Actively Recruiting

Age: 40Years +
All Genders
Healthy Volunteers
ID05379101

Intracardiac Flow Assessment in Cardiac Amyloidosis

Led by Mayo Clinic · Updated on 2025-07-14

100

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying cardiac amyloidosis, a condition affecting the heart, to identify specific imaging markers in the heart's blood flow. This observational study aims to better understand these markers in different types of amyloidosis, including transthyretin (ATTR) and light chain (AL) amyloidosis, as well as in healthy adults without cardiovascular disease. The goal is to define intracardiac flow imaging biomarkers that can help characterize this disease. Participants are grouped based on their diagnosis: those with ATTR cardiac amyloidosis, AL amyloidosis with and without cardiac involvement, and healthy controls. All participants will undergo three diagnostic tests: cardiac magnetic resonance imaging (CMR) to assess heart structure and blood flow, transthoracic echocardiogram (TTE) using ultrasound to image the heart and vessels, and a six-minute walk test to measure exercise capacity. These assessments are designed to provide detailed information on heart function and activity. During the study, participants will complete these imaging tests and exercise assessments, which will help researchers measure the intracardiac flow biomarkers at baseline. The study includes healthy volunteers and individuals aged 40 years and older who are clinically stable. Safety and ability to complete study procedures are monitored, and the primary outcome is the identification of intracardiac flow imaging markers related to cardiac amyloidosis. The study is expected to continue until June 2026.

CONDITIONS

Brief Title

Intracardiac Flow Assessment in Cardiac Amyloidosis

Who Can Participate

Age: 40Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 40 years or older
  • Clinically stable without cardiovascular-related hospitalizations within 6 weeks prior to enrollment
  • Able to provide written informed consent and complete study procedures
  • Currently in sinus rhythm confirmed by clinical or electrocardiographic assessment
  • Healthy controls must have Karnofsky performance scale > 80% and ECOG status 0 or 1
  • ATTR cardiac amyloidosis diagnosed within 5 years with specific diagnostic criteria excluding AL, heavy chain disease, multiple myeloma, or malignant lymphoproliferative disorders
  • AL amyloidosis with cardiac involvement diagnosed within 5 years with histopathologic confirmation and signs of heart failure or cardiac involvement
  • AL amyloidosis without cardiac involvement diagnosed within 5 years with histopathologic confirmation and absence of heart failure signs and cardiac involvement
Not Eligible

You will not qualify if you...

  • Unable to consent or complete all study procedures
  • Unable to walk for 6 minutes or lie supine for 30 minutes
  • Unable to hold breath for 10 seconds
  • Contraindications to CMR such as uncontrolled claustrophobia or implanted devices
  • Presence of implantable cardiac pacemaker or defibrillator
  • History of complex congenital heart disease, intracardiac shunts (except patent foramen ovale), prosthetic valves, or arterial prosthesis
  • Significant MRI artifact from prior studies
  • Pregnant or breastfeeding women
  • Weight 155 kg or greater
  • Body dimensions exceeding 70 cm side-to-side or front-to-back
  • Documented non-sinus rhythm within 1 week prior to screening
  • For healthy controls, history of cardiomyopathy, structural heart disease, valvular disease more than mild, coronary artery disease, cardiac surgery, arrhythmias, abnormal myocardial thickness, kidney disease with low filtration rate, uncontrolled hypertension, multiple antihypertensive or diabetic medications, stroke or transient ischemic attack, smoking, plasma cell or malignant hematologic diseases, or BMI over 35 kg/m2

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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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 - 1 day

Participants undergo imaging and exercise capacity tests including cardiac magnetic resonance imaging, transthoracic echocardiogram, and a six-minute walk test to assess cardiac structure and intracardiac flow.

1 visit (in-person)

Long-term Monitoring

Duration - Up to 5 years

Participants are observed following diagnostic assessments to monitor intracardiac flow biomarkers and cardiac amyloidosis progression.

Follow-up visits as needed

Trial Site Locations

Total: 1 location

1

Mayo Clinic

Rochester, Minnesota, United States, 55905

Actively Recruiting

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Research Team

K

Kathy Brown

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

4

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