ClinicalTrials.gg
RecruitingNCT06323811COPE-CMRUpdated Mar 21, 2024

Comparison of Free-breathing 3D Quantitative Perfusion in Patients With MINOCA and MINOCA-mimics

An interventional study of CMR in Myocardial Infarction With Non-Obstructive Coronary Artery, Myocarditis Acute and Takotsubo Cardiomyopathy, sponsored by University of Zurich. Recruiting at 1 site in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-21.

Sponsored by University of Zurich · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Primary completion was expected by Jun 2025, 1 year 4 months ago, but the record still lists the study as recruiting.
  • Registered 8 months after the study started (first participant enrolled Jun 2023, registered Mar 2024).
  • Started Jun 2023; still recruiting 3 years 4 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
75
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical study examines patients presenting with acute myocardial infarction and no significant coronary artery disease on coronary angiography (MINOCA) and patients with MINOCA-mimics with advanced CMR.

The present study aims to:

  • assess the microvascular function with a novel quantitative 3D myocardial perfusion imaging approach in the acute phase and post-convalescence
  • refine the role and diagnostic potential of advanced quantitative CMR imaging
  • assess the potential prognostic significance of microvascular dysfunction and epicardial adipose tissue on cardiovascular outcomes

Participants will undergo advanced CMR imaging in the acute setting (within 10 days after event) and post convalescence (after 3 months).

Read the detailed description

Advanced CMR includes a novel free-breathing motion-informed locally low-rank quantitative 3D myocardial perfusion imaging. Perfusion imaging will be compared with 3D late gadolinium enhancement (LGE) imaging. A cine Dixon sequence is performed for the assessment of epicardial adipose tissue (EAT).

02

Conditions studied

  • Myocardial Infarction With Non-Obstructive Coronary Artery
  • Myocarditis Acute
  • Takotsubo Cardiomyopathy
  • Spontaneous Coronary Artery Dissection
  • Non ST Elevation Myocardial Infarction

Keywords

  • MINOCA
  • MINOCA-mimics
  • CMR
  • 3D perfusion
  • advanced CMR imaging
03

In context

MINOCA

29 studies on the registry are indexed under MINOCA; 18 are open to participants now.

Browse MINOCA studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,049 studies on the registry; 133 are open to participants now.

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

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

  • acute presentation with signs/symptoms of acute coronary syndrome or myocarditis
  • elevated cardiac biomarkers
  • no signficant coronary artery disease on coronary angiogram or coronary CT

Exclusion criteria

Exclusion Criteria:

  • pacemaker/other devices or claustrophobia
  • severe asthma, chronic obstructive lung or kidney disease
  • acute pulmonary embolism
  • arrhythmia on
  • moderate to severe valvular disease
Terms in these criteria, in plain language(1)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
75 participants (estimated)

Study arms

  • Experimental
    MINOCA

    Patients with myocardial infarction with non-obstructive coronary artery disease (MINOCA) prospectively investigated with advanced CMR

    Diagnostic Test: CMR

  • Experimental
    Myocarditis

    Patients with suspected myocarditis prospectively investigated with advanced CMR

    Diagnostic Test: CMR

  • Experimental
    Takotsubo cardiomyopathy

    Patients with suspected Takotsubo cardiomyopathy prospectively investigated with advanced CMR

    Diagnostic Test: CMR

  • Experimental
    Spontaneous coronary artery dissection (SCAD)

    Patients with suspected/diagnosed spontaneous coronary artery dissection prospectively investigated with advanced CMR

    Diagnostic Test: CMR

  • Active comparator
    NSTEMI

    Patients with confirmed non-ST elevation myocardial infarction on coronary angiography prospectively investigated with advanced CMR

    Diagnostic Test: CMR

Interventions

  • Diagnostic testCMR

    Advanced CMR imaging including a novel quantitative free-breathing 3D perfusion sequence, 3D LGE imaging and a cine Dixon sequence

06

What researchers measure

Primary outcomes

  1. Myocardial perfusion reserve index

    comparison of microvascular function in the acute phase versus post convalescence

    Time frame: within 10 days and after 3 months after index event

Secondary outcomes

  1. epicardial adipose tissue (EAT)

    the amount of epicardial adipose tissue

    Time frame: 4 months (measured either at first or second CMR)

  2. cardiovascular events

    rate of cardiovascular death, myocardial infarction, recurrence of MINOCA, myocarditis, takotsubo cardiomyopathy, SCAD

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
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

Started Jun 2023 (actual). Primary completion is estimated for Jun 2025, 24 months after the start.

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

Registered
Mar 6, 2024
First posted
Mar 21, 2024
StartActual
Jun 15, 2023
Primary completionEst.
Jun 30, 2025
CompletionEst.
Dec 31, 2025
Last update
Mar 21, 2024
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 Mar 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06323811
Collaborators
ETH Zurich
Responsible party
Sponsor
First posted
Mar 21, 2024
Start date
Jun 15, 2023
Primary completion
Jun 30, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Mar 21, 2024

Study contacts

Robert Manka, Prof., MD
Contact
robert.manka@usz.ch
+41442551251
Verena C Wilzeck, MD
Contact
verena.wilzeck@usz.ch
Robert Manka, Prof. MD
principal investigator · University of Zurich

Oversight

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

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