[68Ga]Ga-PentixaFor PET/CT in Acute Myocardial Inflammation

NCT ID: NCT05499637

Last Updated: 2024-12-30

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

PHASE2

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-17

Study Completion Date

2026-01-31

Brief Summary

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Acute myocardial inflammation is an heterogenic syndrome involving different clinical pathologies with different outcome. For the purpose of this study protocol, we focuse on three entities of this syndrome, namely the acute cellular cardiac allograft rejection (ACR), cardiac sarcoidosis (CS) and the immune checkpoint inhibitor induced myocarditis (ICIM), for which non-invasive diagnosis remains challenging.

Since accurate diagnosis of myocardial inflammation in an early stage is crucial, this study aims to investigate the accuracy of \[68Ga\]Ga-PentixaFor as a marker of for the presence of inflammatory cells (T-lymphocytes and M1) in described patients.

The identification of a correlation between \[68Ga\]Ga-PentixaFor myocardial accumulation with currently accepted diagnostic tools would open up new ways to non-invasively diagnose acute myocardial inflammation.

Detailed Description

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Imaging will consist of administration of maximum 50 µg IV PentixaFor, labelled with 150 ±15 MBq of 68Ga, as bolus injection 60 ±15 minutes prior PET/CT

Conditions

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Acute Cellular Graft Rejection Cardiac Sarcoidosis Myocarditis Due to Drug

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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acute cellular cardiac allograft rejection

\[68Ga\]Ga-PentixaFor PET/CT

Group Type EXPERIMENTAL

[68Ga]Ga-PentixaFor PET/CT

Intervention Type DRUG

\[68Ga\]Ga-PentixaFor PET/CT

cardiac sarcoidosis

\[68Ga\]Ga-PentixaFor PET/CT

Group Type EXPERIMENTAL

[68Ga]Ga-PentixaFor PET/CT

Intervention Type DRUG

\[68Ga\]Ga-PentixaFor PET/CT

immune checkpoint inhibitor induced myocarditis

\[68Ga\]Ga-PentixaFor PET/CT

Group Type EXPERIMENTAL

[68Ga]Ga-PentixaFor PET/CT

Intervention Type DRUG

\[68Ga\]Ga-PentixaFor PET/CT

Interventions

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[68Ga]Ga-PentixaFor PET/CT

\[68Ga\]Ga-PentixaFor PET/CT

Intervention Type DRUG

Other Intervention Names

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no other intervention name

Eligibility Criteria

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Inclusion Criteria

* signed written informed consent
* male or female
* age ≥ 18 years
* patients with suspicion CS (group II) or ICIM (group III) or in their regular follow-up in their first year after HT (group I)
* SOC clinical follow-up at the cardiology department in CHUV.

Exclusion Criteria

* absence of a signed written informed consent
* patients aged \< 18 years
* claustrophobia
* myocardial ischemia in non-invasive perfusion test or coronarography in group II and III
* clinically unstable cardiovascular conditions, including:

* clinically unstable brady-tachyarrhythmia
* severe and symptomatic hypo- or hypertension with documented systolic blood pressure \< 90 mmHg or ≥220 mmHg respectively
* cardiogenic shock.
* women who are pregnant or breast feeding
* intention to become pregnant during the course of the study in group II
* previous enrolment into the current study
* moderate to severe renal insufficiency (GFR \< 45 mL/min/1,73 m2), with contra-indication to the administration of Gadolinium in group II and III
* enrollment of the investigator, his/her family members, employees and other dependent persons
* history of any disease or relevant physical or psychiatric condition or abnormal physical finding which may interfere with the study objectives at the investigator judgment
* insufficient knowledge of project language, inability to give consent or to follow procedures
* the patient makes use of his/her "right not to know" and refuses to be informed about incidental findings
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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John O. Prior

OTHER

Sponsor Role lead

Responsible Party

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John O. Prior

Head of Nuclear Medicine and Molecular Imaging Department, MD, PhD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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John O Prior, MD, PhD

Role: STUDY_CHAIR

University of Lausanne Hospitals

Locations

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Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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John O Prior, MD, PhD

Role: CONTACT

Phone: +44795568702

Email: [email protected]

Christel Kamani, MD

Role: CONTACT

Facility Contacts

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John O. Prior, MD, PhD

Role: primary

John O. Prior, MD, PhD

Role: backup

Other Identifiers

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2022-00425

Identifier Type: -

Identifier Source: org_study_id