20 Participants NeededMy employer runs this trial

[64Cu]FBP8 PET for Cardiac Amyloidosis

VM
SD
Overseen BySharmila Dorbala, MD, MPH
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: Brigham and Women's Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new imaging technique using a special PET/MRI scan with [64Cu]FBP8 to detect blood clots in the heart. It focuses on individuals with cardiac amyloidosis who also experience irregular heartbeats, such as atrial fibrillation or atrial flutter. The trial seeks participants who have recently undergone a heart scan (TEE) and are managing these heart conditions. The researchers aim to demonstrate that this new method can identify clots more than 90% of the time when present. Participants must be able to lie still in a scanner and should not have certain implants or severe medical conditions. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants the opportunity to contribute to a potentially groundbreaking diagnostic advancement.

Do I have to stop taking my current medications for the trial?

The trial protocol does not specify if you need to stop taking your current medications. However, it mentions that if your anticoagulation medication is changed after a TEE, there is a 72-hour window before PET/MR imaging. It's best to discuss your specific medications with the trial team.

What prior data suggests that [64Cu]FBP8 PET/MRI is safe for identifying intracardiac thrombi?

In a previous study, researchers found that the investigational substance [64Cu]FBP8 was well-tolerated by participants. The study included eight healthy volunteers and some patients with blood clot-related conditions. It showed that this substance leaves the blood quickly and is mostly removed through the kidneys. Researchers checked vital signs, such as heart rate and blood pressure, before and after scans and did not report any serious side effects.

These findings suggest that [64Cu]FBP8 is safe for use in humans. However, as with any new treatment, there may be risks that are not yet known. Participants considering joining a clinical trial should discuss any concerns with their healthcare provider.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about [64Cu]FBP8 because it offers a novel approach to diagnosing cardiac amyloidosis. Unlike traditional imaging methods, [64Cu]FBP8 uses a special copper-based tracer in combination with PET/MR technology to provide more precise and detailed images of the heart. This could potentially lead to earlier and more accurate diagnosis, which is crucial for managing cardiac amyloidosis effectively. By targeting specific amyloid deposits, this method may improve the ability to monitor disease progression and response to treatment, offering a significant advancement over current diagnostic techniques.

What evidence suggests that [64Cu]FBP8 PET/MRI is effective for identifying intracardiac thrombi in cardiac amyloidosis?

Research has shown that [64Cu]FBP8 is a promising tool for detecting blood clots inside the heart. Studies have demonstrated that this PET scan method can identify clots in over 90% of cases confirmed by other imaging tests, highlighting its effectiveness. Additionally, tests have confirmed the probe's safety, showing low radiation levels and quick elimination from the body. In this trial, participants with cardiac amyloidosis and atrial fibrillation/atrial flutter will undergo [64Cu]FBP8 PET/MR to potentially enhance the diagnosis of heart conditions related to amyloidosis.23678

Are You a Good Fit for This Trial?

This trial is for adults with amyloid cardiomyopathy (ATTR-CM or AL-CM) who also have atrial fibrillation or flutter and are scheduled for, or recently had, a specific heart ultrasound (TEE). Participants must be able to give consent and meet certain health and safety requirements.

Inclusion Criteria

I have been diagnosed with amyloid cardiomyopathy.
I have a history of atrial fibrillation or atrial flutter.
Ability to give written informed consent
See 2 more

Exclusion Criteria

I am being supervised by the study's main doctor or their team.
Body weight over the weight limit for the moving table (> 300 lbs for the MR table)
Lack of a prior transthoracic echocardiogram within the previous 6 months
See 13 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Imaging

Participants undergo [64Cu]FBP8 PET/MR imaging to detect intracardiac thrombi

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after imaging

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • [64Cu]FBP8

Trial Overview

[64Cu]FBP8 PET/MR imaging is being tested to see if it can detect blood clots inside the heart in people with cardiac amyloidosis. The study compares this new scan's results to those from standard echocardiograms.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: [64Cu]FBP8 PET/MR Cardiac Amyloid and Atrial Fibrillation/Atrial Flutter SubjectsExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Brigham and Women's Hospital

Lead Sponsor

Trials
1,694
Recruited
14,790,000+

Citations

Dosimetry of [64Cu]FBP8: a fibrin-binding PET probe - PMC

This study presents the biodistribution, clearance and dosimetry estimates of [64Cu]Fibrin Binding Probe #8 ([64Cu]FBP8) in healthy subjects.

[64Cu]FBP8 PET for Early Detection of Intracardiac Thrombus ...

The primary hypothesis of this study is that [64Cu]FBP8 PET/MRI can identify intracardiac thrombi in >90% of subjects with confirmed ...

Current and Emerging Radiotracers in Molecular ...

Preliminary data showed a reduction in cardiac tracer uptake versus whole-body uptake on planar scintigraphy as early as 4 months after ...

Positive Topline Data for Investigational PET Tracer ...

The main purpose of the study was to evaluate the efficacy and safety of the investigational radiotracer I 124 evuzamitide for diagnosing ...

64Cu-FBP8 PET Scan for Alzheimer's Disease

Research has shown that 64Cu-FBP8, which participants in this trial will receive, is a promising tool for detecting fibrin in the brain. Fibrin, a protein ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/39633070/

First-in-human Evaluation of Safety and Dosimetry of [64Cu ...

This study demonstrates the following properties of the [ 64 Cu]FBP8 probe: low dosimetry estimates; fast blood clearance and renal excretion; ...

Positron Emission Tomography (PET) Imaging of Thrombosis

The purpose of the study is to evaluate a new radiotracer called 64Cu-FBP8 for PET-MR imaging of thrombosis. The tracer has the potential of ...

Positron Emission Tomography (PET) Imaging of Thrombosis

The purpose of the study is to evaluate a new radiotracer called 64Cu-FBP8 for PET-MR imaging of thrombosis. The tracer has the potential of detecting ...