Status:

RECRUITING

MRI to Predict Rejection and Failure in Transplant and Cardiomyopathy Patients

Lead Sponsor:

Children's National Research Institute

Conditions:

Heart Failure

Cardiac Imaging Techniques

Eligibility:

All Genders

6+ years

Brief Summary

Overall Research Strategy of this protocol is to refine and validate noninvasive CMR imaging sequences with invasive hemodynamic and pathology results to create a comprehensive, noninvasive, radiation...

Detailed Description

Anesthesia and Vascular Access After final review of protocol eligibility and of MRI safety, vascular access is obtained and sheaths are secured and covered with a sterile drape for transfer to the MR...

Eligibility Criteria

Inclusion

  • Children and adults of any age with heart transplant, suspected or confirmed cardiomyopathy
  • Undergoing clinically-indicated ("medically necessary") cardiovascular catheterization

Exclusion

  • Cardiovascular instability including hemodynamic instability (such as requiring significant vasoactive infusion support) or mechanical hemodynamic support.
  • Women who are pregnant
  • Women who are nursing and who do not plan to discard breast milk for 24 hours
  • Exclusion criteria for MRI
  • Central nervous system aneurysm clips
  • Implanted neural stimulator
  • Implanted cardiac pacemaker or defibrillator which are not MR safe or MR conditional according to the manufacturer
  • Cochlear implant
  • Ocular foreign body (e.g. metal shavings)
  • Implanted Insulin pump
  • Metal shrapnel or bullet.
  • Exclusion criteria for Gadolinium
  • Renal disease with estimated glomerular filtration rate \[eGFR\] \< 30 ml/min/1.73 m2 body surface area
  • The eGFR will be used to estimate renal function if reported by the laboratory.
  • The Schwartz equation 33 for estimation of GFR in children as recommended by the NKDEP is as follows:
  • GFR (mL/min/1.73 m2) = (k × height) / serum creatinine concentration
  • where k = constant defined as follows: k = 0.33 in premature infants k = 0.45 in term infants to 1 year of age k = 0.55 in children to 13 years of age k = 0.70 in adolescent males (not females because of the presumed increase in male muscle mass, the constant remains 0.55 for females) Height in cm Serum creatinine in mg/dL

Key Trial Info

Start Date :

December 10 2019

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2026

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT03822442

Start Date

December 10 2019

End Date

December 31 2026

Last Update

November 1 2024

Active Locations (1)

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1

Children's National Health System

Washington D.C., District of Columbia, United States, 20010