Healthy Clinical Trial
Official title:
Study of Hyperpolarized Xenon (MagniXene) in Patients With Obstructive Pulmonary Diseases (Asthma and COPD) to Assess Regional Lung Function by Delineating Regions of Abnormal Lung Ventilation
The purpose of this clinical trial is to demonstrate hyperpolarized xenon (HXe) as a medical imaging drug (agent) for Magnetic Resonance Imaging (MRI) of the human lung ventilation.
HXe MRI provides a diversity of imaging techniques for interrogating pulmonary function and
lung microstructure. The most mature of these techniques utilizes HXe spin-density MRI to
depict regional lung ventilation. Prior work suggests that ventilation imaging has utility
in all obstructive lung diseases. This is a Phase II clinical trial to assess HXe MRI
capability of providing qualitative and quantitative clinical information regarding lung
ventilation. Proton and xenon images will be acquired within single breath holds on 28
subjects per year, including healthy volunteers and patients with COPD and asthma. All
studies will include repeat scans and Pulmonary Function Tests (PFT). Ventilation scans with
Technetium-99m (Tc-99m) diethylene-triamine-pentaacetate (DTPA) aerosol scintigraphy will be
acquired on lung patients.
The primary goal of this aim is to validate the effectiveness of HXe ventilation MRI for
delineating regions of normal and abnormal lung ventilation. To validate the regional
depiction of ventilation, HXe MRI ventilation will be compared with nuclear medicine Tc-99m
DTPA ventilation scintigraphy. The comparatively low spatial and temporal resolution of
ventilation scintigraphy will limit this study to demonstrating only that HXe MRI
ventilation is not inferior to the current clinical standard. Additionally, the concordance
between measurements of the whole lung volume from both proton MRI and HXe MRI with PFT, the
current clinical standard for lung volume measurement, will be assessed as a secondary
outcome of the study.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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