Muscular Dystrophy, Duchenne
Conditions
Brief summary
This study will collect MRI from healthy volunteer boys and boys with Duchenne Muscular Dystrophy (DMD) to help researchers identify and validate cardiac MRI biomarkers to better understand the health of the heart and changes in heart health over time in boys with DMD. Currently, there is a lack of sufficiently well characterized cardiac MRI biomarkers that can serve as endpoints for detecting on-target and/or off-target cardiac effects during clinical drug trials for boys with DMD. Consequently, the first objective is to identify and characterize several cardiac MRI biomarkers for boys with DMD.
Detailed description
The second objective is to use their well-characterized cardiac MRI biomarkers and define their sensitivity for detecting early cardiac involvement. The final objective is to use these validated cardiac MRI biomarkers to better understand the genotype-phenotype correlation in boys with DMD, which to date remain tenuous. The investigators propose a pilot study to explore cardiac genotype-phenotype correlations in boys with DMD and outlier phenotypes using approaches they have pioneered for skeletal muscle.
Interventions
Cardiac MRI
Cardiac MRI
Hematocrit, Creatinine, Troponin, BNP
Holter Monitor
Pulmonary Function Test
Genetic Testing
Repeat MRI scan
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy boys or pediatric patients with DMD age 7 to 21 * Able & willing to complete an approximately 75-minute (or less) MRI exam without sedation or mechanical ventilation * Drug regimen (if applicable) stable for at least 3 months prior to participation
Exclusion criteria
* Renal insufficiency (GFR\<40 mL/min/m2) * Non-MRI compatible implants (e.g. neurostimulator, pacemaker, implanted cardioverter defibrillator) * Claustrophobia that prevents an MRI exam * Known allergy to MRI contrast agents * Serum potassium level of \>5.0 mmol/L * Signs and symptoms of heart failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Myocardial Tissue Characterization | 6 months | Focal and diffuse fibrosis, intra myocardial fat, edema plus water mobility |
| Myocardial Functional Characterization | 6 months | Strain imaging and rotational mechanics |
| Genomic Analysis | 4 years | Proposing mechanisms of cardiac dysfunction or protective phenotypes using genomic analysis |
Countries
United States