T1 Mapping in Fabry Disease (MAP-FAB)
T1 Mapping in Diagnosis and Follow up of Fabry Disease
Fabry disease (OMIM-301500, FD) is a lysosomal storage disease with X-linked inheritance secondary to mutations in the α-galactosidase A gene (GLA), which cause absence or decreased activity of the lysosomal hydrolase a-galactosidase A (a-gal A). The accumulation of globotriaosylceramide (Gb3) leads to multiple organs dysfunction, especially in three key organs: kidney, heart and cerebrovascular system. Progressive nephropathy is one of the main features of Fabry disease and is marked by an insidious development. The investigators are facing different current challenges about treatment initiation in non-classic phenotype patients, optimal dose after treatment initiation, and treatments monitoring in Fabry nephropathy. That is even more important that the enzyme replacement therapy is expensive and a lifelong commitment.
Functional magnetic resonance imaging (MRI) is now able to provide T1 mapping sequence. In Fabry disease, T1 mapping is currently used to assess the degree of myocardial involvement. The MRI for assessement of Fabry Cardiomyopathy is now recommended by the 2022 national diagnostic and care protocol (PNDS) in France. However there is no data about T1 mapping values in kidney in Fabry's disease The main Objective is to describe renal performance through multi-parametric MRI in Fabry nephropathy and the primary outcome will be the quantification of renal T1 in Fabry patients.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sandrine LEMOINE, PU-PH
- Phone Number: 04 72 11 02 44
- Email: sandrine.lemoine01@chu-lyon.fr
Study Contact Backup
- Name: Marine GIRERD
- Phone Number: 0472110620
- Email: marine.girerd@chu-lyon.fr
Study Locations
-
-
-
Lyon, France, 69003
- Hôpital Edouard Herriot
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient with confirmed Fabry disease Or Control patients: Patients undergoing renal functional exploration for a reason other than Fabry disease, amyloidosis, hemochromatosis
- Adult patient
- Patient informed of the study and agree to participate
- Patient affiliated to a social security or beneficiaries of a similar scheme
Exclusion Criteria:
- Weight > 130 kg
- kidney transplant,
- polycystic kidney disease,
- Pregnant, parturient or breastfeeding
- Contraindications to MRI
- Subject participating in another research including an exclusion period still in progress at inclusion
- Persons deprived of their liberty by a judicial or administrative decision,
- Adults subject to a legal protection measure (safeguard measure, guardianship, curators)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Other: Fabry disease
|
T1 mapping values to test the ability of the MRI sequence to detect Gb3 in kidney
|
|
Other: Patients undergoing renal functional exploration
Patients undergoing renal functional exploration for a reason other than Fabry disease, amyloidosis, hemochromatosis
|
T1 mapping values to test the ability of the MRI sequence to detect Gb3 in kidney
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
T1 value measured
Time Frame: Day 1
|
Difference in the measurement of T1 mapping by MRI in Fabry disease patients compared with controls. T1 mapping is a MRI sequence to estimate renal fibrosis |
Day 1
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Apparent diffusion coefficient (ADC) coefficient values
Time Frame: Day 1
|
ADC coefficient values to measure the degree of fibrosis in Fabry nephropathy in Fabry disease patients compared with controls.
|
Day 1
|
|
R2* coefficient values
Time Frame: Day 1
|
R2* values to measure the degree of renal alteration in Fabry nephropathy in Fabry disease patients compared with controls.
|
Day 1
|
|
T2 value measured
Time Frame: Day 1
|
Comparison of T2 values measured by T2 mapping MRI between patients with Fabry disease and controls. T2 mapping is a MRI sequence to estimate renal alteration |
Day 1
|
|
T1 mapping measurement Fabry disease
Time Frame: Day 1
|
Comparison of T1 mapping values within 3 different subgroups of patients with Fabry disease (treated men, treated or untreated women)
|
Day 1
|
|
In Fabry disease patients, evaluation of the association between the T1 values measured and concentration of plasma globotriaosylsphingosine (LysoGb3)
Time Frame: Day 1
|
Day 1
|
|
|
In Fabry disease patients, evaluation of the association between glomerular filtration rate and ADC value measured
Time Frame: Day 1
|
ADC value measured by diffusion-weighted MRI
|
Day 1
|
|
In Fabry disease patients, evaluation of the association between glomerular filtration rate and R2* value measured
Time Frame: Day 1
|
R2* value measured by blood oxygen level-dependent (BOLD) MRI
|
Day 1
|
|
In Fabry disease patients, evaluation of the association between glomerular filtration rate and T2 value measured
Time Frame: Day 1
|
T2 value measured by T2 mapping MRI
|
Day 1
|
|
In Fabry disease patients, evaluation of the association between proteinuria and ADC value measured
Time Frame: Day 1
|
ADC value measured by diffusion-weighted MRI
|
Day 1
|
|
In Fabry disease patients, evaluation of the association between proteinuria and R2* value measured
Time Frame: Day 1
|
R2* value measured by BOLD MRI
|
Day 1
|
|
In Fabry disease patients, evaluation of the association between proteinuria and T2 value measured
Time Frame: Day 1
|
T2 value measured by T2 mapping MRI
|
Day 1
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cerebrovascular Disorders
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Metabolism, Inborn Errors
- Genetic Diseases, Inborn
- Metabolic Diseases
- Lipid Metabolism Disorders
- Genetic Diseases, X-Linked
- Lysosomal Storage Diseases
- Brain Diseases, Metabolic, Inborn
- Brain Diseases, Metabolic
- Lipid Metabolism, Inborn Errors
- Lysosomal Storage Diseases, Nervous System
- Cerebral Small Vessel Diseases
- Sphingolipidoses
- Lipidoses
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Nutritional and Metabolic Diseases
- Fabry Disease
Other Study ID Numbers
Other Study ID Numbers
- 69HCL22_0934
- 2023-A00475-40 (Other Identifier: ID-RCB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.