E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Fallot tetralogy late after repair with marked pulmonary valve incompetence |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The main objective of this trial is to define new cardial functional parameters of early right cardial insufficiency by pre- and postoperative characterisation of right heart function with a Dobutamine stress MRI compared to routine cardiac MRI
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E.2.2 | Secondary objectives of the trial |
Secondary objectives of this trial are: - to define new cardial functional parameters of early right cardial insufficiency by pre- and postoperative characterisation of right heart function with a Dobutamine stress echocardiogram. Correlation to routine cardiac MRI and a Dobutamine stress MRI.
- to define new cardial functional parameters of early right cardial insufficiency by pre- and postoperative characterisation of right heart function with a tissue Doppler echocardiogram and three-dimensional echocardiography. Correlation to routine cardiac MRI and a Dobutamine stress MRI.
- to evaluate mortality, morbidity, pulmonary function, objective exercise tolerance, life-quality and prevalence of cardiac arrhythmia after pulmonary valve replacement
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
specific:
• the patient/ his parents got a consent form and agreed to a informed consent for this cinical trial • negative pregnancy test • no participation in an other medical trial 4 weeks before and during this trial
specific • Fallot tetralogy after repair group A (n = 45): youth ≥ 14 years or adult patients after repair of fallots tetralogy, with planed pulmonary valve replacement due relevant pulmonary insufficiency Group B (n = 35): youth ≥ 14 Jahre or adult patients after repair of fallots tetralogy with good results after repair with good right heart function
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E.4 | Principal exclusion criteria |
- pregnancy or lactation - childbearing women without sufficient contraception - diseases which exclude the patient the patient from the participation after evaluation through the treating md - abuse of alcohol, medecine or addictive drugs - other medical, psychological or social conditions, which complicate -raise the risk for the treatment of the patient (trisomia 21, psychiatric diseases) - lack of compliance or expected lack of ability to comply - lack of willingness to save and transfer pseudonymized data in course of the trial - Persons who are detained officially or legally to an official institute -contra-indications against pharmacological treatment like ventricular tachykardia or similar, pulmonary valve stenosis or pulmonary hypertension - present or high risk of coronary heart disease - present or known atrial fibrilation or flutter - double-outlet right ventrical - associated servere heart failures - associated servere valve failures, exept pulmonary valve insufficiancy - other relevant tumor or active diseases - absolut conta-indications for MRI, like pacemaker - patient unable to participate in stress tests - patients with contra-indications for the treatment with dobutamine - patients with diabetes - patients with concomitant containdicant treatment
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E.5 End points |
E.5.1 | Primary end point(s) |
- analysis with ANOVA for follow-up measurements with determinants of regular and stress MRI to compare group A with group B, (resp.) comparision both visits group A |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | Yes |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Information not present in EudraCT |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
standard rest cardiac MRI |
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E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 1 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 1 |
E.8.9.2 | In all countries concerned by the trial days | 0 |