CClinicalTrials.gg
Status unknownNCT00668824CHD VasovistUpdated Aug 3, 2009

Improved Diagnosis of Congenital Heart Disease by Magnetic Resonance Imaging Using Vasovist

A Phase 4 interventional study of Vasovist in Congenital Heart Disease, sponsored by Guy's Hospital. Status unknown at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2009-08-03.

Sponsored by Guy's Hospital · Phase 4, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Jul 2009), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Ages
18 Years and older
Sex
All
01

Study summary

Magnetic Resonance Imaging (MRI) is an effective and radiation free method of diagnosing Congenital Heart Disease (CHD). MRI works by taking images of the anatomy and physiology. These images also provide information on the hearts function and blood flow. The clarity of these images is enhanced by the use of contrast agents (dyes). However these agents only stay in the blood vessels for a short time and therefore limit the time in which the better quality images can be obtained. This study aims to determine whether MRI using Vasovist (a dye that stays in the vessels for a prolonged period of time) can improve the diagnosis of Congenital Heart Disease (CHD) by allowing more areas to be imaged and the improved assessment of various parameters (anatomy, volumes, flow) as well as vastly improving image quality.

Read the detailed description

We planned an intra-individual study, where 20 adult patients with CHD (e.g. Fallot Tetralogy, s/p corrective surgery, single ventricle s/p Fontan operation, aortic and pulmonary artery stenosis) will undergo two examinations. Both scans are aimed to assess different diagnostic parameter like angiography, cardiac anatomy, ventricular volume and flow.

The first clinically indicated scan in our clinically established imaging protocol is performed using a standard contrast agent. The second scan is performed using a new protocol with Vasovist within the next seven days. Informed consent for the additional second scan will be obtained. In order to optimise the scan protocol for Vasovist we plan a pilot phase using three patients. Dosage of the two contrast agents will be within the approved dose. Any adverse events will be immediately reported. The following diagnostic parameters will be assessed and compared between standard Gadolinium (Gd) agent and Vasovist.

  1. MR-Angiography (MRA): assessment of the MRA quality of the large systemic and the pulmonary vessel (arterial and venous) by measuring the Contrast-to-Noise Ratio (CNR) and the vessel sharpness. In addition, the overall image-quality will be scored by three independent readers (scale: excellent, good, ok, bad).
  2. Cardiac Anatomy: assessment of image quality of the cardiac anatomy from 3D single/dual phase MRI by measuring Signal-to-Noise Ratio (SNR) and CNR as well as assessing the overall image quality by three independent readers (scale: excellent, good, ok, bad).
  3. Ventricular Volumes: comparison of systolic and diastolic volumes measured from multi-slice 2D short axis cine MRI, two single phases 3D whole heart MRI (diastole and systole).
  4. Flow: the different flow values will be measured in the large vessels using the Phase Contrast Angio (PCA) data. Furthermore, the flow reproducibility will be determined by using two scans. The overall scan-time to assess all these parameter will be approximately 40 minutes. The intra-individual study allows a direct comparison of the different parameters in a number of vascular territories.
02

Conditions studied

  • Congenital Heart Disease

Keywords

  • Congenital Heart Disease (CHD)
03

In context

Heart Diseases

3,639 studies on the registry are indexed under Heart Diseases; 461 are open to participants now.

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Lead sponsor

This is the only study on the registry with Guy's Hospital as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • The main inclusion criteria will be patient with CHD, i.e. complex congenital defects such as:

    1. Aortic abnormalities
    2. Pulmonary artery abnormalities
    3. Systemic or pulmonary venous abnormalities
    4. The study will be limited to patients aged 18 and over

Exclusion criteria

Exclusion Criteria:

  • The study will involve MR contrast agents and and MRI scans, therefore the principle exclusion criteria are:

    1. Any contra-indications to MR (e.g. pacemakers)
    2. Known allergy to MR contrast agents
    3. Patients not agreeing to take part in study
    4. Pregnancy and nursing mothers
05

Study design

Phase
Phase 4
Primary purpose
Diagnostic

Interventions

  • DrugVasovist
06

What researchers measure

Primary outcomes

  1. The improvement of diagnosis of CHD, due to larger coverage of vascular territories, higher spatial resolution, faster acquisition and higher quality of MR-flow measurements using Vasovist in comparison with standard Gd-agent

  2. The improvement of image quality will be analysed by measuring the SNR, the CNR, the vessel sharpness. In addition, the overall image quality will be scored by three independent readers (scale: excellent, good, ok, bad)

  3. Ventricular volumes measured from the acquired data will be compared with respect to a reference

  4. The accuracy (standard deviation) and reproducibility of the flow measurements will be compared using the two different agents

Secondary outcomes

  1. No secondary outcome measures.

07

Study locations

1 of 1 sites recruiting
  • Division of Imaging Sciences
    London, SE1 7EH, United Kingdom
    • Reza Razavi, MD · Contact · reza.razavi@kcl.ac.uk · 020-7188-5440
    • Reza Razavi, MD · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 3, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00668824
Lead sponsor
Guy's Hospital
First posted
Apr 29, 2008
Start date
Mar 2007
Primary completion
Jul 2008 (estimated)
Completion
Dec 2009 (estimated)
Last update
Aug 3, 2009

Study contacts

Reza Razavi, MD
Contact
reza.razavi@kcl.ac.uk
020-7188-5440 ext. 85440

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2009. You cannot join it, but the record below documents what was studied.

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