Noninvasive Real-time Intracardiac Pressure Measurements Using Subharmonic Ultrasound

Thomas Jefferson University

Status and phase: Completed; Phase 2

Conditions: Cardiac Catheterization; Heart Failure; Echocardiography; Heart Ventricles; Blood Pressure

Treatments: Drug: Sonazoid

Study type: Interventional

Funder types: Other; Industry; NIH

Identifiers

NCT03245255

R21HL130899 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study will use contrast echocardiography to assess the accuracy of a new non-invasive imaging method for subharmonic aided pressure estimation (SHAPE) compared to simultaneously acquired intra-cardiac pressures measured invasively during cardiac catheterization. This study is designed to verify that contrast echocardiography using the SHAPE method, already proven in a canine model and tested in a human pilot study can be used as a surrogate for cardiac catheterization with sufficient accuracy to allow clinical applicability in humans.

Enrollment: 80 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Be scheduled for cardiac catheterization procedure.
• Be at least 18 years of age.
• Be medically stable.
• If a female of child-bearing potential, must have a negative pregnancy test.
• Be conscious and able to comply with study procedures.
• Have signed Informed Consent to participate in the study.

Exclusion criteria

• Clinically unstable patients, e.g., those who are clinically in decompensated heart failure or having active chest pain or presenting for admission with an unstable anginal syndrome
• Patients in whom introduction of a catheter into the left ventricle is contraindicated or would potentially be dangerous, e.g., patients with active ventricular arrhythmias or with significant aortic valve stenosis where crossing the aortic valve may be difficult and not clinically necessary
• Females who are pregnant or nursing.
• Patients not scheduled for cardiac catheterization procedure.
• Patients who have received an investigational drug in the 30 days before, or will receive one within 72 h after, study drug administration.
• Patients currently on chemotherapy or with other primary cancers requiring treatment.
• Patients who are medically unstable, patients who are seriously or terminally ill, and patients whose clinical course is unpredictable.
• Patients with a history of anaphylactic allergy to eggs or egg products, manifested by one or more of the following symptoms: generalised urticaria, difficulty in breathing, swelling of the mouth and throat, hypotension, or shock. (Subjects with nonanaphylactic allergies to eggs or egg products may be enrolled in the study, but must be watched carefully for 1 h following the administration of SONAZOID).
• Patients with congenital heart defects.
• Patients with severe emphysema, pulmonary vasculitis, or a history of pulmonary emboli.
• Patients with respiratory distress syndrome or a contraindication to pharmacological vasodilator stress agents.
• Patients with thrombosis within the hepatic, portal, or mesenteric veins.

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

80 participants in 1 patient group

Sonazoid for pressure measurements

Experimental group

Description:

48 µl of Sonazoid microbubbles (GE Healthcare, Oslo, Norway) will be co-infused at a rate of 0.024 µl/kg body weight/minute together with a 0.9% sodium chloride solution infused at a rate of at least 2 ml/min.

Treatment:

Drug: Sonazoid