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CompletedNCT02542371Updated Apr 6, 2022

Use of 99mTc Tilmanocept for Imaging Arterial Inflammation

An observational study in HIV, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-06.

Sponsored by Massachusetts General Hospital · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
30
Ages
18 Years to 80 Years
Sex
All
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Study summary

The purpose of this study is to measure arterial 99mTc-Tilmanocept uptake using single photon emission computed tomography (SPECT/CT) scanning in HIV infected subjects known to have subclinical coronary atherosclerosis as assessed by contrast-enhanced coronary computed tomography angiography (CCTA).

Read the detailed description

Detailed Description:

Patients with HIV have been shown to have increased atherosclerotic risk compared to age-matched controls, and this risk is thought to be related to increased systemic immune activation. Specifically, systemic immune activation may contribute to destabilizing coronary atherosclerotic plaque, leading to plaque rupture and myocardial infarction. This study is intended to measure arterial uptake of the macrophage specific marker 99mTc-Tilmanocept using single photon emission computed tomography, applied initially to a group of HIV-infected patients with known subclinical coronary atherosclerosis on CCTA. Moreover, traditional markers of CVD risk and inflammatory markers will be assessed in relation to CV imaging outcomes. Positive findings in the index HIV group with known subclinical atherosclerosis will prompt subsequent study of three comparison groups, as above.

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Conditions studied

  • HIV

Keywords

  • HIV
  • Atherosclerosis
  • Tilmanocept
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In context

Arteritis

135 studies on the registry are indexed under Arteritis; 26 are open to participants now.

This study's enrollment of 30 is below the median of 114 across 63 observational studies indexed under Arteritis.

Browse Arteritis studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,536 studies on the registry; 446 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 161 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

HIV-infected subjects and HIV non-infected subjects

Eligibility criteria

HIV infected subjects with known subclinical atherosclerosis:

Inclusion criteria:

  • men and women, ages 18+, with documented HIV infection
  • current use of antiretroviral therapy (ART), with no changes to regimen within last 3 months
  • history of subclinical atherosclerosis on CCTA

Exclusion criteria:

  • pregnancy or breastfeeding
  • known active opportunistic infection requiring ongoing medical therapy (not including Hepatitis B/C)
  • CD4 count \< 50 cells/mm3
  • history of angina, myocardial infarction, acute coronary syndrome, or coronary artery stenting or surgery
  • recent and/or current treatment with prescription, systemic steroids or anti-inflammatory/immune suppressant medical therapies
  • current use of statin or use of statin for > 1 month within the last 6 months
  • known allergy to dextrans and/or DPTA and/or radiometals and/or iodinated contrast media
  • eGFR \< 60 ml/min/1.73 m2 calculated by CDK-EPI
  • contraindications to beta blockers or nitroglycerin
  • significant radiation exposure (>2 CT angiograms) received within the past 12 months
  • BMI > 35 kg/m2 or waist circumference > 70 cm (scanner limitations)

HIV infected subjects without known subclinical atherosclerosis:

Inclusion criteria:

  • men and women, ages 18+, with documented HIV infection
  • current use of antiretroviral therapy (ART), with no changes to regimen within last 3 months
  • history of clean aorta/ coronaries on CCTA

Exclusion criteria:

  • Same as exclusion criteria for HIV infected subjects with known subclinical atherosclerosis

HIV negative subjects with known subclinical atherosclerosis:

Inclusion criteria:

  • men and women, ages 18+, without documented HIV infection
  • history of subclinical atherosclerosis on CCTA

Exclusion criteria:

  • pregnancy or breastfeeding
  • history of angina, myocardial infarction, acute coronary syndrome, or coronary artery stenting or surgery
  • recent and/or current treatment with prescription, systemic steroids or anti-inflammatory/immune suppressant medical therapies
  • current use of statin or use of statin for > 1 month within the last 6 months
  • known allergy to dextrans and/or DPTA and/or radiometals and/or iodinated contrast media
  • eGFR \< 60 ml/min/1.73 m2 calculated by CDK-EPI
  • contraindications to beta blockers or nitroglycerin
  • significant radiation exposure (>2 CT angiograms) received within the past 12 months
  • BMI > 35 kg/m2 or waist circumference > 70 cm (scanner limitations)

HIV negative subjects without known subclinical atherosclerosis:

Inclusion criteria:

  • men and women, ages 18+, without documented HIV infection
  • history of clean aorta/coronaries on CCTA

Exclusion criteria:

  • Same as exclusion criteria for HIV negative subjects with known subclinical atherosclerosis
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Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
30 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • HIV infected with known subclinical atherosclerosis

    Other: Arterial Imaging

  • HIV infected without known subclinical atherosclerosis

    Other: Arterial Imaging

  • Non-HIV infected with known subclinical atherosclerosis

    Other: Arterial Imaging

  • Non-HIV infected without known subclinical atherosclerosis

    Other: Arterial Imaging

Interventions

  • OtherArterial Imaging
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What researchers measure

Primary outcomes

  1. Aortic 99mTc-Tilmanocept uptake on SPECT/CT scanning in HIV Patients

    Time frame: within 6 weeks of screening visit

Secondary outcomes

  1. Aortic plaque burden and morphology on CCTA in HIV Patients

    Time frame: within 6 weeks of screening visit

  2. Traditional markers of cardiovascular disease (CVD) risk and inflammatory markers in relation to cardiovascular imaging outcomes

    Time frame: within 6 weeks of screening visit

  3. Imaging assessments in the coronary vasculature in HIV patients

    Time frame: within 6 weeks of screening visit

  4. Comparison of imaging assessments b/ HIV patients w/ known subclinical atherosclerosis, HIV patients w/o known subclinical atherosclerosis, non HIV patients w/ known subclinical atherosclerosis and non HIV patients w/o known subclinical atherosclerosis

    Time frame: within 6 weeks of screening visit

  5. 99mTc-Tilmanocept uptake on SPECT/CT in regions other than the aorta

    Time frame: within 6 weeks of screening visit

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Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
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References and documents

Publications

  • Toribio M, Wilks MQ, Hedgire S, Lu MT, Cetlin M, Wang M, Alhallak I, Durbin CG, White KS, Wallis Z, Schnittman SR, Stanley TL, El-Fakhri G, Lee H, Autissier P, Zanni MV, Williams KC, Grinspoon SK. Increased Macrophage-Specific Arterial Infiltration Relates to Noncalcified Plaque and Systemic Immune Activation in People With Human Immunodeficiency Virus. J Infect Dis. 2022 Nov 11;226(10):1823-1833. doi: 10.1093/infdis/jiac301. PubMed 35856671 ↗
  • Zanni MV, Toribio M, Wilks MQ, Lu MT, Burdo TH, Walker J, Autissier P, Foldyna B, Stone L, Martin A, Cope F, Abbruzzese B, Brady T, Hoffmann U, Williams KC, El-Fakhri G, Grinspoon SK. Application of a Novel CD206+ Macrophage-Specific Arterial Imaging Strategy in HIV-Infected Individuals. J Infect Dis. 2017 Apr 15;215(8):1264-1269. doi: 10.1093/infdis/jix095. PubMed 28204544 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02542371
Lead sponsor
Massachusetts General Hospital
Collaborators
Navidea Biopharmaceuticals, Havard University Center for AIDS Research
Responsible party
Steven K. Grinspoon, MD (Professor of Medicine, Massachusetts General Hospital) — Principal investigator
First posted
Sep 7, 2015
Start date
Sep 2015
Primary completion
Aug 2021
Completion
Aug 2021
Last update
Apr 6, 2022

Study contacts

Steven Grinspoon, M.D.
principal investigator · Massachusetts General Hospital
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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