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An international, multicenter, epidemiological, observational study investigating the prevalence of Hereditary Angioedema (HAE) disease among participants with recurrent episodes of abdominal pain of no obvious etiology.
Hereditary Angioedema (HAE) is a rare autosomal dominant disorder characterized most commonly by deficient (type 1) or nonfunctional (type 2) C1 inhibitor protein (encoded by SERPING1 gene). The disorder is associated with episodes of angioedema of the face, larynx, lips, abdomen, and extremities. The angioedema is caused by the activation of the kallikrein-kinin system that leads to the release of vasoactive peptides, followed by edema, which in severe cases can be life threatening.
Gastrointestinal involvement occurs in 93% of patients with HAE and may be the only manifestation of the disease. However, individuals with gastrointestinal symptoms are rarely considered for HAE and the disease can be misdiagnosed for several years.
EHA study focuses on the gastrointestinal complications of HAE as a potential area of misdiagnosis leading to surgical morbidity. Aim of the study is to investigate the prevalence of HAE among participants experiencing recurrent abdominal pain attacks with no clear etiology. The HAE-positive samples in the study will be further analyzed biochemically to identify disease-specific biomarker that may support the development of new diagnostic tools for HAE disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants with abdominal pain attacks | Participants experiencing recurrent abdominal pain attacks without a clear etiolgy aged between 2-60 years |
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| Measure | Description | Time Frame |
|---|---|---|
| Epidemiological analysis of prevalence of the HAE in participants with previous episodes of abdominal pain of no obvious etiology. | Dry Blood Spot (DBS)-based biochemical measurements of C4 complement and the protease C1 inhibitor levels will be analyzed via liquid chromatography multiple reaction. The pathological biochemical results will be genetically validated via combination of the Next-Generation Sequencing (the mutation will be confirmed by Sanger sequencing) and Multiplex ligation-dependent probe amplification of SERPING1. | 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Establishment of a biomarker in HAE-positive cohort | HAE-positive samples will be analyzed for the identification of potential biomarkers (based on MS/MS-Tandem spectroscopy) and compared with the merged control samples in order establish a HAE specific biomarker. | 4 years |
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INCLUSION CRITERIA
EXCLUSION CRITERIA
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Participants with previous episodes of abdominal pain attacks of no obvious etiology
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| Name | Affiliation | Role |
|---|---|---|
| Peter Bauer, MD | CENTOGENE GmbH | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Praxis und Tagesklinik Prof. Dr. med. Jens Papke | Neustadt | Saxony | 01844 | Germany | ||
| Universitätsklinikum Düsseldorf, Klinik für Allgemein-, Viszeral- und Kinderchirurgie |
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Blood sample applied on the Dry Blood Spot (DBS) Filtercard (Centocard®)
| Düsseldorf |
| 40225 |
| Germany |
| Dr. med. Engelhard | Dr. med. Wihl, Internistische Gemeinschaftspraxis | Frankenberg | 35066 | Germany |
| Universitätsmedizin Greifswald Körperschaft des öffentlichen Rechts | Greifswald | 17475 | Germany |
| Klinikum Kassel GmbH | Kassel | 34125 | Germany |
| Universitätsklinikum Leipzig AöR | Leipzig | 04103 | Germany |
| Johannes Wesling Klinikum Minden, Universitätsklinik der Ruhr Universität Bochum | Minden | 32429 | Germany |
| Kinder- und Jugendklinik, Universitätsmedizin Rostock | Rostock | 18057 | Germany |
| Azienda Ospedaliera Antonio Cardarelli | Naples | 80131 | Italy |
| Hiroshima University Graduate School of Biomedical Sciences | Hiroshima | 7348551 | Japan |
| Gastromed | Bialystok | 15-322 | Poland |
| Centrum Medyczne Alfamedica Silesia North | Częstochowa | 42218 | Poland |
| Specialized Medical Offices MeaMedica | Gdansk | 80-244 | Poland |
| Przychodnia Polskiej Fundacji Gastroenterologii | Warsaw | 00-631 | Poland |
| WIP Warsaw IBD Point | Warsaw | 00-728 | Poland |
| Przychodnia Lekarska MediSpace | Warsaw | 1044 | Poland |
| Uniwersytecki Szpital Kliniczny | Wroclaw | 50-556 | Poland |
| Cdl "Barska" | Włocławek | 87 - 800 | Poland |
| Cukurova University Balcali Hospital | Adana | 01330 | Turkey (Türkiye) |
| Bezmialem Vakif Üniversitesi | Istanbul | 34093 | Turkey (Türkiye) |
| Ege University Faculty of Medicine | Izmir | 35100 | Turkey (Türkiye) |
| Dokuz Eylül University Research and Application Hospital | Izmir | 35330 | Turkey (Türkiye) |
| Aberdeen Royal Infirmary | Aberdeen | AB252ZN | United Kingdom |
| University Hospital of Derby and Burton NHS Foundation Trust | Derby | DE22 3NE | United Kingdom |
| Royal Infirmary of Edinburgh | Edinburgh | EH16 4SA | United Kingdom |
| Queen Elizabeth University Hospital | Glasgow | G514TF | United Kingdom |
| Royal Alexandra Hospital | Glasgow | PA29PN | United Kingdom |
| University Hospital Crosshouse | Kilmarnock | KA20BE | United Kingdom |
| University Hospital Leicester (UHL) | Leicester | LE1 5WW | United Kingdom |
| The Royal London Hospital | London | E1 1BB | United Kingdom |
| St Thomas Hospital | London | SE1 7EH | United Kingdom |
| St George's University Hospital London | London | SW17 0RE | United Kingdom |
| Imperial College Healthcare NHS Trust | London | W12 0HS | United Kingdom |
| Manchester Royal Infirmary | Manchester | M13 9WL | United Kingdom |
| Milton Keynes Hospital | Milton Keynes | MK6 5LD | United Kingdom |
| ID | Term |
|---|---|
| D015746 | Abdominal Pain |
| D054179 | Angioedemas, Hereditary |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012817 | Signs and Symptoms, Digestive |
| D000799 | Angioedema |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D000081208 | Hereditary Complement Deficiency Diseases |
| D000081207 | Primary Immunodeficiency Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D014581 | Urticaria |
| D017445 | Skin Diseases, Vascular |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D007153 | Immunologic Deficiency Syndromes |
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