Population at Risk of Malignant Hyperthermia: Ambispective Cohort.
NCT04287556 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 90
Last updated 2022-01-13
Summary
Malignant hyperthermia (MH) is a pharmacogenetic disease that manifests itself as a hypermetabolic response of skeletal musculature, in genetically susceptible patients, with the inhalation of volatile halogenated anesthetics, depolarizing neuromuscular relaxants such and, rarely, physical stressors such as intense exercise and heat stroke.
HM diagnosis is based on the performance of two tests:
* In vitro muscle contraction test (IVCT): it is the gold standard of the diagnosis of HM in Europe.
* Pharmacogenetic study: about 50 genetic variants associated with HM have been described.
It also has been described that B lymphocytes of patients with MH have metabolic alterations.
The main objective is to evaluate the association of disorders that occur with hypermetabolic response of skeletal musculature and susceptibility to malignant hyperthermia (MH).
Conditions
- Hyperthermia, Malignant
Interventions
- DIAGNOSTIC_TEST
-
In vitro contracture test (IVCT)
In vitro study of muscle contraction after exposure to different substances (caffeine and halothane).
- DIAGNOSTIC_TEST
-
In vitro test of hypermetabolism in B lymphocytes
In vitro study of the activation of lymphocytes B after being incubated with a cocktail of primary antibodies and measuring the acidification in response to the RyR1, 4-CmC agonist, using ryanodine as a positive control.
- DIAGNOSTIC_TEST
-
Genetic test
Analysis of genes related to MH (CACNA1S and RYR1).
Sponsors & Collaborators
-
Universidad Autonoma de Madrid
collaborator OTHER -
Instituto de Investigación Hospital Universitario La Paz
lead OTHER
Principal Investigators
-
Elena Ramírez García · Clinical Pharmacology Department, La Paz University Hospital
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-02-26
- Primary Completion
- 2025-02-28
- Completion
- 2025-02-28
Countries
- Spain
Study Locations
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