ClinicalTrials.gg
CompletedNCT03410420Updated Jan 23, 2026

Detection of Hypoxia in Human Thoracic Aorta Using Pimonidazole Hydrochloride

A Phase 1 interventional study of Pimonidazole hydrochloride in Aortic Aneurysm, Thoracic, sponsored by Thomas Gleason. Completed at 1 site in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-01-23.

Sponsored by Thomas Gleason · Phase 1, Interventional, and Basic science

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 2 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Non-randomized
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 51 studies in Aortic Aneurysm, Thoracic with a site in United States — 12 open to participants now, 20 under way, none of them phase 3. Aortic Aneurysm, Thoracic · United States.

Enrollment
34th of 37
9 · median 100
Started
2018
with 1 other
Phase 1
3 of 51
1 open now
Registered
39th of 51
by date

Among the 51 studies in Aortic Aneurysm, Thoracic with a site in United States, this one is the 34th largest by enrollment of the 37 interventional ones that give a count, is one of 2 that started in 2018, is one of 3 in phase 1, and was the 39th registered.

Aortic Aneurysm, Thoracic

131 studies on the registry are indexed under Aortic Aneurysm, Thoracic; 33 are open to participants now.

This study's enrollment of 9 is below the median of 50 across 62 interventional studies indexed under Aortic Aneurysm, Thoracic.

Browse Aortic Aneurysm, Thoracic studies →

Open to participants now

12 of the 51 studies in Aortic Aneurysm, Thoracic with a site in United States are open now.

All 12 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 26 Aortic Aneurysm, Thoracic studies recruiting now, 19 (73%) set no upper age limit and 3 (12%) stop at 75 or younger; 4 take children under 18; 2 take healthy volunteers.

This study: 18 Years to 100 Years · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 51 studies in Aortic Aneurysm, Thoracic with a site in United States, or all of them as a file.
02

Study summary

This is a prospective study designed to determine the safety and value of Hypoxyprobe-1 (pimonidazole hydrochloride (-HCl)) to detect levels of tissue hypoxia in patients presenting with ascending aortic aneurysm.

Read the detailed description

The proposed study is designed to identify the level of tissue hypoxia in patients presenting with ascending aortic aneurysm. Ascending aortic aneurysms affect approximately 15,000 people in the United States each year, and represent a serious clinical problem because there is a known, but unspecified risk of aortic rupture or dissection. Despite progress made in the surgical management of ascending aortic aneurysms, the molecular and cellular mechanisms involved remain elusive. However, indirect evidence of tissue hypoxia have recently been described in the literature.

This pilot study will use pimonidazole-HCl, a compound that is retained by hypoxic cells and that has been used for detection of tissue hypoxia in human since the early 2000s. This pilot study will involve twenty patients who are candidates for aortic replacement due to aneurysm and twenty non-aneurysmal patients undergoing coronary artery bypass graft (controls). Patients will be administered pimonidazole-HCl orally in a single dose (0.5g/m2) 24 hours prior to scheduled surgical time. During surgery, the resected aneurysmal aortic specimens (for patients undergoing aortic replacement) or aortic punch (for patients undergoing coronary artery bypass graft) will be harvested. Tissue hypoxia will be qualitatively and quantitatively assessed in the investigator's research laboratory. Based on previous toxicological animal studies and previous use in human studies, the anticipated risk of severe or serious side effect will be relatively minimal.

03

Conditions studied

  • Aortic Aneurysm, Thoracic

Keywords

  • Thoracic Aortic Aneurysm
  • Hypoxia
  • Ascending Aorta
  • Hypoxyprobe
  • Pimonidazole
04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults ≥ 18 years of age who require one of the following open surgery:

    • Ascending thoracic aorta repair due to aneurysm;
    • Aortic valve replacement due to aortic valve insufficiency;
    • Coronary artery bypass graft procedure due to coronary heart disease. Imaging CT scans and echography defining the presence of ascending aortic aneurysm will be centrally reviewed prospectively to ensure adherence to subject inclusion criteria.
  2. Adequate hematologic functions:

    • White blood cells > 2500/µ;
    • > 100,000/µL;
    • > 8 g/dl.
  3. Adequate renal functions: serum creatinine \< 2.0 mg/dl.
  4. Adequate hepatic function: serum alkaline phosphatase, , and serum glutamate oxaloacetate transaminase twice normal levels.
  5. If the subject or partner is of , he or she must be willing to use adequate (hormonal or barrier method or abstinence) from the time of screening and for a period of at least 16 weeks after procedure.
  6. Capable of giving written , which includes compliance with the requirements and restrictions listed in the consent form, release of medical information, and Health Insurance Portability and Accountability Act (HIPAA) documentation.
  7. Female subjects of childbearing potential must have a negative serum pregnancy test at screening. human chorionic gonadotropin levels will be assessed for all women of childbearing years prior to the procedure.

Exclusion criteria

Exclusion Criteria:

  1. Severe septicemia or severe infection in the 4 weeks prior to study entry;
  2. The subject has a baseline NIHSS > 1 or modified Rankin Scale > 1.
  3. Active participation in other research therapy for cardiovascular repair/regeneration;
  4. Pregnant or breastfeeding at time of screening;
  5. Cardiothoracic surgery within 30 days prior to screening;
  6. The subject has participated in a clinical trial and has received an product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Active comparator
    Non aneurysmal

    Intervention: four non-aneurysmal patients undergoing coronary artery bypass graft or aortic valve replacement will be administered pimonidazole-HCl orally in a single dose (0.5g/m2) 24 hours prior to scheduled surgical time.

    Drug: Pimonidazole hydrochloride

  • Experimental
    Aneurysmal

    Intervention: four patients who are candidates for aortic replacement due to aneurysm will be administered pimonidazole-HCl orally in a single dose (0.5g/m2) 24 hours prior to scheduled surgical time.

    Drug: Pimonidazole hydrochloride

Interventions

06

What researchers measure

Primary outcomes

  1. Detection of pimonidazole-HCl in aortic specimens

    Levels of pimonidazole-HCl will be quantified in aortic specimens from patients who were administered pimonidazole-HCl prior to surgery

    Time frame: < 1 week

07

Study locations

1 site
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15219, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2018 to primary completion in Sep 2025, 84 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 8, 2018
First posted
Jan 25, 2018
StartActual
Sep 1, 2018
Primary completionActual
Sep 1, 2025
CompletionActual
Sep 1, 2025
Last update
Jan 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03410420
Lead sponsor
Thomas Gleason
Responsible party
Thomas Gleason (Professor, University of Pittsburgh) — Sponsor-investigator
First posted
Jan 25, 2018
Start date
Sep 1, 2018
Primary completion
Sep 1, 2025
Completion
Sep 1, 2025
Last update
Jan 23, 2026

Study contacts

Thomas G Gleason, MD
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Pimonidazole hydrochloride

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