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Validating Cardiac MRI Biomarkers and Genotype-Phenotype Correlations for DMD

Validating Cardiac MRI Biomarkers and Genotype-Phenotype Correlations for Duchenne Muscular Dystrophy (DMD)

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02834650
Enrollment
89
Registered
2016-07-15
Start date
2017-02-01
Completion date
2022-03-30
Last updated
2022-05-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Muscular Dystrophy, Duchenne

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

OTHERCardiac MRI with contrast

Cardiac MRI

OTHERCardiac MRI without contrast

Cardiac MRI

OTHERBlood Test

Hematocrit, Creatinine, Troponin, BNP

OTHERHeart Rate

Holter Monitor

OTHERPulmonary Function Test

Pulmonary Function Test

OTHERGenetic Testing

Genetic Testing

OTHERRepeat MRI scan

Repeat MRI scan

Sponsors

National Institutes of Health (NIH)
CollaboratorNIH
Children's Hospital of Orange County
CollaboratorOTHER
National Heart, Lung, and Blood Institute (NHLBI)
CollaboratorNIH
University of California, Los Angeles
CollaboratorOTHER
Stanford University
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
7 Years to 21 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
Myocardial Tissue Characterization6 monthsFocal and diffuse fibrosis, intra myocardial fat, edema plus water mobility
Myocardial Functional Characterization6 monthsStrain imaging and rotational mechanics
Genomic Analysis4 yearsProposing mechanisms of cardiac dysfunction or protective phenotypes using genomic analysis

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026