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NCT06935578Completed

RAre, But Not aLone: a Large Italian Network to Empower the Impervious diaGNostic Pathway of Rare cerEbrovascular Diseases (ALIGNED)

Source: ClinicalTrials.gov · Last updated 1 Sept 2026

Brief summary (registry, in English)

Cerebrovascular diseases (CVDs) are one leading cause of morbidity and mortality worldwide. Despite intensive investigations, more than 30% of strokes remain of undetermined origin. Rare Cerebrovascular Diseases (rCVDs), including heritable (i.e., CADASIL, COL4A1 syndrome, Fabry disease) and acquired conditions (i.e., Sneddon syndrome, Moyamoya arteriopathy) account for a proportion of these strokes. However, rCVDs are often misdiagnosed since clinicians are not able to recognize them. Although rare, the identification of these stroke causes is important to establish appropriate management measures, including genetic counselling, and, if available, therapy. The lack of data on phenotype and clinical course of rCVDs, given the paucity of published series, makes the diagnosis and the development of therapies challenging. Furthermore, the molecular characterization of rCVDs is still lacking, despite progresses achieved in common stroke by applying high throughput approaches as multi-omics. Since the diagnosis and care of rCVDs require adequate expertise and instrumental tools, clinical and research activities are usually reserved to few specialized centers, mostly located in the North of Italy, leading patients to expensive trips for consultations. Therefore, the creation of a clinical and research network aimed at improving the diagnostic pathways of rCVDs is highly needed to improve the number of patients with rCVDs to better define the clinical phenotype and to transfer the knowledge on rCVDs in other centers overall Italy filling the geographical gap affecting Southern Italy.

Status (registry)
Completed
Study type
Observational
Enrollment
500 (actual)
First submitted
2 Apr 2025
Start date
1 May 2023
Primary completion date
19 May 2026
Lead sponsor
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta
NCT number
NCT06935578

What you commit to

  • Study type: Observational
  • Participants enrolled: 500
  • From 1 May 2023 to the primary completion date, 19 May 2026
  • 17 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other

  • na

Who the study is looking for

  • patients with a clinical, genetic and/or neuroradiological diagnosis of rCVD (CADASIL, Fabry's disease, COL4A1, Sneddon's syndrome or Moyamoya arteriopathy), who have had at least one brain MRI study;

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (17)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Ospedale Regionale Generale "F. Miulli", Acquaviva delle Fonti
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Acquaviva delle FontiItalyUnknown status
Fondazione Istituto G. Giglio, Cefalù
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CefalùItalyUnknown status
UO Neurologia degli Ospedali di Cesena e Forlì, Ospedale Bufalini Cesena ed Ospedale Morgagni-Pierantoni (Ausl della Romagna)
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CesenaItalyUnknown status
Asst Di Cremona
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CremonaItalyUnknown status
Ospedale "Spaziani" di Frosinone
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FrosinoneItalyUnknown status
U.O. Neurologia, Ospedale Sant'Andrea, La Spezia
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La SpeziaItalyUnknown status
ASST Melegnano Martesana
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MelegnanoItalyUnknown status
Ospedale Luigi Sacco, ASST Fatebenefratelli Sacco
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MilanItalyUnknown status
ASST Grande Ospedale Metropolitano Niguarda
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MilanItalyUnknown status
Fondazione IRCCS Istituto Neurologico Carlo Besta
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MilanItalyUnknown status
Stroke Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano
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MilanItalyUnknown status
IRCCS Policlinico San Matteo, Pavia
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PaviaItalyUnknown status
Neurologia d'Urgenza e Stroke Unit dell'Ospedale di Pescara
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PescaraItalyUnknown status
Neurologia Stroke Unit dell'Asst Rhodense
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RhoItalyUnknown status
Policlinico Tor Vergata, UOSD Stroke Unit
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RomaItalyUnknown status
Neurologia dell'Ospedale Sandro Pertini - ASL Roma2
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RomaItalyUnknown status
Neurologia PO Levante Asl 2 Savonese
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SavonaItalyUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.