Super-resolution Ultrasound Imaging for Chronic Kidney Disease

Enrolling by invitation at 1 trial location
BO
Overseen ByBobbie Ott
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Mayo Clinic
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
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 aims to evaluate the effectiveness of a special type of ultrasound imaging, called super-resolution ultrasound imaging, for individuals with Chronic Kidney Disease (CKD). The method uses an ultrasound contrast agent called Definity, already approved for other organs, to capture clear images of the kidneys. The study includes two groups: CKD patients requiring a kidney biopsy and healthy volunteers. Individuals with CKD undergoing a kidney biopsy or healthy individuals may participate. Those with a history of allergic reactions to ultrasound contrast agents or serious heart problems may not be eligible. As a Phase 2 trial, the research focuses on assessing the treatment's effectiveness in an initial, smaller group of participants.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that this ultrasound imaging technique is safe for evaluating Chronic Kidney Disease?

Studies have shown that Lumason, the ultrasound contrast agent used in this trial, is generally well-tolerated. The FDA has already approved it for use in the heart, liver, and urinary tract. Research indicates that patients who received Lumason experienced very low rates of serious issues. Specifically, the death rate was only 0.03%, which was lower than in those who didn't receive any ultrasound contrast agent.

However, serious heart and lung reactions, including deaths, have occurred, although these are uncommon. This means that while the risk is low, it remains a consideration.

Overall, Lumason has a solid safety record but, like any medical treatment, it carries some risks. Participants should weigh these risks and discuss them with their healthcare provider.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it uses Super-Resolution Ultrasound Imaging (SRUI) with the Definity ultrasound contrast agent to capture detailed images of kidney microvessels. Unlike standard imaging techniques, which might not clearly visualize tiny blood vessels in the kidneys, SRUI offers high-resolution images that could provide new insights into chronic kidney disease (CKD). This technique has the potential to improve diagnosis and understanding of CKD by offering a more precise view of kidney health.

What evidence suggests that this ultrasound imaging technique is effective for evaluating Chronic Kidney Disease?

Research has shown that Lumason, a special dye used in ultrasound scans, helps doctors see kidney problems more clearly. It distinguishes between solid tumors and complex cysts in the kidneys. Lumason enhances ultrasound images without much strain on the body. Although primarily used for the heart, liver, and urinary tract, it also shows promise for kidney imaging. In this trial, Lumason will obtain super-resolution ultrasound images for subjects with chronic kidney disease and healthy volunteers. These findings suggest Lumason could improve ultrasound imaging for chronic kidney disease detection.16789

Who Is on the Research Team?

SC

Shigao Chen, PhD

Principal Investigator

Mayo Clinic

Are You a Good Fit for This Trial?

This trial is for healthy volunteers or patients with Chronic Kidney Disease who need a kidney biopsy. It's not open to those unable to consent, prisoners, pregnant or nursing women, people allergic to ultrasound contrast agents, or patients with serious heart conditions.

Inclusion Criteria

I am healthy or have CKD and need a kidney biopsy.

Exclusion Criteria

I have a serious heart condition.
You have had severe allergic reactions to ultrasound contrast agents in the past.
I am unable to give consent by myself due to my condition.
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Imaging

Participants undergo Super-Resolution Ultrasound Imaging (SRUI) using Definity ultrasound contrast agent to evaluate renal microvessel characteristics

Baseline

Follow-up

Participants are monitored for safety and effectiveness after imaging

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Lumason
Trial Overview The study tests how well Definity (an FDA-approved contrast agent for the heart, liver, and urinary tract) works in ultrasound imaging of kidneys in individuals with Chronic Kidney Disease compared to healthy subjects.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Chronic Kidney Disease GroupExperimental Treatment2 Interventions
Group II: Healthy Control GroupActive Control2 Interventions

Lumason is already approved in United States for the following indications:

🇺🇸
Approved in United States as Lumason for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Mayo Clinic

Lead Sponsor

Trials
3,427
Recruited
3,221,000+

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator

Trials
2,513
Recruited
4,366,000+

Published Research Related to This Trial

In a large study of 463,434 contrast-enhanced ultrasound examinations, the use of sulfur hexafluoride microbubbles resulted in a very low adverse event (AE) frequency of only 0.034%, indicating a high safety profile for this contrast agent.
Among the reported AEs, only 4 were classified as serious, and the majority were non-serious, with most reactions occurring within 30 minutes of administration, confirming that sulfur hexafluoride microbubbles are safe for routine clinical use.
Safety findings after intravenous administration of sulfur hexafluoride microbubbles to 463,434 examinations at 24 centers.Shang, Y., Xie, X., Luo, Y., et al.[2023]
The experimental microbubble-based ultrasound contrast agent (Imagent US) significantly improved the visualization of renal perfusion in rabbits, with effective enhancement observed even at low doses (0.007 mL/kg).
The contrast agent allowed for clear differentiation between normally perfused and ischemic kidney areas, indicating its potential utility in identifying focal perfusion abnormalities in renal imaging.
Renal cortical perfusion in rabbits: visualization with color amplitude imaging and an experimental microbubble-based US contrast agent.Taylor, GA., Ecklund, K., Dunning, PS.[2016]
Lumason® (SonoVue®) has been shown to be safe for use in special patient populations, including those with compromised cardiopulmonary conditions, with no significant adverse effects on cardiac or pulmonary function observed in studies involving patients with coronary artery disease, pulmonary hypertension, and chronic obstructive pulmonary disease.
A retrospective study of critically ill patients indicated that using Lumason® during echocardiography did not increase in-hospital mortality compared to echocardiography without the contrast agent, further supporting its safety profile in vulnerable populations.
Safety of Lumason® (SonoVue®) in special populations and critically ill patients.Filippone, A., Kirchin, MA., Monteith, J., et al.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/31549563/
Contrast enhanced ultrasound characterization of ...CEUS was effective in characterizing renal lesions as solid neoplasms or complex cystic lesions suspicious for neoplasm-findings which merit further ...
Lumason - accessdata.fda.govNo adverse developmental outcomes were observed in animal reproduction studies with administration of sulfur hexafluoride lipid-type A microspheres in pregnant ...
New Nationwide Real-World Data Validates the Safety of ...LUMASON (sulfur hexafluoride lipid-type A microspheres) for injectable suspension, for intravenous use or intravesical use is contraindicated in ...
Contrast-enhanced Ultrasound for Complex Kidney Lesion ...This is an investigator-initiated, prospective study designed to evaluate the accuracy of contrast-enhanced ultrasound (CEUS) with ...
Very low MI techniques produce high quality signal-to- ...LUMASON ultrasound enhancing agent delivers high-clarity imaging at a very low MI. 2,3 MI = Mechanical Index
6.lumason.comlumason.com/safety/
SafetyPatients who received LUMASON UEA had a mortality rate of only 0.03%—lower than in those who didn't receive a UEA.
lumason - accessdata.fda.govSerious cardiopulmonary reactions, including fatalities, have occurred uncommonly during or following the injection of ultrasound contrast agents, including ...
LUMASON FORMULARY KITSerious cardiopulmonary reactions, including fatalities, have occurred uncommonly during or following the injection of ultrasound contrast agents, including ...
Sulfur hexafluoride lipid type a microspheres (injection ...Sulfur hexafluoride lipid type A microspheres is an ultrasound contrast agent. ... Safety and efficacy have been established. Geriatric.
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