Myocardial Diseases Clinical Trial
Official title:
Immunoglobulin Therapy for Patients With Idiopathic Cardiomyopathy and Endomyocardial Parvovirus B19 Persistence - a Prospective, Double-blind, Randomized, Placebo-controlled Clinical Trial
A prospective randomized double-blind placebo-controlled trail to investigate the effect of high doses of IVIg on cardiac functional capacity and virus presence in a subgroup of patients with chronic symptomatic ICM and a high PVB19 load in the heart.
Rationale: Parvovirus B19 (PVB19) persistence in the heart has been associated with
progressive cardiac dysfunction and evolution to idiopathic cardiomyopathy.
Objective: A controlled trial to investigate whether high dose of intravenous immunoglobulin
(IVIg) in addition to conventional heart failure therapy in patients with idiopathic
cardiomyopathy and PVB19 persistence in the heart achieves improvement of cardiac function in
conjunction with virus elimination.
Study design: All patients will undergo routine diagnostic work-up (including physical
examination, coronary angiogram, transthoracic echocardiogram, blood studies and
endomyocardial biopsies (EMB)), treatment and follow-up for their heart failure. Patients
will be randomized to either receive IVIg or placebo on top of their standard heart failure
regimen.
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