AortopathiesTAANCT03440697
Pathogenetic Basis of Aortopathy and Aortic Valve Disease
An observational study of Aortopathies and Thoracic Aortic Aneurysm, run by Yale University at 2 sites in United States.
Trial summary
The main purpose of this study is to define the complex genetic and pathogenic basis of thoracic aortic aneurysm (TAA) and other forms of aortopathy and/or aortic valve disease by identifying novel disease-causing genes and by identifying important genetic modifiers for aortic and aortic valve disease severity. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Aortopathies, Thoracic Aortic Aneurysm, Aortic Valve Disease
- How many people
- 3,000 participants
- Where
- 2 sitesUnited States
- Study dates
- 10 Dec 2015to 31 Dec 2030
- Phase
- Observational
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Families affected by aortopathy, aortic valve disease, or syndromic or genetic diagnosis that poses risk for the development of aortic disease who have not yet developed disease.
Who may be able to join
- Open to external enrollment:
- Subjects with a genetic diagnosis of Marfan Syndrome (MDS), Loeys-Dietz Syndrome (LDS), or Vascular Ehlers-Danlos Syndrome (EDS); (Positive genetic testing or a previous cardiac study required to be eligible)
- Family members of eligible subjects (Only family members of subjects with syndromic diagnoses are eligible for external enrollment at this time)
- Closed to external enrollment:
- Subjects with aortic disease including TAA* or dissection, aortic tortuosity, or aortic hypoplasia/stenosis (based on any cardiac imaging modality including echocardiography, CT, MRI, or angiography)
- Subjects with aortic valve disease (bicuspid, unicuspid, or tricuspid disease)
- Control subjects having tissue removed during a surgical procedure (e.g. coronary artery bypass graft surgery (CABG), cardiac transplant, etc.)
Who cannot join
- Inability or unwillingness to provide consent (assent when indicated)
Trial locations and contacts
2 sites in 1 country.
United States2 sites
Childrens Healthcare of Atlanta
Atlanta, Georgia, 30329
IU School of Medicine
Indianapolis, Indiana, 46202
About this study
The main purpose of this study is to define the complex genetic and pathogenic basis of thoracic aortic aneurysm (TAA) and other forms of aortopathy and/or aortic valve disease by identifying novel disease-causing genes and by identifying important genetic modifiers for aortic and aortic valve disease severity.
Read the detailed description
Thoracic aortic aneurysm (TAA) is a type of aortopathy describing dilation of the proximal aortic dimensions including the aortic root, which is a risk factor for aortic dissection and sudden cardiac death. TAA and other forms of aortopathy (e.g. aortic tortuosity or aortic hypoplasia/stenosis) develop in the presence or absence of additional cardiovascular malformations including bicuspid aortic valve. TAA is associated with connective tissue disorders (e.g. Marfan syndrome), and familial clustering has been identified in a significant proportion of nonsyndromic cases, establishing high heritability. Pedigree analysis of TAA kindreds clearly identifies complex inheritance; however, progress towards understanding the genetic basis of TAA and other forms of aortopathy and, ultimately, the susceptibility to aortic dissection remains incomplete. There is a clinical need to develop novel methods for predicting disease risk based on genotype and phenotype, to further elucidate the genetic and pathogenic mechanisms of aortopathy, and to improve medical and surgical therapies. The overarching hypothesis of this study is that individual genetic variation modulates susceptibility to disease severity and progression. The goals of this study are 1) to ascertain a cohort of subjects who have aortopathy and/or aortic valve disease including TAA or who have genetic risk for the development of aortopathy and/or aortic valve disease, 2) to collect paired blood and tissue samples from well-characterized subjects, family members of subjects, and controls to perform genome-wide DNA sequence, histopathologic, transcriptional, and proteomic analyses, and 3) to establish a tissue biorepository with detailed phenotype information to facilitate a broad spectrum of current and future studies.
- Conditions
- Aortopathies, Thoracic Aortic Aneurysm, Aortic Valve Disease, Thoracic Aortic Disease, Thoracic Aortic Dissection, Thoracic Aortic Rupture
- Keywords
- Cardiac Disease, Cardiovascular Genetics
- Medical subject headings
- Aortic Aneurysm, Thoracic, Aortic Valve Disease, Dissection, Thoracic Aorta, Aneurysm, Ascending Aorta, Marfan Syndrome, Loeys-Dietz Syndrome, Ehlers-Danlos Syndrome, Type IV, Shprintzen Golberg craniosynostosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Aortopathy- Closed to external enrollment | Subjects with aortic disease including TAA or dissection, aortic tortuosity, or aortic hypoplasia/stenosis (based on any cardiac imaging modality including echocardiography, CT, MRI, or angiography) | |
| Syndromic- Open to external enrollment | Subjects with a genetic diagnosis of Marfan Syndrome (MFS), Loeys-Dietz Syndrome (LDS), Vascular Ehlers-Danlos Syndrome (EDS) •positive genetic testing and/or a previous cardiac study required to be eligible | |
| Aortopathy with Positive Genetic Results- Open to Enrollment | Subjects with aortic disease including TAA or dissection, aortic tortuosity, or aortic hypoplasia/stenosis (based on any cardiac imaging modality including echocardiography, CT, MRI, or angiography) who also have positive genetic testing results related to aortopathy. | |
| Aortic Valve Disease- Closed to enrollment | Subjects with aortic valve disease (bicuspid, unicuspid, or tricuspid disease) | |
| Family Members- Open to external enrollment | Family members of eligible subjects •Only family members of subjects with syndromic diagnoses are eligible for external enrollment at this time | |
| Controls- Closed to external enrollment | Control subjects having tissue removed during a surgical procedure (e.g. coronary artery bypass graft surgery (CABG), cardiac transplant, etc.) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Biorepository Establishment
Establish a biorepository with detailed phenotype information to facilitate a broad spectrum of current and future studies
Measured: 20 years
Genetic Analysis
The mechanisms of TAA pathogenesis will be determined by studying explanted aortic tissue and cells derived from patients with TAA for gene expression, protein expression, and other functional assays.
Measured: 20 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Feb 2018
- Study start10 Dec 2015
- Primary completion31 Dec 2030 (estimated)
- Study completion31 Dec 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AortopathiesStudies of the same condition, open and under way.
- More trials run by Yale UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 3,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Yale University
- Sponsor type
- University, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI)
- Responsible party
- Sponsor
- Investigators
- Benjamin Landis, MD, Principal investigator, Yale University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03440697
- Sponsor's protocol ID
- 2000041429
- Other IDs
- 1509977311
- Acronym
- TAA
- Status last verified
- Feb 2026
- First submitted
- 6 Oct 2017
- Last updated
- 13 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No