UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006533
Receipt number R000007744
Scientific Title Detecting sympathetic denervation and regional myocardial inflammation using 11C-hydroxyephedrine (HED) PET/CT and 18F-fluorodeoxyglucose (FDG) PET/CT and their relationship with arrhythmia in patients with cardiac involvement sarcoidosis and assessment of therapeutic effects
Date of disclosure of the study information 2011/10/30
Last modified on 2012/10/23 10:59:25

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Basic information

Public title

Detecting sympathetic denervation and
regional myocardial inflammation
using 11C-hydroxyephedrine (HED)
PET/CT and 18F-fluorodeoxyglucose
(FDG) PET/CT and their relationship
with arrhythmia in patients with
cardiac involvement sarcoidosis and
assessment of therapeutic effects

Acronym

Detecting sympathetic denervation and
regional myocardial inflammation in patients with cardiac involvement sarcoidosis (CANVAS study)

Scientific Title

Detecting sympathetic denervation and
regional myocardial inflammation
using 11C-hydroxyephedrine (HED)
PET/CT and 18F-fluorodeoxyglucose
(FDG) PET/CT and their relationship
with arrhythmia in patients with
cardiac involvement sarcoidosis and
assessment of therapeutic effects

Scientific Title:Acronym

Detecting sympathetic denervation and
regional myocardial inflammation in patients with cardiac involvement sarcoidosis (CANVAS study)

Region

Japan


Condition

Condition

sarcoidosis

Classification by specialty

Cardiology Pneumology Ophthalmology
Dermatology Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

1. The primary aim of this study is to detect high risk ventricular tachyarrhythmia patients with cardiac sarcoidosis. For achieving this goal, we will evaluate the association among the regional sympathetic denervation, regional inflammation of foci, and ventricular tachyarrhythmia using 11C HED PET, 18F FDG PET, ambulatory electrocardiogram (AECG) and signal averaged electrocardiogram (SAECG).
2. The secondary aim of this study is to evaluate the steroid treatment effects on regional sympathetic nervous function, regional inflammation, and their associations with clinical findings including AECG and SAECG.
3. Third objectives of the study is to detect T-wave alterations in patients with cardiac sarcoidosis.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Echo and MRI for evaluating LV function.
SAECG and AECG for evaluating arrhythmia.
Positron emission tomography: 11C Hydroxyephedrine PET for evaluating myocardial sympathetic nervous function.
18-F fluorodeoxyglucose PET for evaluating myocardial and systemic inflammation.
15O labeled water for evaluating myocardial blood flow and coronary resistance.
biomarkers from blood samples.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -but assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

5

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

All patients with first diagnosis of cardiac sarcoidosis or without steroid treatment will undergo 11C HED PET/CT,18F FDG PET/CT, 15O-PET water, MIBG, 12 leads ECG, AECG , SAECG and echocardiogram (Echo) before starting corticosteroid therapy and repeat study at 4 weeks after starting corticosteroid therapy. These patients will also have reevaluation 6 to 12 month after the second evaluations.
Sarcoidosis without cardiac involvement will undergo steroid treatment will also repeat the same measurements 4 weeks after the treatment.
Cardiac sarcoidosis but will not have steroid treatment will also repeat the same measurements 12 months later. Sarcoidosis patients without steroid treatment will also repeat the same measurements 12 months later.
Cardiac sarcoidosis with steroid treatment.

Interventions/Control_2

Cardiac sarcoidosis without steroid treatment.

Interventions/Control_3

arcoidosis without cardiac involvement who will have steroid treatement.

Interventions/Control_4

Sarcoidosis without cardiac involvement who will not have steroid treatement.

Interventions/Control_5

Normal control.

Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Sarcoidosis patient with and without cardiac involvement will be enrolled from the first department of Internal Medicine, Hokkaido University Hospital.

Patients with sarcoidosis met the diagnostic criteria for cardiac sarcoidosis based on Japanese Ministry of Health and Welfare.
Patients without cardiac involvement of sarcoidosis will serve as control.
Age less than 20 when their guardian agrees with the entry.

Key exclusion criteria

Patients with coronary artery disease
Patients with underlying dilated cardiomyopathy or other cardiomyopathies
Life expectancy less than 1 year due to other co-morbidity
Inability to obtain informed consent
pregnant or breast-feeding
Claustrophobia

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Keiichiro Yoshinaga, M.D., Ph.D, F.A.C.C..

Organization

Hokkaido University Graduate School of Medicine,

Division name

Department of Photobiology

Zip code


Address

Kita-15, Nishi-7, Kita-Ku, Sapporo,

TEL

011-706-5152

Email



Public contact

Name of contact person

1st name
Middle name
Last name Keiichiro Yoshinaga, M.D., Ph.D, F.A.C.C..

Organization

Hokkaido University Graduate School of Medicine,

Division name

Department of Photobiology

Zip code


Address

Kita-15, Nishi-7, Kita-Ku, Sapporo,

TEL

011-706-5152

Homepage URL


Email

kyoshi@med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido University Graduate School of Medicine,

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science Research

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

none

Name of secondary funder(s)

none


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院(北海道)


Other administrative information

Date of disclosure of the study information

2011 Year 10 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

This study is currently underway.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2010 Year 04 Month 23 Day

Date of IRB


Anticipated trial start date

2010 Year 04 Month 01 Day

Last follow-up date

2014 Year 03 Month 01 Day

Date of closure to data entry

2014 Year 09 Month 01 Day

Date trial data considered complete

2014 Year 12 Month 01 Day

Date analysis concluded

2015 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 10 Month 13 Day

Last modified on

2012 Year 10 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007744


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name