The Effects of Sirolimus in Patients With Dilated Cardiomyopathy Infected With Kaposi Sarcoma-associated Virus

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-70
SponsorTongji Hospital

About this trial

Evaluating the efficacy of sirolimus (compared to standard therapy alone) in the treatment of dilated cardiomyopathy infected with Kaposi Sarcoma-associated virus -- a multicenter randomized controlled study.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 to 70 years of age;

Diagnosed as dilated cardiomyopathy. Specifically, (i) left ventricular ejection fraction <45% (>2 SD) and/or fractional shortening <25% (>2 SD), as ascertained by echocardiography, radionuclide scanning, or cardiac magnetic resonance imaging; (ii) left ventricular end-diastolic diameter >117% of the predicted value corrected for age and body surface area (Henry's formula), which corresponds to 2 SD of the predicted normal limit +5%; and (iii) In the absence of severe coronary artery disease or valvular disease.

KSHV DNA seropositivity;

Patients are voluntary and signed informed consent.

Disqualifiers

Allergic to rapamycin or its derivatives;

The proportion of neutrophils less than 0.5*10^9/L or platelet less than 2.5*10^10/L;

Pregnant women or plan to;

Participate in any drug clinical trials within 3 months;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sirolimus

    Drug

    at a dose of 2 mg once daily

Treatment groups

276 Participants
are divided into 2 treatment groups
Group A: ControlNo intervention 0 interventions
Group B: SirolimusExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Cardiac mortality

Death from cardiovascular disease which includes coronary artery diseases, stroke, heart failure, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, heart arrhythmia, congenital heart disease, valvular heart disease and carditis

Time frame
up to 36 months
2

Rate of heart transplantation

The rate of heart trans plantation on patients with DCM when other medical or surgical treatments have failed

Time frame
up to 36 months

Secondary outcomes

1

Readmission rate for cardiovascular diseases

The readmission rate for cardiovascular diseases

Time frame
up to 36 months
2

Recurrence rate of heart failure

The recurrence rate of heart failure

Time frame
up to 36 months
3

All-cause mortality

Death from all diseases

Time frame
up to 36 months
4

KCCQ score

The score of patients measured with the Kansas City Cardiomyopathy Questionnaire (KCCQ)

Time frame
up to 36 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Tongji Hospital

Lead sponsor

Wuhan Central Hospital

Collaborator

Wuhan Fourth Hospital

Collaborator

Wuhan University

Collaborator