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
- Diseases
- Fabry disease
- 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
Sites (17)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Ospedale Regionale Generale "F. Miulli", Acquaviva delle Fonti Coordinator of this site? Confirm its status | Acquaviva delle Fonti | Italy | Unknown status |
| Fondazione Istituto G. Giglio, Cefalù Coordinator of this site? Confirm its status | Cefalù | Italy | Unknown status |
| UO Neurologia degli Ospedali di Cesena e Forlì, Ospedale Bufalini Cesena ed Ospedale Morgagni-Pierantoni (Ausl della Romagna) Coordinator of this site? Confirm its status | Cesena | Italy | Unknown status |
| Asst Di Cremona Coordinator of this site? Confirm its status | Cremona | Italy | Unknown status |
| Ospedale "Spaziani" di Frosinone Coordinator of this site? Confirm its status | Frosinone | Italy | Unknown status |
| U.O. Neurologia, Ospedale Sant'Andrea, La Spezia Coordinator of this site? Confirm its status | La Spezia | Italy | Unknown status |
| ASST Melegnano Martesana Coordinator of this site? Confirm its status | Melegnano | Italy | Unknown status |
| Ospedale Luigi Sacco, ASST Fatebenefratelli Sacco Coordinator of this site? Confirm its status | Milan | Italy | Unknown status |
| ASST Grande Ospedale Metropolitano Niguarda Coordinator of this site? Confirm its status | Milan | Italy | Unknown status |
| Fondazione IRCCS Istituto Neurologico Carlo Besta Coordinator of this site? Confirm its status | Milan | Italy | Unknown status |
| Stroke Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano Coordinator of this site? Confirm its status | Milan | Italy | Unknown status |
| IRCCS Policlinico San Matteo, Pavia Coordinator of this site? Confirm its status | Pavia | Italy | Unknown status |
| Neurologia d'Urgenza e Stroke Unit dell'Ospedale di Pescara Coordinator of this site? Confirm its status | Pescara | Italy | Unknown status |
| Neurologia Stroke Unit dell'Asst Rhodense Coordinator of this site? Confirm its status | Rho | Italy | Unknown status |
| Policlinico Tor Vergata, UOSD Stroke Unit Coordinator of this site? Confirm its status | Roma | Italy | Unknown status |
| Neurologia dell'Ospedale Sandro Pertini - ASL Roma2 Coordinator of this site? Confirm its status | Roma | Italy | Unknown status |
| Neurologia PO Levante Asl 2 Savonese Coordinator of this site? Confirm its status | Savona | Italy | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.