Phase 3
N=160
DEF-315 Better Accuracy in Ejection Fraction (EF) Assessment With DEFINITY
Cardiac Disease
Bottom Line
View on ClinicalTrials.gov: NCT03719612 ↗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
| Outcome | Result | p-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).
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.