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RecruitingCalcium Release Deficiency Syndrome (CRDS)

Evaluation of A Clinical Diagnostic Test for CRDS

Eligible age

All ages

Accepts

All genders

Locations

4 states

Healthy volunteers

No

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About this study

Calcium Release Deficiency Syndrome (CRDS) is a novel inherited arrhythmia syndrome secondary to RyR2 loss-of-function that confers a risk of sudden cardiac death. Diagnosis of CRDS presently requires cellular-based in vitro confirmation that an RyR2 variant causes loss-of-function. We hypothesize that CRDS can be diagnosed clinically through evaluation of the repolarization response to brief tachycardia, mediated by cardiac pacing, and a subsequent pause.

Sponsor: Population Health Research Institute

You may qualify if…

  • Presence of an RyR2 variant confirmed to be loss-of-function on in vitro testing
  • Satisfy a clinical phenotype consistent with the Expert Consensus Statement
  • Presence of a confirmed or presumed pathogenic gain-of-function RyR2 variant OR homozygous or compound heterozygous for likely pathogenic/pathogenic CASQ2 variants
  • Cardiac arrest requiring cardioversion or defibrillation that remains unexplained following an ECG, echocardiogram, coronary assessment, cardiac MRI, and exercise treadmill test
  • Undergone genetic testing that includes screening of RyR2\*
  • Undergoing an invasive electrophysiology study

You may not qualify if…

  • Unable to provide informed consent
  • Cohort 2: Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) Cases
  • Unable to provide informed consent
  • Use of a QT prolonging medication, aside from flecainide, at the time of the burst pacing maneuvers
  • Cohort 3: Survivors of Unexplained Cardiac Arrest (UCA)
  • Unable to provide informed consent
  • Use of a QT prolonging medication at the time of the burst pacing maneuvers
  • Among survivors of UCA that possess a rare RyR2 variant in the absence of a CPVT phenotype, in vitro functional testing will be performed in order to confirm it is not loss- or gain-of-function (and will be arranged through the laboratory of Dr. Wayne Chen at the University of Calgary).

Where it's recruiting

California

San Francisco

Minnesota

Rochester

Washington

Seattle

Source: ClinicalTrials.gov · NCT06188689 · last updated 2026-07-22

Evaluation of A Clinical Diagnostic Test for CRDS · TrialPath