Transthyretin Amyloidosis Clinical Trial
Official title:
Patient-Reported Outcome Measures in Wild-Type and Variant Cardiac Transthyretin Amyloidosis: The Impact of Transthyretin Amyloidosis on Life qualitY (ITALY) Study
Specific, standardized, comprehensive, universally accepted Patient-Reported Outcome Measures
(PROMs) are currently lacking for variant and wild-type cardiac amyloid transthyretin
amyloidosis (v-ATTR/wt-ATTR). Our goal is then to create two scores able to provide a
cumulative assessment of cardiac involvement, peripheral neuropathy (in v-ATTR), and
comorbidities, and their impact on the quality of life.
In the setting of a nationwide collaboration involving 5 main Italian referral centers for
this condition (in Ferrara, Florence, Pavia, Pisa and Messina), a panel will be created,
including experts of ATTR cardiomyopathy, neurologists, geriatricians, health management
specialists, as well as patients with either variant or wild-type ATTR cardiomyopathy (n=50).
The most clinically relevant domains for patients (such as physical limitations, symptoms,
self-efficacy and knowledge, social interference, quality of life, age-related issues, social
and family environment, frailty, comorbidities) will be identified. Two sets of 30 items (one
for variant and another for wild-type ATTR cardiomyopathy) will be created in collaboration
with patients. Questions will be formatted for gender neutrality, clarity, interpretability,
and possible foreign language translations. PROMs scores will be validated through
administration to around 250 consecutive outpatients. Score performance will be evaluated in
terms of internal consistency, response to clinical changes, comparison with conventional
clinical measures. The time needed for completion, the clarity of questions and the need for
assistance from a family caregiver will be evaluated.
This project will hopefully lead to the identification of disease-specific metrics that may
serve as a clinically meaningful outcome in cardiovascular research, patient management, and
quality assessment.
n/a
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