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Recruiting
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Comparing ICA with PET for cardiac allograft vasculopathy

Official title: MARINER Trial: Multiparametric Cardiac PET for CAV Surveillance After Heart Transplantation

Multiparametric Cardiac Positron Emission Tomography for Cardiac Allograft Vasculopathy Surveillance After Heart Transplantation

Condition: Cardiac Allograft VasculopathySponsor: Ottawa Heart Institute Research CorporationTarget enrollment: 576
  • 2 groups
  • Sites in Calgary, Edmonton and 3 more cities
  • Recruiting
University of Calgary, Calgary, AlbertaMazankowski Alberta Heart Institute, Edmonton, AlbertaToronto-General Hospital - University Health Network, Toronto, OntarioMontreal Heart Institute, Montreal, QuebecUniversity of Ottawa Heart Institute, Ottawa, Ontario

Interventions

  • Other intervention

    ICA

    Patients will undergo annual CAV surveillance with ICA

  • Other intervention

    PET

    Patients will undergo annual CAV surveillance with PET

Canadian Sites (5)

1 of 5 recruiting

  • University of Ottawa Heart Institute

    Ottawa, Ontario

    Recruiting
  • University of Calgary

    Calgary, Alberta

    Not yet recruiting
  • Mazankowski Alberta Heart Institute

    Edmonton, Alberta

    Not yet recruiting

Eligibility Criteria

See who this study is looking for11 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Post heart transplant 2-10 years.
  • +Age ≥18 years.
  • +Able to provide informed consentInformed consentThe process of being told what taking part involves, then choosing freely.Read more →.

Exclusion

  • Unable to undergo coronary angiography due to allergy to iodinated contrast.
  • Contraindication to dipyridamole due to severe aortic stenosis.
  • Contraindication to dipyridamole due to 2:1 or greater AV block without pacemaker.
  • Contraindication to dipyridamole due to severe bronchospasm.
  • Unable to undergo coronary angiography due to glomerular filtration rate ≤30 mL/min/1.73 m2. for non-dialysis patients as determined by local laboratory analysis.
  • Unable to undergo coronary angiography due to unsuitable vascular access.
  • Treated rejection ≤1-month.
  • Unstable angina or MI ≤7 days.
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study is testing a way to detect a condition before symptoms appear.

This study is not organised into the usual phase numbers — that is common for device, behavioural, and diagnostic research.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
Who receives what

There are 2 groups in this study.

Group A receives ICA.

Registry label: A: Invasive Coronary Angiography

Group B receives PET.

Registry label: B: Positron Emission Tomography

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].label
  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
How the study is run

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for

The study lists a minimum age of 18 years, with no upper limit given.

The study is open to people of any sex.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 576 people.

The study is currently expected to finish around March 2029.

The main measurement is taken over: From date of randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more → up to a minimum of 2 years.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Clinically relevant composite: Death — measured over From date of randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more → up to a minimum of 2 years.

Clinically relevant composite: Retransplant — measured over From date of randomization up to a minimum of 2 years.

Clinically relevant composite: Allograft Dysfunction — measured over From date of randomization up to a minimum of 2 years.

Clinically relevant composite: CAV with Heart Failure or Myocardial Infarction — measured over From date of randomization up to a minimum of 2 years.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT06089486 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About ICADiagnostic test

Patients will undergo annual CAV surveillance with ICA

From the trial registry — its own words, unedited.

What a diagnostic test is here: A scan, blood test, or other test being studied for how well it detects or measures something.

Read the full explanation → · in clinical review

About PETDiagnostic test

Patients will undergo annual CAV surveillance with PET

From the trial registry — its own words, unedited.

What a diagnostic test is here: A scan, blood test, or other test being studied for how well it detects or measures something.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: a minimum age of 18 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists a minimum age of 18 years, with no upper limit given.

It is open to people of any sex.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: From date of randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more → up to a minimum of 2 years.

The study as a whole is currently expected to finish around 2029-03.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 576 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists 5 locations, including: Calgary, Alberta, Canada; Edmonton, Alberta, Canada; Ottawa, Ontario, Canada; Toronto, Ontario, Canada; Montreal, Quebec, Canada.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

Cardiac allograft vasculopathy (CAV) is a common complication affecting heart transplant patients. This condition causes narrowing of the heart arteries leading to graft dysfunction. Surveillance for CAV is vital; however an ideal approach has not been established. The goal of this study is to assess whether noninvasive positron emission tomography (PET) based surveillance is non-inferior to invasive coronary angiography (ICA) surveillance.

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This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.