11C-acetate/18Fluorodeoxyglucose-FDG PET/CT and Cardiac MRI in Pulmonary Hypertension

NCT ID: NCT01917136

Last Updated: 2019-02-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2018-10-31

Brief Summary

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This study is looking at differences in metabolism and functional imaging between pulmonary hypertension subjects with normal right ventricular function and persistent right ventricular dysfunction.

Detailed Description

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We will measure right ventricular metabolic and structural changes using serial 11C-acetate and 18F-FDG PET/CT and cardiac MRI as response to treatment with ranolazine. Subjects undergo imaging procedures at week 0 and week 26 (optional for normal function patients). This is a companion imaging trial for patients who are eligible for the treatment trial entitled "A randomized, double-blind, placebo controlled, multi-center study to assess the effect of ranolazine on outcomes in subjects with pulmonary hypertension and right ventricular dysfunction accompanied by a comparative study of cellular metabolism in subjects with pulmonary hypertension with and without right ventricular dysfunction". Subjects must enroll in companion treatment protocol to qualify for the imaging protocol.

The cardiac MRI portion of the study continued, but the PET portion of the study was discontinued due to funding.

The treatment protocol is registered under: NCT01839110. Due to funding issues, the completed study was registered under NCT02829034.

Conditions

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Pulmonary Hypertension

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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11c-acetate and 18F-FDG, and cardiac MRI

For each PET/CT imaging session subjects will receive a 15-25 millicurie intravenous injection of 11C-acetate and a 10 millicurie injection of 18F-FDG At baseline/6 months follow up, a cardiac MRI will be performed.

Group Type EXPERIMENTAL

11C-acetate

Intervention Type DRUG

For each PET/CT imaging session subjects will receive a 15-25 millicurie intravenous injection of 11C-acetate

[18F]Fluoro-2-deoxy-2-D-glucose

Intervention Type DRUG

For each PET/CT imaging session subjects will receive a 10 millicurie injection of 18F-FDG

Cardiac MRI

Intervention Type OTHER

Cardiac MRI is performed at 6 months to measure any change in structure and function of the treatment groups.

Interventions

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11C-acetate

For each PET/CT imaging session subjects will receive a 15-25 millicurie intravenous injection of 11C-acetate

Intervention Type DRUG

[18F]Fluoro-2-deoxy-2-D-glucose

For each PET/CT imaging session subjects will receive a 10 millicurie injection of 18F-FDG

Intervention Type DRUG

Cardiac MRI

Cardiac MRI is performed at 6 months to measure any change in structure and function of the treatment groups.

Intervention Type OTHER

Other Intervention Names

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18F-FDG

Eligibility Criteria

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Inclusion Criteria

Participation in the companion treatment protocol "A randomized, double-blind, placebo controlled, multi-center study to assess the effect of ranolazine on outcomes in subjects with pulmonary hypertension and right ventricular dysfunction accompanied by a comparative study of cellular metabolism in subjects with pulmonary hypertension with and without right ventricular dysfunction"

Exclusion Criteria

* Pregnancy or lactation: Women of childbearing potential must have a negative urine or blood pregnancy test on the day of the PET/CT scan.
* Severe anxiety or claustrophobia prohibiting completion of imaging
* Inability to tolerate imaging procedures (1 hour MRI, 30 min and 15 min PET)
* Implantable cardioverter-defibrillator, Pacemaker, hazardous metallic implants or any other contraindication to MRI.
* Uncontrolled diabetes mellitus with fasting glucose \> 150 mg/dL
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

University of Maryland

OTHER

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role collaborator

Washington University School of Medicine

OTHER

Sponsor Role collaborator

The Cardiovascular Medical Research and Education Fund

OTHER

Sponsor Role collaborator

University of Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yuchi Han, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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817786

Identifier Type: -

Identifier Source: org_study_id

NCT01953965

Identifier Type: -

Identifier Source: nct_alias

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