Genomic Sequencing in Patients With HCM Undergoing Septal Myectomy

Overview

Investigators aim to use comparative exome and/or genome sequencing to discover causative molecular lesions for phenotypes hypothesized to be caused by somatic mutations. For this study, investigators have targeted hypertrophic cardiomyopathy.

Full Title of Study: “Genomic Sequencing in Patients With Hypertrophic Cardiomyopathy Undergoing Septal Myectomy”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Prospective
  • Study Primary Completion Date: December 4, 2020

Detailed Description

The hypothesis is that sporadic or simplex occurrences of what are typically autosomal dominantly inherited diseases can instead be caused my mosaic mutations, specifically, mutations in the heart itself. This hypothesis mandates that investigators sequence both affected and unaffected tissues, which in this case, investigators will construe to be peripheral blood DNA and discarded myocardium from cardiac procedures. Eligible individuals will first undergo informed consent to be part of the study prior to their scheduled myomectomy. The study participants will also have phlebotomy for research samples. The NIH Intramural Sequencing Center (NISC) will perform paired exome or genome sequencing and we will first screen for germline mutations in known cardiomyopathy genes that meet ACMG standards of likely pathogenic or pathogenic. Then, if this is negative, investigators will screen for sequence variants that are present in cardiac tissue but absent in the blood DNA. Investigators will also screen blood DNA for secondary findings in genes recommended for annotation and results return by the ACMG and sequence variants deemed clinically relevant in this gene set will be validated in a CLIA-certified laboratory and the results returned to that participant.

Interventions

  • Genetic: Genomic sequencing
    • Genomic sequencing of DNA in Blood sample and myectomy tissue

Arms, Groups and Cohorts

  • Genomic sequencing
    • Perform Genomic sequencing in peripheral blood DNA and discarded myocardium from cardiac procedures

Clinical Trial Outcome Measures

Primary Measures

  • Genetic causes of HCM in patients without a strong family history of the condition
    • Time Frame: one year
    • The investigators will use DNA testing technology called “genomic sequencing”

Participating in This Clinical Trial

Inclusion Criteria

  • Patient is 18 years and older has a clinical diagnosis of hypertrophic cardiomyopathy. – Patient scheduled for clinically-indicated myomectomy. – Patient has a negative family history of hypertrophic cardiomyopathy – Patient is willing to receive results of secondary variant screen Exclusion Criteria:

  • Pregnant – Inability to give informed consent

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 100 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • The Cleveland Clinic
  • Provider of Information About this Clinical Study
    • Principal Investigator: Milind Desai, Medical Doctor – The Cleveland Clinic
  • Overall Official(s)
    • Milind Desai, MD, Principal Investigator, The Cleveland Clinic

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