A Metabolomic Approach to Probing Myocardial Fuel Shifts in Human Heart Failure

NCT ID: NCT02369913

Last Updated: 2017-04-26

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

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2017-03-31

Study Completion Date

2018-02-28

Brief Summary

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This proposal is designed to test the hypothesis that humans shift to reliance on ketone bodies as a cardiac fuel source during the development of HF. The investigator also propose that this shift to ketone utilization can be detected by metabolomic profiling of blood.

Specific Aim 1: To determine if the failing human heart exhibits increased extraction of blood-borne ketone bodies. Ketone bodies will be measured in coronary sinus, arterial, and central venous blood samples to determine AV differences. The HF group will be comprised of patients undergoing cardiac resynchronization therapy with an implantable cardioverter-defibrillator. The Control group will be compromised of patients without evidence of structural heart disease who are undergoing catheter ablation for supraventricular tachycardia.

Specific Aim 2: To determine whether blood samples from humans with HF display metabolomic signatures indicative of increased myocardial ketone body utilization. Quantitative targeted metabolomics will be performed on the samples described in Aim 1 to determine if metabolite markers (e.g. C4-OH acylcarnitine, acetylcarnitine, succinate) found to be associated with increased myocardial ketone body oxidation in animal models are increased in the human HF group compared to the controls.

Detailed Description

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After subjects agree to participate in this study and are scheduled to have cardiac resynchronization therapy, the research personnel will take 1 teaspoon of blood before and after the scheduled cardiac procedure for comparison.

Once subjects agree to participate in this study and are scheduled to have a catheter ablation procedure, research personnel will take 1 teaspoon of blood during the scheduled cardiac procedure.

These samples will be taken from catheters already placed during the scheduled cardiac procedure.

Blood will be sent to a lab at the Sanford-Burnham Metabolomics Core Facility in Orlando, Florida for analysis.

Conditions

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Heart Failure

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Heart failure subjects

Heart failure subjects undergoing cardiac resynchronization will have a blood drawn for this study.

Blood Drawn

Intervention Type OTHER

Both groups will have 1 teaspoon of blood drawn for analysis.

Heart arrhythmia patients

Heart arrhythmia patients undergoing ablation will have a blood drawn for this study.

Blood Drawn

Intervention Type OTHER

Both groups will have 1 teaspoon of blood drawn for analysis.

Interventions

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Blood Drawn

Both groups will have 1 teaspoon of blood drawn for analysis.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Undergoing cardiac resynchronization therapy
* Undergoing sinus cannulation

Exclusion Criteria

* NYHA class II-IV heart failure
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Florida

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eileen Handberg, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

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University of florida

Gainesville, Florida, United States

Site Status

Countries

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United States

Other Identifiers

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201401007

Identifier Type: -

Identifier Source: org_study_id

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