MCE Molecular Imaging for Myocarditis

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Virginia

About this trial

Inflammation of the heart (myocarditis) is a serious condition that can cause heart failure, abnormal heart rhythms, cardiac arrest, and death. Rapid diagnosis of this condition is key to reversing it. The purpose of this study is to determine whether myocarditis such as that which occurs with viral illness, autoimmune conditions, or certain therapies (i.e. immune checkpoint inhibitors) can be diagnosed using a new form of ultrasound imaging of the heart (echocardiography) that uses a contrast agent that is targeted to inflammation (Sonazoid).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 years of age

new or suspected new high-sensitivity troponin >3 times upper limit of normal

new or suspected new LV dysfunction with LVEF <50% or any segmental wall motion abnormality in the absence of prior ischemic event

ECG changes consistent with myocarditis defined as either diffuse ST elevation or ST-T abnormalities that are documented to be new,

Disqualifiers

Inability to obtain consent

High pre-test likelihood for ACS based on ECG and history

Pregnancy or planned pregnancy

Lactation

Trial design

Design model

Single group

Treatments tested in this trial

  • Myocardial contrast echocardiography molecular imaging for inflammation

    Diagnostic test

    Myocardial contrast echocardiography (ultrasound of the heart) using an ultrasound contrast agent (Sonazoid, GE Healthcare) that contains phosphatidylserine, thereby targeting it to leukocytes and activated endothelium.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Patients with suspected MyocarditisExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Diagnostic accuracy for presence/absence of Myocarditis

The ability of of MCE molecular imaging with Sonazoid to diagnose myocarditis will be determined by comparing to a gold standard (either cardiac MRI or myocardial biopsy).

Time frame
3 months

Secondary outcomes

1

Response to therapy

The ability of MCE molecular imaging to detect a reduction in inflammation as a response to immune suppressive therapy will be evaluated by repeat MCE molecular imaging 14 days after starting immune suppressive therapy, and evaluation of cardiac function at 3 months.

Time frame
3 month

Other outcomes

Sponsors and contacts

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University of Virginia

Lead sponsor

GE Healthcare

Collaborator

This trial is not recruiting at the moment. You can still explore other options: