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Recruiting Phase 2 NCT05499637

[68Ga]Ga-PentixaFor PET/CT in Acute Myocardial Inflammation

Trial Parameters

Condition Acute Cellular Graft Rejection
Sponsor John O. Prior
Study Type INTERVENTIONAL
Phase Phase 2
Enrollment 69
Sex ALL
Min Age 18 Years
Max Age N/A
Start Date 2023-01-17
Completion 2025-12
Interventions
[68Ga]Ga-PentixaFor PET/CT

Brief Summary

Acute myocardial inflammation is an heterogenic syndrome involving different clinical pathologies with different outcome. For the purpose of this study protocol, we focuse on three entities of this syndrome, namely the acute cellular cardiac allograft rejection (ACR), cardiac sarcoidosis (CS) and the immune checkpoint inhibitor induced myocarditis (ICIM), for which non-invasive diagnosis remains challenging. Since accurate diagnosis of myocardial inflammation in an early stage is crucial, this study aims to investigate the accuracy of \[68Ga\]Ga-PentixaFor as a marker of for the presence of inflammatory cells (T-lymphocytes and M1) in described patients. The identification of a correlation between \[68Ga\]Ga-PentixaFor myocardial accumulation with currently accepted diagnostic tools would open up new ways to non-invasively diagnose acute myocardial inflammation.

Eligibility Criteria

Inclusion Criteria: * signed written informed consent * male or female * age ≥ 18 years * patients with suspicion CS (group II) or ICIM (group III) or in their regular follow-up in their first year after HT (group I) * SOC clinical follow-up at the cardiology department in CHUV. Exclusion Criteria: The presence of any one of the following exclusion criteria will lead to exclusion of the participant: * absence of a signed written informed consent * patients aged \< 18 years * claustrophobia * myocardial ischemia in non-invasive perfusion test or coronarography in group II and III * clinically unstable cardiovascular conditions, including: * clinically unstable brady-tachyarrhythmia * severe and symptomatic hypo- or hypertension with documented systolic blood pressure \< 90 mmHg or ≥220 mmHg respectively * cardiogenic shock. * women who are pregnant or breast feeding * intention to become pregnant during the course of the study in group II * previous enrolment into the current study * mo

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