Cardiac Sarcoidosis and FDG-PET

NCT ID: NCT00958087

Last Updated: 2012-09-27

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

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2004-03-31

Study Completion Date

2010-07-31

Brief Summary

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Sarcoidosis is a multi-systemic inflammatory disorder of unknown cause characterized by the formation of non-caseating granulomas in involved organs. Its cardiac involvement may be potentially fatal. Although endomyocardial biopsy is required for definitive diagnosis of cardiac sarcoidosis, it is invasive and lacks sensitivity. The specific diagnostic tool for cardiac sarcoidosis is far from satisfactory. Recent studies have revealed that FDG-PET with under fasting conditions is a useful method for identification of cardiac sarcoidosis patients. However, to our knowledge, no investigations have been published with regard to FDG quantification for the diagnosis and management of cardiac sarcoidosis by PET.

Detailed Description

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Fasting FDG-PET will be performed in all subjects. Serum calcium, C-reactive protein (CRP), angiotensin converting enzyme (ACE), lysozyme, and B-type natriuretic peptide (BNP) levels will be measured in all patients. All patients will undergo chest X-ray, resting 12-lead ECG, transthoracic echocardiography, and 3 types of radionucleotide imaging using Tc-99m sestamibi for myocardial perfusion, Ga and FDG for whole-body evaluation. All assessments will be conducted within 2 weeks and no sign indicated any change in disease activity of sarcoidosis. The patients with cardiac involvement will be treated with 30 mg/day of prednisolone orally for the first 4 weeks, then will decrease to a dose of 20 mg/day for the next 4 weeks, and will maintain to a dose of 10 mg/day afterwards.

Conditions

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Sarcoidosis Dilated Cardiomyopathy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Sarcoidosis with cardiac involvement

No interventions assigned to this group

Dilated cardiomyopathy

No interventions assigned to this group

Sarcoidosis without cardiac involvement

No interventions assigned to this group

Healthy controls

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Subjects between the ages of 35 and 85 years
* Subjects with systemic sarcoidosis
* Subjects with idiopathic sarcoidosis

Exclusion Criteria

* Subjects with active inflammatory diseases not related to sarcoidosis
* Subjects with coronary artery disease and primary valvular heart diseases
* Subjects with uncontrolled diabetes mellitus or insulin treatment
* Subjects with use of the corticosteroid
* Subjects with systemic disorders such as active inflammatory, liver, renal, hematopoietic, and malignant disease
Minimum Eligible Age

35 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kurume University

OTHER

Sponsor Role lead

Responsible Party

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Nobuhiro Tahara

M.D., PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nobuhiro Tahara, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Kurume University

Locations

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Kurume University Hospital

Kurume, , Japan

Site Status

Countries

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Japan

Other Identifiers

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CS-PET

Identifier Type: -

Identifier Source: org_study_id