connective tissue disease Marfan syndrome
Conditions
Interventions
Resveratrol 500 mg/day for one year
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: - Marfan patients with a known FBN1 mutation - Between 18-50 years of age - Native aortic root (n
Exclusion criteria
Exclusion criteria: - More than one vascular prosthesis - Aortic root diameter > 45 mm - Aortic surgery likely within 6 months of inclusion - Aortic surgery in the last 6 months prior to inclusion - Aortic dissection - Contraindications for MR imaging - Mental retardation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| There are three main study parameters/endpoints: 1. A decrease in aortic aneurysm expansion rate in > 90% of the study subjects as measured by echo between baseline (at timepoint of inclusion in the study) and after twelve months of follow-up (after resveratrol treatment). 2. Any statistical significant beneficial change in aortic elasticity or aortic wall shear rate as measured by magnetic resonance imaging (MRI) between baseline (at timepoint of inclusion in the study) and after twelve months of follow-up (after resveratrol treatment). 3. Any statistical significant beneficial change in endothelial function as measured by Flow Mediated Dilatation (FMD) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate functional cardiac parameters by echocardiography in Marfan patients upon treatment with resveratrol. 2. To evaluate changes in blood pressure/heart rate in patients with Marfan syndrome treated with resveratrol. 3. To evaluate changes in endothelial cell function in patients with Marfan syndrome treated with resveratrol by flow mediated dilation measurement (FMD). 4. To evaluate differences between Marfan patients who have had aortic replacement and Marfan patients with a native aorta, before or after resveratrol. 5. To evaluate differences between Marfan patients who have a haploinsufficient (HI) FBN1 mutation or a dominant negative (DN) FBN1 mutation. Geneticists determine the HI or DN status, however, skin cultures may provide conclusive results when the mutation effect is unpredictable. | — |
Countries
Netherlands
Outcome results
None listed