Lumason for Vesicoureteral Reflux
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new method for detecting kidney scarring using a special ultrasound with a dye called Lumason (sulfur hexafluoride lipid-type A microspheres). The goal is to develop a safer, radiation-free way to diagnose kidney issues, potentially replacing more expensive and risky tests that involve radiation and possible allergic reactions. This method could benefit patients scheduled for a DMSA scan for kidney problems who do not have major kidney abnormalities or severe heart and lung diseases. As a Phase 1 trial, the research focuses on understanding how this new diagnostic method works in people, offering participants the chance to be among the first to benefit from this innovative approach.
What prior data suggests that this technique is safe for diagnosing renal scarring?
Research has shown that Lumason, a substance used to enhance medical images, is generally safe. In a study involving over 6,000 children, researchers reported no negative reactions. Another study, which examined more than 2,000 uses of Lumason, identified only one minor side effect. These findings suggest that Lumason is safe for most people.
However, Lumason contains PEG, which may cause serious reactions in individuals allergic to it. Despite this, Lumason's overall safety profile remains strong, making it a promising option for improving ultrasound images without radiation.12345Why are researchers excited about this trial?
Unlike the standard treatment options for vesicoureteral reflux, which often involve antibiotics or surgery, Lumason is unique because it uses a contrast-enhanced ultrasound (CEUS) technique. This method allows doctors to get a clearer image of the urinary tract, potentially leading to more accurate diagnoses without the need for radiation exposure, which is common in traditional imaging methods like X-rays or CT scans. Researchers are excited about Lumason because it offers a non-invasive, safer alternative that might improve the comfort and safety of imaging for patients, especially children.
What evidence suggests that contrast-enhanced ultrasound using Lumason is effective for diagnosing or evaluating renal scarring?
Research has shown that Lumason effectively helps detect vesicoureteral reflux (VUR), a condition where urine flows backward from the bladder to the kidneys, when used in contrast-enhanced ultrasound. In this trial, participants will undergo a contrast-enhanced ultrasound using Lumason. Studies involving over 6,000 children demonstrated that Lumason worked well without any reported side effects. This contrast agent enhances the clarity of body structures during ultrasound exams. Animal studies have found it safe and reliable, and it does not significantly increase the risk of serious reactions in humans. Overall, Lumason has a strong record of safety and effectiveness in improving diagnostic imaging.12678
Who Is on the Research Team?
Richard Lee
Principal Investigator
Boston Children's Hospital
Are You a Good Fit for This Trial?
The RAFTERS trial is for individuals aged 6 months to 35 years who need a DMSA scan at Boston Children's Hospital to check kidney function or scarring. It's not for those with severe heart/lung diseases or major congenital kidney abnormalities like horseshoe kidney, malrotation, or multicystic dysplastic kidney.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo a contrast-enhanced ultrasound (CEUS) using Lumason to evaluate renal scarring
Follow-up
Participants are monitored for safety and effectiveness after the CEUS procedure
What Are the Treatments Tested in This Trial?
Interventions
- Lumason
Trial Overview
This study tests a radiation-free technique called contrast-enhanced ultrasound using Lumason dye to diagnose renal scarring. It aims to see if this method can replace the traditional DMSA scan, which involves more cost, radiation exposure and potential sedation.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Participants will undergo a contrast enhanced ultrasound (CEUS) using Lumason
Find a Clinic Near You
Who Is Running the Clinical Trial?
Boston Children's Hospital
Lead Sponsor
Citations
Statistical Review and Evaluation Sulfur Hexafluoride ...
This reviewer independent analysis is supportive of the efficacy and safety of the use of Lumason for VUS in pediatric patients.
Urinary Tract
In over 6,000 pediatric patients taking LUMASON®, no adverse reactions were reported1 The effectiveness in pediatric patients has been established for use
3.
dailymed.nlm.nih.gov
dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=7c679424-c3f7-ed02-892f-20ca0d775089See full prescribing information for complete boxed warning
No adverse developmental outcomes were observed in animal reproduction studies with administration of sulfur hexafluoride lipid-type A microspheres
Bracco Diagnostics Inc.'s LUMASON® (sulfur hexafluoride ...
LUMASON then gained FDA approval in March 2016 for use in ultrasonography of the liver for characterization of focal liver lesions in adult and ...
LUMASON® (sulfur hexafluoride lipid-type A microspheres ...
Serious cardiopulmonary reactions, including fatalities, have occurred uncommonly during or shortly following administration of ultrasound contrast agents, ...
New study of ultrasound enhancing agents in ...
Data show only one non-serious adverse event reported with LUMASON ultrasound enhancing agent in 2,137 administrations
Safety
Patients who received LUMASON UEA had a mortality rate of only 0.03%—lower than in those who didn't receive a UEA
LUMASON® (sulfur hexafluoride lipid-type A microspheres ...
LUMASON contains PEG. There may be increased risk of serious reactions including death in patients with prior hypersensitivity reaction(s) to PEG.
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