Evaluation of Musculoskeletal Microcirculation With Ultrasound
EMMU
2 other identifiers
interventional
5
1 country
1
Brief Summary
This study aims to validate the use of Dynamic Contrast-Enhanced Ultrasound in measuring the blood supply to the muscles of the leg, and how this changes with exercise and vascular pathology.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Dec 2013
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2013
CompletedFirst Submitted
Initial submission to the registry
January 9, 2014
CompletedFirst Posted
Study publicly available on registry
March 13, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedResults Posted
Study results publicly available
November 25, 2020
CompletedNovember 25, 2020
November 1, 2020
2 years
January 9, 2014
October 5, 2020
November 2, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Threshold of High to Low Frequency Ratio (Threshold HLFR)
Please see published article for in depth method. This ratio is used to classify a given signal as either microbubble or noise. For a pixel containing a micro vessel, as microbubbles occasionally pass this otherwise dark pixel, its temporal signal is expected to have a higher proportion of lower frequency components than white noise. Consequently, the HLFR of the pixel is expected to be smaller than that of noise. A histogram of normalised HLFR shows two expected peaks (one noise, one bubbles). A threshold (Threshold HLFR) is determined to then separate the two peaks. this is done using a double Gaussian model, and where they intercept is deemed the Threshold HLFR.
Baseline, 20 minutes
Study Arms (3)
Healthy
ACTIVE COMPARATORHealthy volunteers, deemed to have normal metabolic and cardiovascular biology by trial criteria
PAD
ACTIVE COMPARATORSymptomatic peripheral arterial disease
DM
ACTIVE COMPARATORSymptomatic diabetic peripheral neuropathy
Interventions
Infusion of microbubbles to enhance blood vessels in the leg for ultrasound
Exposes you to exercise in a controlled environment. We will see if we can detect this change with our new ultrasound protocol
Eligibility Criteria
You may not qualify if:
- Personal history of diabetes or peripheral arterial disease, current pregnancy, previous surgery to the lower limb, heart attack within 4 weeks, or unstable angina
- + years old, radiological evidence of peripheral arterial disease (arterial doppler or angiogram), ankle-brachial pressure index (ABPI) 0.5-0.8
- Personal history of diabetes, current pregnancy, previous amputation, heart attack within 4 weeks, or unstable angina
- + years old, with a clinical diagnoses of diabetes (1, 2)
- \- ABPI\<0.9, previous amputation, current pregnancy or breastfeeding, heart attack within 4 weeks, or unstable angina.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Charing Cross Hospital
London, W6 8RF, United Kingdom
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Miss Kate Williams
- Organization
- Imperial College London
Study Officials
- PRINCIPAL INVESTIGATOR
Prof AH Davies
Imperial College London
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 9, 2014
First Posted
March 13, 2014
Study Start
December 1, 2013
Primary Completion
December 1, 2015
Study Completion
December 1, 2015
Last Updated
November 25, 2020
Results First Posted
November 25, 2020
Record last verified: 2020-11
Data Sharing
- IPD Sharing
- Will not share