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Trial to Determine Imaging Parameters of LMI1195 in Heart Failure Patients at Low and High Risk of Defibrillator Firing (LMI1195-201)

Primary Purpose

Heart Failure

Status
Withdrawn
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
LMI 1195
Sponsored by
Lantheus Medical Imaging
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Heart Failure focused on measuring Heart Failure,, PET Imaging,, Implantable Cardioverter-Defibrillator,, Sudden Cardiac Death

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or non-pregnant female ≥ 18 years of age
  • a body weight that is <450 pounds
  • Be able to lie flat for at least 2-hour intervals
  • Have a normal left ventricular ejection fraction (i.e., ≥ 55% for cohort one or ≤35% for cohort two) by multiple gate acquisition scan (MUGA), echocardiogram or single photon emission computed tomography (SPECT) within 90 days prior, but no less than 3 days prior to enrollment.
  • Have been scheduled to undergo or have undergone a SPECT or an approved PET perfusion imaging study performed within 90 days prior to, but no less than 3 days prior to enrollment. to and within the study timeline must be reviewed and deemed acceptable by the judgment of the investigator) (Additional More Specific Criteria can be accessed by contacting an LMI representative)

Exclusion Criteria:

  • Have a history of diabetes, coronary artery disease, myocardial infarction heart arrhythmia (except sinus arrhythmia), heart failure, cardiomyopathy (e.g. restrictive, infiltrative or hypertrophic cardiomyopathy), constrictive pericarditis, myocarditis, complex congenital disease, surgically correctable valvular disease, and/or inoperable, obstructive valvular disease, pacemaker, syncope, transient ischemic attack (TIA) or cerebrovascular accident (CVA), Parkinson's disease, degenerative cerebral disease, or organ transplantation.significant comorbid conditions
  • Have undergone major surgery within 4 weeks prior to enrollment or planned within 3 weeks after completion of the study.
  • Unexplained syncope within 5 years.
  • A life expectancy of < 1 year, from any cause.
  • Are currently participating in another clinical trial of an investigational product.
  • Have clinically significant laboratory abnormalities (e.g., liver enzymes, creatinine, etc.).
  • Have a history of smoking within 1 month of enrollment.
  • History of drug or alcohol abuse
  • Have a history of major psychiatric disorder, active alcohol/drug abuse, and/or history of non-compliance.
  • Receipt of any radiopharmaceutical within a period equal to 10 half-lives of the isotope (e.g., for 99mTc, a period of 60 hours; for 111In, a period of 28 days) prior to enrollment or receipt of any radiopharmaceutical containing iodine within a period of 3 months prior to enrollment.
  • Have received any of the following medications within 30 days prior to enrollment, because of confounding effects to the autonomic nervous system: albuterol (Alupent, Ventolin within 24 hours), Dobutamine (Dobutrex), Dopamine (Intropin), Epinephrine (Adrenalin), Isoproterenol, Phenylephrine (Neo-Synephrine), Metaraminol (Aramine), Norepinephrine (Levophed), furazolidone (Furoxone), tricyclic antidepressants (Adapin, Asendin, Aventyl, Elavil, Endep, Norpramin, Pamelor, Sinequan, Surmontil, Tofranil, Vivactil), guanethidine (Ismelin), methyldopa (Aldomet). Over the counter herbs that have been reported to interact with adrenergic amines are excluded: ephedra (ma huang), St. John's wort; alfalfa; hibiscus; ginseng; angelica (dong quai); and yohimbe.
  • Are not suitable subjects for completion of any screening or trial procedures including PET, scans & laboratory testing,
  • Receipt of any radiopharmaceutical within a period of time that the agent has not decayed below background levels
  • Have metal that cannot be removed from the body located in the thorax, Receiving Class I or III antiarrhythmic drug therapy, except for amiodarone.

(Additional More Specific Criteria can be accessed by contacting an LMI representative)

Sites / Locations

  • Columbia University Medical College

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Arm Description

Low risk Heart Failure patients

High risk Heart Failure patients with history of Implantable Cardioverter-Defibrillator firing

Outcomes

Primary Outcome Measures

Dose acquisition time product, target and non-target F18 count density

Secondary Outcome Measures

Assess Image Quality Data Variability across age & sex stratification Determine Retention Index Values Determine Heart to Mediastinal Ratio Evaluate additional image derived markers that may have predictive value

Full Information

First Posted
February 12, 2010
Last Updated
October 12, 2015
Sponsor
Lantheus Medical Imaging
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1. Study Identification

Unique Protocol Identification Number
NCT01085175
Brief Title
Trial to Determine Imaging Parameters of LMI1195 in Heart Failure Patients at Low and High Risk of Defibrillator Firing
Acronym
LMI1195-201
Official Title
A Multicenter, Phase II, Open Label Trial to Determine Optimal Imaging Parameters and Assess the Safety of LMI 1195 in Low Risk Patients and Heart Failure Patients With a History of Firing of an Implantable Cardioverter-Defibrillator
Study Type
Interventional

2. Study Status

Record Verification Date
February 2011
Overall Recruitment Status
Withdrawn
Why Stopped
Sponsor is re-evaluating the clinical development path
Study Start Date
May 2010 (undefined)
Primary Completion Date
February 2011 (Anticipated)
Study Completion Date
February 2011 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lantheus Medical Imaging

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this clinical study is to determine the optimal imaging parameters and assess the safety of LMI1195 -101 in Heart Failure subjects at Low and High Risk of cardiac events.
Detailed Description
To determine the optimal imaging protocol for a single dose of LMI1195 during positron emission tomography (PET) for the intended study population. To assess the safety and tolerability of LMI1195 in patients at low risk of ventricular arrhythmia ("low risk patients") and heart failure patients with a history of firing of an implantable cardioverter defibrillator (ICD) within 6 months prior to enrollment, a documented ejection fraction (EF) ≤ 35%, and a prior diagnosis of NYHA Class II-III heart failure ("heart failure patients") who are undergoing PET imaging.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure
Keywords
Heart Failure,, PET Imaging,, Implantable Cardioverter-Defibrillator,, Sudden Cardiac Death

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Low risk Heart Failure patients
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
High risk Heart Failure patients with history of Implantable Cardioverter-Defibrillator firing
Intervention Type
Drug
Intervention Name(s)
LMI 1195
Other Intervention Name(s)
LMI 1195-101 Clinical Trial
Intervention Description
Single bolus intravenous injection of LMI 1195
Primary Outcome Measure Information:
Title
Dose acquisition time product, target and non-target F18 count density
Time Frame
Approximately one year
Secondary Outcome Measure Information:
Title
Assess Image Quality Data Variability across age & sex stratification Determine Retention Index Values Determine Heart to Mediastinal Ratio Evaluate additional image derived markers that may have predictive value
Time Frame
Approximately one year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or non-pregnant female ≥ 18 years of age a body weight that is <450 pounds Be able to lie flat for at least 2-hour intervals Have a normal left ventricular ejection fraction (i.e., ≥ 55% for cohort one or ≤35% for cohort two) by multiple gate acquisition scan (MUGA), echocardiogram or single photon emission computed tomography (SPECT) within 90 days prior, but no less than 3 days prior to enrollment. Have been scheduled to undergo or have undergone a SPECT or an approved PET perfusion imaging study performed within 90 days prior to, but no less than 3 days prior to enrollment. to and within the study timeline must be reviewed and deemed acceptable by the judgment of the investigator) (Additional More Specific Criteria can be accessed by contacting an LMI representative) Exclusion Criteria: Have a history of diabetes, coronary artery disease, myocardial infarction heart arrhythmia (except sinus arrhythmia), heart failure, cardiomyopathy (e.g. restrictive, infiltrative or hypertrophic cardiomyopathy), constrictive pericarditis, myocarditis, complex congenital disease, surgically correctable valvular disease, and/or inoperable, obstructive valvular disease, pacemaker, syncope, transient ischemic attack (TIA) or cerebrovascular accident (CVA), Parkinson's disease, degenerative cerebral disease, or organ transplantation.significant comorbid conditions Have undergone major surgery within 4 weeks prior to enrollment or planned within 3 weeks after completion of the study. Unexplained syncope within 5 years. A life expectancy of < 1 year, from any cause. Are currently participating in another clinical trial of an investigational product. Have clinically significant laboratory abnormalities (e.g., liver enzymes, creatinine, etc.). Have a history of smoking within 1 month of enrollment. History of drug or alcohol abuse Have a history of major psychiatric disorder, active alcohol/drug abuse, and/or history of non-compliance. Receipt of any radiopharmaceutical within a period equal to 10 half-lives of the isotope (e.g., for 99mTc, a period of 60 hours; for 111In, a period of 28 days) prior to enrollment or receipt of any radiopharmaceutical containing iodine within a period of 3 months prior to enrollment. Have received any of the following medications within 30 days prior to enrollment, because of confounding effects to the autonomic nervous system: albuterol (Alupent, Ventolin within 24 hours), Dobutamine (Dobutrex), Dopamine (Intropin), Epinephrine (Adrenalin), Isoproterenol, Phenylephrine (Neo-Synephrine), Metaraminol (Aramine), Norepinephrine (Levophed), furazolidone (Furoxone), tricyclic antidepressants (Adapin, Asendin, Aventyl, Elavil, Endep, Norpramin, Pamelor, Sinequan, Surmontil, Tofranil, Vivactil), guanethidine (Ismelin), methyldopa (Aldomet). Over the counter herbs that have been reported to interact with adrenergic amines are excluded: ephedra (ma huang), St. John's wort; alfalfa; hibiscus; ginseng; angelica (dong quai); and yohimbe. Are not suitable subjects for completion of any screening or trial procedures including PET, scans & laboratory testing, Receipt of any radiopharmaceutical within a period of time that the agent has not decayed below background levels Have metal that cannot be removed from the body located in the thorax, Receiving Class I or III antiarrhythmic drug therapy, except for amiodarone. (Additional More Specific Criteria can be accessed by contacting an LMI representative)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Veronica Lee, M.D.
Organizational Affiliation
Lantheus Medical Imaging
Official's Role
Study Director
Facility Information:
Facility Name
Columbia University Medical College
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States

12. IPD Sharing Statement

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Trial to Determine Imaging Parameters of LMI1195 in Heart Failure Patients at Low and High Risk of Defibrillator Firing

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