E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 17.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10011078 |
E.1.2 | Term | Coronary artery disease |
E.1.2 | System Organ Class | 10007541 - Cardiac disorders |
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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 |
• To evaluate the diagnostic performance of CardioPET™ in assessing myocardial perfusion as compared to standard Tc-99m myocardial perfusion agents with coronary angiography as the standard of reference for CAD in known or suspected CAD subjects..
• To evaluate the safety of CardioPET™ in known or suspected CAD subjects.
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E.2.2 | Secondary objectives of the trial |
• A secondary objective is to assess fatty acid uptake at rest and following stress in known or suspected CAD subjects. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Subjects must provide written informed consent prior to any study related procedures;
• Male and female subjects over 30 years of age with known or suspected CAD;
• Subjects have been evaluated as having known or suspected CAD by either exercise or pharmacologic MPI or echocardiography indicating ≥2 segments of ischemia and have been referred to coronary angiography for known or suspected CAD;
• Subjects must be able to complete all evaluations within 30 days of Tc-99m MPI imaging, and must be without any intervention or change in symptoms between the tests.Subjects must provide written informed consent prior to any study related procedures;
• Male and female subjects over 30 years of age with known or suspected CAD;
• Subjects have been evaluated as having known or suspected CAD by either exercise or pharmacologic MPI or echocardiography with ≥2 segments of ischemia and have been referred to coronary angiography for known or suspected CAD;
• Subjects must be able to complete all evaluations within 30 days of Tc-99m MPI imaging, and must be without any intervention or change in symptoms between the tests. |
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E.4 | Principal exclusion criteria |
• Past or present use of medications that target fatty acid uptake or
metabolism, e.g. Ranexa® (Ranolazine);
• Acute changes in comparison to most recent ECG
• Suspected acute coronary syndrome;
• Chronic renal failure (Cr > 2.5);
• Anemia (Hgb < 10 within past 2 weeks);
• NYHA Class III or IV Congestive heart failure;
• Severe heart valve disease;
• Any exposure to any investigational drugs or devices, within 30 days
prior to imaging study;
• Any acute or unstable physical or psychological disease judged by the
Investigators based on medical history or screening physical
examination;
Female subjects only:
• Subject that has a positive pregnancy test or is lactating or the
possibility of pregnancy cannot be ruled out prior to dosing.
Females not of child-bearing potential require confirmatory
documentation in their medical records or must have a negative
pregnancy test within 4 hours prior to receiving the test drug and
agree to use an acceptable form of birth control for at least 30 days
following CardioPET™ administration. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The aim of this clinical protocol is to study CardioPET™ as a PET imaging agent for evaluation of myocardial perfusion in subjects with known or suspected CAD with a single injection of CardioPET™.
The primary efficacy endpoint for this phase II study is the sensitivity and specificity of CardioPET™ compared to MPI using coronary angiography as the standard of reference for the detection of CAD. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
Laboratory Testing: hematology, serum chemistry and urine analysis, at baseline and 2-4 and 24 hour follow up.
Electrocardiograms, Serial QT and QTc measurements at baseline, during procedure and at 2-4 and 24 hour follow up.
Physical Examinations at baseline and 24 hour follow-up.
Vital signs (heart rate and systolic and diastolic blood pressure ) at baseline and 2-4 and 24 hour follow up.
Adverse Event Assessments.
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
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 | No |
E.8.7 | Trial has a data monitoring committee | No |
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 | 1 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |