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RecruitingNCT06723704PRO-ACHDUpdated Dec 9, 2024

Prognosis in Adult Patients with Congenital Heart Disease

An observational study in Adult Congenital Heart Disease, sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS. Recruiting at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-09.

Sponsored by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Observational

From the registry’s dates

  • Started Mar 2022; still recruiting 4 years 6 months later.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
450
Ages
18 Years and older
Sex
All
01

Study summary

This is a mono-center observational ambispective study in which adult patients with congenital heart disease evaluated at our institution will be enrolled.

The primary endopoint is to assess the clinical and echocardiographic predictors of adverse events during follow-up (death, arrhythmias, cardiac hospitalization).

The secondary endpoints are: 1) evaluation of the incidence of the singular components of the primary endpoint; 2) evaluation of the prognostic impact of acquired lesions, including valve disease not present at birth; 3) need for surgical/percutaneous interventions during follow up.

Participants will be evaluated in the context of scheduled follow-up visits in our Outpatient ACHD Clinic. No interventions/drug administration will be performed other than those required by standard clinical practice.

02

Conditions studied

  • Adult Congenital Heart Disease

Keywords

  • adult congenital heart disease
  • ACHD
  • prognosis
  • long-term
  • follow-up
03

In context

Heart Diseases

3,639 studies on the registry are indexed under Heart Diseases; 461 are open to participants now.

This study's planned enrollment of 450 is above the median of 294 across 1,241 observational studies indexed under Heart Diseases.

Browse Heart Diseases studies →

Lead sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS is the lead sponsor of 920 studies on the registry; 529 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

Pazients with congenital heart disease either untreated, corrected or palliated evaluated for the first time in our ACHD Oupatient Clinic during the study period

Inclusion criteria

  • Patients evaluated in our ACHD Outpatient Clinic between January 2014 and December 2026
  • Age ≥ 18 years

Exclusion criteria

Exclusion Criteria:

  • Patients without congenital heart disease confirmed during the first evaluation
  • Impossibility to retrieve information about the first clinical evaluation in our clinic from our electonic datasets
  • Follow up shorter than one-year
  • Refused consent to participate to the study.
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
450 participants (estimated)
Patient registry
No

Groups and cohorts

  • ACHD cohort

    Adult patients with congenital heart disease either untreated, corrected or palliated, evaluated in our ACHD Outpatient Clinic between 2014 and 2026 with at least one-year follow-up.

06

What researchers measure

Primary outcomes

  1. cardiovascular outcomes

    composite endpoint of death and cardiac hospitalization

    Time frame: 5 years

  2. major cardiac arrhytmias

    occurence of ventricular and/or atrial arrhythmias

    Time frame: 5 years

Secondary outcomes

  1. changes in echocardiographic parameters over time

    * variations in cardiac chamber size (volumes in ml, diameters in mm); * variations in left ventricular function (assessed as left ventricular ejection fraction in % using the Simpson biplane method); * variations in right ventricular systolic function (assessed as tricuspid anular plane systolic excursion in mm).

    Time frame: 12 months

  2. heart valve disease (new-onset or progression)

    progression of pre-existing heart valve disease or new-onset valve dysfunction assessed through echocardiography

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Lin YS, Liu PH, Wu LS, Chen YM, Chang CJ, Chu PH. Major adverse cardiovascular events in adult congenital heart disease: a population-based follow-up study from Taiwan. BMC Cardiovasc Disord. 2014 Mar 21;14:38. doi: 10.1186/1471-2261-14-38. PubMed 24655794 ↗
  • Diller GP, Kempny A, Alonso-Gonzalez R, Swan L, Uebing A, Li W, Babu-Narayan S, Wort SJ, Dimopoulos K, Gatzoulis MA. Survival Prospects and Circumstances of Death in Contemporary Adult Congenital Heart Disease Patients Under Follow-Up at a Large Tertiary Centre. Circulation. 2015 Dec 1;132(22):2118-25. doi: 10.1161/CIRCULATIONAHA.115.017202. Epub 2015 Sep 14. PubMed 26369353 ↗
  • Lytzen R, Vejlstrup N, Bjerre J, Petersen OB, Leenskjold S, Dodd JK, Jorgensen FS, Sondergaard L. Live-Born Major Congenital Heart Disease in Denmark: Incidence, Detection Rate, and Termination of Pregnancy Rate From 1996 to 2013. JAMA Cardiol. 2018 Sep 1;3(9):829-837. doi: 10.1001/jamacardio.2018.2009. PubMed 30027209 ↗
  • van der Linde D, Konings EE, Slager MA, Witsenburg M, Helbing WA, Takkenberg JJ, Roos-Hesselink JW. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol. 2011 Nov 15;58(21):2241-7. doi: 10.1016/j.jacc.2011.08.025. PubMed 22078432 ↗
  • Warnes CA, Liberthson R, Danielson GK, Dore A, Harris L, Hoffman JI, Somerville J, Williams RG, Webb GD. Task force 1: the changing profile of congenital heart disease in adult life. J Am Coll Cardiol. 2001 Apr;37(5):1170-5. doi: 10.1016/s0735-1097(01)01272-4. No abstract available. PubMed 11300418 ↗
  • Moons P, Bovijn L, Budts W, Belmans A, Gewillig M. Temporal trends in survival to adulthood among patients born with congenital heart disease from 1970 to 1992 in Belgium. Circulation. 2010 Nov 30;122(22):2264-72. doi: 10.1161/CIRCULATIONAHA.110.946343. Epub 2010 Nov 22. PubMed 21098444 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06723704
Lead sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Responsible party
Graziani Francesca (MD, PhD, Fondazione Policlinico Universitario Agostino Gemelli IRCCS) — Principal investigator
First posted
Dec 9, 2024
Start date
Mar 21, 2022
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Dec 9, 2024

Study contacts

Francesca Graziani, MD, PhD
Contact
francesca.graziani@policlinicogemelli.it
00390630154432
Giulia Iannaccone, MD
Contact
giulia.iannaccone@guest.policlinicogemelli.it
00390630154432

Oversight

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

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