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Cardiac AmyloidosisPhase 3NCT05619302

Molecular Imaging of Myocardial Fibrosis in Cardiac Amyloidosis

A Phase 3 study testing [68Ga]CBP8 PET/MRI in people with Cardiac Amyloidosis, run by Brigham and Women's Hospital at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The primary aim of our pilot study is to determine whether fibrosis in the heart can be measured with [68Ga]CBP8, a positron emission tomography (PET) probe, using PET/magnetic resonance imaging (MRI) imaging, in 30 individuals with documented cardiac amyloidosis. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Cardiac Amyloidosis
What is being tested?
[68Ga]CBP8 PET/MRI
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
18 participants
Where
1 siteUnited States
Study dates
3 Jan 2023to 31 Dec 2026
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age > 18 years
  • Willing and able to provide consent
  • AL-CA: Diagnosis of systemic light chain amyloidosis by standard criteria: Immunofixation of serum, serum free light chain (FLC) assay, a biopsy of fat pad/bone marrow, or organ biopsy, followed by typing of the light chain using immunohistochemistry or immunogold assay with confirmation by mass spectroscopy as needed AND
  • Proof of cardiac involvement by AL amyloidosis
  • Abnormal cardiac biomarkers: abnormal high sensitivity TnT 5th generation levels (> 15 ng/L) or abnormal age-appropriate NT-proBNP (abnormal values: < 50 years: > 450 pg/ml; 50-75 years: > 900 pg/ml; > 75 years: > 1800 pg/ml) OR
  • Abnormal echocardiogram (wall thickness > 12 mm in the absence of other causes of increased LV wall thickness) OR
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  • Abnormal CMR (wall thickness > 12 mm, extracellular volume > 0.40 or typical CMR appearance of cardiac amyloidosis with difficulty nulling images and non-coronary distribution late gadolinium enhancement) OR
  • Positive endomyocardial biopsy
  • Age > 18 years
  • Willing and able to provide consent
  • ATTR-CA: Diagnosis of either wildtype or hereditary transthyretin cardiac amyloidosis by standard criteria: Endomyocardial biopsy followed by typing of the transthyretin amyloidosis using immunohistochemistry or immunogold assay with confirmation by mass spectroscopy as needed
  • Extracardiac biopsy with typical cardiac imaging findings
  • Hereditary ATTR amyloidosis by genetic testing OR
  • Grade 2 or grade 3 myocardial uptake of 99mTc-PYP if AL amyloidosis is excluded
  • Inclusion Criteria for recent myocardial infarction subjects:
  • Age > 18 years
  • Willing and able to provide consent
  • Recent MI: Diagnosis of recent type 1 myocardial infarction by standard criteria
  • More than 6 weeks from diagnosis of MI but within 6 months
  • Imaging evidence of loss of viable myocardium or persistent regional wall motion abnormalities in a pattern consistent with an ischemic etiology in more than one segment
  • Inclusion Criteria for hypertrophic cardiomyopathy subjects:
  • Age > 18 years
  • Willing and able to provide consent
  • Hypertrophic cardiomyopathy: Diagnosis of hypertrophic cardiomyopathy by standard criteria
  • MRI evidence of late gadolinium enhancement
  • Age > 18 years
  • Willing and able to provide consent
  • No known cardiac amyloidosis or recent myocardial infarction

Who cannot join

  • Dialysis
  • NYHA (New York Heart Association) Class IV
  • Acute myocardial infarction within 6 weeks
  • Pregnancy or nursing
  • History of adverse events from or allergy to gadolinium contrast media
  • Hemodynamic instability
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  • Severe claustrophobia despite use of sedatives
  • Decompensated heart failure (unable to lie flat for 1 hour)
  • Concomitant clinically significant non-ischemic non-amyloid heart disease (valvular heart disease or dilated cardiomyopathy)
  • Body weight over limit for MRI table (>300 lbs)
  • Contraindications for MRI (including non-compatible cardiac implantable electronic devices, drug infusion pumps, and metallic or electric implants)
  • Any other reason determined by the investigator to be unsuitable for the study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

Other trials in United States

About this study

The primary aim of our pilot study is to determine whether fibrosis in the heart can be measured with [68Ga]CBP8, a positron emission tomography (PET) probe, using PET/magnetic resonance imaging (MRI) imaging, in 30 individuals with documented cardiac amyloidosis. The investigators will also enroll 15 individuals with recent myocardial infarction and 15 individuals with hypertrophic cardiomyopathy as positive controls for fibrosis, and the investigators will enroll 5 individuals without cardiovascular disease to undergo [68Ga]CBP8 PET/MRI imaging as a healthy control group.

The primary hypothesis of this study is that [68Ga]CBP8 will bind to interstitial collagen and quantify myocardial fibrosis in patients with cardiac amyloidosis. The investigators hypothesize that [68Ga]CBP8 uptake will be greater in patients with cardiac amyloidosis, myocardial fibrosis, and hypertrophic cardiomyopathy than in healthy controls. Secondly, the investigators also hypothesize that [68Ga]CBP8 activity more strongly correlates with standard MRI measures in patients with recent myocardial infarction and hypertrophic cardiomyopathy (where extracellular expansion is caused by myocardial fibrosis/collagen deposition) than in patients with cardiac amyloidosis (where myocardial fibrosis is combined with infiltration).

Read the detailed description

[68Ga]CBP8 is a novel gallium-68 labeled positron emission tomography (PET) probe that selectively binds collagen type I, which constitutes the majority of fibrotic tissue. In pre-clinical mouse models, [68Ga]CBP8 had the sensitivity to detect pulmonary fibrosis even at early stages and specificity for collagen uptake with low non-specific uptake in background tissues and organs. In preliminary studies in humans with idiopathic pulmonary fibrosis, patients tolerated [68Ga]CBP8 without adverse effects, and there was a strong correspondence between high collagen tracer signal and fibrotic lung regions established by chest computed tomography (CT) scan. [68Ga]CBP8 may be a valuable tool to detect and quantify collagen in the heart. The investigators propose to test [68Ga]CBP8 in a pilot study to image myocardial fibrosis in patients with cardiac amyloidosis.

Cardiac amyloidosis is characterized by myocardial interstitial infiltration by misfolded amyloid fibrils. Infiltration leads to increased myocardial stiffness and heart failure. In patients with cardiac amyloidosis, myocardial stiffness may also be caused by extracellular collagen deposition in the myocardium. Collagen deposition (i.e. myocardial fibrosis) results in adverse cardiac remodeling through similar mechanisms as amyloidosis and may potentiate heart failure in patients with cardiac amyloidosis. Myocardial fibrosis can be mitigated or prevented. In addition, therapies directed against amyloid fibrils also have differential response rates in cardiac amyloidosis patients with or without coexistent fibrosis. Magnetic resonance imaging (MRI) is an established method of measuring extracellular volume (ECV), a reliable way of quantifying myocardial fibrosis in conditions where the primary reason for ECV expansion is myocardial fibrosis. ECV may not be an optimal surrogate of myocardial fibrosis in patients with cardiac amyloidosis, where ECV is already quite expanded due to myocardial amyloid infiltration. Thus, a means of accurate, non-invasive quantitation of myocardial fibrosis has the potential to significantly improve cardiac amyloidosis care.

This pilot study is designed to understand whether myocardial fibrosis can be measured using a collagen 1 targeted radiotracer ([68Ga]CBP8). The investigators would like to study 15 patients with light-chain (AL) cardiac amyloidosis and 15 patients with transthyretin (ATTR) cardiac amyloidosis to understand differences in radiotracer uptake, if any. The investigators will also enroll 15 patients with recent myocardial infarction and 15 patients with hypertrophic cardiomyopathy as positive controls for fibrosis and will enroll 5 individuals without cardiovascular disease as negative controls.

The aim of this proposed research study is, using simultaneous PET/MRI imaging, to determine whether [68Ga]CBP8 uptake will accurately identify and quantify myocardial fibrosis in patients with cardiac amyloidosis, recent myocardial infarction, and hypertrophic cardiomyopathy. The aim of this study is also to correlate [68Ga]CBP8 PET uptake with standard MRI measures in patients with cardiac amyloidosis.

Being tested
[68Ga]CBP8 PET/MRI
Keywords
Amyloidosis, Cardiac, Heart, Imaging, Diagnosis
Medical subject headings
Amyloid Neuropathies, Familial, Amyloidosis, Disease

What participants receive

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

  • [68Ga]CBP8 PET/MRIDrug

    Also called No other names

    Simultaneous cardiac PET/MRI images will be obtained following injection of [68Ga]CBP8

Study groups in NCT05619302
Study groupRoleWhat they receive
[68Ga]CBP8 PET/MRI Amyloid SubjectsExperimentalIndividuals with documented cardiac amyloidosis will undergo [68Ga]CBP8 PET/MRI.
Receives: Drug: [68Ga]CBP8 PET/MRI
[68Ga]CBP8 PET/MRI Recent Myocardial Infarction SubjectsActive comparatorIndividuals with recent myocardial infarction will undergo [68Ga]CBP8 PET/MRI.
Receives: Drug: [68Ga]CBP8 PET/MRI
[68Ga]CBP8 PET/MRI Healthy ControlsPlacebo comparatorIndividuals without documented cardiovascular disease will undergo [68Ga]CBP8 PET/MRI.
Receives: Drug: [68Ga]CBP8 PET/MRI
[68Ga]CBP8 PET/MRI Hypertrophic Cardiomyopathy SubjectsActive comparatorIndividuals with hypertrophic cardiomyopathy will undergo [68Ga]CBP8 PET/MRI.
Receives: Drug: [68Ga]CBP8 PET/MRI

What is being measured

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

  1. Mean Standardized Uptake Value (SUVmean) of [68Ga]CBP8 uptake in the heart

    Standardized uptake value (SUV) mean is defined as the mean [68Ga]CBP8 concentration measured within the left ventricular myocardium multiplied by the decay-corrected amount of injected [68Ga]CBP8 normalized to patient weight. We expect SUVmean will be greater in patients with cardiac amyloidosis and myocardial infarction compared with healthy control subjects.

    Measured: 1 day

  2. Extracellular volume from clinically performed simultaneous cardiac MRI

    We will correlate [68Ga]CBP8 uptake with standard MRI extracellular volume (ECV) measures. We expect [68Ga]CBP8 activity to more strongly correlate with MRI in patients with myocardial infarction than cardiac amyloidosis.

    Measured: 1 day

Timeline

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

  1. First posted16 Nov 2022
  2. Study start3 Jan 2023
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

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 3
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05619302
Sponsor's protocol ID
2022A012856
Status last verified
Jul 2026
First submitted
9 Nov 2022
Last updated
6 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Montesi SB, Izquierdo-Garcia D, Desogere P, Abston E, Liang LL, Digumarthy S, Seethamraju R, Lanuti M, Caravan P, Catana C. Type I Collagen-targeted Positron Emission Tomography Imaging in Idiopathic Pulmonary Fibrosis: First-in-Human Studies. Am J Respir Crit Care Med. 2019 Jul 15;200(2):258-261. doi: 10.1164/rccm.201903-0503LE. No abstract available.

    PubMed 31161770
  • Desogere P, Tapias LF, Rietz TA, Rotile N, Blasi F, Day H, Elliott J, Fuchs BC, Lanuti M, Caravan P. Optimization of a Collagen-Targeted PET Probe for Molecular Imaging of Pulmonary Fibrosis. J Nucl Med. 2017 Dec;58(12):1991-1996. doi: 10.2967/jnumed.117.193532. Epub 2017 Jun 13.

    PubMed 28611243
  • Desogere P, Tapias LF, Hariri LP, Rotile NJ, Rietz TA, Probst CK, Blasi F, Day H, Mino-Kenudson M, Weinreb P, Violette SM, Fuchs BC, Tager AM, Lanuti M, Caravan P. Type I collagen-targeted PET probe for pulmonary fibrosis detection and staging in preclinical models. Sci Transl Med. 2017 Apr 5;9(384):eaaf4696. doi: 10.1126/scitranslmed.aaf4696.

    PubMed 28381537

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing [68Ga]CBP8 PET/MRI in people with Cardiac Amyloidosis, run by Brigham and Women's Hospital 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 28 inclusion and 12 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: under way, not looking for participants, as of the sponsor's last update on 6 Jul 2026. 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. Some participants in this study may receive a placebo. 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?

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?

Mean Standardized Uptake Value (SUVmean) of [68Ga]CBP8 uptake in the heart (time frame: 1 day). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05619302, which also lists 3 linked publications.

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 6 Jul 2026.

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