CHROMOSOME 2q31.2 DELETION SYNDROME, EHLERS-DANLOS SYNDROME, TYPE IV, AUTOSOMAL DOMINANT
Conditions
Keywords
Arteries, ultrasonography, Ehlers Danlos syndrome, Cardiovascular disease, beta adrenergic antagonists
Brief summary
Ehlers-Danlos syndrome vascular type (EDS-IV) is caused by a genetic defect of collagen type III. Patient die (median 40 yrs) of vascular complications. There is no treatment. We showed that arteries are thin and overloaded in this patients. We test the protective effect of celiprolol on cardiovascular events in a 5 years, randomized, PROBE design
Detailed description
100 patients with verified EDS-IV syndrome are included. Patients are randomized to either celiprolol (50 to 400 mg BID)or no treatment. Patients who are not randomized enter a longitudinal survey of events. The hypothesis is a 50% reduction in the occurrence of cardiovascular events under treatment, assessed by a blinded, independent events committee.
Interventions
celiprolol
Untreated controls excluding betablockers
Sponsors
Study design
Eligibility
Inclusion criteria
* Proven disease, * No betablocker at inclusion if previous CV event
Exclusion criteria
Criteria of not inclusion for the RIGHTEOUS group: * Patient having already presented an arterial break or a dissection and treated(handled) by bétâ-blocking(surrounding). * Against indication in the use of CELIPROLOL: * Unchecked cardiac insufficiency by the treatment * cardiogenic shock * BAV of 2nd and 3rd not sailed degrees * angor of Prinzmetal * disease of the sine * bradycardia * pheochromocytoma untreated * low blood pressure * sentimentality in the CELIPROLOL * Antecedent of anaphylactic reaction * myasthenia * treatment by FLOCTAFENINE ( Idarac), Sultopride ( interactions ) In these two cases, the patient can be included in the group followed by troop. Criteria of not inclusion for both groups: * Refusal to participate in the study. * Impossibility to move. * Pregnancy * Woman in age to procreate without means of effective contraception.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| reduction in the rate of major cardiovascular events in the treated group during a 5 years follow-up | during de study | reduction in the rate of major cardiovascular events in the treated group during a 5 years follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tolerance, effect of drug on arterial parameters : diameter, IMT, stiffness. | during the study | Tolerance, effect of drug on arterial parameters : diameter, IMT, stiffness. |