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Coronary Artery DiseasePhase 2NCT00558792

Coronary MDCTA With Iopamidol Injection 370

A Phase 2 study testing Isovue 370, 70 mL, Isovue 370, 80 mL and Isovue 370, 90 mL in people with Coronary Artery Disease, run by Bracco Diagnostics, Inc at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Determine the validity and compare the visualization of arterial segments obtained with 3 doses of iopamidol to determine dose for further investigation in future trials. Read more about this study

Who is it for?
Ages 30 years and older
Conditions the study is for
Coronary Artery Disease
What is being tested?
Isovue 370, 70 mL, Isovue 370, 80 mL and Isovue 370, 90 mL
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
210 participants
Where
1 siteUnited States
Study dates
Nov 2007to May 2010
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provide informed consent
  • At least 30 years of age
  • Weight less than 250 lbs
  • Known or suspected coronary artery disease and suspected to have significant coronary artery stenosis
  • Undergo MDCTA scan
  • Undergo coronary angiography within 2 weeks of MDCTA scan

Who cannot join

  • Hx of hypersensitivity to iodinated contrast agents
  • Known or suspected hyperthyroidism or pheochromocytoma
  • Renal impairment
  • History of coronary artery stent placement or bypass grafts
  • Unstable
  • Pregnant or lactating

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Bracco Diagnostics

    Princeton, New Jersey, 08540

Other trials in United States

About this study

Official title: A Phase II Multicenter Randomized Double Blind Dose Finding Study of Iopamidol Injection 370 in Multidetector Computed Tomographic Angiography (MDCTA) in Patients With Suspected Coronary Artery Stenosis

Determine the validity and compare the visualization of arterial segments obtained with 3 doses of iopamidol to determine dose for further investigation in future trials.

Being tested
Isovue 370, 70 mL, Isovue 370, 80 mL, Isovue 370, 90 mL
Medical subject headings
Coronary Artery Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Isovue 370, 70 mLDrug

    Also called Isovue

    70 mL of iopamidol injection 370 injected at a rate of >=4 mL/second

  • Isovue 370, 80 mLDrug

    Also called Isovue

    80 mL of iopamidol injection 370 injected at a rate of >=4 mL/second

  • Isovue 370, 90 mLDrug

    Also called Isovue

    90 mL of iopamidol injection 370 injected at a rate of >=4 mL/second

Study groups in NCT00558792
Study groupRoleWhat they receive
Isovue 370, 70 mLExperimentaliopamidol injection 370, 70 mL
Receives: Drug: Isovue 370, 70 mL
Isovue 370, 80 mLExperimentaliopamidol injection 370, 80 mL
Receives: Drug: Isovue 370, 80 mL
Isovue 370, 90 mLExperimentaliopamidol injection 370, 90 mL
Receives: Drug: Isovue 370, 90 mL

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Diagnostic Quality of Visualization of Coronary Arteries, Off-Site Reader 1

    For all technically adequate coronary artery segments, each reader was to assess whether each segment was visualized to a quality that was adequate for accurate diagnosis of the presence and severity of stenosis. An adequate quality for the accurate diagnosis of the presence and severity of coronary artery stenosis was comprised of 2 basic features: 1) no more than mild blurring of the spatial distinction between the vessel wall and lumen, and 2) a readily visible distinction in image contrast between calcified plaque, enhanced vessel lumen, and uncalcified vessel wall or plaque.

    Measured: Immediately post dose

  2. Diagnostic Quality of Visualization of Coronary Arteries, Off-Site Reader 2

    For all technically adequate coronary artery segments, each reader was to assess whether each segment was visualized to a quality that was adequate for accurate diagnosis of the presence and severity of stenosis. An adequate quality for the accurate diagnosis of the presence and severity of coronary artery stenosis was comprised of 2 basic features: 1) no more than mild blurring of the spatial distinction between the vessel wall and lumen, and 2) a readily visible distinction in image contrast between calcified plaque, enhanced vessel lumen, and uncalcified vessel wall or plaque.

    Measured: Immediately post dose

  3. Diagnostic Quality of Visualization of Coronary Arteries, Off-Site Reader 3

    For all technically adequate coronary artery segments, each reader was to assess whether each segment was visualized to a quality that was adequate for accurate diagnosis of the presence and severity of stenosis. An adequate quality for the accurate diagnosis of the presence and severity of coronary artery stenosis was comprised of 2 basic features: 1) no more than mild blurring of the spatial distinction between the vessel wall and lumen, and 2) a readily visible distinction in image contrast between calcified plaque, enhanced vessel lumen, and uncalcified vessel wall or plaque.

    Measured: Immediately post dose

  4. Contrast Density (CD) Measurements, Off-Site Reader 1

    For this assessment, each off-site reader was to place regions of interest (ROIs) into the lumens of the mid-portion of the left main coronary artery (LM) (segment number 5), and into the mid-portion of segment number 1 of the right coronary artery (RCA). The mean Hounsfield Units levels and standard deviations (SD) for those 2 ROIs were to be recorded by the reader.

    Measured: Immediately post dose

  5. Contrast Density (CD) Measurements, Off-Site Reader 2

    For this assessment, each off-site reader was to place regions of interest (ROIs) into the lumens of the mid-portion of the left main coronary artery (LM) (segment number 5), and into the mid-portion of segment number 1 of the right coronary artery (RCA). The mean Hounsfield Units levels and standard deviations (SD) for those 2 ROIs were to be recorded by the reader.

    Measured: Immediately post dose

  6. Contrast Density (CD) Measurements, Off-Site Reader 3

    For this assessment, each off-site reader was to place regions of interest (ROIs) into the lumens of the mid-portion of the left main coronary artery (LM) (segment number 5), and into the mid-portion of segment number 1 of the right coronary artery (RCA). The mean Hounsfield Units levels and standard deviations (SD) for those 2 ROIs were to be recorded by the reader.

    Measured: Immediately post dose

  7. Validity (Sensitivity and Specificity), Off-Site Reader 1 - Sensitivity

    For each technically adequate coronary artery, the readers assessed or excluded the presence of coronary artery stenoses. If more than one stenosis was present in a single vessel, the readers recorded the most significant stenosis. Based on a match or mismatch between computed tomographic angiography (CTA) and coronary angiography as assessed by the adjudicator, each vessel diagnosis by CTA was defined as true negative (TN), false positive (FP), false negative (FN), or true positive (TP) based on coronary angiography findings. Technical inadequacy by multi-detector CTA was counted as FN or FP depending on the diagnostic results from conventional angiography. The percentage (%) of sensitivity [TP/(TP+FN)] is presented.

    Measured: Immediately post dose

  8. Validity (Sensitivity and Specificity), Off-Site Reader 1 - Specificity

    For each technically adequate coronary artery, the readers assessed or excluded the presence of coronary artery stenoses. If more than one stenosis was present in a single vessel, the readers recorded the most significant stenosis. Based on a match or mismatch between computed tomographic angiography (CTA) and coronary angiography as assessed by the adjudicator, each vessel diagnosis by CTA was defined as true negative (TN), false positive (FP), false negative (FN), or true positive (TP) based on coronary angiography findings. Technical inadequacy by multi-detector CTA was counted as FN or FP depending on the diagnostic results from conventional angiography. The percentage (%) of specificity [TN/(TN+FP)] is presented.

    Measured: Immediately post dose

  9. Validity (Sensitivity and Specificity), Off-Site Reader 2 - Sensitivity

    For each technically adequate coronary artery, the readers assessed or excluded the presence of coronary artery stenoses. If more than one stenosis was present in a single vessel, the readers recorded the most significant stenosis. Based on a match or mismatch between computed tomographic angiography (CTA) and coronary angiography as assessed by the adjudicator, each vessel diagnosis by CTA was defined as true negative (TN), false positive (FP), false negative (FN), or true positive (TP) based on coronary angiography findings. Technical inadequacy by multi-detector CTA was counted as FN or FP depending on the diagnostic results from conventional angiography. The percentage (%) of sensitivity [TP/(TP+FN)] is presented.

    Measured: Immediately post dose

  10. Validity (Sensitivity and Specificity), Off-Site Reader 2 - Specificity

    For each technically adequate coronary artery, the readers assessed or excluded the presence of coronary artery stenoses. If more than one stenosis was present in a single vessel, the readers recorded the most significant stenosis. Based on a match or mismatch between computed tomographic angiography (CTA) and coronary angiography as assessed by the adjudicator, each vessel diagnosis by CTA was defined as true negative (TN), false positive (FP), false negative (FN), or true positive (TP) based on coronary angiography findings. Technical inadequacy by multi-detector CTA was counted as FN or FP depending on the diagnostic results from conventional angiography. The percentage (%) of specificity [TN/(TN+FP)] is presented.

    Measured: Immediately post dose

  11. Validity (Sensitivity and Specificity), Off-Site Reader 3 - Sensitivity

    For each technically adequate coronary artery, the readers assessed or excluded the presence of coronary artery stenoses. If more than one stenosis was present in a single vessel, the readers recorded the most significant stenosis. Based on a match or mismatch between computed tomographic angiography (CTA) and coronary angiography as assessed by the adjudicator, each vessel diagnosis by CTA was defined as true negative (TN), false positive (FP), false negative (FN), or true positive (TP) based on coronary angiography findings. Technical inadequacy by multi-detector CTA was counted as FN or FP depending on the diagnostic results from conventional angiography. The percentage (%) of sensitivity [TP/(TP+FN)] is presented.

    Measured: Immediately post dose

  12. Validity (Sensitivity and Specificity), Off-Site Reader 3 - Specificity

    For each technically adequate coronary artery, the readers assessed or excluded the presence of coronary artery stenoses. If more than one stenosis was present in a single vessel, the readers recorded the most significant stenosis. Based on a match or mismatch between computed tomographic angiography (CTA) and coronary angiography as assessed by the adjudicator, each vessel diagnosis by CTA was defined as true negative (TN), false positive (FP), false negative (FN), or true positive (TP) based on coronary angiography findings. Technical inadequacy by multi-detector CTA was counted as FN or FP depending on the diagnostic results from conventional angiography. The percentage (%) of specificity [TN/(TN+FP)] is presented.

    Measured: Immediately post dose

Secondary outcomes (1)
  1. Number of Participants Who Experienced Adverse Events With Incidence of 5% or Greater

    Participants who received investigational product (iopamidol injection) and experienced an adverse event (AE). See Adverse Events module for further details.

    Measured: up to 72 hours post dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Nov 2007 (estimated)
  2. Study startNov 2007
  3. Primary completionMay 2010
  4. Study completionMay 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
210 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00558792
Sponsor's protocol ID
IOP 108
Other IDs
NCT00558792
Status last verified
Oct 2012
First submitted
13 Nov 2007
Last updated
24 Oct 2012
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Isovue 370, 70 mL, Isovue 370, 80 mL and Isovue 370, 90 mL in people with Coronary Artery Disease, run by Bracco Diagnostics, Inc at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Oct 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diagnostic Quality of Visualization of Coronary Arteries, Off-Site Reader 1 (time frame: Immediately post dose). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Oct 2012.

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