Cardiomyopathy and Myocarditis Registry. Newsletter N 16 October Dear Investigators,

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Cardiomyopathy and Myocarditis Registry Newsletter N 16 October 2016 Page 1 Some words from the Chairman Dear Investigators, Page 2 to 4. - Study plan - Registry status - Some key variables Page 4 to 6 - Data management - Ancillary analyses It was a great pleasure to meet some of you at the investigator meeting held during the ESC congress 2016 in Rome. The enrolment period is nearly ending but I am still encouraging centres to continue the recruitment until December 2016 to reach the goal of enrolling a total number of 3 000 Adults Cardiomyopathy, 300 Myocarditis and 300 Paediatrics Cardiomyopathy in this registry. The registry is progressing well and I would like to thank you all for your efforts to contribute to its success. The global results will be produced from the merged Pilot and long-term registries and will be presented at the next ESC congress 2017 in Barcelona. At this stage, it is important that you submit all your patient data, including the data from the 1 year follow-up. Also, I would like to inform you that the genetics section of the ecrf can be filled in independently from the baseline in order to facilitate the data lock and that a new class of medication has been implemented (Sacubitril/Valsartan) in the ecrf to comply with the ESC guidelines. Again, thank you for your collaboration Yours sincerely, Philippe Charron Chair of the Registry Cardiomyopathies and Myocardities Registry Newsletter 16 October 2016 Page 1 of 6

STUDY PLAN End of enrolment (main part) December 2016 Presentation of main part results (on merged pilot & long-term registries) ESC congress 2017 Barcelona End of 1 year Follow-Up December 2017 Presentation of 1 year Follow-Up results ESC Congress 2018 REGISTRY STATUS October 21 st, 2016 Overall patient enrolment To reach our recruitment goal of 3,000 Adult Cardiomyopathy, 300 Myocarditis, 300 Paediadrics by December 2016, we encourage all centres to continue the patient recruitment. Enrolment per country Patients Enrolled 500 400 300 200 100 0 Cardiomyopathies and Myocardities Registry Newsletter 16 October 2016 Page 2 of 6

Centres activity Country Participating Centres Active Centres Patients Enrolled CRF Signed off CRF Locked Austria 1 0 0 0 0 Belarus 1 1 34 19 9 Czech Republic 1 0 0 0 0 Denmark 1 0 0 0 0 Egypt 3 0 0 0 0 Finland 2 2 115 59 56 France 7 2 104 4 0 FYR Macedonia 1 0 0 0 0 Germany 14 3 108 53 52 Great Britain 7 1 42 42 41 Greece 2 2 15 8 6 Hungary 1 0 0 0 0 Italy 17 9 427 398 320 Lithuania 2 2 142 123 112 Netherlands 1 1 41 41 25 Poland 6 6 383 369 222 Portugal 5 2 46 0 0 Romania 2 2 206 205 190 Serbia 2 2 177 150 121 Spain 18 12 345 275 262 Sweden 1 1 48 0 0 Turkey 1 0 0 0 0 Nigeria 1 1 4 2 0 Total 97 49 2237 1748 1416 the following centres who have the highest number of enrolled patients: 1. John Paul II Hospital - Krakow (Poland) 2. Emergency Institute of Cardiovascular Diseases Bucharest (Romania) 3. Policlinico Casilino Roma (Italy) 4. Helsinki University Central Hospital Meilahti Helsinki (Finland) 5. Azienda Ospedaliero-Universitaria Ospedali Riuniti Trieste (Italy) Types of active centres SOME REGISTRY KEY VARIABLES 20 Adult centres, 3 Paediatric centres and 17 both Adult & Paediatric centres Cardiomyopathies and Myocardities Registry Newsletter 16 October 2016 Page 3 of 6

Type of patients 1906 Adults patients vs 99 Paediatrics pati ients 9,95% 2,44% Type of inclusions N =2 130 Cardiomyopathy alone 87,61% Myocarditis alone Cardiomyopathy & Myocarditis Type of Cardiomyopathies N = 1910 Restrictive Arrhythmogenic 2,09% 3,87% Dilated Hypertrophic 41,31% 52,72% 0% 10% 20% 30% 40% 50% 60% DATAMANAGEMENT It is important at this stage of the registry that centres from Belarus, Finland, France, Germany and Portugal enter and submit their patient data ASAP. Cardiomyopathies and Myocardities Registry Newsletter 16 October 2016 Page 4 of 6

Once you have entered your data in the ecrf, make sure to tick YES and NEXT to sign off 1- Genetic section The genetics section in the ecrf can be filled in and signed off independently from the baseline. So the baseline can be submitted without the genetic data which will be entered when available later (since results may require several months after enrollment). Independent section from Baseline: can be completed and signed off at any 2 New class of medication A new class of medication Sacubitril/Valsartan (recommended as a replacement for an ACE-I to further reduce the risk of HF hospitalization and death in ambulatory patients with HFrEF who remain symptomatic despite optimal treatment with an ACE-I, a beta-blocker and an MRA) has been implemented in the medication section of the ecrf to comply with the ESC guidelines. Cardiomyopathies and Myocardities Registry Newsletter 16 October 2016 Page 5 of 6

Ancillary analyses the lead authors for the presentation of their proposals of ancillary analyses at the investigator meeting in Rome. THANK YOU ALL Should you have any suggestions, questions or requests, please do not hesitate to contact us at eorp@escardio.org Cardiomyopathies and Myocardities Registry Newsletter 16 October 2016 Page 6 of 6