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Trial registered on ANZCTR
Registration number
ACTRN12610000441011
Ethics application status
Approved
Date submitted
26/05/2010
Date registered
1/06/2010
Date last updated
12/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Detection of Myocardial Fibrosis by Cardiac Magnetic Resonance relaxometry
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Scientific title
Detection of Myocardial Fibrosis by Cardiac Magnetic Resonance relaxometry in apparently healthy volunteers versus patients with high blood pressure with normal/ abnormal cardiac function
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Secondary ID [1]
251870
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
MYOCARDIAL FIBROSIS
257465
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Condition category
Condition code
Cardiovascular
257613
257613
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0
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Normal development and function of the cardiovascular system
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Cardiovascular
257614
257614
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0
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Hypertension
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Cardiovascular
257615
257615
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Fibrosis tissue accumulation is an integral feature of the adverse structural remodelling of cardiac tissue seen with hypertensive heart disease. Given the importance of fibrosis tissue in leading to myocardial dysfunction and failure.
The volunteers and patients will undergo an Magnetic resonance imaging (MRI) for one time only.
MRI is a painless non-invasive technique that involves lying in a scanner to create image based on magnetic signal of the protons inside the human body.
Cardiac MRI relaxometry has variuos techniques, which includes standard magnetic resonance imaging (MRI) sequences including tagging, Modified Look-Locker Inversion recovery imaging (MOLLI), to early detection of myocardial fibrosis. These technique have ability to assess abnormal structure and function of the heart. The scanning takes about 20 to 25 minutes for normal volunteers and the patients takes about 45 Minutes due to repeat of MRI technique after 8 minutes delay injection of MRI contrast agent. The patients will be injected by MRI contrast agent (Gadolinium) to assess any possibility of scarring tissue in the myocardium.
Then, the MRI result will correlate with echocardiography and histopathology findings.
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Intervention code [1]
256555
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Early detection / Screening
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Comparator / control treatment
A)- 50 healthy subjects,
b)- 100 patients with high blood pressure with normal (50) and abnormal (50) cardiac function,
c)- and 50 patients undergoing bypass surgery
All groups will undergo the same MRI protocols. The patients group will indergo the same technique plus injection of Gadolinium contrast agent to assess possibility of myocardial infarction. The Gadolinium is a safer standard clinical MRI contrast agent and the Gadolinium dose will Intravenously (I.V) administration at rate of 0.15 mmol/Kg.
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Control group
Active
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Outcomes
Primary outcome [1]
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By using the MRI techniques, we can achieve two different contrast appearance of the heart, T1 and T2 star weighted imaging.
T1 and T2 star relaxation time of the heart can be measured by analyses the image with offline software e.g. MRmap software. this software allow us to measure the value of relaxation time in a seconds.
then, T1 and T2 star relaxation time of normal myocardium can be quantified.
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Assessment method [1]
258523
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Timepoint [1]
258523
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assessed at a once scan time.
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Secondary outcome [1]
264348
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the hypertensive group will undergo with same MRI technique to assess any Alteration of relaxation times for early fibrosis.
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Assessment method [1]
264348
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Timepoint [1]
264348
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assessed at a once scan time.
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Eligibility
Key inclusion criteria
The patient cohort (OVER 40 YEARS) will comprise apparently healthy patients and patients with high blood pressure with normal and abnormal cardiac function recruited from the hospital clinic and the community
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Minimum age
40
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1)- Women who are pregnant and the human fetus.
2)- Children and/or young people (i.e. <40 years).
3)- People with an intellectual or mental impairment.
4)- People highly dependent on medical care.
5)- People in existing dependent or unequal relationships with any member of the research team, the researcher(s), and/or the person undertaking the recruitment /consent process.
6)- A history of drug abuse that would interfere with the ability to comply with the study protocol.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The patient cohort will comprise apparently healthy volunteers and patients with high blood pressure with normal and abnormal cardiac function recruited from the hospital clinics and the community.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
a)- 50 healthy subjects,
b)- 100 patients with high blood pressure with normal (50) and abnormal (50) cardiac function,
c)- and 50 patients undergoing bypass surgery.
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
13/05/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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the University of Queensland
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Address [1]
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The Centre for Advanced Imaging
University of Queensland,
St Lucia, QLD, 4072
Australia
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Country [1]
257051
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Australia
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Primary sponsor type
University
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Name
the University of Queensland
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Address
The Centre for Advanced Imaging
University of Queensland,
St Lucia, QLD, 4072
Australia
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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Ministry of Higher Education - Kingdom of Saudi Arabia
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Address [1]
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Cultural Mission of Royal Embassy of Saudi Arabia
P.O. BOX 1206
DICKSON , ACT, 2602
Australia
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Country [1]
256310
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259079
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METRO SOUTH HEALTH SERVICE DISTRICT HUMAN RESEARCH ETHICS COMMITTEE
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Ethics committee address [1]
259079
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CENTRE FOR HEALTH RESEARCH - PRINCESS ALEXANDRA HOSPITAL - IPSWICH ROAD WOOLLOONGABBA QLD 4102
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Ethics committee country [1]
259079
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Australia
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Date submitted for ethics approval [1]
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10/10/2009
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Approval date [1]
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11/05/2010
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Ethics approval number [1]
259079
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HREC/09/QPAH/277
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Summary
Brief summary
Fibrotic tissue may cause myocardial dysfunction and failure. So it’s important to establish a non invasive method to assess myocardial fibrosis. Cardiac MR relaxometry can quantify myocardial fibrosis using tagging, T2 star quantification, T1 mapping, first pass perfusion and delayed enhancement techniques. These results will correlate with the echocardiography methodology and myocardial biopsy findings. the aims of this study to determine a MRI relaxometry of normal myocardium and any Alteration of relaxation times for early fibrosis in hypertensive disease. also, To detect possible fibrosis of remote myocardium in patients with prior infarction by analysis of delayed enhancement images after injection of MRI contrast agent. The hypothesis of this study is that Magnetic Resonance relaxometry can assess and measure early diffuse fibrosis in hypertensive heart disease. the expected benefits from this study is Understanding the Tost effective clinical treatments will lead to improved health outcomes at lower cost. also, Early intervention is known to reduce the cost burden to the community and healthcare delivery system. in addition, Validation of non invasive methods of measuring early fibrotic changes in myocardium is essential to direct the clinical decision making
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
31224
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Address
31224
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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QURAIN ALSHAMMARI
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Address
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The University of Queensland -
Southern School of Medicine - Princess Alexandra Hospital,
Ipswich Rd Woolloongabba
QLD 4102
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Country
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Australia
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Phone
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+61 7 3176 5216
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Fax
14471
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+61 7 3176 5399
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Email
14471
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[email protected]
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Contact person for scientific queries
Name
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Qurain Alshammari
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Address
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The University of Queensland -
Southern School of Medicine - Princess Alexandra Hospital,
Ipswich Rd Woolloongabba
QLD 4102
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Country
5399
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Australia
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Phone
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+61731765340
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Fax
5399
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+61 7 3176 5399
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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