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Arrhythmogenic CardiomyopathyPhase 2SEARCHNCT06922994

Statin Effect on Arrhythmogenic Cardiomyopathy Disease Progression (SEARCH)

A Phase 2 study testing Atorvastatin 80 mg/day in people with Arrhythmogenic Cardiomyopathy, run by Centro Cardiologico Monzino at 5 sites in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if Atorvastatin 80 mg is effective to avoid functional right ventricular deterioration in patients affected by Arrhythmogenic Cardiomyopathy. It will also learn about the safety of Atorvastatin 80 mg in this type of patients. The main questions it aims to answer are: 1. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Arrhythmogenic Cardiomyopathy
What is being tested?
Atorvastatin 80 mg/day
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
102 participants
Where
5 sitesItaly
Study dates
31 Mar 2025to 30 Dec 2026
Phase
Phase 2
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

Who may be able to join

  • Participant must be at least 18 years of age, at the time of signing the informed consent
  • Participants affected by Arrhythmogenic Cardiomyopathy as defined by task force criteria

Who cannot join

  • Known hypersensitivity to atorvastatin or any of the excipients
  • Moderate or severe liver disease
  • Muscle disease
  • Left ventricular ejection fraction <35%
  • Congestive heart failure defined by the New York Heart Association (NYHA) as class III or IV.
  • Known cardiomyopathy of other origin: post ischemic, hypertrophic, idiopathic dilated, restrictive; known moderate-to-severe mitral or aortic valvulopathy; pulmonary hypertension; congenital cardiac abnormalities
Show all 20Show fewer
  • Hypercholesterolemic patients that require the use of lipid lowering drugs.
  • Heart transplantation
  • Estimated life expectancy of less than 2 years
  • Any other medical condition that, in the judgment of the investigator, places the patient at risk or makes the patient unreliable or limits the patient's ability to complete the study
  • Potent CYP3A4 modifiers such as Erythromycin, Clarithromycin Azole antifungals, Protease inhibitors , Gemfibrozil, Ciclosporin, Danazol
  • Fusidic acid (drug for bacterial infections)
  • Hepatitis C antivirals as telaprevir, boceprevir, glecaprevir/pibrentasvir and ledipasvir/sofosbuvir combination
  • Any other lipid lowering drugs such as Statins, Cholesterol absorption inhibitors, Bile acid sequestrants , PCSK9 inhibitors, Adenosine triphosphate-citrate lyase inhibitors , Fibrates, Omega-3 fatty acid ethyl esters
  • Drugs primary indicated as antioxidants
  • Enrollment in another clinical trial or past clinical trial in which an investigational drug was administered within 30 days of Visit 1 or within the 5 half-lives of the investigational drug, whichever is longer.
  • Pregnant or lactating women
  • Women of childbearing age who are not using adequate contraception
  • Known dependency on alcohol - drug abuse.
  • Contraindications to cardiac magnetic resonance

Trial locations and contacts

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

5 sites in 1 country

Italy5 sites, 5 recruiting
  • Università Politecnica delle Marche

    Ancona, 60126

    Michela Casella, +39 0715965324, m.casella@staff.univpm.it

    Recruiting
  • Centro Cardiologico Monzino IRCSS

    Milan, 20138

    Claudio Tondo, +39 0258002275, claudio.tondo@cardiologicomonzino.it

    Recruiting
  • AORN - Ospedali dei Colli

    Naples, 80131

    Giuseppe Limongelli, +39 0817062211, giuseppe.limongelli@ospedalideicolli.it

    Recruiting
  • Università degli Studi di Napoli Federico II

    Naples, 80138

    Raffaella Lombardi, +39 081676541, raffaella.lombardi@unina.it

    Not yet recruiting
  • Fondazione I.R.C.C.S. Policlinico San Matteo

    Pavia, PV, 27100

    Annalisa Turco, +390382503158, A.Turco@smatteo.pv.it

    Recruiting

Other trials in Italy

About this study

Official title: Statin Effect on Arrhythmogenic Cardiomyopathy Disease Progression

The goal of this clinical trial is to learn if Atorvastatin 80 mg is effective to avoid functional right ventricular deterioration in patients affected by Arrhythmogenic Cardiomyopathy. It will also learn about the safety of Atorvastatin 80 mg in this type of patients. The main questions it aims to answer are:

  1. Does Atorvastatin 80 mg prevent worstening of the right ventricular functioning?
  2. Does Atorvastatin 80 mg prevent the worsening of electric, morphological and biomarkers deterioration?
  3. What medical problems do participants have when taking Atorvastatin 80 mg?
Read more

Researchers will compare Atorvastatin 80 mg to a placebo (a look-alike substance that contains no drug) to see if the drug works to treat Arrhythmogenic Cardiomyopathy.

Participants will:

  1. Take Atorvastatin 80 mg or a placebo every day for 18 months;
  2. Visit the clinic at the enrollment and after 2, 4, 9 and 18 months for checkups and tests;
  3. Make a phone call for safety check after 12, 15 and 19 months since the enrollment;
  4. Fill out psychological questionnaires
Being tested
Atorvastatin 80 mg/day, Placebo atorvastatin
Keywords
Atorvastatin, Strain, Disease progression risk, Arrhythmias
Medical subject headings
Sprains and Strains, Arrhythmias, Cardiac

What participants receive

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

  • Atorvastatin 80 mg/dayDrug

    Atorvastatin 80mg/day will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy

  • Placebo atorvastatinDrug

    One tablet of placebo will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy

Study groups in NCT06922994
Study groupRoleWhat they receive
AtorvastatinActive comparatorAtorvastatin arm will be composed by 51 patients affected by Arrhythmogenic Cardiomyopathy.
Receives: Drug: Atorvastatin 80 mg/day
PlaceboPlacebo comparatorPlacebo arm will be composed by 51 patients affected by Arrhythmogenic Cardiomyopathy.
Receives: Drug: Placebo atorvastatin

What is being measured

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

  1. Efficacy of Atorvastatin in avoiding functional right ventricular deterioration

    Variation of right ventricular free wall longitudinal strain measured by echocardiography after 18 months respect to baseline (%)

    Measured: From enrollment to the end of treatment at 18 months

Secondary outcomes (31)
  1. Safety of Atorvastatin treatment

    Monitoring of adverse events and patient's well-being.

    Measured: From enrollment to 1 month after the end of treatment (19 months)

  2. Efficacy of Atorvastatin in avoiding morphological deterioration (ventricular volumes)

    Deterioration from baseline of other morphological parameters measured both at echocardiography and cardiac magnetic resonance: ventricular volumes (ml)

    Measured: From enrollment to the end of treatment (18 months)

  3. Efficacy of Atorvastatin in avoiding morphological deterioration (wall thickness )

    Deterioration from baseline of other morphological parameters measured both at echocardiography and cardiac magnetic resonance: wall thickness (mm)

    Measured: From enrollment to the end of treatment (18 months)

  4. Efficacy of Atorvastatin in avoiding morphological deterioration (cardiac function )

    Deterioration from baseline of other morphological parameters measured both at echocardiography and cardiac magnetic resonance: cardiac function (%)

    Measured: From enrollment to the end of treatment (18 months)

  5. Efficacy of Atorvastatin in avoiding arrhythmic deterioration (premature ventricular contractions)

    Deterioration from baseline of arrhythmia burden: premature ventricular contractions (number in the 24h)

    Measured: From enrollment to the end of treatment at 18 months

  6. Efficacy of Atorvastatin in avoiding arrhythmic deterioration (nonsustained ventricular arrhythmias)

    Deterioration from baseline of arrhythmia burden: nonsustained ventricular arrhythmias (number)

    Measured: From enrollment to the end of treatment at 18 months

  7. Efficacy of Atorvastatin in avoiding arrhythmic deterioration (sustained ventricular arrhythmias)

    Deterioration from baseline of arrhythmia burden: sustained ventricular arrhythmias (number)

    Measured: From enrollment to the end of treatment at 18 months

  8. Efficacy of Atorvastatin in avoiding arrhythmic deterioration (ventricular fibrillation )

    Deterioration from baseline of arrhythmia burden: ventricular fibrillation (number)

    Measured: From enrollment to the end of treatment at 18 months

  9. Efficacy of Atorvastatin in avoiding arrhythmic deterioration (ICD shocks)

    Deterioration from baseline of arrhythmia burden: appropriate ICD shocks (number)

    Measured: From enrollment to the end of treatment at 18 months

  10. Efficacy of Atorvastatin in avoiding electrocardiographic deterioration (QRS)

    Deterioration from baseline of electrocardiographic parameters: QRS duration (ms)

    Measured: From enrollment to the end of treatment (18 months)

  11. Efficacy of Atorvastatin in avoiding electrocardiographic deterioration (QT)

    Deterioration from baseline of electrocardiographic parameters: QT duration (ms)

    Measured: From enrollment to the end of treatment (18 months)

  12. Efficacy of Atorvastatin in avoiding electrocardiographic deterioration (PR)

    Deterioration from baseline of electrocardiographic parameters: PR duration (ms)

    Measured: From enrollment to the end of treatment (18 months)

  13. Efficacy of Atorvastatin in avoiding electrocardiographic deterioration (amplitudes)

    Deterioration from baseline of electrocardiographic parameters: amplitude of the potential (mV)

    Measured: From enrollment to the end of treatment (18 months)

  14. Efficacy of Atorvastatin in avoiding electrocardiographic deterioration (T wave)

    Deterioration from baseline of electrocardiographic parameters: ), T wave inversion (number of presences in V1-V6)

    Measured: From enrollment to the end of treatment (18 months)

  15. Efficacy of Atorvastatin in avoiding electrocardiographic deterioration (ԑ wave)

    Deterioration from baseline of electrocardiographic parameters: ԑ wave in V1-V3 (presence)

    Measured: From enrollment to the end of treatment (18 months)

  16. Efficacy of Atorvastatin in avoiding biomarkers deterioration (oxLDL)

    Deterioration from baseline of blood parameters: oxLDL (mU/ml)

    Measured: From enrollment to the end of treatment (18 months)

  17. Efficacy of Atorvastatin in avoiding biomarkers deterioration (MDA)

    Deterioration from baseline of blood parameters: MDA (ng/ml)

    Measured: From enrollment to the end of treatment (18 months)

  18. Efficacy of Atorvastatin in avoiding biomarkers deterioration (4HNE)

    Deterioration from baseline of blood parameters: 4HNE (pg/ml)

    Measured: From enrollment to the end of treatment (18 months)

  19. Efficacy of Atorvastatin in avoiding biomarkers deterioration (estradiol)

    Deterioration from baseline of blood parameters: estradiol (pg/ml)

    Measured: From enrollment to the end of treatment (18 months)

  20. Efficacy of Atorvastatin in avoiding biomarkers deterioration (testosterone)

    Deterioration from baseline of blood parameters: testosterone (ng/ml)

    Measured: From enrollment to the end of treatment (18 months)

  21. Efficacy of Atorvastatin in avoiding biomarkers deterioration (BIN1)

    Deterioration from baseline of blood parameters: BIN1 (pg/ml)

    Measured: From enrollment to the end of treatment (18 months)

  22. Efficacy of Atorvastatin in avoiding biomarkers deterioration (GAL3)

    Deterioration from baseline of blood parameters: GAL3 (ng/ml)

    Measured: From enrollment to the end of treatment (18 months)

  23. Efficacy of Atorvastatin in avoiding biomarkers deterioration (HSP70)

    Deterioration from baseline of blood parameters: HSP70 (ng/mL)

    Measured: From enrollment to the end of treatment (18 months)

  24. Efficacy of Atorvastatin in avoiding biomarkers deterioration (TGFb)

    Deterioration from baseline of blood parameters: TGFb (pg/mL)

    Measured: From enrollment to the end of treatment (18 months)

  25. Efficacy of Atorvastatin in avoiding biomarkers deterioration (ST2)

    Deterioration from baseline of blood parameters: ST2 (ng/ml)

    Measured: From enrollment to the end of treatment (18 months)

  26. Efficacy of Atorvastatin in avoiding biomarkers deterioration (BNP)

    Deterioration from baseline of blood parameters: BNP (pg/mL)

    Measured: From enrollment to the end of treatment (18 months)

  27. Efficacy of Atorvastatin in avoiding biomarkers deterioration (NTproBNP)

    Deterioration from baseline of blood parameters: NTproBNP (pg/mL)

    Measured: From enrollment to the end of treatment (18 months)

  28. Efficacy of Atorvastatin in avoiding biomarkers deterioration (hs-cTnI)

    Deterioration from baseline of blood parameters: hs-cTnI (ng/L)

    Measured: From enrollment to the end of treatment (18 months)

  29. Efficacy of Atorvastatin in avoiding biomarkers deterioration (CRP)

    Deterioration from baseline of blood parameters: CRP (mg/L)

    Measured: From enrollment to the end of treatment (18 months)

  30. Efficacy of Atorvastatin in avoiding biomarkers deterioration (IL6)

    Deterioration from baseline of blood parameters: IL6 (pg/ml)

    Measured: From enrollment to the end of treatment (18 months)

  31. Efficacy of Atorvastatin in avoiding biomarkers deterioration (TNF alfa)

    Deterioration from baseline of blood parameters: TNF alfa (pg/ml)

    Measured: From enrollment to the end of treatment (18 months)

Timeline

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

  1. First posted11 Apr 2025
  2. Study start31 Mar 2025
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion30 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a multicenter, prospective, randomized, clinical study: Atorvastatin 80mg/day or placebo will be administered for 18 months to 102 ACM patients, and the endpoints will be tested.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
102 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06922994
Sponsor's protocol ID
SEARCH
Other IDs
PNRR-MCNT2-2023-12376978, 2024-514643-28-00
Acronym
SEARCH
Status last verified
Oct 2026
First submitted
20 Jan 2025
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sommariva E, Stadiotti I, Casella M, Catto V, Dello Russo A, Carbucicchio C, Arnaboldi L, De Metrio S, Milano G, Scopece A, Casaburo M, Andreini D, Mushtaq S, Conte E, Chiesa M, Birchmeier W, Cogliati E, Paolin A, Konig E, Meraviglia V, De Musso M, Volani C, Cattelan G, Rauhe W, Turnu L, Porro B, Pedrazzini M, Camera M, Corsini A, Tondo C, Rossini A, Pompilio G. Oxidized LDL-dependent pathway as new pathogenic trigger in arrhythmogenic cardiomyopathy. EMBO Mol Med. 2021 Sep 7;13(9):e14365. doi: 10.15252/emmm.202114365. Epub 2021 Aug 2.

    PubMed 34337880
  • Sommariva E, Lippi M, Bruttini F, Cannata F, Baggiano A, Schiavone M, Salina G, Sabatino M, Vettor G, Sicuso R, Pizzamiglio F, Ribatti V, Maragna R, Carbucicchio C, DeLuca F, Catto V, Iezzi A, Sale EO, Valeri Y, Barbarossa A, Caiazza M, Monda E, Frisso G, Borrelli F, Gasperetti A, Turco A, De Luca L, Corino VDA, Galotta A, Bonomi A, Pompilio G, Pontone G, Muratori M, Limongelli G, Lombardi R, Casella M, Tondo C. Statin effect on arrhythmogenic cardiomyopathy disease progression (SEARCH): Randomized clinical study protocol. PLoS One. 2025 Sep 29;20(9):e0332876. doi: 10.1371/journal.pone.0332876. eCollection 2025.

    PubMed 41021550

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Atorvastatin 80 mg/day in people with Arrhythmogenic Cardiomyopathy, run by Centro Cardiologico Monzino at 5 sites in Italy.

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 2 inclusion and 20 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: looking for participants now, as of the sponsor's last update on 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Italy. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Contact Elena Sommariva (+39 0258002752, elena.sommariva@cardiologicomonzino.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy of Atorvastatin in avoiding functional right ventricular deterioration (time frame: From enrollment to the end of treatment at 18 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06922994, which also lists 2 linked publications.

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 26 Oct 2026.

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