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Myocardial Flow Reserve and 99mTc-DTPA Cardiac Dynamic SPECT (Flow-Heart)

Primary Purpose

Coronary Artery Disease

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Cardiac SPECT
Sponsored by
University Hospital, Caen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Coronary Artery Disease focused on measuring Myocardial perfusion imaging, Single-Photon Emission Computer-Assisted Tomography

Eligibility Criteria

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

Inclusion Criteria:

  • Age over 18 years
  • Patient clinically stable with known or suspected coronary disease
  • Patient referred to Caen University Hospital for a myocardial perfusion SPECT
  • Patient who accept to undergo subsequent additional cardiac dynamic SPECT using 99mTc-DTPA at rest and during pharmacological stress
  • Informed consent dated and signed
  • Affiliation to a social security system

Exclusion Criteria:

  • Contraindication to dipyridamole (asthma, chronic obstructive pulmonary disease , pulmonary hypertension)
  • History of poor tolerance of dipyridamole injection
  • Cardiac arrhythmia (atrial fibrillation or frequent premature ventricular complex)
  • Left bundle branch block, cardiac pacemaker, or implantable automatic defibrillator
  • Recent history of myocardial infarction or unstable angina
  • Pregnancy or lactating women
  • Known obstructive renal or urinary disease
  • Age under 18 years or guardianship
  • Patient with an acute coronary syndrome or a coronary revascularization occurring between the conventional perfusion SPECT and the subsequent 99mTc-DTPA dynamic SPECT

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Cardiac Dynamic SPECT

    Arm Description

    Outcomes

    Primary Outcome Measures

    Feasibility of myocardial flow reserve assessment by dynamic cardiac SPECT using a CZT camera and 99mTc-DTPA

    Secondary Outcome Measures

    Full Information

    First Posted
    July 21, 2016
    Last Updated
    July 22, 2016
    Sponsor
    University Hospital, Caen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02844686
    Brief Title
    Myocardial Flow Reserve and 99mTc-DTPA Cardiac Dynamic SPECT
    Acronym
    Flow-Heart
    Official Title
    Feasibility of Dynamic Cardiac SPECT With 99mTc-diethylenetriaminepenta-acetate (DTPA) for the Assessment of Myocardial Flow Reserve Using a Cadmium-Zinc-Telluride (CZT) Camera
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    August 2016 (undefined)
    Primary Completion Date
    August 2018 (Anticipated)
    Study Completion Date
    August 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University Hospital, Caen

    4. Oversight

    5. Study Description

    Brief Summary
    New CZT-based SPECT cameras are potentially capable of dynamic 3-D acquisition. Preliminary results suggested that dynamic acquisitions could allow the assessment of myocardial flow reserve using 99mTc-labelled perfusion tracers. The Flow-Heart study will assess the feasibility of myocardial flow reserve measurement by means of 99mTc-DTPA dynamic cardiac SPECT in 20 patients.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Coronary Artery Disease
    Keywords
    Myocardial perfusion imaging, Single-Photon Emission Computer-Assisted Tomography

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    20 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Cardiac Dynamic SPECT
    Arm Type
    Experimental
    Intervention Type
    Other
    Intervention Name(s)
    Cardiac SPECT
    Intervention Description
    3-D dynamic acquisition of cardiac SPECT at rest and after pharmacological stress
    Primary Outcome Measure Information:
    Title
    Feasibility of myocardial flow reserve assessment by dynamic cardiac SPECT using a CZT camera and 99mTc-DTPA
    Time Frame
    Within one month after a conventional myocardial perfusion SPECT

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Age over 18 years Patient clinically stable with known or suspected coronary disease Patient referred to Caen University Hospital for a myocardial perfusion SPECT Patient who accept to undergo subsequent additional cardiac dynamic SPECT using 99mTc-DTPA at rest and during pharmacological stress Informed consent dated and signed Affiliation to a social security system Exclusion Criteria: Contraindication to dipyridamole (asthma, chronic obstructive pulmonary disease , pulmonary hypertension) History of poor tolerance of dipyridamole injection Cardiac arrhythmia (atrial fibrillation or frequent premature ventricular complex) Left bundle branch block, cardiac pacemaker, or implantable automatic defibrillator Recent history of myocardial infarction or unstable angina Pregnancy or lactating women Known obstructive renal or urinary disease Age under 18 years or guardianship Patient with an acute coronary syndrome or a coronary revascularization occurring between the conventional perfusion SPECT and the subsequent 99mTc-DTPA dynamic SPECT
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Alain Manrique, MD, PhD
    Phone
    (+33) 231 470 287
    Email
    manrique@cyceron.fr
    First Name & Middle Initial & Last Name or Official Title & Degree
    Denis Agostini, MD, PhD
    Phone
    (+33) 231 063 246
    Email
    agostini-de@chu-caen.fr
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Alain Manrique, MD, PhD
    Organizational Affiliation
    University Hospital, Caen
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Myocardial Flow Reserve and 99mTc-DTPA Cardiac Dynamic SPECT

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