- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01179230
Rubidium-82 Position Emission Computed Tomography (PET) Versus Gated, Rest / Stress Technetium 99-m SPECT (PETvsSPECT)
March 19, 2015 updated by: Hartford Hospital
A Prospective Comparison of Gated, Rest/Stress Rubidium-82 Position Emission Computed Tomography (PET) vs. Gated, Rest / Stress Technetium 99-m SPECT
Many stress tests being done today have two parts, the stress test and the pictures of your heart.
The investigators are comparing a newer technique to obtain the pictures (PET imaging) to the standard method (SPECT imaging).
However, it is not known if the new test is better than the old test.
It is important to have a standard to compare these tests to, and that is why people who will be getting a cardiac catheterization are being asked to participate.
The information about your arteries from the cardiac catheterization will be used to judge which stress test is better.
The investigators hypothesize that the newer method (PET imaging) will be more accurate than the old method (SPECT) in detecting heart disease.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
A SPECT rest image will be obtained using a technetium based isotope.
On a separate day, a Rubidium rest PET image will be obtained prior to a Dipyridamole stress test.
Subjects will receive both Rubidium and technetium isotopes following the Dipyridamole stress, and will undergo first PET imaging and later SPECT imaging following the stress test.
Patients will then go for cardiac catheterization as clinically ordered by their physician.
Study Type
Observational
Enrollment (Actual)
136
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Alabama
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Huntsville, Alabama, United States, 35801
- The Heart Center, PC
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Connecticut
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Hartford, Connecticut, United States, 06102-5037
- Hartford Hospital
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Missouri
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Kansas City, Missouri, United States, 64111
- Cardiovascular Imaging Technologies, LLC
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North Dakota
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Fargo, North Dakota, United States, 58122-0011
- Sanford Health Clinical Research
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Ohio
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Columbus, Ohio, United States, 43214
- Ohio Health Research Institute
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
50 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients with intermediate to high likelihood of CAD referred for cardiac catheterization, either on outpatient or inpatient basis
Description
Inclusion Criteria:
- referred for clinical cardiac catheterization
Exclusion Criteria:
- previous CABG
- previous MI
- Asthma or obstructive airway disease
- Intolerance to Dipyridamole
- Moderate to severe valvular disease
- Cardiomyopathy - (ejection fraction less than 45%)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
PET SPECT
Subjects will have both types of imaging performed, PET and SPECT
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Dipyridamole stress testing 0.57 mg/kg
Other Names:
Dipyridamole stress test 0.57 mg/kg with Rubidium PET images
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Coronary Artery Disease
Time Frame: 30 days
|
30 days
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Myocardial Ischemia
Time Frame: 30 days
|
30 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Gary V. Heller, M.D., Ph.D., Hartford Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Bateman TM, Heller GV, McGhie AI, Friedman JD, Case JA, Bryngelson JR, Hertenstein GK, Moutray KL, Reid K, Cullom SJ. Diagnostic accuracy of rest/stress ECG-gated Rb-82 myocardial perfusion PET: comparison with ECG-gated Tc-99m sestamibi SPECT. J Nucl Cardiol. 2006 Jan-Feb;13(1):24-33. doi: 10.1016/j.nuclcard.2005.12.004.
- Freedman N, Schechter D, Klein M, Marciano R, Rozenman Y, Chisin R. SPECT attenuation artifacts in normal and overweight persons: insights from a retrospective comparison of Rb-82 positron emission tomography and TI-201 SPECT myocardial perfusion imaging. Clin Nucl Med. 2000 Dec;25(12):1019-23. doi: 10.1097/00003072-200012000-00014.
- Stewart RE, Schwaiger M, Molina E, Popma J, Gacioch GM, Kalus M, Squicciarini S, al-Aouar ZR, Schork A, Kuhl DE. Comparison of rubidium-82 positron emission tomography and thallium-201 SPECT imaging for detection of coronary artery disease. Am J Cardiol. 1991 Jun 15;67(16):1303-10. doi: 10.1016/0002-9149(91)90456-u.
- Go RT, Marwick TH, MacIntyre WJ, Saha GB, Neumann DR, Underwood DA, Simpfendorfer CC. A prospective comparison of rubidium-82 PET and thallium-201 SPECT myocardial perfusion imaging utilizing a single dipyridamole stress in the diagnosis of coronary artery disease. J Nucl Med. 1990 Dec;31(12):1899-905.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2005
Primary Completion (Actual)
December 1, 2012
Study Completion (Actual)
December 1, 2012
Study Registration Dates
First Submitted
June 8, 2010
First Submitted That Met QC Criteria
August 9, 2010
First Posted (Estimate)
August 11, 2010
Study Record Updates
Last Update Posted (Estimate)
March 23, 2015
Last Update Submitted That Met QC Criteria
March 19, 2015
Last Verified
July 1, 2012
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Arteriosclerosis
- Arterial Occlusive Diseases
- Coronary Disease
- Heart Diseases
- Coronary Artery Disease
- Myocardial Ischemia
- Ischemia
- Molecular Mechanisms of Pharmacological Action
- Vasodilator Agents
- Enzyme Inhibitors
- Platelet Aggregation Inhibitors
- Phosphodiesterase Inhibitors
- Dipyridamole
Other Study ID Numbers
- HELL001671HE
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.
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