Trial Outcomes & Findings for A Method Validation Study for Evaluation of Novel Treatments Limiting Pulmonary Oedema in Cardiac Failure (NCT NCT02135861)

NCT ID: NCT02135861

Last Updated: 2019-02-27

Results Overview

Interstitial volume (ve) was measured by DCE-MRI. ve for total lung, left lung, right lung, left lung apical, left lung basal, right lung apical, right lung basal has been presented. Session 1 values were considered as Baseline values.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

41 participants

Primary outcome timeframe

Day 1

Results posted on

2019-02-27

Participant Flow

This study included healthy volunteers (HV, group 1), participants (par) with heart failure (HF, group 2) and participants with acute decompensated heart failure (ADHF, group 3) who were hospitalized with evidence of pulmonary edema and received standard of care treatment.

Dynamic Contrast Enhanced-Magnetic Resonance Imaging (DCE-MRI) markers were used to measure vascular permeability and pulmonary edema in HV and par. with HF. Forty one par. were enrolled and 36 entered the study. Three par. did not continue due to habitus and 2 par. did not participate as they required clinical investigations.

Participant milestones

Participant milestones
Measure
Healthy Volunteers
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Acute Decompensated Heart Failure Participants
Acute Decompensated Heart Failure participants following hospitalization due to pulmonary oedema was placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Overall Study
STARTED
21
12
3
Overall Study
COMPLETED
21
12
3
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Method Validation Study for Evaluation of Novel Treatments Limiting Pulmonary Oedema in Cardiac Failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Volunteers
n=21 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
n=12 Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Acute Decompensated Heart Failure Participants
n=3 Participants
Acute Decompensated Heart Failure participants following hospitalization due to pulmonary oedema was placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
53.8 Years
STANDARD_DEVIATION 18.66 • n=5 Participants
67.8 Years
STANDARD_DEVIATION 13.42 • n=7 Participants
79.3 Years
STANDARD_DEVIATION 4.93 • n=5 Participants
66.9 Years
STANDARD_DEVIATION 6.9 • n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
10 Participants
n=7 Participants
2 Participants
n=5 Participants
31 Participants
n=4 Participants
Race/Ethnicity, Customized
African American/African Heritage
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race/Ethnicity, Customized
White
21 Participants
n=5 Participants
11 Participants
n=7 Participants
3 Participants
n=5 Participants
35 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Day 1

Population: The Evaluable Population will include participants in safety population who are 40 years and older .The safety Population includes all enrolled participants who have initiated Session 1 DCE-MRI scan

Interstitial volume (ve) was measured by DCE-MRI. ve for total lung, left lung, right lung, left lung apical, left lung basal, right lung apical, right lung basal has been presented. Session 1 values were considered as Baseline values.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=17 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
n=12 Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers at Baseline
Right lung apical
0.4865 Liter
Standard Error 0.0392
0.3506 Liter
Standard Error 0.0352
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers at Baseline
Right lung basal
0.5045 Liter
Standard Error 0.0444
0.3297 Liter
Standard Error 0.0390
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers at Baseline
Total lung
0.4946 Liter
Standard Error 0.0362
0.3346 Liter
Standard Error 0.0325
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers at Baseline
Left lung
0.5078 Liter
Standard Error 0.0349
0.3253 Liter
Standard Error 0.0317
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers at Baseline
Right lung
0.4960 Liter
Standard Error 0.0417
0.3395 Liter
Standard Error 0.0371
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers at Baseline
Left lung apical
0.4952 Liter
Standard Error 0.0339
0.3188 Liter
Standard Error 0.0306
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers at Baseline
Left lung basal
0.5349 Liter
Standard Error 0.0397
0.3350 Liter
Standard Error 0.0362

PRIMARY outcome

Timeframe: Day 1

Population: The Evaluable Population

Exchange rate (Ktrans) was measured by DCE-MRI. Ktrans for total lung, left lung, right lung, left lung apical, left lung basal, right lung apical, right lung basal has been presented. Session 1 values were considered as Baseline values.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=12 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
n=17 Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers at Baseline
Total lung
0.2216 Liter/minute
Standard Error 0.0298
0.2353 Liter/minute
Standard Error 0.0273
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers at Baseline
Left lung
0.2309 Liter/minute
Standard Error 0.0256
0.2173 Liter/minute
Standard Error 0.0236
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers at Baseline
Left lung apical
0.2166 Liter/minute
Standard Error 0.0265
0.2161 Liter/minute
Standard Error 0.0244
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers at Baseline
Left lung basal
0.2621 Liter/minute
Standard Error 0.0270
0.2225 Liter/minute
Standard Error 0.0249
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers at Baseline
Right lung apical
0.2166 Liter/minute
Standard Error 0.0355
0.2528 Liter/minute
Standard Error 0.0326
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers at Baseline
Right lung basal
0.2313 Liter/minute
Standard Error 0.0329
0.2431 Liter/minute
Standard Error 0.0301
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers at Baseline
Right lung
0.2216 Liter/minute
Standard Error 0.0338
0.2474 Liter/minute
Standard Error 0.0309

PRIMARY outcome

Timeframe: Day 11

Population: The Evaluable Population

Interstitial volume (ve) was measured by DCE-MRI. ve for total lung, left lung, right lung, left lung apical, left lung basal, right lung apical, right lung basal before and following exercise has been presented.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=12 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
n=17 Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Total lung
0.4353 Liter
Standard Error 0.0335
0.3205 Liter
Standard Error 0.0292
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Left lung
0.4832 Liter
Standard Error 0.0266
0.3055 Liter
Standard Error 0.0228
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Right lung
0.4534 Liter
Standard Error 0.0355
0.3274 Liter
Standard Error 0.0298
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Left lung apical
0.4272 Liter
Standard Error 0.0335
0.3126 Liter
Standard Error 0.0289
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Left lung basal
0.4890 Liter
Standard Error 0.0318
0.3114 Liter
Standard Error 0.0272
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Left lung basal
0.5310 Liter
Standard Error 0.0323
0.3173 Liter
Standard Error 0.0276
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Right lung apical
0.4343 Liter
Standard Error 0.0378
0.3387 Liter
Standard Error 0.0324
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Right lung apical
0.4504 Liter
Standard Error 0.0358
0.3393 Liter
Standard Error 0.0301
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Total lung
0.4568 Liter
Standard Error 0.0307
0.3140 Liter
Standard Error 0.0263
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Left lung
0.4487 Liter
Standard Error 0.0311
0.3121 Liter
Standard Error 0.0267
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Right lung
0.4361 Liter
Standard Error 0.0357
0.3294 Liter
Standard Error 0.0311
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Left lung apical
0.4449 Liter
Standard Error 0.0257
0.2986 Liter
Standard Error 0.0216
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Right lung basal
0.4400 Liter
Standard Error 0.0347
0.3206 Liter
Standard Error 0.0301
Interstitial Volume (ve) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Right lung basal
0.4591 Liter
Standard Error 0.0367
0.3133 Liter
Standard Error 0.0308

PRIMARY outcome

Timeframe: Day 11

Population: The Evaluable Population

Exchange rate (Ktrans) was measured by DCE-MRI. Ktrans for total lung, left lung, right lung, left lung apical, left lung basal, right lung apical, right lung basal before and following exercise has been presented.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=12 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
n=17 Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Left lung
0.2102 Liter/minute
Standard Error 0.0285
0.2525 Liter/minute
Standard Error 0.0245
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Left lung
0.1785 Liter/minute
Standard Error 0.0200
0.1986 Liter/minute
Standard Error 0.0172
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Right lung
0.2034 Liter/minute
Standard Error 0.0299
0.2550 Liter/minute
Standard Error 0.0263
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Left lung apical
0.1856 Liter/minute
Standard Error 0.0293
0.2459 Liter/minute
Standard Error 0.0253
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Left lung apical
0.1621 Liter/minute
Standard Error 0.0199
0.1780 Liter/minute
Standard Error 0.0167
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Left lung basal
0.2552 Liter/minute
Standard Error 0.0296
0.2630 Liter/minute
Standard Error 0.0254
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Right lung
0.1926 Liter/minute
Standard Error 0.0269
0.2114 Liter/minute
Standard Error 0.0226
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Left lung basal
0.2060 Liter/minute
Standard Error 0.0227
0.2185 Liter/minute
Standard Error 0.0196
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Right lung apical
0.1934 Liter/minute
Standard Error 0.0281
0.2440 Liter/minute
Standard Error 0.0243
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Right lung apical
0.1892 Liter/minute
Standard Error 0.0267
0.2141 Liter/minute
Standard Error 0.0224
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Right lung basal
0.2181 Liter/minute
Standard Error 0.0319
0.2593 Liter/minute
Standard Error 0.0281
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Right lung basal
0.2052 Liter/minute
Standard Error 0.0284
0.2081 Liter/minute
Standard Error 0.0238
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Pre-exercise; Total lung
0.2044 Liter/minute
Standard Error 0.0281
0.2567 Liter/minute
Standard Error 0.0247
Exchange Rate (Ktrans) in Heart Failure Participants and Healthy Volunteers Before and Following Exercise
Post-exercise; Total lung
0.1841 Liter/minute
Standard Error 0.0221
0.2108 Liter/minute
Standard Error 0.0190

PRIMARY outcome

Timeframe: Up to Week 8

Population: The safety population will include all enrolled participants who have initiated at least one session of DCE-MRI or Lung Ultrasound Scan

Interstitial volume (ve) was measured by DCE-MRI. Three participants underwent 3 DCE-MRI scans. The data has been presented for individual participant in each session. The data presented below is only for total lung.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=3 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Change in Interstitial Volume (ve) in ADHF Participants
Par.1; Session 1
0.794 Liter
Change in Interstitial Volume (ve) in ADHF Participants
Par.1; Session 2
0.9577 Liter
Change in Interstitial Volume (ve) in ADHF Participants
Par. 2; Session 1
0.5086 Liter
Change in Interstitial Volume (ve) in ADHF Participants
Par. 2; Session 2
0.4018 Liter
Change in Interstitial Volume (ve) in ADHF Participants
Par. 3; Session 1
0.354 Liter
Change in Interstitial Volume (ve) in ADHF Participants
Par. 3; Session 2
0.6356 Liter
Change in Interstitial Volume (ve) in ADHF Participants
Par. 3 Session 3
0.6083 Liter

PRIMARY outcome

Timeframe: Up to Week 8

Population: The Safety Population

Exchange rate (Ktrans) was measured by DCE-MRI. Three participants underwent 3 DCE-MRI scans. The data has been presented for individual participant in each session. The data presented below is only for total lung.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=3 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Change in Exchange Rate (Ktrans) in ADHF Participants
Par.1; Session 1
0.4524 Liter/minute
Change in Exchange Rate (Ktrans) in ADHF Participants
Par.1; Session 2
0.5306 Liter/minute
Change in Exchange Rate (Ktrans) in ADHF Participants
Par. 2; Session 1
0.3018 Liter/minute
Change in Exchange Rate (Ktrans) in ADHF Participants
Par. 2; Session 2
0.1952 Liter/minute
Change in Exchange Rate (Ktrans) in ADHF Participants
Par. 3; Session 1
0.1602 Liter/minute
Change in Exchange Rate (Ktrans) in ADHF Participants
Par. 3; Session 2
0.4304 Liter/minute
Change in Exchange Rate (Ktrans) in ADHF Participants
Par. 3 Session 3
0.4264 Liter/minute

SECONDARY outcome

Timeframe: Day 1 (Session 1) and Day 9 (Session 2)

Population: The Evaluable Population

Coefficient of variation (percentage) of intra-subject variability in Ve between Session 1 and Session 2 for total lung has been presented.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=12 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
n=17 Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Assessment of Intra-subject Variability in Ve Between Session 1 and Session 2 of DCE-MRI
20.5 Percentage
14.1 Percentage

SECONDARY outcome

Timeframe: Day 1 (Session 1) and Day 9 (Session 2)

Population: The Evaluable Population

Coefficient of variation (percentage) of intra-subject variability in Ktrans between Session 1 and Session 2 for total lung has been presented.

Outcome measures

Outcome measures
Measure
Healthy Volunteers
n=12 Participants
Healthy volunteers were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Heart Failure Participants
n=17 Participants
Heart failure participants were placed in supine position under the scanner and intravenous contrast agent was administered. Contrast agent was administered as a bolus using a power injector during the dynamic series. MRI scanning was conducted by experienced radiographers and radiologists in the nominated scanning sites, using a 1.5 Tesla (T) system.
Assessment of Intra-subject Variability in Ktrans Between Session 1 and Session 2 of DCE-MRI
32.4 Percentage
41.3 Percentage

Adverse Events

Healthy Volunteers

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Heart Failure Patients

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Acute Decompensated Heart Failure

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER