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Detection of Coronary Vulnerable Plaque With Contrast-enhanced Magnetic Resonance Imaging (T9M)

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ClinicalTrials.gov Identifier: NCT00984776
Recruitment Status : Completed
First Posted : September 25, 2009
Last Update Posted : September 25, 2009
Information provided by:
Maastricht University Medical Center

Brief Summary:

MRI has the ability to visualize the arterial vessel wall. Wall thickening and atherosclerotic plaque components can be visualized in the carotid arteries and the aorta. Previous studies also demonstrated the ability of MRI to visualize the coronary vessel wall. The ultimate goal of coronary vessel wall imaging is to detect vulnerable atherosclerotic plaque thereby. This might prevent complications, e.g., chest pain (angina) or myocardial infarction.

The goal of this study was to validate MRI of the coronary vessel wall by comparing it to intravascular ultrasound (IVUS), to detect atherosclerotic plaque in the coronary vessel wall and to look at the uptake of the albumin-binding contrast agent gadofosveset in atherosclerotic plaques. The main hypothesis is that due to the albumin binding characteristics, uptake of the contrast agent will take place in the more vulnerable plaques compared to less vulnerable plaques. MRI will be compared to X-ray coronary angiography and intravascular ultrasound, two techniques currently considered as the standard of reference for imaging of the coronary arteries and vessel wall.

Condition or disease Intervention/treatment
Coronary Artery Disease Stable Angina Unstable Angina Other: Contrast enhanced MRI with Gadofosveset

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Primary Purpose: Diagnostic
Official Title: Detection of Vulnerable Plaque With Coronary Vessel Wall MRI: Contrast Enhanced MRI With Gadofosveset MS-325.
Study Start Date : March 2007
Primary Completion Date : February 2009

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Intervention Details:
    Other: Contrast enhanced MRI with Gadofosveset
    0.03 mmol/kg bodyweight of gadofosveset will only once be administered during MRI procedure via an intravenous catheter
    Other Names:
    • Vasovist
    • MS-325

Primary Outcome Measures :
  1. Validation of MRI: comparison with IVUS. Can plaque be detected? [ Time Frame: 1 week ]

Secondary Outcome Measures :
  1. uptake contrast agent gadofosveset in atherosclerotic plaque in the coronary vessel wall? [ Time Frame: 1 day ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • scheduled X-ray angiography for known coronary artery disease, valvular disease or chest pain with unknown origin
  • age > 18 yrs and < 90 yrs
  • Informed consent

Exclusion Criteria:

  • arrhythmia
  • hemodynamic unstable patients
  • contra-indications for (contrast-enhanced) MRI
  • age < 18 yrs or > 90 yrs

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00984776

Maastricht University Medical Center
Maastricht, Netherlands, 6229 HX
Sponsors and Collaborators
Maastricht University Medical Center
Principal Investigator: Tim Leiner, MD, PhD Maastricht University Medical Center

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: T. Leiner, M.D., PhD, Maastricht University Medical Center
ClinicalTrials.gov Identifier: NCT00984776     History of Changes
Other Study ID Numbers: MEC 06-1-036
First Posted: September 25, 2009    Key Record Dates
Last Update Posted: September 25, 2009
Last Verified: September 2009

Keywords provided by Maastricht University Medical Center:
coronary artery
vessel wall imaging

Additional relevant MeSH terms:
Coronary Artery Disease
Myocardial Ischemia
Coronary Disease
Angina Pectoris
Angina, Stable
Angina, Unstable
Heart Diseases
Cardiovascular Diseases
Arterial Occlusive Diseases
Vascular Diseases
Chest Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms