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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06316661
Other study ID # 09C921
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date March 1, 2019
Est. completion date December 30, 2024

Study information

Verified date March 2024
Source Istituto Auxologico Italiano
Contact Camilla Torlasco
Phone +390261911
Email c.torlasco@auxologico.it
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Heart failure with preserved ejection fraction (HFpEF) causes hospitalizations, premature mortality and high health care costs. This is also due to poor understanding of HFpEF pathogenesis and, thus, lack of specific therapies. Prompted by the recent demonstration that HFpEF clusters different clinical phenotypes, the investigators propose that these phenogroups are driven by distinct myocardial abnormalities. Cardiac Magnetic Resonance (CMR) can help filling this gap in knowledge: on top of providing gold standard measurements for myocardial volume and cellular mass, recent technical advantages mean that this test can assess and quantify left ventricular extracellular volume, fibrosis and microvascular function accurately and non-invasively. In HFpEF patients, the investigators aim at assessing 1) the coronary microvascular function impairment; 2) the myocardial fibrotic burden; - seeking to understand the disease in order to improve care and cardiovascular outcomes for these patients.


Recruitment information / eligibility

Status Recruiting
Enrollment 60
Est. completion date December 30, 2024
Est. primary completion date December 30, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age greater of or equal to 18 years at enrolment - Able to provide written informed consent - Diagnosis of HFpEF as defined by the 2016 ESC Guidelines (only for HFpEF group) Exclusion Criteria: - Pregnancy or breastfeeding - Absolute contraindication to adenosine perfusion cardiac MRI (including uncontrolled asthma and severe chronic kidney failure, defined as glomerular filtration rate < 30ml(min/kg) - Atrial fibrillation - Previous chemotherapy and/or mediastinal radiotherapy - Known CAD - Diabetes Mellitus - Systemic inflammatory diseases - Any other medical condition which, in the Investigators' opinion, could affect the study results - Only for control group: any known cardiac, pulmonary, haematological or neoplastic known medical condition and/or any chronic therapy.

Study Design


Related Conditions & MeSH terms


Intervention

Diagnostic Test:
stress perfusion cardiac magnetic resonance
stress perfusion cardiac magnetic resonance according to guidelines, with quantitative evaluation for microvascular dysfunction assessment
cardiopulmonary exercise test
bike exercise with ECG and non invasive respiratory gas exchange monitoring

Locations

Country Name City State
Italy IRCCS Istituto Auxologico Italiano Milan

Sponsors (1)

Lead Sponsor Collaborator
Istituto Auxologico Italiano

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary Peak stress perfusion Detection of impaired cardiac microvascular function (defined as a T1 mapping reactivity - delta T1m before and during stress test= 3.0 +/-0.9%) in HFpEF patients compared to healthy controls. at recruitment (cross sectional)
Primary Extracellular volume Detection of higher cardiac diffuse fibrosis (defined as increased extracellular volume, measured by T1 mapping as per international guidelines, expressed as % ) in HFpEF patients compared to healthy controls. at recruitment (cross sectional)
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