Efficacy of [18F]Florbetaben PET for Diagnosis of Cardiac AL Amyloidosis

NCT ID: NCT05184088

Last Updated: 2025-11-25

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-13

Study Completion Date

2026-03-31

Brief Summary

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This is an open-label, multi-center pivotal Phase 3 study to visually and quantitatively assess PET images obtained after single application of 300 MBq \[18F\]florbetaben and PET scanning of patients with suspected cardiac amyloidosis.

Detailed Description

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This is an open-label, multi-center pivotal Phase 3 study to visually and quantitatively assess PET images obtained after single application of 300 MBq \[18F\]florbetaben and PET scanning of patients with suspected cardiac amyloidosis or with a putative diagnosis of cardiac amyloidosis but with remaining diagnostic uncertainty (e.g., unclear etiology or cardiac manifestation) or patients with diagnosis of amyloidosis but unclear cardiac involvement.

The diagnostic efficacy of the visual and quantitative assessments of \[18F\]florbetaben PET images for diagnosis of cardiac AL Amyloidosis will be determined by comparison to the standard of truth (SoT) obtained through standard of care clinical diagnosis.

Conditions

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Cardiac Amyloidosis AL Amyloidosis ATTR Amyloidosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

All eligible patients will receive a single administration of the imaging agent \[18F\]florbetaben at a radioactive dose of 300 MBq.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Patients with suspected cardiac amyloidosis

After enrolment, patients will be subjected to diagnostic procedures according to standard of care to resolve diagnostic uncertainties and to clarify possible cardiac involvement. The results of the clinical work-up will be used a standard of truth, i.e. patients with initially suspected cardiac amyloidosis that where subsequently clinically diagnosed with cardiac AL Amyloidosis, cardiac ATTR Amyloidosis, other cardiac Amyloidosis or non cardiac amyloidosis.

Group Type EXPERIMENTAL

[18F]florbetaben

Intervention Type DRUG

All enrolled patients will undergo \[18F\]florbetaben PET imaging.

Interventions

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[18F]florbetaben

All enrolled patients will undergo \[18F\]florbetaben PET imaging.

Intervention Type DRUG

Other Intervention Names

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Neuraceq

Eligibility Criteria

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Inclusion Criteria

* Males and females age ≥18 years
* Able to understand, sign and date written informed consent
* Written informed consent must be obtained before any study procedures are performed
* Subjects being considered for a possible diagnosis of cardiac amyloidosis by
* 1\. One of the following conditions:

* Established systemic amyloidosis without proven cardiac involvement,
* Known plasma cell dyscrasia (MGUS, multiple myeloma),
* Pathological free light chain levels in urine or serum,
* Presence of heart failure with preserved ejection fraction
* 2\. AND one of the following parameters, indicative of cardiac manifestation:

* Mean (left ventricular (LV) wall + septum) thickness \>12mm as measured by echocardiography or CMR in absence of other known cause of left ventricular hypertrophy (LVH),
* NT-proBNP \>335 ng/L (in case a value for NT-proBNP is not available, BNP \> 81ng/L may be used instead)
* Planned diagnostic procedure to establish diagnosis and cardiac involvement (e.g., endomyocardial biopsy or extracardiac biopsy in conjunction with cardiac magnetic resonance imaging/echocardiography or bone scintigraphy)
* Female subjects must be documented by medical records or physician's note to be either surgically sterile (by means of hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or post-menopausal for at least 1 year (no menses for 12 months without an alternative medical cause). If they are of child-bearing potential, they must commit to use of a highly effective contraceptive measure for at least one week following the PET scan (including combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device, intrauterine hormone-releasing system, bilaterial tubal occlusion, vasectomised parner or secual abstinence).
* Male subjects and their partners of childbearing potential must commit to the use of a highly effective method of contraception for a minimum of 90 days following the PET scan (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal or transdermal), progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), intrauterine device, intrauterine hormone-releasing system, bilaterial tubal occlusion, male subjects with vasectomy or sexual abstinence)
* Male subjects must commit to not donate sperm for a minimum of 90 days after the PET scan

Exclusion Criteria

* Any known allergic reactions or hypersensitivity towards any compound of the study drug
* Severe hepatic impairment (AST/ALT \>5 x ULN; bilirubin \>3 x ULN)
* Inability to lay flat for up to 60 min
* Pregnant, lactating or breastfeeding
* Unwilling and/or unable to cooperate with study procedures
* Having been administered a radiopharmaceutical within 10 radioactive half-lives prior to study drug administration in this study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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pharmtrace klinische Entwicklung GmbH

UNKNOWN

Sponsor Role collaborator

Life Molecular Imaging GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andrew Stephens, MD, PhD

Role: STUDY_DIRECTOR

Life Molecular Imaging

Locations

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St Luke's Hospital

Kansas City, Kansas, United States

Site Status RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

University of Pittsburgh

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

University of Augsburg

Augsburg, , Germany

Site Status RECRUITING

Charite Berlin

Berlin, , Germany

Site Status RECRUITING

University of Essen

Essen, , Germany

Site Status RECRUITING

HOPA Hamburg

Hamburg, , Germany

Site Status RECRUITING

University of Heidelberg

Heidelberg, , Germany

Site Status RECRUITING

University of Würzburg

Würzburg, , Germany

Site Status RECRUITING

Hospital University Bellvitge

Barcelona, , Spain

Site Status RECRUITING

Hospital University Puerta de Hierro

Madrid, , Spain

Site Status RECRUITING

Clínica Universidad de Navarra

Pamplona, , Spain

Site Status RECRUITING

University of Salamanca

Salamanca, , Spain

Site Status RECRUITING

Royal Free Hospital

London, , United Kingdom

Site Status RECRUITING

Countries

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United States Germany Spain United Kingdom

Central Contacts

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Iris Hardewig, PhD

Role: CONTACT

+49 (0)30 461 1246 03

Aleksandar Jovalekic, PhD

Role: CONTACT

+49 (0)30 461 1246 03

Other Identifiers

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FBB-02-01-21

Identifier Type: -

Identifier Source: org_study_id

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