ClinicalTrials.gg
RecruitingNCT06367842ATTR-ORTHOUpdated Apr 16, 2024

Orthopaedic Specimen Pathology and Early Diagnosis of ATTR Cardiopathy (ATTR-ORTHO)

An observational study in ATTR Amyloidosis, Cardiopathy and Carpal Tunnel Syndrome, sponsored by Institut Mutualiste Montsouris. Recruiting at 1 site in France. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2024-04-16.

Sponsored by Institut Mutualiste Montsouris · Observational

From the registry’s dates

  • Primary completion was expected by Apr 2025, 1 year 7 months ago, but the record still lists the study as recruiting.
  • Started Feb 2024; still recruiting 2 years 8 months later.
Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
150
Ages
50 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 124 studies in Heart Diseases with a site in France — 27 open to participants now, 35 under way, 5 of them phase 3. Heart Diseases · France.

Planned enrollment
32nd of 46
150 · median 375
Started
2024
with 6 others
Observational
46 of 124
14 open now
Primary completion
2025-04
later than 4 of 34 live
Registered
110th of 124
by date

Among the 124 studies in Heart Diseases with a site in France, this one is the 32nd largest by planned enrollment of the 46 observational ones, is one of 7 that started in 2024, is one of 46 observational ones, reaches primary completion later than 4 of the 34 other live ones, and was the 110th registered.

By phase

124 studies; the count open now beside each. This study's row is marked.

No phase47 · 8 open
Observationalthis study46 · 14 open
Phase 321 · 4 open
Phase 24 · 1 open
Phase 43 · 0 open
Phase 11 · 0 open
Phase 1/21 · 0 open
Phase 2/31 · 0 open

By the year they started

First in 2002; this study’s year is marked. 7 started in 2024.

Size and results

Median enrollment 240 across the 77 interventional studies, 375 across the 46 observational. Of the 76 that completed or were terminated, 23 (30%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 124 studies in Heart Diseases with a site in France, or all of them as a file.
02

Study summary

The goal of this observational study is to learn about the frequency of ATTR amyloid, cardiac involvement and associated features, in 150 patients aged 50 or more years, and operated for an idiopathic carpal tunnel syndrome, lumbar spine stenosis or total hip or knee arthroplasty for primary osteoarthritis. The main questions to be answered are:

  1. What is the frequency of ATTR deposits in samples retrieved during surgery?
  2. What is the frequency of cardiac involvement in ATTR positive patients?
  3. What are the preoperative predictors of ATTR deposits? Participants will

    • have operative samples stained by Congo red in search of amyloid, which will be typed by immunochemistry in positive samples,
    • undergo a multimodal imaging search for cardiac involvement, if ATTR is identified,
    • undergo a preoperative complete clinical examination, including collection of medical history, ECG, biochemical tests, and imaging (ultrasound scans of rotator cuff and hip capsule in all participating patients, of the carpal tunnel in patients operated at this site, and MRI + standing profile radiography of the lumbar spine, in patients operated for lumbar stenosis)
    • ATTR positive patients will be proposed to be followed-up by a reference center, with the aim of an early diagnosis of cardiac involvement, allowing efficient mamagement.

Researchers will assess the frequency of ATTR deposits at each operated site, the frequency or ATTR cardiopathy in ATTR + patients, and will compare demographic, clinical, biochemical, and imaging features in patients with and without ATTR deposits, to guide the indications of pathological examination during these frequent orthopedic surgeries

03

Conditions studied

  • ATTR Amyloidosis
  • Cardiopathy
  • Carpal Tunnel Syndrome
  • Lumbar Spine Stenosis
  • Hip Prosthesis
  • Knee Prosthesis

Keywords

  • ATTR amyloidosis
  • cardiac amyloidosis
  • orthopaedic surgery
04

Who can participate

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

Study population

Patients meeting the inclusion criteria in a single orthopaedic surgery center located in Paris, France

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

  1. patients aged 50 or over
  2. having signed an form
  3. undergoing surgery for

    1. idiopathic carpal tunnel syndrome
    2. or lumbar spinal canal stenosis
    3. or prosthetic replacement of a hip or knee for primary osteoarthritis

Exclusion criteria

Exclusion Criteria:

  1. secondary carpal tunnel syndrome (inflammatory rheumatism, diabetes, hypothyroidism, etc.)
  2. Indication of prosthesis for a condition other than primary osteoarthritis.
  3. Known amyloidosis
  4. Refusal of consent
  5. Inability to understand the study
  6. Age \< 50 years
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
Case-control
Time perspective
Cross-sectional
Enrollment
150 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. frequency of ATTR amyloidosis

    presence of ATTR amyloidosis in surgical samples by immunohistochemistry performed when samples countain amyloi by Congo red.ATTR will be semiquantitalively assessed using a published scale.

    Time frame: 18 months

Secondary outcomes

  1. presence of ATTR cardiopathy

    Diagnosis by multimodal imaging(bone scintigraphy, cardiac US scan, MRI)

    Time frame: 20 months

  2. proportion of wild type and hereditary ATTR

    hereditary: patients exibit a mutation of the TTR gene, wild type: no mutation. TTR genotyping will determine if the gene is muted (hereditary ATTR) or not (wild type).

    Time frame: 20 months

  3. Description of preoperative predictors of ATTR

    features more frequent in patients diagnosed with ATTR versus not: - demographic and clinical characteristics, will be collected before surgery and compared in ATTR positive and ATTR negative patients.

    Time frame: 18 months

  4. Description of preoperative predictors of ATTR

    features more frequent in patients diagnosed with ATTR versus not: - imaging characteristics (USscans of rotator cuff, hip capsula and carpal tunel) will be collected before surgery and compared in ATTR positive and ATTR negative patients.

    Time frame: 18 months

  5. preoperative predictors of ATTR

    biochemical features more frequent in patients diagnosed with ATTR versus not: * troponine (g/L) * BNP (ng/L) * proteuniria (ng/L) will be collected before surgery and compared in ATTR positive and ATTR negative patients.

    Time frame: 18 months

07

Study locations

1 of 1 sites recruiting
  • Mutualist Montsouris Institute
    Paris, 75014, France
    Recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2024 (actual). Primary completion is estimated for Apr 2025, 14 months after the start.

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

Registered
Mar 6, 2024
First posted
Apr 16, 2024
StartActual
Feb 27, 2024
Primary completionEst.
Apr 2025
CompletionEst.
Sep 2025
Last update
Apr 16, 2024
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 Apr 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06367842
Lead sponsor
Institut Mutualiste Montsouris
Responsible party
Sponsor
First posted
Apr 16, 2024
Start date
Feb 27, 2024
Primary completion
Apr 2025 (estimated)
Completion
Sep 2025 (estimated)
Last update
Apr 16, 2024

Oversight

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

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