About this trial
Better methods for early detection of cardiac involvement in Fabry disease are needed to inform clinical management decisions that can help prevent or slow the progression of cardiac complications. In the Molecular Imaging of Inflammation in Fabry Disease of the Heart study, the investigators will test the use of 68Ga-DOTATATE PET/MRI for identifying myocardial inflammation in patients with Fabry disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female participants >18 years old
Able to give written, informed consent and to lie flat
Have Fabry disease based on molecular diagnosis (at a minimum, documented enzyme deficiency in males and documented pathogenic mutation in females)
Cardiac MRI within 3 years documenting cardiac involvement in Fabry disease (left ventricular hypertrophy and/or late gadolinium enhancement and/or myocardial oedema)
Disqualifiers
Any other diagnosis associated with cardiac muscle inflammation, including myocarditis
Previous gene therapy
Contra-indication to MRI scanning or intravenous gadolinium contrast (prior contrast reaction or chronic kidney disease with eGFR <30 mL/min/1.73 m2)
Women of child bearing potential not using adequate contraception
Trial population
Participants with cardiac involvement in Fabry disease assessed by MRI
Trial design
Cohort
Prospective
Treatments tested in this trial
68Ga-DOTATATE PET/MRI
Diagnostic testPET/MRI scanning
Treatment groups
Trial outcomes
Primary outcomes
PET imaging vs. oedema detected by MRI
Concordance between 68Ga-DOTATATE PET signal and myocardial oedema on MRI assessed by T2-weighted imaging
PET imaging vs. fibrosis detected by MRI
Concordance between 68Ga-DOTATATE PET signal and myocardial fibrosis detected by late gadolinium enhancement MRI
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Cambridge
Lead sponsor
Sanofi
Collaborator