NCT01347710

Brief Summary

The primary objective of the study is to assess the diagnostic efficacy (specificity and sensitivity) of flurpiridaz F18 injection PET myocardial perfusion imaging (MPI) compared to single photon emission computed tomography (SPECT) MPI in the detection of significant coronary artery disease (CAD) as defined by invasive coronary angiography (ICA) or a documented history of Myocardial Infarction (MI).

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
795

participants targeted

Target at P75+ for phase_3 coronary-artery-disease

Timeline
Completed

Started Jun 2011

Geographic Reach
4 countries

81 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 11, 2011

Completed
23 days until next milestone

First Posted

Study publicly available on registry

May 4, 2011

Completed
28 days until next milestone

Study Start

First participant enrolled

June 1, 2011

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2013

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2013

Completed
2.6 years until next milestone

Results Posted

Study results publicly available

April 5, 2016

Completed
Last Updated

November 24, 2020

Status Verified

August 1, 2014

Enrollment Period

2.1 years

First QC Date

April 11, 2011

Results QC Date

January 24, 2016

Last Update Submit

November 6, 2020

Conditions

Keywords

Coronary Artery Disease.Positron Emission Tomography Myocardial Perfusion Imaging.Single Positron Emission Computed Tomography.Flurpiridaz F18 Injection.

Outcome Measures

Primary Outcomes (2)

  • Diagnostic Efficacy of Flurpiridaz F 18 PET Myocardial Perfusion Imaging (MPI) Sensitivity Versus SPECT Myocardial Perfusion Imaging Sensitivity

    Diagnostic efficacy of one day rest and stress flurpiridaz F 18 PET MPI sensitivity versus SPECT MPI sensitivity in the detection of coronary artery disease (CAD) by majority rule using invasive coronary angiography as the truth standard,

    60 days

  • Diagnostic Efficacy of Flurpiridaz PET MPI Specificity Versus SPECT MPI Specificity

    Diagnostic efficacy of flurpiridaz PET MPI specificity versus SPECT MPI specificity by majority rule in the detection of CAD using invasive coronary angiography as the truth standard

    60 days

Secondary Outcomes (10)

  • Diagnostic Efficacy of Flurpiridaz F18 PET MPI Sensitivity Versus SPECT MPI Sensitivity in Subgroups: Pharmacologic Stress, Females and BMI>/=30.

    60 days

  • Diagnostic Efficacy of Flurpiridaz F18 PET MPI Specificity Versus SPECT Specificity in Subgroups: Pharmacologic Stress, Females and BMI>/=30.

    60 days

  • Diagnostic Performance Evaluation of Localization of CAD for Sensitivity (PETVsSPECT).

    60 days

  • Diagnostic Performance Evaluation of Localization of CAD for Specificity (PETVsSPECT).

    60 days

  • Diagnositic Performance Evaluation of Multivessel Disease (PETvsSPECT).

    60 days

  • +5 more secondary outcomes

Study Arms (1)

Flurpiridaz F18

EXPERIMENTAL

Open-label study of a single dose of Flurpiridaz F18 injection for PET MPI compared to a single dose of 99mTc sestamibi or tetrofosmin for SPECT MPI in patients with suspected or known coronary artery disease referred for coronary catheterization

Drug: Flurpiridaz F18Drug: 99mTechnicium (sestamibi or tetrofosmin)

Interventions

Injection of Flurpiridaz F18 for the purposes of PET myocardial profusion imaging (MPI) analysis

Also known as: flurpiridaz F 18
Flurpiridaz F18

Injection of 99mTc sestamibi or tetrofosmin for the purposes of SPECT MPI analysis

Also known as: 99mTc sestamibi or 99mTc Tetrofosmin
Flurpiridaz F18

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Invasive Coronary Angiography. Men or Women age 18 or older - see protocol for additional details.

You may not qualify if:

  • Women who are pregnant, lactating, or of child bearing potential who are not practicing birth control.
  • Unstable cardiac status. History of coronary artery bypass graft. History of percutaneous coronary intervention within the past six months. See protocol for additional details.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (81)

Cardiology Associates of Mobile, Inc.

Mobile, Alabama, 36608, United States

Location

Scottsdale Medical Imaging, Ltd.

Scottsdale, Arizona, 85258, United States

Location

West Side Medical Associates of Los Angeles

Beverly Hills, California, 90211, United States

Location

USC PET Imaging Science Center

Los Angeles, California, 90033, United States

Location

Cedars-Sinai Medical Center

Los Angeles, California, 90048, United States

Location

VA West Los Angeles Medical Center

Los Angeles, California, 90073, United States

Location

UCLA

Los Angeles, California, 90095, United States

Location

Veterans Affairs Palo Alto Health Care System

Palo Alto, California, 94304, United States

Location

Cardiovascular Consultants Medical Group

Pleasant Hill, California, 94523, United States

Location

Northern California PET Imaging Center-Palo Alto

Sacramento, California, 95816, United States

Location

VA San Diego Healthcare System

San Diego, California, 92161, United States

Location

UCSF Medical Center

San Francisco, California, 94107, United States

Location

Yale University

New Haven, Connecticut, 06519, United States

Location

Alfieri Cardiology

Newark, Delaware, 19713, United States

Location

Christiana Care Health System

Newark, Delaware, 19718, United States

Location

Elite Research and Clinical Trials

Aventura, Florida, 33180, United States

Location

Independent Imaging, LLC

Boynton Beach, Florida, 33437, United States

Location

Coastal Cardiology Consultants dba The Heart & Vascular Institute of Florida

Clearwater, Florida, 33756, United States

Location

Florida Heart Associates

Fort Myers, Florida, 33907, United States

Location

St. Luke's Cardiology Associates

Jacksonville, Florida, 32216, United States

Location

The Cardiovascular Center, PA

Lake Mary, Florida, 32746, United States

Location

Florida Hospital/Cardiovascular Institute (Florida Heart Group)

Orlando, Florida, 32803, United States

Location

South Florida Research Solutions

Pembroke Pines, Florida, 33028, United States

Location

Memorial Hospital of Tampa

Tampa, Florida, 33609, United States

Location

Georgia Health Sciences Univ/Med College of GA

Augusta, Georgia, 30912, United States

Location

South Coast Imaging Center

Savannah, Georgia, 31406, United States

Location

Gateway Cardiology, PC

Jerseyville, Illinois, 62052, United States

Location

Norton Cardiovascular Associates

Louisville, Kentucky, 40205-3372, United States

Location

Biomedical Research Foundation of Northwest Louisiana

Shreveport, Louisiana, 71133-8050, United States

Location

Maine Research Associates

Auburn, Maine, 04210, United States

Location

Johns Hopkins University

Baltimore, Maryland, 21287-0817, United States

Location

Mass General Hospital (MGH)

Boston, Massachusetts, 02114, United States

Location

Boston University Medical Center

Boston, Massachusetts, 02118, United States

Location

University of Michigan Health System

Ann Arbor, Michigan, 48109-5873, United States

Location

Wayne State University - Harper University Hospital

Detroit, Michigan, 48201, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

St. Mary's Healthcare (Trinity Health)

Grand Rapids, Michigan, 49503, United States

Location

McLaren Macomb

Mount Clemens, Michigan, 48043, United States

Location

William Beaumont Hospital

Royal Oak, Michigan, 48073-6769, United States

Location

Hattiesburg Clinic

Hattiesburg, Mississippi, 39401, United States

Location

Missouri Cardiovascular Specialists, LLP

Columbia, Missouri, 65201, United States

Location

Cardiovascular Imaging Technologies (CVIT)

Kansas City, Missouri, 64111, United States

Location

Saint Louis University School of Medicine

St Louis, Missouri, 63110, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Las Vegas Radiology

Las Vegas, Nevada, 89128, United States

Location

Mount Sinai Medical Center

New York, New York, 10029, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

St. Francis Hospital

Roslyn, New York, 11576, United States

Location

Montefiore Medical Center

The Bronx, New York, 10467, United States

Location

University of Cincinnati

Cincinnati, Ohio, 45267, United States

Location

The Ohio State University

Columbus, Ohio, 43210, United States

Location

OhioHealth Research Institute

Columbus, Ohio, 43214, United States

Location

Kettering Medical Center

Kettering, Ohio, 45429, United States

Location

Pinnacle Health Cardiovascular Institute/ Associated Cardiologists

Harrisburg, Pennsylvania, 17110, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

Presbyterian University Hospital

Pittsburgh, Pennsylvania, 15213, United States

Location

Berks Cardiologists, Ltd.

Wyomissing, Pennsylvania, 19610, United States

Location

York Hospital /Wellspan Health

York, Pennsylvania, 17405, United States

Location

Rhode Island Hospital

Providence, Rhode Island, 02903, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Wellmont CVA Heart Institute

Kingsport, Tennessee, 37660, United States

Location

Center for Biomedical Research

Knoxville, Tennessee, 37909, United States

Location

Cardiovascular Research of Knoxville - St. Mary's Health Care System, Inc.

Knoxville, Tennessee, 37917, United States

Location

Vanderbilt Heart and Vascular Institute

Nashville, Tennessee, 37232, United States

Location

Dallas VA Medical Center

Dallas, Texas, 75216, United States

Location

University of Texas Medical Branch

Galveston, Texas, 77555-0709, United States

Location

Excel Diagnostics and Nuclear Oncology Center

Houston, Texas, 77042, United States

Location

Katy Cardiology

Katy, Texas, 77493, United States

Location

West Houston Area Clinical Trial Consultants, LLC

Tomball, Texas, 77375, United States

Location

University of Virginia Health System

Charlottesville, Virginia, 22908, United States

Location

McGuire Veteran Affairs Medical Center

Richmond, Virginia, 23249, United States

Location

Carilion Cardiology Clinic

Roanoke, Virginia, 24014, United States

Location

Roanoke Heart Institute

Roanoke, Virginia, 24014, United States

Location

University of Western Ontario

London, Ontario, N6A 5A5, Canada

Location

KMH Cardiology and Diagnostic and MRI Centres

Mississauga, Ontario, L5K 2L3, Canada

Location

University of Ottawa Heart Institute

Ottawa, Ontario, K1Y 4W7, Canada

Location

Centre Hospitalier Universitaire de Sherbrooke (CHUS)

Sherbrooke, Quebec, J1H 5N4, Canada

Location

Helsinki University Hospital

Helsinki, 00029 HUS, Finland

Location

Turku PET Centre

Turku, FI-20520, Finland

Location

San Patricio MEDFLIX (San Patricio MRI & CT Center)

Guaynabo, 00968, Puerto Rico

Location

VA Caribbean Healthcare System

San Juan, 00921, Puerto Rico

Location

Related Publications (4)

  • Lopez DM, Huck DM, Divakaran S, Brown JM, Weber BN, Lemley M, Builoff V, Shanbhag A, Lan Z, Buckley C, Al-Mallah MH, Dorbala S, Blankstein R, Slomka P, Di Carli MF. Utility of 18F-Flurpiridaz PET Relative Flow Reserve in Differentiating Obstructive From Nonobstructive Coronary Artery Disease. Circ Cardiovasc Imaging. 2025 Nov;18(11):e018323. doi: 10.1161/CIRCIMAGING.125.018323. Epub 2025 Oct 9.

  • Poitrasson-Riviere A, Moody JB, Renaud JM, Hagio T, Arida-Moody L, Buckley CJ, Al-Mallah MH, Nallamothu BK, Weinberg RL, Ficaro EP, Murthy VL. Integrated myocardial flow reserve (iMFR) assessment: optimized PET blood flow quantification for diagnosis of coronary artery disease. Eur J Nucl Med Mol Imaging. 2023 Dec;51(1):136-146. doi: 10.1007/s00259-023-06455-2. Epub 2023 Oct 9.

  • Hagio T, Moody JB, Poitrasson-Riviere A, Renaud JM, Pierce L, Buckley C, Ficaro EP, Murthy VL. Multi-center, multi-vendor validation of deep learning-based attenuation correction in SPECT MPI: data from the international flurpiridaz-301 trial. Eur J Nucl Med Mol Imaging. 2023 Mar;50(4):1028-1033. doi: 10.1007/s00259-022-06045-8. Epub 2022 Nov 19.

  • Maddahi J, Lazewatsky J, Udelson JE, Berman DS, Beanlands RSB, Heller GV, Bateman TM, Knuuti J, Orlandi C. Phase-III Clinical Trial of Fluorine-18 Flurpiridaz Positron Emission Tomography for Evaluation of Coronary Artery Disease. J Am Coll Cardiol. 2020 Jul 28;76(4):391-401. doi: 10.1016/j.jacc.2020.05.063.

MeSH Terms

Conditions

Coronary Artery Disease

Interventions

BMS 747158-02Technetium Tc 99m Sestamibitechnetium tc-99m tetrofosmin

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

NitrilesOrganic ChemicalsOrganotechnetium CompoundsOrganometallic Compounds

Results Point of Contact

Title
CMO
Organization
Lantheus Medical Imaging

Study Officials

  • Cesare Orlandi, MD

    Lantheus Medical Imaging

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 11, 2011

First Posted

May 4, 2011

Study Start

June 1, 2011

Primary Completion

July 1, 2013

Study Completion

September 1, 2013

Last Updated

November 24, 2020

Results First Posted

April 5, 2016

Record last verified: 2014-08

Locations