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Phase 3 N=160 Diagnostic

DEF-315 Better Accuracy in Ejection Fraction (EF) Assessment With DEFINITY

Cardiac Disease

Enrolled (actual)
160
Serious AEs
0.6%
Results posted
Jan 2021
Primary outcome: Primary: Absolute Value of LVEF Percentage Differences From CMR by Blinded Reader — 5.70; 5.88; 5.03; 6.08 Percent Ejection Fraction — p=0.358

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
Jan 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Absolute Value of LVEF Percentage Differences From CMR by Blinded Reader
5.70; 5.88; 5.03; 6.08; 6.00; 5.36 0.358
SECONDARY
Secondary Objective 1: Absolute Value of LVEF Percentage Differences From CMR by Blinded Reader for Sub-optimal Echocardiograms
5.67; 6.16; 4.68; 6.95; 6.81; 5.33 0.030 sig
SECONDARY
Secondary Objective 2: Absolute Value LVEF Percentage Differences From CMR Between Blinded Readers
5.70; 5.88; 5.03; 6.08; 6.00; 5.36
SECONDARY
Secondary Objective 3: Absolute Value End-diastolic and Systolic Volume Differences From CMR Between Blinded Readers
57.85; 51.13; 47.97; 64.91; 62.01; 48.32
SECONDARY
Secondary Objective 4: Absolute Value of LVEF Percentage Differences From CMR Between Readers for Sub-optimal Echocardiograms
5.67; 6.16; 4.68; 6.95; 6.81; 5.33
SECONDARY
Secondary Objective 5: Absolute Value End-diastolic and Systolic Volume Differences From CMR Between Blinded Readers for Suboptimal Echocardiograms
71.67; 63.73; 61.86; 74.89; 69.07; 64.38

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
  • LVEF measurements obtained via 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 (e.g. implanted pacemakers, cardioverter, defibrillators) 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 (NCT03719612). 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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