Studying Iodine-124 Evuzumitide Imaging for Diagnosis and Organ Analysis in Adults with Systemic and Transthyretin Amyloidosis
Led by Oregon Health and Science University · Updated on 2026-04-13
150
Participants Needed
1
Research Sites
13 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the use of 124I-evuzumitide as an imaging agent to study systemic amyloidosis, including transthyretin amyloid cardiomyopathy ATTR-CM. This phase 2 study aims to establish how accurately 124I-evuzumitide detects cardiac amyloidosis, examine its uptake outside the heart, and understand its distribution in affected organs. The study also analyzes how this uptake relates to the structure and function of these organs, using clinical data such as demographics, imaging, and laboratory results to better characterize the disease.
Participants with ATTR-CM will undergo hybrid positron emission tomography combined with magnetic resonance imaging PETMRI or computed tomography PETCT if MRI is not possible. Imaging will be performed at the start of the study, with some participants having repeat scans 6 to 12 months later. The study involves a single intravenous administration of 124I-evuzumitide as the diagnostic agent.
During the study, participants will have imaging assessments and collection of clinical data including cardiac biomarkers and questionnaires related to heart function. Researchers will measure diagnostic accuracy, quantitative imaging metrics, and correlations between imaging results and clinical symptoms or disease stage. Safety of the imaging agent will be monitored for seven days after administration. The total participation period includes baseline and possible follow-up imaging up to 12 months later.
CONDITIONS
Brief Title
Characterizing Iodine-124 Evuzumitide (AT-01) in Systemic Amyloidosis
Research Team
A
Ahmad Masri, MD
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
124I‑Evuzamitide PET imaging
Standard bone‑avid cardiac imaging (Tc‑99m‑PYP/DPD/HMDP)
What it is
A PET imaging agent that uses iodine‑124–labeled evuzamitide targeting amyloid deposits in systemic amyloidosis
Noninvasive cardiac imaging using bone‑avid tracers (e.g., Tc‑99m‑PYP, DPD, HMDP) to detect transthyretin amyloid in the heart
Role in trial
Used as the investigational diagnostic test administered to all participants
Not part of the trial protocol; serves as external diagnostic reference method
Primary use
Detection and localization of amyloid deposits throughout the body using PET imaging
Noninvasive confirmation of cardiac transthyretin amyloid using planar and tomographic bone‑avid tracer imaging
How it is performed
Administered intravenously as a PET radiotracer followed by whole‑body or targeted imaging
Injection of bone‑avid tracer (e.g., Tc‑99m‑PYP/DPD/HMDP) followed by planar and SPECT or SPECT/CT imaging to assess myocardial uptake
Evidence status
Diagnostic accuracy is currently being evaluated in a first‑in‑patient imaging study; evidence not yet published
High sensitivity and specificity established for diagnosing ATTR cardiac amyloidosis across multiple studies and guidelines
Important risks
Risks associated with PET radiotracer administration and whole‑body imaging are not yet established
Radiation exposure and contrast agent risks are known and generally low but involve iodinated tracers
Important limitations
Unknown diagnostic performance; protocol and applicability across organs remain under investigation
Primarily evaluates cardiac involvement; may not detect systemic or extra‑cardiac amyloid deposits
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 40Years - 90Years
All Genders
Eligibility Criteria
You may qualify if you...
Subjects must have at least one of the following: systemic amyloidosis with known organ involvement, carrier of a pathogenic transthyretin gene mutation, multiple myeloma, or monoclonal gammopathy of undetermined significance
Patient willing to consent and undergo study procedures
You will not qualify if you...
Severe claustrophobia or medical condition preventing completion of imaging protocol
Known allergy to potassium iodide or gadolinium
Patients on dialysis or with eGFR less than 30 cc/min/1.73 m2 excluded from gadolinium-enhanced MRI
Received heparin or heparin analogs within 7 days prior to 124I-evuzamitide administration
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Diagnostic Evaluation
Duration - Single day
Participants undergo hybrid 124I-Evuzamitide PET/MRI or PET/CT imaging to detect systemic amyloidosis and assess diagnostic accuracy.
1 baseline imaging visit
Long-term Monitoring
Duration - 6 to 12 months
In a subgroup, repeat imaging is performed 6 to 12 months after the baseline scan to monitor disease progression and correlate imaging findings with clinical measures.
1 follow-up imaging visit
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
DIAGNOSTIC
Number of Arms
1
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Published Research Related To This Trial
First in Human Evaluation and Dosimetry Calculations for Peptide 124I-p5+14-a Novel Radiotracer for the Detection of Systemic Amyloidosis Using PET/CT Imaging.