PericarditisPhase 3NCT07245849
Pericardial Imaging Study
A Phase 3 study testing 18F-FDG PET/CT in people with Pericarditis, run by Ottawa Heart Institute Research Corporation.
Trial summary
The pericardium is a thin, double-layered sac around the heart that helps reduce friction as the heart moves. When this sac gets inflamed, it is called pericarditis, which can cause serious health problems and even be life-threatening. Pericarditis often comes back after the first episode. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pericarditis
- What is being tested?
- 18F-FDG PET/CT
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- No sites listed yet
- Study dates
- Dec 2026to Jul 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- History of recurrent pericarditis* (i.e. presentation of at lease 2nd episode of acute pericarditis).
- Age >/= 18 years
- Given informed consent
- standard definitions will be used to define an episode of pericarditis. Pericarditis will be diagnosed by using available published criteria, which includes typical pericardial chest pain, pericardial friction rubs, widespread ST segment elevation or PR-segment depression that was not previously reported and new or worsening pericardial effusion on echocardiography. A clinical diagnosis of acute pericarditis will be made when at least 3 of these criteria are present.
Who cannot join
- severe valve disease requiring intervention
- claustrophobia that precludes FDG/PET or CMR imaging
- pregnancy (all women of child bearing potential will have a negative BHCG test)
- breastfeeding
- glomerular filtration rate (GFR) <50 m/min/1.72m2
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
Poppy MacPhee, RN contact
About this study
Official title: Identifying Clinical, Serum, and Imaging Based Biomarkers Associated With High-Risk Phenotypes for Recurrent Pericarditis: A Prospective Cohort Study
The pericardium is a thin, double-layered sac around the heart that helps reduce friction as the heart moves. When this sac gets inflamed, it is called pericarditis, which can cause serious health problems and even be life-threatening. Pericarditis often comes back after the first episode. About 10-30% of people will have it again, and half of those will have it multiple times. Although there are treatments available, they are costly and not often used because we can't predict who best to use them on. Finding a way to predict which patients would benefit from these treatments could help reduce the burden on patients and the healthcare system.
This study will use a test called an 18F-FDG PET/CT with CTA Scan (18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) with computer tomography angiography (CTA)) to measure inflammation in the pericardium.
The purpose of the study is to create easy-to-use tools for doctors to identify people at high risk of pericarditis coming back, so they can get advanced treatment early. This study will help fill knowledge gaps about key predictors like clinical signs, blood tests, and imaging results.
Read the detailed description
This is a single-center, prospective cohort study designed to compare imaging biomarkers identified by CMR and FDG PET between patients who experience recurrent pericarditis and those who do not. In this prospective study, 44 patients will be recruited from the Ottawa Pericardial Clinic, all with a history of recurrent pericarditis. These patients will be followed prospectively for a period of one year.
It is hypothesized that patients who develop further episodes of recurrent pericarditis will exhibit significantly elevated markers of pericardial inflammation on both FDG PET/CT imaging as well as CMR imaging.
- Conditions
- Pericarditis
- Being tested
- 18F-FDG PET/CT
- Keywords
- PET, pericarditis, FDG
- Medical subject headings
- Pericarditis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
18F-FDG PET/CTDiagnostic test
The participants will under an 18F-FDG PET/CT with CTA.
| Study group | Role | What they receive |
|---|---|---|
| Recurrent pericarditis | Experimental | This is a single arm study. Participants enrolled will complete blood and imaging tests. Receives: Diagnostic Test: 18F-FDG PET/CT |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pericardial contrast uptake on late gadolinium enhancement (LGE) on CMR
Pericardial imaging by CMR to evaluate inflammation
Measured: At Baseline
Circumferential linear increased FDG signal uptake
Pericardial Imaging to indicate pericardial inflammation.
Measured: baseline
Recurrent pericarditis
# of participants that experience pericarditis recurrence after the qualifying occurrence
Measured: From baseline to 1 year
Secondary outcomes (9)
Clinical Factor - Age
Participant Age
Measured: At Baseline
Clinical Factor - Sex
Sex of participant
Measured: At Baseline
Clinical Factor - Family history of auto-immune disease
Presence of family history of auto-immune disease
Measured: baseline
Clinical Factor - Heart Rate
Resting Heart rate of >80beats per minute
Measured: At Baseline
Serum biomarkers - C-Reactive Protein
C-Reactive protein levels
Measured: At Baseline
Serum biomarkers - Erythrocyte sedimentation rate (ESR)
ESR level
Measured: At Baseline
Serum biomarkers - carcinoembryonic antigen cell adhesion molecule 1 (CEACAM1)
CEACAM1 levels
Measured: At Baseline
Serum biomarkers - MHC class I chain related protein A (MICA)
MICA levels
Measured: At Baseline
Serum biomarkers - MHC Class I chain related protein B (MICB)
MICB levels
Measured: At Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Nov 2025
- Study startDec 2026 (estimated)
- Primary completionFeb 2027 (estimated)
- Study completionJul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PericarditisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Baseline imaging, serum biomaker and clinical factors will be assessed and determined if any of these factors indicate recurrent pericarditis by clinical evaluation of further recurrences of pericarditis.
- Masking
- None (open label)
- Enrolment
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ottawa Heart Institute Research Corporation
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07245849
- Sponsor's protocol ID
- 20250237-01H
- Status last verified
- Oct 2025
- First submitted
- 17 Nov 2025
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Identifying Clinical, Serum, and Imaging Based Biomarkers Associated With High-Risk Phenotypes for Recurrent Pericarditis: A Prospective Cohort Study
- ClinicalTrials.gov ID
- NCT07245849
- Acronym / sponsor ID
- 20250237-01H
- Conditions
- Pericarditis
- Keywords
- PET, pericarditis, FDG
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Ottawa Heart Institute Research CorporationUniversity, hospital or other
- Study start
- Dec 2026 (estimated)
- Primary completion
- Feb 2027 (estimated)
- Study completion
- Jul 2027 (estimated)
- First posted
- 24 Nov 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The pericardium is a thin, double-layered sac around the heart that helps reduce friction as the heart moves. When this sac gets inflamed, it is called pericarditis, which can cause serious health problems and even be life-threatening. Pericarditis often comes back after the first episode. About 10-30% of people will have it again, and half of those will have it multiple times. Although there are treatments available, they are costly and not often used because we can't predict who best to use them on. Finding a way to predict which patients would benefit from these treatments could help reduce the burden on patients and the healthcare system.
This study will use a test called an 18F-FDG PET/CT with CTA Scan (18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) with computer tomography angiography (CTA)) to measure inflammation in the pericardium.
The purpose of the study is to create easy-to-use tools for doctors to identify people at high risk of pericarditis coming back, so they can get advanced treatment early. This study will help fill knowledge gaps about key predictors like clinical signs, blood tests, and imaging results.
Detailed description
This is a single-center, prospective cohort study designed to compare imaging biomarkers identified by CMR and FDG PET between patients who experience recurrent pericarditis and those who do not. In this prospective study, 44 patients will be recruited from the Ottawa Pericardial Clinic, all with a history of recurrent pericarditis. These patients will be followed prospectively for a period of one year.
It is hypothesized that patients who develop further episodes of recurrent pericarditis will exhibit significantly elevated markers of pericardial inflammation on both FDG PET/CT imaging as well as CMR imaging.
Study design
- Primary purpose
- Diagnosis
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Baseline imaging, serum biomaker and clinical factors will be assessed and determined if any of these factors indicate recurrent pericarditis by clinical evaluation of further recurrences of pericarditis.
| Arm | Type | Receives |
|---|---|---|
| Recurrent pericarditis | Experimental | Diagnostic Test: 18F-FDG PET/CTThis is a single arm study. Participants enrolled will complete blood and imaging tests. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- History of recurrent pericarditis* (i.e. presentation of at lease 2nd episode of acute pericarditis).
- Age >/= 18 years
- Given informed consent
Key exclusion criteria (5 listed)
- severe valve disease requiring intervention
- claustrophobia that precludes FDG/PET or CMR imaging
- pregnancy (all women of child bearing potential will have a negative BHCG test)
- breastfeeding
- glomerular filtration rate (GFR) <50 m/min/1.72m2
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 18F-FDG PET/CTThe participants will under an 18F-FDG PET/CT with CTA. | Diagnostic test | Recurrent pericarditis |
Primary outcome
Pericardial contrast uptake on late gadolinium enhancement (LGE) on CMR
Time frame: At Baseline
Pericardial imaging by CMR to evaluate inflammation
Circumferential linear increased FDG signal uptake
Time frame: baseline
Pericardial Imaging to indicate pericardial inflammation.
Recurrent pericarditis
Time frame: From baseline to 1 year
# of participants that experience pericarditis recurrence after the qualifying occurrence
9 secondary outcomes
Clinical Factor - Age
Time frame: At Baseline
Clinical Factor - Sex
Time frame: At Baseline
Clinical Factor - Family history of auto-immune disease
Time frame: baseline
Clinical Factor - Heart Rate
Time frame: At Baseline
Serum biomarkers - C-Reactive Protein
Time frame: At Baseline
Serum biomarkers - Erythrocyte sedimentation rate (ESR)
Time frame: At Baseline
Serum biomarkers - carcinoembryonic antigen cell adhesion molecule 1 (CEACAM1)
Time frame: At Baseline
Serum biomarkers - MHC class I chain related protein A (MICA)
Time frame: At Baseline
Serum biomarkers - MHC Class I chain related protein B (MICB)
Time frame: At Baseline
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Poppy MacPhee, RN contact
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing 18F-FDG PET/CT in people with Pericarditis, run by Ottawa Heart Institute Research Corporation.
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 4 inclusion and 5 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: opening soon, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Kevin Boczar, MD (613-696-7083, KBoczar@ottawaheart.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pericardial contrast uptake on late gadolinium enhancement (LGE) on CMR (time frame: At Baseline). The study lists 3 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 1 May 2026.