About this trial
This is a phase 3, multicenter, open-label, blinded, crossover trial in which each participant will undergo a randomized sequence of ASI-02 and agitated saline standard of care (SoC) via a saline contrast transthoracic echocardiogram (TTE) study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient is clinically indicated for a saline contrast TTE study with a suspected right-to-left shunt
Patient must be at least 18 years of age inclusive, at the time of signing the informed consent
Able to communicate effectively with trial personnel
Disqualifiers
Female patients who are pregnant or lactating. All women of child-bearing potential (WOCBP) must have a negative urine pregnancy test at screening regardless of contraceptive use history
WOCBP are excluded unless they have been using an adequate and medically approved method of contraception to avoid pregnancy for at least 1 month prior to ASI-02 dose administration
Allergy to polysorbate 80 (PS-80)
American Society of Anesthesiologists (ASA) physical status classification IV, V, or VI, except that participants with ASA physical status IV due solely to recent suspected transient ischemic attack or cerebrovascular accident are eligible for inclusion
Trial design
Crossover
Treatments tested in this trial
Agitated Saline SoC
DrugThe recommended initial dose of agitated saline SoC is approximately 10 mL of saline containing approximately 1 mL of air, per institutional policy, rapidly mixed (approximately 10-20 presses) to manufacture microbubbles. No additives are allowed to the saline, including blood, dextrose, or bacteriostatic saline.
ASI-02
DrugEach injection shall utilize one (1) ASI-02 product connected to one (1) pre-filled 10 mL 0.9% sodium chloride (saline) syringe. The ASI-02 investigational product will be connected to a standard luer lock connector and administered in its entirety. The intravenous bolus injected dose of ASI-02 is 9 mL of saline and 1 mL of air.
Treatment groups
Trial outcomes
Primary outcomes
Positive percentage agreement (PPA) of ASI-02 for detecting right-to-left shunt versus agitated saline SoC
Negative percentage agreement (NPA) of ASI-02 for detecting right-to-left shunt versus agitated saline SoC
Secondary outcomes
The incidence of ASI-02-related adverse events
Peak opacification intensity
Contrast opacification duration
Positive percentage agreement (PPA) of ASI-02 for shunt detection at rest
Sponsors and contacts
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Agitated Solutions, Inc.
Lead sponsor
Bright Research Partners
Collaborator