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Thoracic Aortic AneurysmMOTAARNCT05395598

Incidence of Major Complication in Case of Thoracic Aortic Aneurysm

An observational study of Thoracic Aortic Aneurysm, run by University Hospital, Lille at 1 site in France.

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Trial summary

Thoracic aneurysm is a silent disease with a potential mid-term high risk of death or major complications. Few data are available on the real incidence of major complications in case of small and moderate thoracic aneurysm. Read more about this study

Who is it for?
Ages 45 to 80 years
Conditions the study is for
Thoracic Aortic Aneurysm
How many people
320 participants
Where
1 siteFrance
Study dates
18 Apr 2024to Oct 2031
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 45 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with moderate thoracic aortic aneurysms for primary prevention

Who may be able to join

  • Documentation of an aortic root aneurysm > 40 mm
  • Agreement to participate to a longitudinal study and available for a 5 years follow-up

Who cannot join

  • Presence of comorbidities or pathology with a prognosis of less than 1 year
  • Personal or family history of genetically documented elastic tissue disease or patient meeting the GAND clinical criteria suggestive of Marfan disease
  • High-grade mitra-aortic valve disease, even if asymptomatic
  • Unbalanced hypertension ≥ 180/110 mmHg
  • Aneurysm (regardless of thoracic or abdominal location) ≥ 50 mm
  • Aneurysm (regardless of thoracic or abdominal location) with documented progression of more than 5 mm over one year
  • History of aortic surgery or endovascular intervention and history of type B aortic dissection of medical treatment
  • Renal insufficiency on dialysis, or GFR< 30 ml/mn (CKD-EPI)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • CHU Lille

    Lille, Please Choose..., 59037

    DELSART Pascal, +33320444365, Pascal.DELSART@chru-Lille.fr

    Recruiting

Other trials in France

About this study

Official title: Predicting Moderate Thoracic Aortic Aneurysm Evolution: a Longitudinal Study of Systemic Factors in Patients Free of Connective Tissue Disease. .

Thoracic aneurysm is a silent disease with a potential mid-term high risk of death or major complications. Few data are available on the real incidence of major complications in case of small and moderate thoracic aneurysm. Different factors are supposed to increase the risk of aortic enlargement as high blood pressure and sleep disorder breathing. The modality of imaging and clinical follow-up are well defined. In this prospective observational study, the aim to assess the incidence of of major complications during follow-up in a population of patients with a small or moderate thoracic aneurysm. The study will also try to identify systemic factors influencing aneurysm evolution.

Keywords
Thoracic aortic aneurysm, Incidence, nocturnal hypertension, Sleep apnea
Medical subject headings
Aortic Aneurysm, Thoracic, Sleep Apnea Syndromes

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence within 5 years of inclusion of a major aortic even

    This composite end point is defined as the occurrence of:

    • Aneurysm-related death
    • Emergency surgery for threatened aortic rupture or aortic dissection
    • Scheduled surgery for aneurysmal dilatation of more than 5 mm over 1 year
    • Aneurysm progression exceeding 55 mm in diameter
    • Root surgery for management of symptomatic aortic valve disease (insufficiency or narrowing) of high grade defined by tight aortic narrowing (V Max≥4 m/s, mean gradient ≥40mmHg, and area ≤1cm² or severe aortic insufficiency (regurgitated volume≥60 ml, shortening fraction≥ 50%.

    Measured: during the 5 years after inclusion

Secondary outcomes (3)
  1. Number of Participants with controlled blood pressure defined by ambulatory blood pressure measurement

    The blood pressure measurement (averaged over 24 h)<130/80 mmHg and nocturnal blood pressure ≤120/70 mmHg

    Measured: during the 2 years after inclusion

  2. Presence of sleep disorders defined by an 'Apnea Hypopnea Index and/or an Oxygen Desaturation Index

    for Apnea Hypopnea Index = ≥5 events per hour for Oxygen Desaturation Index = ≥5 events per hour

    Measured: during the 2 years after inclusion

  3. Occurrence during the 5 years after inclusion of a major cardiovascular event

    This composite criterion is defined by the occurrence of death from cardiovascular causes, myocardial infarction, stroke (ischemic or hemorrhagic), or hospitalization for heart failure

    Measured: during the 5 years after inclusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 May 2022
  2. Study start18 Apr 2024
  3. Primary completion18 Apr 2031 (estimated)
  4. Study completionOct 2031 (estimated)

Resources

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
320 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05395598
Sponsor's protocol ID
2021_0151
Other IDs
2022-A00439-34
Acronym
MOTAAR
Status last verified
May 2026
First submitted
24 May 2022
Last updated
15 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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