The purpose of this clinical research is to learn if DEFINITY® 416 will cause any adverse effects during Right Heart Catheterization. This research was requested by the FDA.
This Phase IV safety study will provide safety data on potential systemic and pulmonary hemodynamic effects caused by the administration of DEFINITY® in patients who are to undergo right heart cardiac catheterization for clinical reasons. Using a right heart catheter for direct measurements of pulmonary artery hemodynamics will allow accurate assessments of potential alterations of the pulmonary vasculature. This will be further investigated by the inclusion of two patient populations, one with a baseline pulmonary artery pressure \< 35 mmHg, and one with elevated baseline pulmonary artery pressure. The addition of immune parameter measurements will assess a potential link between systemic and pulmonary alterations and potential immune reactions following DEFINITY® administration. The inclusion of patients in this study is not based on a required echocardiogram with DEFINITY® administration because patients would be exposed to an unjustifiable risk of invasive right heart catheterization and are unlikely to consent to such a procedure. Therefore, patients undergoing heart catheterization for clinical reasons, or patients who are undergoing pulmonary artery hemodynamic assessments will be enrolled and receive DEFINITY® in this study.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
32
one bolus dose of Definity per intravenous injection, 30-60 second injection, dose value calculation = maximum of 10 microliter/kg patient weight
Northwestern Memorial Hospital
Chicago, Illinois, United States
University of Chicago Medical Center
Chicago, Illinois, United States
Methodist Hospital
Saint Louis Park, Minnesota, United States
Cardiovascular Consultants
Kansas City, Missouri, United States
Percent Change in Pulmonary Artery Pressure Change From 1 Minute Pre-dose to 31 - 35 Minutes Post Dose
Percent change in pulmonary atery pressure change from immediately pre-dose to 31 - 35 minutes post dose
Time frame: 31-35 minutes minus baseline
Immunology Panel- Complement 3A (C3A)
Evaluate the Immunology Panel after the administration of DEFINITY
Time frame: Out to 70 minutes
Immunology Panel- Complement 5A(C5A)
Evaluate the Immunology Panel after the administration of DEFINITY
Time frame: Out to 70 minutes
Immunology Panel- Interleuken-6
Evaluate the Immunology Panel after the administration of DEFINITY
Time frame: Out to 70 minutes
Immunology Panel- Tryptase
Evaluate the Immunology Panel after the administration of DEFINITY
Time frame: Out to 70 minutes
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Holy Name Hospital
Teaneck, New Jersey, United States
The Cleveland Clinic Foundation
Cleveland, Ohio, United States
Oregon Health and Sciences University
Portland, Oregon, United States
The University of Texas Medical Branch at Galveston
Galveston, Texas, United States