Developing Optimal Parameters for Hyperpolarized Noble Gas and Inert Fluorinated Gas MRI of Lung Disorders

NCT ID: NCT02748798

Last Updated: 2024-10-15

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

TERMINATED

Clinical Phase

EARLY_PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-10

Study Completion Date

2021-10-16

Brief Summary

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The goal of this research is to optimize the MRI system to obtain ideal lung images using Hyperpolarized (HP) Noble and Inert Fluorinated Gases as contrast agents. Lung coils tuned to the frequencies of these gases will be used. This study will take place at TBRHSC in the Cardiorespiratory Department and in the Research MRI facility.

Detailed Description

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MR images of the lung obtained using HP 3He, HP 129Xe, and inert fluorinated gases essentially show the distribution of the inhaled gas inside the lungs. Measurements can be performed on these images to provide additional information that can be related to pulmonary function.

Participation will involve at least two study visits. During the first visit, participants will provide written, informed consent, and undergo eligibility screening. Study drug administration, use of the investigational devices, and MR imaging for this study will be performed at the 3T Research MRI at the Thunder Bay Regional Health Sciences Centre (TBRHSC). Pulmonary Function Tests (PFTs) will be performed at TBRHSC by a Registered Respiratory Therapist (RRT) and an MR Tech will be present for the duration of participant scans.

Participants will be placed in the MRI with the appropriate chest coil wrapped around them like a vest. Several inhalation procedures will be carried out during scanning. Participants safety will be closely monitored throughout the entire study.

Conditions

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Lung Transplant Lung Resection Lung Cancer Asthma Cystic Fibrosis Chronic Obstructive Pulmonary Disease Emphysema Mesothelioma Asbestosis Pulmonary Embolism Interstitial Lung Disease Pulmonary Fibrosis Bronchiectasis Seasonal Allergies Cold Virus Lung Infection Pulmonary Hypertension Pulmonary Dysplasia Obstructive Sleep Apnea

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Healthy Participants

Participants will inhale investigational gases (HP 3He, HP 129Xe, PFP and SF6) according to the procedure for that intervention. All participants can potentially inhale all the gases. Magnetic resonance imaging will be performed during breath-holds or continuous breathing (gas-dependent) with the appropriate investigational human lung coil (3He Human Lung Coil, 129Xe Small and Large Human Lung Coil, or PFP and SF6 Human Lung Coil), using the 3T Research MRI at the Thunder Bay Regional Health Sciences Centre.

Group Type EXPERIMENTAL

HP 3He

Intervention Type DRUG

3He will be hyperpolarized using a custom-built polarizer to enhance its MRI signal. Hyperpolarization does not change the chemical or physical properties of helium gas.

HP 129Xe

Intervention Type DRUG

129Xe will be hyperpolarized using a Xemed polarizer to enhance its MRI signal. Hyperpolarization does not change the chemical or physical properties of xenon gas.

PFP

Intervention Type DRUG

Perfluoropropane (PFP) will be premixed and delivered to the participants with no further processing.

SF6

Intervention Type DRUG

Sulfur hexafluoride (SF6) will be premixed and delivered to the participant with no further processing.

129Xe Small and Large Human Lung Coil

Intervention Type DEVICE

The investigational 129Xe small and large quadrature lung coils are sensitive to 129Xe resonant frequencies and therefore will be paired with the investigational drug 129Xe. The size of the coil used will depend on the participants' body size.

3He Human Lung Coil

Intervention Type DEVICE

The investigational 3He quadrature lung coil is sensitive to 3He resonant frequencies and therefore will be paired with the investigational drug 3He.

PFP and SF6 Human Lung Coil

Intervention Type DEVICE

The investigational PFP and SF6 quadrature lung coil is sensitive to inert fluorinated gas resonant frequencies and therefore will be paired with both PFP and SF6.

Lung Disorder Participants

Participants will inhale investigational gases (HP 3He, HP 129Xe, PFP and SF6) according to the procedure for that intervention. All participants can potentially inhale all the gases. Magnetic resonance imaging will be performed during breath-holds or continuous breathing (gas-dependent) with the appropriate investigational human lung coil (3He Human Lung Coil, 129Xe Small and Large Human Lung Coil, or PFP and SF6 Human Lung Coil), using the 3T Research MRI at the Thunder Bay Regional Health Sciences Centre.

Group Type EXPERIMENTAL

HP 3He

Intervention Type DRUG

3He will be hyperpolarized using a custom-built polarizer to enhance its MRI signal. Hyperpolarization does not change the chemical or physical properties of helium gas.

HP 129Xe

Intervention Type DRUG

129Xe will be hyperpolarized using a Xemed polarizer to enhance its MRI signal. Hyperpolarization does not change the chemical or physical properties of xenon gas.

PFP

Intervention Type DRUG

Perfluoropropane (PFP) will be premixed and delivered to the participants with no further processing.

SF6

Intervention Type DRUG

Sulfur hexafluoride (SF6) will be premixed and delivered to the participant with no further processing.

129Xe Small and Large Human Lung Coil

Intervention Type DEVICE

The investigational 129Xe small and large quadrature lung coils are sensitive to 129Xe resonant frequencies and therefore will be paired with the investigational drug 129Xe. The size of the coil used will depend on the participants' body size.

3He Human Lung Coil

Intervention Type DEVICE

The investigational 3He quadrature lung coil is sensitive to 3He resonant frequencies and therefore will be paired with the investigational drug 3He.

PFP and SF6 Human Lung Coil

Intervention Type DEVICE

The investigational PFP and SF6 quadrature lung coil is sensitive to inert fluorinated gas resonant frequencies and therefore will be paired with both PFP and SF6.

Interventions

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HP 3He

3He will be hyperpolarized using a custom-built polarizer to enhance its MRI signal. Hyperpolarization does not change the chemical or physical properties of helium gas.

Intervention Type DRUG

HP 129Xe

129Xe will be hyperpolarized using a Xemed polarizer to enhance its MRI signal. Hyperpolarization does not change the chemical or physical properties of xenon gas.

Intervention Type DRUG

PFP

Perfluoropropane (PFP) will be premixed and delivered to the participants with no further processing.

Intervention Type DRUG

SF6

Sulfur hexafluoride (SF6) will be premixed and delivered to the participant with no further processing.

Intervention Type DRUG

129Xe Small and Large Human Lung Coil

The investigational 129Xe small and large quadrature lung coils are sensitive to 129Xe resonant frequencies and therefore will be paired with the investigational drug 129Xe. The size of the coil used will depend on the participants' body size.

Intervention Type DEVICE

3He Human Lung Coil

The investigational 3He quadrature lung coil is sensitive to 3He resonant frequencies and therefore will be paired with the investigational drug 3He.

Intervention Type DEVICE

PFP and SF6 Human Lung Coil

The investigational PFP and SF6 quadrature lung coil is sensitive to inert fluorinated gas resonant frequencies and therefore will be paired with both PFP and SF6.

Intervention Type DEVICE

Other Intervention Names

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Hyperpolarized helium 3 Hyperpolarized xenon 129 Perfluoropropane Sulfur hexafluoride

Eligibility Criteria

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Inclusion Criteria

* Is either:

1. A healthy volunteer (i.e.: someone not diagnosed with a lung disorder written below; this may include smokers who have not been diagnosed with a lung disorder) or
2. Has been diagnosed with one of the following respiratory disorders: lung transplants, lung resection, lung cancer, asthma, cystic fibrosis, chronic obstructive pulmonary disease, emphysema, mesothelioma, asbestosis, pulmonary embolism, interstitial lung disease, pulmonary fibrosis, bronchiectasis, seasonal allergies, pneumonia, cold virus, lung infection, pulmonary hypertension, pulmonary dysplasia, obstructive sleep apnea
* Able to provide informed consent
* Able to hold their breath for imaging:

1. Healthy volunteers enrolled in this study must be able to hold their breath for 25 seconds
2. Lung disorder participants must be able to hold their breath for 15 seconds

Exclusion Criteria

* Have contraindication to MR imaging (i.e. ferrous implants, cardiac pacemakers) - determined by MR screening prior to scans.
* Have a history of claustrophobia.
* Female exclusion only: are or may be pregnant.
* Requires an oxygen mask and cannot use a nasal cannula.
* Blood oxygen saturation is below 92% (measured at rest in a sitting position, and with an O2 nasal cannula if the participant normally uses one).
* Has had an acute respiratory infection in the past 10 days.
* Is a student currently enrolled in a course at Lakehead University where the Principal Investigator (PI) is the instructor.
* Is a student currently enrolled in a degree program at Lakehead University where the PI is their direct thesis supervisor.
* Is currently an employee of the PI at the Thunder Bay Regional Research Institute (TBRRI) and/or Lakehead University.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Thunder Bay Regional Health Sciences Centre

OTHER

Sponsor Role collaborator

St. Joseph's Care Group

OTHER

Sponsor Role collaborator

Lakehead University

OTHER

Sponsor Role collaborator

Thunder Bay Regional Health Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mitchell S Albert, PhD

Role: PRINCIPAL_INVESTIGATOR

Thunder Bay Regional Health Research Institute

Locations

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Thunder Bay Regional RI

Thunder Bay, Ontario, Canada

Site Status

Countries

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Canada

References

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Couch MJ, Blasiak B, Tomanek B, Ouriadov AV, Fox MS, Dowhos KM, Albert MS. Hyperpolarized and inert gas MRI: the future. Mol Imaging Biol. 2015 Apr;17(2):149-62. doi: 10.1007/s11307-014-0788-2.

Reference Type BACKGROUND
PMID: 25228404 (View on PubMed)

Kooner HK, McIntosh MJ, Matheson AM, Venegas C, Radadia N, Ho T, Haider EA, Konyer NB, Santyr GE, Albert MS, Ouriadov A, Abdelrazek M, Kirby M, Dhaliwal I, Nicholson JM, Nair P, Svenningsen S, Parraga G. 129Xe MRI ventilation defects in ever-hospitalised and never-hospitalised people with post-acute COVID-19 syndrome. BMJ Open Respir Res. 2022 May;9(1):e001235. doi: 10.1136/bmjresp-2022-001235.

Reference Type RESULT
PMID: 35584850 (View on PubMed)

Matheson AM, McIntosh MJ, Kooner HK, Lee J, Desaigoudar V, Bier E, Driehuys B, Svenningsen S, Santyr GE, Kirby M, Albert MS, Shepelytskyi Y, Grynko V, Ouriadov A, Abdelrazek M, Dhaliwal I, Nicholson JM, Parraga G. Persistent 129Xe MRI Pulmonary and CT Vascular Abnormalities in Symptomatic Individuals with Post-acute COVID-19 Syndrome. Radiology. 2022 Nov;305(2):466-476. doi: 10.1148/radiol.220492. Epub 2022 Jun 28.

Reference Type RESULT
PMID: 35762891 (View on PubMed)

Other Identifiers

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RP-312-07112014

Identifier Type: -

Identifier Source: org_study_id

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