Dose Finding Study of PB127 Ultrasound Contrast Agent in Healthy Volunteers and Patients With Coronary Artery Disease

NCT ID: NCT00584818

Last Updated: 2008-04-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

205 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-11-30

Study Completion Date

2008-03-31

Brief Summary

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The purpose of this study is to determine the dose of PB127 for detection and/or exclusion of coronary artery disease when used with cardiac ultrasound. This study also evaluates the safety of PB127.

Detailed Description

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Conditions

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Healthy Coronary Artery Disease

Keywords

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coronary artery disease chest pain healthy volunteers SPECT angiogram ultrasound echocardiogram perfusion

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Interventions

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PB127 for Injectable Suspension

Stages 1 \& 2 0.009 - 0.204 mg/kg continuous IV during rest and stress conditions. Infusion rate of 50 - 125 mL/hr will be adjusted for image quality and diagnostic quality. Infusion limited to 60 minutes or less.

Stage 3 - will utilize infusion rate and dose established in Stages 1 \& 2. 0.062 mg/kg continuous IV infusion at 150 mL/hr during rest and 100 mL/hr during stress conditions.

Intervention Type DRUG

Other Intervention Names

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CARDIOsphere®

Eligibility Criteria

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Inclusion Criteria

Stages 1 and 2

1. Men and women
2. Ages 18 30
3. Normal volunteers
4. No history (or suspicion) of CAD

Stage 3

1. Men and women with known or suspected CAD
2. Ages 18 years and older
3. Scheduled for or undergone clinically indicated coronary angiography within 28 days prior to or following Study Day 1

1. Coronary angiography within 28 days prior to Study Day 1 and/or SPECT must have been non-interventional
2. Coronary angiography images available in digital format (non cine) for transmission to core laboratory
4. Scheduled for or undergone SPECT within 28 days prior to or following Study Day 1

Exclusion Criteria

1. Unable to provide written informed consent
2. Women who are pregnant or lactating
3. Known hypersensitivity or known contraindication to:

1. Dipyridamole
2. Ultrasound contrast agents (including PB127 and excipients)
3. Blood, blood products, albumin, egg whites, or protein
4. Use of caffeine or xanthine containing products within the 24 hours prior to PB127 administration on Study Day 1 (Stages 2 and 3)
5. Previous exposure to PB127
6. Inadequate echocardiographic windows
7. Heart transplant
8. Known right to left shunt, including atrial septal defect
9. History of CABG
10. Current uncontrolled ventricular tachycardia, atrial fibrillation, atrial tachycardia, or atrial flutter
11. Pacemaker or defibrillator
12. Unstable angina grade CCS Class IV severity with ongoing symptoms and/or ongoing infusion of IV nitroglycerin
13. Second degree or greater heart block
14. Hypertension (SPB \>200 and/or DBP \>110 mmHg on two consecutive readings within 1 hour prior to PB127 administration)
15. Hypotension (SPB \<90 mmHg on two consecutive readings within 1 hour prior to PB127 administration)
16. Severe aortic stenosis (\>100 mmHg peak transvalvar gradient or \<0.6 cm2 estimated valve area)
17. Pulmonary edema within the 7 days prior to Study Day 1
18. Resting oxygen saturation of less than 90%
19. Q wave MI or major surgery within the 7 days prior to Study Day 1
20. PTCA within the 28 days prior to Study Day 1
21. Chronic obstructive pulmonary disease or bronchospastic airway disease which, in the opinion of the Investigator, is significant enough to contraindicate dipyridamole
22. Known history of severe pulmonary hypertension characterized by estimated pulmonary artery systolic pressure of \>50 mmHg
23. Liver disease, characterized by or including one or more of the following

1. Elevated total bilirubin \> upper limit of normal
2. Currently elevated hepatic enzymes \>3X upper limit of normal
24. Medical conditions or other circumstances that would significantly decrease the chances of obtaining reliable data or achieving the study objectives (i.e., drug dependence, psychiatric disorder, dementia, or associated illness); extenuating circumstances or medical conditions that make it unlikely that a patient can complete the clinical trial or follow up evaluations; or other reasons for expected poor compliance with the clinical investigator's instructions
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Point Biomedical

INDUSTRY

Sponsor Role lead

Responsible Party

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POINT Biomedical Corp.

Principal Investigators

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Alexander Ehlgen, MD, PhD

Role: STUDY_DIRECTOR

POINT Biomedical Corp.

Locations

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Long Beach VA Medical Center Cardiology Division

Long Beach, California, United States

Site Status

University of California San Diego Division of Cardiology

San Diego, California, United States

Site Status

Alfieri Cardiology

Newark, Delaware, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Midwest Cardiology Associates

Overland Park, Kansas, United States

Site Status

The Center for Cardiovascular Studies Kramer and Crouse Cardiology

Shawnee Mission, Kansas, United States

Site Status

Androscoggin Cardiovascular Associates

Auburn, Maine, United States

Site Status

Cardiovascular Consultants

Kansas City, Missouri, United States

Site Status

St. Louis University Medical Center

St Louis, Missouri, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Oregon Health Sciences University

Portland, Oregon, United States

Site Status

University of Pittsburgh Cardiovascular Institute

Pittsburgh, Pennsylvania, United States

Site Status

Seton Healthcare Network Brackenridge Hospital

Austin, Texas, United States

Site Status

Austin Heart

Austin, Texas, United States

Site Status

Inland Cardiology

Spokane, Washington, United States

Site Status

Northwest Cardiovascular Research Institute Spokane Cardiology

Spokane, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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127-013

Identifier Type: -

Identifier Source: org_study_id