depression questionnaires will be performed at baseline, at 12 and 24 months of follow-up in all patients, and at 1 month only in EVAR patients. Additionally, a cross-sectional study will be performed in 200 patients treated for AAA with EVAR in the past years. In these patients, clinical data collection, blood sampling, ultrasound and CT will be performed at their next regular outpatient clinic visit.

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Conditions studied

  • Abdominal Aortic Aneurysm

Keywords

  • Abdominal Aortic Aneurysm
  • Biomarkers
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In context

Aortic Aneurysm, Abdominal

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

This study's planned enrollment of 440 is above the median of 167 across 225 observational studies indexed under Aortic Aneurysm, Abdominal.

Browse Aortic Aneurysm, Abdominal studies →

Lead sponsor

Erasmus Medical Center is the lead sponsor of 478 studies on the registry; 183 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
Sampling method
Probability sample

Study population

Patients with an abdominal aortic aneurysm, visiting the outpatient clinic.

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

  • Age of 18 years or older
  • Capable of understanding and signing informed consent AND one of the following

    1. Diagnosis of AAA, with a diameter ≥40mm, based on any imaging technique and treated by watchful waiting strategy (Prospective longitudinal study, Arm 1 watchful waiting group)
    2. Planned to undergo EVAR for AAA (Prospective longitudinal study, Arm 2 EVAR group)
    3. Underwent EVAR for AAA in past years (Cross-sectional study)

Exclusion criteria

Exclusion Criteria:

  • Patients with isolated iliac artery aneurysm, traumatic aneurysm, anastomotic aneurysm and infectious aneurysm
  • Patients with a clinical diagnosed thoracic aneurysm (i.e. located in the chest, above the diaphragm)
  • Coexistent condition with life expectancy ≤ 1 year
  • Dialysis dependent, (end stage) renal disease patients
  • Women of childbearing age
  • Linguistic barrier
  • Unlikely to appear at all scheduled follow-up visits
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
440 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Watchful-waiting group

    The prospective, longitudinal part of the study will include an arm with 120 AAA watchful waiting patients, with a 24-month follow-up period. Clinical data collection, and blood sampling will be conducted at baseline, and at 6, 12, 18 and 24 months for all patients. CT will be conducted at baseline and 12 and 24 months. Quality of life and depression questionnaires will be performed at baseline, at 12 and 24 months of follow-up in all patients.

  • EVAR group

    The prospective, longitudinal part of the study will include an arm with 120 AAA patients undergoing endovascular aneurysm repair (EVAR), with a 24-month follow-up period. Clinical data collection, and blood sampling will be conducted at baseline, at 1 month after EVAR and at 6, 12, 18 and 24 months after EVAR. CT will be conducted at baseline, at 1 month after EVAR and at 12 and 24 months after EVAR patients. Quality of life and depression questionnaires will be performed at baseline, at 1 month, at 12 and 24 months of follow-up after EVAR.

  • Cross-sectional group (after EVAR)

    A cross-sectional study will be performed in 200 patients treated for AAA with EVAR in the past years. In these patients, clinical data collection, blood sampling, ultrasound and CT will be performed at their next regular outpatient clinic visit.

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What researchers measure

Primary outcomes

  1. Volume of the aneurysm sac

    The primary study endpoint is volume of the aneurysm sac. This will be measured cross-sectionally, as well as repeatedly in the longitudinal part of the study by CT scan imaging during 24 months of follow-up.

    Time frame: Measured cross-sectionally, as well as repeatedly in the longitudinal part of the study by CT scan imaging during 24 months of follow-up.

Secondary outcomes

  1. Maximal diameter of the aneurysm

    Maximal diameter of the aneurysm by CT scan imaging

    Time frame: Measured cross-sectionally, as well as repeatedly in the longitudinal part of the study during 24 months of follow-up.

  2. Number of deceased patients due to all-cause mortality

    All-cause mortality

    Time frame: During 24 months of follow-up in the longitudinal part of the study.

  3. Number of AAA-related adverse events in watchful waiting group

    AAA related death, AAA rupture, or any AAA-related intervention.

    Time frame: During 24 months of follow-up in the watchful-waiting patients of the longitudinal part of the study.

  4. Number of AAA-related adverse events in EVAR patients

    Endoleaks, migration \>10 mm, device integrity failure, AAA-related death, late postimplantation AAA rupture, or any AAA-related secondary intervention.

    Time frame: During 24 months of follow-up in the EVAR patients of the longitudinal part of the study.

  5. Number of patients with cardiovascular events

    Cardiovascular events: i.e. cardiovascular death, myocardial infarction, percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG).

    Time frame: Cross-sectionally and during 24 months of follow-up in the longitudinal part of the study.

  6. Quality of life measured according to the EuroQol questionnaire

    The validated questionnaire EuroQol will be used to assess health related quality of life

    Time frame: Measured repeatedly during 24 months of follow-up in the longitudinal part of the study.

  7. Depression measured according to the Hospital Anxiety and Depression Scale questionnaire

    The Hospital Anxiety and Depression Scale (HADS) will be assessed to adjust for depression and anxiety in combination with the 2-item Patient Health Questionnaire (PHQ-2).

    Time frame: Measured repeatedly during 24 months of follow-up in the longitudinal part of the study.

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Study locations

2 of 2 sites recruiting
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References and documents

Publications

  • Vanmaele A, Karamanidou M, Branidis P, Bouwens E, Hoeks SE, de Bruin JL, Ten Raa S, Akkerhuis KM, van Lier F, Budde RPJ, Fioole B, Verhagen HJM, Boersma E, Kardys I. Abdominal aortic aneurysm growth profiles over time: Prognostic implications and biological insights. J Vasc Surg. 2026 Jan;83(1):57-66.e1. doi: 10.1016/j.jvs.2025.09.007. Epub 2025 Sep 12. PubMed 40945875 ↗
  • Vanmaele A, Bouwens E, Hoeks SE, de Bruin JL, Ten Raa S, Akkerhuis KM, van Lier F, Budde RPJ, Fioole B, Verhagen HJM, Boersma E, Kardys I. The value of volume over maximum diameter for following abdominal aortic aneurysm growth and reducing surveillance visits in patients with a subthreshold aneurysm. J Vasc Surg. 2025 Jul;82(1):102-110.e3. doi: 10.1016/j.jvs.2025.03.395. Epub 2025 Apr 3. PubMed 40187384 ↗
  • Vanmaele A, Bouwens E, Hoeks SE, Kindt A, Lamont L, Fioole B, Budde RP, Ten Raa S, Hussain B, Oliveira-Pinto J, Ijpma AS, van Lier F, Akkerhuis KM, Majoor-Krakauer DF, de Bruin JL, Hankemeier T, de Rijke Y, Verhagen HJ, Boersma E, Kardys I. Targeted plasma multi-omics propose glutathione, glycine and serine as biomarkers for abdominal aortic aneurysm growth on serial CT scanning. Atherosclerosis. 2024 Nov;398:118620. doi: 10.1016/j.atherosclerosis.2024.118620. Epub 2024 Oct 2. PubMed 39378678 ↗
  • Bouwens E, Vanmaele A, Hoeks SE, Verhagen HJ, Fioole B, Moelker A, Ten Raa S, Hussain B, Oliveira-Pinto J, Bastos Goncalves F, Ijpma AS, Hoefer IE, van Lier F, Akkerhuis KM, Majoor-Krakauer DF, Boersma E, Kardys I. Circulating biomarkers of cardiovascular disease are related to aneurysm volume in abdominal aortic aneurysm. Vasc Med. 2023 Oct;28(5):433-442. doi: 10.1177/1358863X231181159. Epub 2023 Jul 3. PubMed 37395286 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2024, 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
NCT03703947
Collaborators
Maasstad Hospital
Responsible party
Isabella Kardys (Principal investigator, associate professor, Erasmus Medical Center) — Principal investigator
First posted
Oct 12, 2018
Start date
Mar 23, 2017
Primary completion
Aug 2024 (estimated)
Completion
Aug 2024 (estimated)
Last update
Jul 16, 2024

Study contacts

Isabella Kardys, MD, PhD
Contact
i.kardys@erasmusmc.nl
+31650032051
Eric Boersma, MSc, PhD
Contact
h.boersma@erasmusmc.nl
+31107031814
Isabella Kardys, MD, PhD
study chair · Erasmus Medical Center
Eric Boersma, MSc, PhD
study director · Erasmus Medical Center
Hence JM Verhagen, MD, PhD
principal investigator · Erasmus Medical Center
Bram Fioole, MD, PhD
principal investigator · Maasstad Hospital

Oversight

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

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