NCT02954510

Brief Summary

There are no current alternatives to diagnostic contrast-requiring imaging for patients with an eGFR \<30mL/min due to the association of gadolinium-based imaging modalities to nephrogenic systemic fibrosis and iodinated contrast-induced kidney injury. Ferumoxytol-enhanced imaging may offer an alternative approach.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
185

participants targeted

Target at P25-P50 for phase_3 coronary-artery-disease

Timeline
Completed

Started Feb 2017

Longer than P75 for phase_3 coronary-artery-disease

Geographic Reach
1 country

1 active site

Status
unknown

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

January 12, 2016

Completed
10 months until next milestone

First Posted

Study publicly available on registry

November 3, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

February 1, 2017

Completed
6.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2023

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 27, 2024

Completed
Last Updated

January 4, 2023

Status Verified

December 1, 2022

Enrollment Period

6.8 years

First QC Date

January 12, 2016

Last Update Submit

December 31, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Detect the absence of ≥50% stenosis in the coronary artery tree

    This outcome derives from the central hypothesis which states that coronary artery disease can more effectively be excluded in patients with severe chronic kidney disease using ferumoxtyol enhanced cardiac magnetic resonance angiography (fcMRA) rather than non-invasive cardiac testing combined with ICA. The presence or absence of a single 50% stenosis in the region of interest (measured as described above) will be dichotomized (0=absent/ 1= present) from each of the two measures, fcMRA and invasive coronary arteriography

    48 months

Secondary Outcomes (2)

  • Detect stenosis in proximal and distal segments of the coronary artery tree

    48 months

  • Compare ferumoxtyol enhanced magnetic resonance angiography with stress echocardiography

    48 months

Study Arms (1)

Intervention

EXPERIMENTAL

Single arm utilizing ferumoxytol

Drug: ferumoxytol

Interventions

ferumoxytol will assess patency of coronary arteries

Also known as: feraheme
Intervention

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Both female and male participants are being studied aged 18-85 years old with an estimated glomerular filtration rate (eGFR) of less than 30ml/min/1.73 meters squared. Patients will have undergone cardiac screening tests that warrant further evaluation. Patients will be excluded with an eGFR \>30ml/min/1.73 meters squared.

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (1)

Brigham and Women's Hospital

Boston, Massachusetts, 02115, United States

Location

Related Publications (1)

  • Chin MS, Steigner M, Yin W, Kwong RY, Siedlecki AM. Intraluminal Assessment of Coronary Arteries With Ferumoxytol-Enhanced Magnetic Resonance Angiography. JACC Cardiovasc Imaging. 2018 Mar;11(3):505-508. doi: 10.1016/j.jcmg.2017.10.017. Epub 2017 Dec 13. No abstract available.

MeSH Terms

Conditions

Coronary Artery Disease

Interventions

Ferrosoferric Oxide

Condition Hierarchy (Ancestors)

Coronary DiseaseMyocardial IschemiaHeart DiseasesCardiovascular DiseasesArteriosclerosisArterial Occlusive DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

Ferric CompoundsIron CompoundsInorganic ChemicalsFerrous CompoundsMinerals

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Masking Details
Experts evaluating ferumoxytol-enhanced magnetic resonance imaging will be masked to the results of other invasive and non-invasive cardiac testing
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Model Details: case control
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 12, 2016

First Posted

November 3, 2016

Study Start

February 1, 2017

Primary Completion

November 1, 2023

Study Completion

February 27, 2024

Last Updated

January 4, 2023

Record last verified: 2022-12

Data Sharing

IPD Sharing
Will share

At the conclusion of the study de-identified data will be made available. according to guidelines described by the Biological Specimen and Data Repository Information Coordinating Center. The structure will abide by the National Heart Lung Blood Institute Policy for Data Sharing from Clinical Trials and Epidemiological Studies.

Time Frame
Within one year of the conclusion of the study. Data will be available for at least seven years.

Locations