About this trial
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?
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
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
Known hypersensitivity to atorvastatin or any of the excipients
Moderate or severe liver disease
Muscle disease
Left ventricular ejection fraction <35%
Trial design
Parallel
Treatments tested in this trial
Atorvastatin 80 mg/day
DrugAtorvastatin 80mg/day will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy
Placebo atorvastatin
DrugOne tablet of placebo will be administered for 18 months to patients affected by Arrhythmogenic Cardiomyopathy
Treatment groups
Trial outcomes
Primary outcomes
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 (%)
Secondary outcomes
Safety of Atorvastatin treatment
Monitoring of adverse events and patient's well-being.
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)
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)
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 (%)
Sponsors and contacts
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Centro Cardiologico Monzino
Lead sponsor
Federico II University
Collaborator
Università Politecnica delle Marche
Collaborator
Ospedali dei Colli
Collaborator