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Cardiomyopathy, DilatedNCT05981092

A Study About the Natural History in Adults With BAG3 Dilated Cardiomyopathy (a Type of Heart Disease) (BAG3 DCM)

An observational study of Cardiomyopathy, Dilated and Bcl-2 Anathogene-3 (BAG3) Dilated Cardiomyopathy (DCM), run by Alexion Pharmaceuticals, Inc. at 15 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this study is to learn about the natural progression of DCM (dilated cardiomyopathy) caused by BAG3 gene mutations. DCM is a condition as the heart muscle is weakened and the heart becomes enlarged. This makes it hard for the heart to pump enough blood for the body. Read more about this study

Who is it for?
Ages 18 years and older
How many people
35 participants
Where
15 sitesin 5 countries
Study dates
14 Oct 2022to 12 Aug 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: primary care clinic and referrals from primary care clinic to investigational sites

Who may be able to join

  • Documented BAG3 mutation that causes or is likely to cause dilated cardiomyopathy
  • Heart failure Stage B-D, New York Heart Association (NYHA) Class I-IV
  • Left Ventricular Ejection Fraction ≤50% (i.e., Reduced Heart Function)

Who cannot join

  • Acute decompensated heart failure within 1 month prior to enrollment.(such as hospitalization)
  • Any of the following within 3 months prior to screening: myocardial infarction (MI), cardiac surgical procedures (other than for pacemaker/ICD/CRT-defibrillator [CRT-D] implantation), acute coronary syndrome, or hospitalization for cardiac arrhythmia.
  • History of heart transplantation
  • eGFR <30 mL/min/1.73 m2 (significantly impaired kidney function)
  • Noncardiac condition that limits lifespan to <1 year.
  • Presence of other form(s) of cardiomyopathy contributing to heart failure
  • Previous administration with an investigational drug within 30 days (or as determined by the local requirement).
  • No more than 3 first-degree members of the same family who are already participating in the study

Trial locations and contacts

15 sites in 5 countries.

15 sites in 5 countries

United States6 sites
  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Boston, Massachusetts, 02115

  • Research Site

    Palo Alto, California, 94305

  • Research Site

    Philadelphia, Pennsylvania, 19104

  • Research Site

    Rochester, Minnesota, 55905

  • Research Site

    The Bronx, New York, 10467

Other trials in United States

Spain4 sites
  • Research Site

    A Coruña, A Coruna, 15006

  • Research Site

    El Palmar, Murcia, 30120

  • Research Site

    Madrid, Madrid, 28041

  • Research Site

    Majadahonda, Madrid, 28222

Other trials in Spain

Netherlands2 sites
  • Research Site

    Amsterdam, Amsterdam, 1105 AZ

  • Research Site

    Maastricht, Maastricht, 6229 HX

Other trials in Netherlands

United Kingdom2 sites
  • Research Site

    Harefield, London, UB9 6JH

  • Research Site

    London, London, EC1A 7BE

Other trials in United Kingdom

Poland1 site
  • Research Site

    Warsaw, Warszawa, 04-628

Other trials in Poland

About this study

Official title: A PROSPECTIVE MULTINATIONAL STUDY OF THE NATURAL HISTORY OF PARTICIPANTS WITH BAG3 MUTATION ASSOCIATED DILATED CARDIOMYOPATHY

The purpose of this study is to learn about the natural progression of DCM (dilated cardiomyopathy) caused by BAG3 gene mutations. DCM is a condition as the heart muscle is weakened and the heart becomes enlarged. This makes it hard for the heart to pump enough blood for the body.

The study is seeking up to about 35 participants who have:

Read more
  • BAG3 mutation (change in the gene) that causes or is likely to cause dilated cardiomyopathy
  • NYHA (New York Heart Association) Class I-IV at screening (Stage B-D)
  • Left Ventricular Ejection Fraction less than or equal to 50% (meaning reduced heart function)

All participants in this study will receive their usual treatment. The investigators will observe the natural progression of people who have BAG3 DCM. This will help the investigators better understand the disease and aid in future research.

Participants will take part in this study for three years. During this time, participants will visit the site at least 8 times (about every 3 months for the first year and annually during year 2 and three). Participants will undergo study procedures and give information about their health. These procedures will include a physical exam, cardiac magnetic resonance imaging, echocardiography, ECG monitoring, activity monitoring, cardiopulmonary exercise testing, and blood tests. Participants will answer questions about health and quality of life. The study team will also call participants about 1 time over the phone.

Keywords
BAG3, DCM, cardiomyopathy, dilated cardiomyopathy, heritable heart disease, heart disease
Medical subject headings
Cardiomyopathy, Dilated, Cardiomyopathies, Heart Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT05981092
Study groupRoleWhat they receive
BAG3 DCMA single arm observational trial where all participants will undergo the same schedule of assessments.

What is being measured

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

  1. Determine baseline of cardiac structure and function in BAG3 associated DCM.

    Baseline measures of left ventricular volumes at end systole and diastole using imaging at baseline.

    Measured: Baseline

  2. Determine changes over time in cardiac structure and function in BAG3 associated DCM.

    Changes over time of left ventricular volumes at end systole and diastole using imaging over the course of 3 years follow up time.

    Measured: 3 years

Secondary outcomes (8)
  1. Change from Baseline in high sensitivity troponin I (hsTNI) levels

    HsTNI will be collected at baseline through 3 years to observe the natural history (baseline and variance) of the biomarker and the correlation of hsTNI to severity of clinical disease progression.

    Measured: Baseline to year 3

  2. Change from Baseline in high sensitivity troponin T (hsTNT) levels

    HsTNT will be collected at baseline through 3 years to observe the natural history (baseline and variance) of the biomarker and the correlation of hsTNT to severity of clinical disease progression.

    Measured: Baseline to year 3

  3. Change from Baseline in N-terminal Prohormone of Pro-Brain-Type Natriuretic peptide (NT-proBNP) levels

    NT-proBNP will be collected at baseline through 3 years to observe the natural history (baseline and variance) of the biomarker and the correlation of NT-proBNP to severity of clinical disease progression.

    Measured: Baseline to year 3

  4. Change from baseline in Measures of Oxygen Capacity

    Measured via Cardio Pulmonary Exercise Testing (CPET).

    Measured: Baseline to year 3

  5. Change from Baseline in Scores of Kansas City Cardiomyopathy Questionnaire (KCCQ) domains

    Measured: Baseline to year 3

  6. Change from Baseline in Scores of Patient Global Impression of Severity (PGI-S)

    Measured: Baseline to year 3

  7. Change from Baseline in Scores of Patient Global Impression of Change (PGI-C)

    Measured: Baseline to year 3

  8. Define the rate of cardiac status changes over time.

    The frequency and rate of incidence of death, heart transplant, MCS, heart failure, hospitalization, appropriate implantable cardioverter defibrillator shock, or aborted SCD.

    Measured: 3 years

Timeline

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

  1. First posted8 Aug 2023
  2. Study start14 Oct 2022
  3. Primary completion12 Aug 2027 (estimated)
  4. Study completion12 Aug 2027 (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
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05981092
Sponsor's protocol ID
R0765C00001
Other IDs
C4981001, ALXN2350-DCM-501
Status last verified
Jun 2026
First submitted
14 Jun 2023
Last updated
12 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Alexion has a public commitment to allow requests for access to study data and will be supplying a protocol, CSR, and plain language summaries.

Questions about this trial

What is this clinical trial studying?

An observational study of Cardiomyopathy, Dilated and Bcl-2 Anathogene-3 (BAG3) Dilated Cardiomyopathy (DCM), run by Alexion Pharmaceuticals, Inc. at 15 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 12 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, Spain, Netherlands, United Kingdom, Poland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Determine baseline of cardiac structure and function in BAG3 associated DCM. (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2026.

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