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ADVANCE MPI 2: Study of Regadenoson Versus Adenoscan® in Patients Undergoing Myocardial Perfusion Imaging (MPI)

Phase 3
Completed
Conditions
Coronary Artery Disease
Interventions
Registration Number
NCT00208312
Lead Sponsor
Gilead Sciences
Brief Summary

Adenoscan® (adenosine) is an approved pharmacological stress agent indicated as an adjunct to thallium-201 myocardial perfusion scintigraphy in patients unable to exercise adequately. The investigational drug, regadenoson (CVT-3146) is a selective A2A adenosine receptor agonist, the receptor responsible for coronary vasodilation, and is being studied for potential use as a pharmacologic stress agent in myocardial perfusion imaging (MPI) studies. This study will compare the safety and efficacy of regadenoson to that of Adenoscan in detecting reversible myocardial perfusion defects.

Detailed Description

ADVANCE MPI 2 is a multi-national, double-blind, randomized, active-controlled, parallel group clinical trial to evaluate the safety and efficacy of regadenoson in SPECT MPI compared to that of the approved pharmacological stress agent, Adenoscan. Patients referred for a clinically indicated pharmacological stress MPI study will be eligible for enrollment. The trial is designed: (1) to compare the pharmacological stress SPECT images obtained with regadenoson to those obtained with Adenoscan, and (2) to compare the safety and tolerability of the two stress agents.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
787
Inclusion Criteria
  • Referred for a clinically indicated pharmacological stress SPECT myocardial perfusion imaging study
Exclusion Criteria
  • Any condition precluding the safe administration of Adenoscan for a SPECT myocardial perfusion imaging study
  • Pregnant or breast-feeding, or (if pre-menopausal), not practicing acceptable method of birth control

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1RegadenosonRegadenoson
2AdenosineAdenoscan
Primary Outcome Measures
NameTimeMethod
Non-inferiority of regadenoson to Adenoscan for use in SPECT myocardial perfusion imaging in assessing reversible perfusion defectsAfter radiopharmaceutical administration
Secondary Outcome Measures
NameTimeMethod
Safety and tolerability comparison of regadenoson to AdenoscanUp to two weeks
Additional comparisons of images obtained with regadenoson to those obtained with AdenoscanAfter radiopharmaceutical administration

Trial Locations

Locations (1)

Multiple study locations (see Central Contact); CV Therapeutics, Inc.

🇺🇸

Palo Alto, California, United States

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