A Study of Stress Echocardiography in Post-Menopausal Women at Risk for Coronary Disease

NCT ID: NCT00162370

Last Updated: 2021-03-15

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-04-30

Study Completion Date

2012-10-31

Brief Summary

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The study is designed to see if stress echocardiography can be used as a screening exam in peri-, or post-menopausal women with a risk of developing of coronary artery disease and experiencing future cardiac events.

Detailed Description

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The clinical trial is designed to determine the prognostic value of stress echocardiography as a screening examination in peri-, or post-menopausal female patients with an intermediate likelihood of coronary artery disease (CAD) based on risk factors to identify patients at higher risk of experiencing future cardiac events.Female patients who are able to adequately exercise will undergo a symptom-limited exercise echocardiogram. Patients who are unable to adequately exercise or are predicted to be unable to exercise adequately (because of orthopedic/neurologic limitations, lung disease or debility), will perform dobutamine stress echocardiography. All patients will receive DEFINITY at rest and stress to enhance wall motion assessment.

Conditions

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Coronary Artery Disease Heart Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Definity

All patients will undergo a gray scale baseline unenhanced imaging session (apical 2- or 4 chamber view), as well as a DEFINITY (Perflutren Lipid Microsphere Injectable Suspension)-enhanced rest and a DEFINITY enhanced exercise or dobutamine stress echocardiography imaging session. The unenhanced and DEFINITY-enhanced rest and stress echocardiography imaging sessions will be performed on the same day. For the DEFINITY-enhanced imaging sessions all patients will receive diluted DEFINITY intravenously (IV). Diluted DEFINITY will be prepared by mixing 1 mL of activated DEFINITY® with 9 mL of normal saline in a 10 mL syringe.

Group Type EXPERIMENTAL

Perflutren Lipid Microsphere Injectable Suspension

Intervention Type DRUG

Activated DEFINITY 10ug/kg by bolus injection

Interventions

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Perflutren Lipid Microsphere Injectable Suspension

Activated DEFINITY 10ug/kg by bolus injection

Intervention Type DRUG

Other Intervention Names

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DEFINITY

Eligibility Criteria

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Inclusion Criteria

* Peri or Post menopausal women either:

* without symptoms but with risk factors for heart disease OR
* experiencing atypical chest pain, OR
* experiencing exertional dyspnea AND 2 or more risk factors for CAD
* Must be able to perform an exercise stress test

Peri-or post-menopausal (including surgical menopause) based on history.

* Post-menopausal is defined as females age 40-65 who self-report the absence of menstrual periods for at least 12 months.
* Peri-menopausal is defined as females age 40-65 who self-report the absence or irregularity of menstrual periods for 6-12 months.
* Surgical menopause is defined as females who have had a bilateral salpingo-oophorectomy with or without hysterectomy.

Exclusion Criteria

* Previous confirmed heart disease
Minimum Eligible Age

40 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Lantheus Medical Imaging

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sharon Mulvagh, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Local Institution

Scottsdale, Arizona, United States

Site Status

Local Institution

Jacksonville, Florida, United States

Site Status

Local Institution

Rochester, Minnesota, United States

Site Status

Countries

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United States

References

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Abdelmoneim SS, Ball CA, Mantovani F, Hagen ME, Eifert-Rain S, Wilansky S, Castello R, Pellikka PA, Best PJM, Mulvagh SL. Prognostic Utility of Stress Testing and Cardiac Biomarkers in Menopausal Women at Low to Intermediate Risk for Coronary ARTery Disease (SMART Study): 5-Year Outcome. J Womens Health (Larchmt). 2018 May;27(5):542-551. doi: 10.1089/jwh.2017.6506. Epub 2018 Apr 19.

Reference Type DERIVED
PMID: 29672210 (View on PubMed)

Mantovani F, Abdelmoneim SS, Zysek V, Eifert-Rain S, Mulvagh SL. Effect of stress echocardiography testing on changes in cardiovascular risk behaviors in postmenopausal women: a prospective survey study. J Womens Health (Larchmt). 2014 Jul;23(7):581-7. doi: 10.1089/jwh.2013.4604. Epub 2014 Jun 16.

Reference Type DERIVED
PMID: 24932797 (View on PubMed)

Other Identifiers

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DMP 115-407

Identifier Type: -

Identifier Source: org_study_id

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