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Ultrasound Therapy for Cardiac Amyloidosis (UTICA Trial)
Phase 4
Recruiting
Led By Sharmila Dorbala, MD
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Proof of cardiac involvement by AL amyloidosis with abnormal cardiac biomarkers or imaging
Diagnosis of systemic light chain amyloidosis by standard criteria and in hematological remission
Must not have
Atrial fibrillation not on anticoagulation
Known obstructive epicardial coronary artery disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 day
Awards & highlights
Drug Has Already Been Approved
No Placebo-Only Group
Pivotal Trial
Summary
This trial studies the effects of soundwaves on hearts with or without a rare heart condition.
Who is the study for?
This trial is for adults over 18 with AL cardiac amyloidosis in remission, or those over 65 with ATTR cardiac amyloidosis or as controls. Participants must have proof of heart involvement and be able to consent. Excluded are pregnant individuals, those with other heart diseases, severe heart failure, allergies to specific ultrasound contrast agents, low ejection fraction (<40%), pulmonary hypertension, history of stroke, extreme claustrophobia, severe lung disease or valve issues.
What is being tested?
The study tests sonotherapy's effects on blood flow and heart function in patients with cardiac amyloidosis compared to control subjects without the condition. It's a forward-looking pilot study where participants undergo sonotherapy treatment and then have their myocardial blood flow and heart functions assessed before and after the therapy.
What are the potential side effects?
While not explicitly listed in the provided information, potential side effects from sonotherapy may include discomfort at the site of application or temporary changes in local sensation due to ultrasound energy exposure.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My heart is affected by AL amyloidosis, confirmed by tests or scans.
Select...
I have systemic light chain amyloidosis and am in remission.
Select...
I have been diagnosed with heart amyloidosis.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have atrial fibrillation and am not taking blood thinners.
Select...
I have been diagnosed with blocked heart arteries.
Select...
I have severe heart failure that isn't controlled by medication.
Select...
I have severe high blood pressure in the lungs.
Select...
My blood pressure and heart rate are stable.
Select...
I am not allergic to DEFINITY or its components.
Select...
I experience severe claustrophobia even with sedatives.
Select...
I have a heart condition that is neither due to blocked arteries nor amyloid buildup.
Select...
I have had a stroke before.
Select...
I have severe lung disease.
Select...
I have had heart surgery before.
Select...
I have a severe heart valve problem.
Select...
I cannot undergo sonotherapy due to health reasons.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 1 day
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 day
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Diastolic Function
Myocardial Blood Flow
Systolic Function
Awards & Highlights
Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Trial Design
1Treatment groups
Experimental Treatment
Group I: SonotherapyExperimental Treatment1 Intervention
All participants will undergo sonotherapy
Find a Location
Who is running the clinical trial?
Brigham and Women's HospitalLead Sponsor
1,670 Previous Clinical Trials
11,878,196 Total Patients Enrolled
2 Trials studying Cardiac Amyloidosis
88 Patients Enrolled for Cardiac Amyloidosis
Sharmila Dorbala, MDPrincipal InvestigatorBrigham and Women's Hospital
2 Previous Clinical Trials
236 Total Patients Enrolled
1 Trials studying Cardiac Amyloidosis
65 Patients Enrolled for Cardiac Amyloidosis
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have atrial fibrillation and am not taking blood thinners.I have been diagnosed with blocked heart arteries.A blood clot inside the heart has been confirmed by a doctor.I have severe heart failure that isn't controlled by medication.I have severe high blood pressure in the lungs.My blood pressure and heart rate are stable.You have conditions that make it unsafe for you to have a cardiac magnetic resonance imaging (CMR) scan.I am not allergic to DEFINITY or its components.I am over 18 for AL-CA, over 65 for ATTR-CA, or over 65 as a control.You weigh more than is healthy for your height.I experience severe claustrophobia even with sedatives.I have a heart condition that is neither due to blocked arteries nor amyloid buildup.You are pregnant.I have had a stroke before.I have severe lung disease.You have a long QT interval on an electrocardiogram.I have had heart surgery before.I have a severe heart valve problem.Abnormal movement of the heart's walls on an echocardiogram.Your heart's pumping ability is less than 40%.My heart is affected by AL amyloidosis, confirmed by tests or scans.You have serious problems with your body's salt and mineral levels.I cannot undergo sonotherapy due to health reasons.The doctor thinks you are not a good fit for ultrasound treatment for reasons not listed here.I have systemic light chain amyloidosis and am in remission.I have been diagnosed with heart amyloidosis.
Research Study Groups:
This trial has the following groups:- Group 1: Sonotherapy
Awards:
This trial has 3 awards, including:- Drug Has Already Been Approved - The FDA has already approved this drug, and is just seeking more data.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.