Phase 3
N=153
DEF-314 Better Accuracy in Ejection Fraction (EF) Assessment With DEFINITY
Cardiac Disease
Bottom Line
View on ClinicalTrials.gov: NCT03571672 ↗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
| Outcome | Result | p-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) -
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.