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RecruitingNCT04856059FIESTA-MRIUpdated Apr 16, 2026

Fabry Cardiomyopathy: Identification of Early Myocardial Structural and Tissue Abnormalities Using Multiparametric MRI

An interventional study of Cardiac MRI, ECG/Holter and Blood Biomarkers in Fabry Disease, sponsored by University Health Network, Toronto. Recruiting at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by University Health Network, Toronto · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Started Jun 2021; still recruiting 5 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This study will evaluate whether cardiac MRI T1 and T2 mapping improves our ability to detect early abnormalities in the heart in patients with Fabry disease and identify patients at increase risk of adverse events.

Read the detailed description

Fabry disease is an inherited disorder that affects many organs in the body, including the heart. Men and women are both affected, with average life expectancy reduced by 10-20 years. The heart muscle can become thick and scarred in over half of patients, eventually resulting in heart failure, abnormal rhythm and death. The focus of this study will be on improving the detection of early heart disease before irreversible damage has occurred in order to improve patient outcomes.

It is hypothesized that new cardiac MRI techniques called T1 and T2 mapping will improve the ability to detect early abnormalities in the heart. Early detection of cardiac disease may enable a personalized treatment approach, potentially improving patient outcomes. The results of the study will identify which patients might benefit from early initiation of treatment to prevent bad outcomes in the future by using cardiac MRI to identify those at higher risk.

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Conditions studied

  • Fabry Disease

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Keywords

  • Fabry disease
  • Fabry cardiomyopathy
  • cardiac MRI
  • CMR
  • T1 mapping
  • T2mapping
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In context

Fabry Disease

242 studies on the registry are indexed under Fabry Disease; 54 are open to participants now.

This study's planned enrollment of 300 is above the median of 22 across 105 interventional studies indexed under Fabry Disease.

Browse Fabry Disease studies →

Lead sponsor

University Health Network, Toronto is the lead sponsor of 1,411 studies on the registry; 292 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 3 (18%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Fabry disease;
  • Age ≥ 18 years.

Exclusion criteria

Exclusion Criteria:

  • History of myocardial infarction;
  • Contraindication to MRI.
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
300 participants (estimated)

Study arms

  • Other
    Cardiac MRI, ECG and Blood Biomarkers

    Additional sequences will be performed during routine clinical cardiac MRI and additional blood samples will be collected during routine blood work.

    Diagnostic Test: Cardiac MRI, ECG/Holter and Blood Biomarkers

Interventions

  • Diagnostic testCardiac MRI, ECG/Holter and Blood Biomarkers

    Cardiac MRI including T1/T2 mapping, ECG and blood biomarker evaluation will be performed at baseline and follow-up

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What researchers measure

Primary outcomes

  1. Major Adverse Cardiac Events (MACE)

    MACE will be assessed as a composite endpoint defined by the development on one or more of events such as sustained ventricular tachycardia (VT), severe bradycardia, heart failure hospitalization and cardiac death.

    Time frame: 5 years

Secondary outcomes

  1. The FAbry STabilization indEX (FASTEX) score

    FAbry STabilization indEX (FASTEX) score will be evaluated to assess clinical stability or progression of Fabry disease at follow-up. FASTEX score change of ≥20% will be considered an indication of clinical worsening at follow-up. Minimum value 0%. No maximum value. Higher score change indicates worse outcome.

    Time frame: 3 years

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Study locations

1 of 1 sites recruiting
  • University Health Network
    Toronto, Ontario M5G 2C4, Canada
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2026, 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
NCT04856059
Lead sponsor
University Health Network, Toronto
Collaborators
Vancouver General Hospital, The Cleveland Clinic, Icahn School of Medicine at Mount Sinai, IRCCS Policlinico S. Donato, Alberta Health services, Libin Cardiovascular Institute of Alberta, Vancouver Coastal Health
Responsible party
Sponsor
First posted
Apr 22, 2021
Start date
Jun 15, 2021
Primary completion
Mar 31, 2029 (estimated)
Completion
Mar 31, 2029 (estimated)
Last update
Apr 16, 2026

Study contacts

Kate Hanneman
Contact
kate.hanneman@uhn.ca
416-323-6400 ext. 5521
Kate Hanneman
principal investigator · University Health Network, Toronto

Oversight

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

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