Lumason for Vesicoureteral Reflux

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Overseen ByKatherine Regis
Age: < 65
Sex: Any
Trial Phase: Phase 1
Sponsor: Boston Children's Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

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.12345

Why 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?

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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

I am between 6 months and 35 years old and scheduled for a renal function scan at BCH.

Exclusion Criteria

I have a major birth defect in my kidney's structure.
I do not have severe heart or lung diseases.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants undergo a contrast-enhanced ultrasound (CEUS) using Lumason to evaluate renal scarring

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after the CEUS procedure

3 months

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

Group I: Contrast Enhanced UltrasoundExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Boston Children's Hospital

Lead Sponsor

Trials
801
Recruited
5,584,000+

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

See 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

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lumason.com

lumason.com/safety/

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.