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Phase 3 N=153 Diagnostic

DEF-314 Better Accuracy in Ejection Fraction (EF) Assessment With DEFINITY

Cardiac Disease

Enrolled (actual)
153
Serious AEs
0.0%
Results posted
Dec 2020
Primary outcome: Primary: Absolute Value of LVEF Percentage Differences From CMR by Blinded Reader — 6.10; 6.38; 4.93; 6.18 Percent Ejection Fraction — p=0.868

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
DEFINITY (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Lantheus Medical Imaging
Primary completion
Aug 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Absolute Value of LVEF Percentage Differences From CMR by Blinded Reader
6.10; 6.38; 4.93; 6.18; 6.61; 5.36 0.868
SECONDARY
Secondary Objective 1: Absolute Value of LVEF Percentage Differences From CMR by Blinded Reader for Suboptimal Echocardiograms
7.48; 7.16; 5.71; 7.16; 7.12; 5.89 0.715
SECONDARY
Secondary Objective 2: Absolute Value LVEF Percentage Differences From CMR Between Blinded Readers
6.10; 6.38; 4.93; 6.18; 6.61; 5.36
SECONDARY
Secondary Objective 3: Absolute Value End-Diastolic and Systolic Volume Differences From CMR Between Blinded Readers
52.31; 46.57; 39.37; 58.02; 56.65; 48.07
SECONDARY
Secondary Objective 4: Absolute Value of LVEF Percentage Differences From CMR Between Blinded Readers for Suboptimal Echocardiograms
7.48; 7.16; 5.71; 7.16; 7.12; 5.89
SECONDARY
Secondary Objective 5: Absolute Value End-Diastolic and Systolic Volume Differences From CMR Between Blinded Readers for Suboptimal Echocardiograms
62.34; 54.68; 45.44; 65.45; 63.25; 53.77

Summary

This is a Phase 3, prospective, open-label, multicenter study to evaluate Left Ventricular Ejection Fraction (LVEF) measurement accuracy and reproducibility of DEFINITY® contrast-enhanced and unenhanced echocardiography as compared with non-contrast cardiac magnetic resonance imaging (CMR) used as the truth standard.

Eligibility Criteria

Inclusion Criteria

  • Men and women ≥ 18 years of age in sinus rhythm
  • Able to communicate effectively with trial personnel
  • Has undergone a 2D Echo with or without contrast obtained within 6 months prior to enrollment (Day 0)
  • Has provided signed informed consent after receiving a verbal and written explanation of this clinical trial -

Exclusion Criteria

  • Female subjects 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.
  • Women of child-bearing potential are excluded unless they:
  • are post-menopausal defined as amenorrhea ≥ 12 consecutive months, OR
  • have undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation or bilateral oophorectomy), OR
  • have been using an adequate and medically approved method of contraception to avoid pregnancy for at least 1 month prior to DEFINITY® dose administration and be willing to continue using the same method for the duration of the study.
  • Current illness or pathology that would prevent undergoing investigational product administration due to a significant safety risk to the patient.
  • Uncontrolled arterial hypertension (defined as systolic blood pressure ≥ 200 mmHg or diastolic blood pressure ≥ 110 mmHg) or arterial hypotension (defined as systolic blood pressure ≤ 90 mmHg).
  • Unstable cardiovascular status defined as:
  • myocardial infarction or unstable angina pectoris within 6 months prior to enrollment/DEFINITY® dose administration day
  • transient ischemic attack or stroke within 3 months prior to DEFINITY® dose administration
  • symptomatic valvular heart disease or moderate to severe stenotic valvular heart disease
  • clinically significant congenital heart defects
  • current uncontrolled cardiac arrhythmias causing symptoms or hemodynamic compromise
  • acute pulmonary embolus or pulmonary infarction
  • acute myocarditis or pericarditis
  • acute aortic dissection
  • atrial fibrillation
  • any major surgery within 4 weeks prior to screening
  • known contraindications to undergoing CMR or claustrophobia
  • participation in any investigational drug, device, or placebo study within 30 days prior to screening
  • known hypersensitivity to perflutren, or any of the excipients in DEFINITY®
  • prisoners or those who are subject to compulsory detention or involuntary incarceration for treatment of either a psychiatric or physical illness (e.g., infectious disease) -
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03571672). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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