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RecruitingNCT06922851Updated Jun 4, 2025

Protein A Immunoadsorption in Dilated Cardiomyopathy (RPIA-DCM)

An interventional study of Immunoadsorption in Dilated Cardiomyopathy (DCM), sponsored by Wuhan Union Hospital, China. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-06-04.

Sponsored by Wuhan Union Hospital, China · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

This study is a multicenter, dual-arm and randomized controlled clinical trial. Sixty patients with dilated cardiomyopathy and positive β1-adrenergic receptor autoantibodies were selected and randomly divided into an immunoadsorption group (receiving immunoadsorption therapy) and a control group in a 1:1 ratio. Changes in cardiac function, morphology and clinical outcomes were followed up and compared.

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Conditions studied

  • Dilated Cardiomyopathy (DCM)
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In context

Cardiomyopathies

1,176 studies on the registry are indexed under Cardiomyopathies; 287 are open to participants now.

This study's planned enrollment of 60 is above the median of 51 across 609 interventional studies indexed under Cardiomyopathies.

Browse Cardiomyopathies studies →

Lead sponsor

Wuhan Union Hospital, China is the lead sponsor of 230 studies on the registry; 104 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 to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Dilated cardiomyopathy
  • Presence of anti-β1-adrenergic receptor
  • Age 18-75 years
  • LVEF ≤ 40% determined by echocardiography (according to assessment of the local investigators)
  • NYHA class II-IV
  • Symptoms of heart failure ≥ 6 months
  • Treatment with guideline-directed medical therapy (GDMT) for ≥6 months and stable dose of ACEI/ARB/ARNI/β-blocker/SGLT2i/MRA/sGCa for ≥1 month (excluding diuretics)
  • Hemodynamically stable
  • Informed consent

Exclusion criteria

Exclusion Criteria:

  • ICD implantation \< 1 month or CRT/D implantation \< 6 months
  • Heart failure caused by other heart diseases
  • End-stage heart failure, inability to discontinue intravenously positive inotropic or vasoactive drugs
  • Expected survival \< 1 year
  • Hemoglobin \< 90g/L
  • Any disease requiring immunosuppressive drugs
  • Commodities with other acute or severe illnesses, such as infections, severe hepatic or renal dysfunction, hematological diseases, malignant tumors, cachexia, autoimmune diseases, etc.
  • Previous treatment with immunoadsorption therapy or intravenous immunoglobulin therapy
  • Contraindications to extracorporeal circulation therapy, such as mental illness or consciousness disorders, shock, severe bleeding or bleeding tendency, coagulation dysfunction, multiple organ failure, etc.
  • Pregnancy/lactation
  • Any other conditions that the researcher deems may increase the risk to the subject or interfere with the clinical trial and outcome assessment (such as excessive anxiety, alcohol or drug abuse, or cognitive impairment, etc.)
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Immuoadsorption group

    receiving immunoadsorption therapy

    Procedure: Immunoadsorption

  • No intervention
    Control group

    not receiving immunoadsorption therapy

Interventions

  • ProcedureImmunoadsorption

    Immunoadsorption (IA) therapy using a protein A column for four consecutive days, plus immunoglobulin supplementation after IA

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What researchers measure

Primary outcomes

  1. Change in LVEF from baseline to 6 months determined by echocardiography

    Time frame: From enrollment to follow-up at 6 months

Secondary outcomes

  1. LVEF as determined by echocardiography at baseline and after 3, 12 and 24 months

    Time frame: From enrollment to follow-up at 24 months

  2. LVEDD and LVESD as determined by echocardiography at baseline and after 3, 6, 12 and 24 months

    Time frame: From enrollment to follow-up at 24 months

  3. NYHA classification at baseline and after 3, 6, 12 and 24 months

    Time frame: From enrollment to follow-up at 24 months

  4. Kansas City Cardiomyopathy Questionnaire (KCCQ) score at baseline and after 3, 6, 12 and 24 months

    KCCQ score is scaled from 0 to 100 and higher scores mean better health status.

    Time frame: From enrollment to follow-up at 24 months

  5. NT-proBNP at baseline and after 3, 6, 12 and 24 months

    Time frame: From enrollment to follow-up at 24 months

Other outcomes

  1. Safety outcome

    The occurrence of adverse events (AE) and serious adverse events (SAE)

    Time frame: From enrollment to follow-up at 24 months

  2. Exploratory outcome and analyses

    Composite of all-cause mortality, heart transplantation, implantation of LVAD or hospitalization for heart failure at 24 months; Symptom duration; Genetic variants; Serum levels of IgG, IgA, IgM, IgD, IgE and IgG subclasses at baseline, treatment day 1 to 4 (twice every day: before treatment and within 1 h after treatment), day 5 and month 3, 6, 12 and 24; Serum levels of anti-β1-adrenergic receptor at baseline, day 5, months 3, 6, 12 and 24; Serum levels of autoantibodies at baseline and after 3, 6, 12 and 24 months; Cardiac structure, function and fibrosis assessed using cardiac magnetic resonance imaging at baseline and 6-month.

    Time frame: From enrollment to follow-up at 24 months

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Study locations

1 of 1 sites recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei 430022, China
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2025, 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
NCT06922851
Lead sponsor
Wuhan Union Hospital, China
Responsible party
Xiang Cheng (Professor, Wuhan Union Hospital, China) — Principal investigator
First posted
Apr 11, 2025
Start date
Jun 4, 2025 (estimated)
Primary completion
Dec 31, 2026 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Jun 4, 2025

Study contacts

Xiang Cheng, Professor
Contact
nathancx@hust.edu.cn
+86-18107265338
Xiang Cheng, M.D., Ph.D.
principal investigator · Wuhan Union Hospital, China

Oversight

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

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