Fibrosis in Chronic and Delayed Myocardial Infarction

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age40-90
SponsorUniversity of Edinburgh

About this trial

In this study the investigators aim to examine the role that fibrosis plays in heart conditions such as aortic stenosis , chemotherapy-induced cardiotoxicity and carcinoid syndrome . Fibrosis is a common final result following any injury to the heart muscle and the investigators aim to identify this process early and in its active state. This will be examined by using a radiotracer 68Ga-FAPI or 18F-AlF-FAPI and PET-MRI or PET-CT.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Male or female above the age of 50 years old

Provision of informed consent prior to any study specific procedures

25 patients with symptomatic severe aortic stenosis (peak velocity >4.0 m/s)

25 patients with moderate aortic stenosis (peak velocity 3.0-4.0 m/s)

Disqualifiers

Inability or unwilling to give informed consent.

History of claustrophobia or feeling of inability to tolerate supine position for the MRI scans.

Impaired renal function with eGFR of <30 mL/min/1.73m2.

Women who are pregnant or breastfeeding.

Trial population

Cohort 1: 70 patients with aortic stenosis with 10 matched healthy volunteers Cohort 2: 60 patients with Chemotherapy-induced cardiotoxicity and 10 healthy volunteers Cohort 3: 30 patients with carcinoid syndrome

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • 68Ga-FAPI and 18F-AlF-FAPI PET-MR

    Diagnostic test

    Hybrid Cardiac PET-MR with 68Ga-FAPI and 18F-AlF-FAPI radiotracer

Treatment groups

180 Participants
are divided into 3 treatment groups
Group A: Aortic stenosis1 intervention
Group B: Chemotherapy-induced cardiotoxicity1 intervention
Group C: Carcinoid syndrome1 intervention

Trial outcomes

Primary outcomes

1

Fibrosis activity: Standardised uptake values (SUV

SUV

Time frame
1-2 years
2

Fibrosis activity:Tissue-to-Background Ratio

TBR

Time frame
1-2 years

Secondary outcomes

Other outcomes

Sponsors and contacts

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