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Clinical Trials/NCT04967807
NCT04967807
Active, not recruiting
Not Applicable

Myocardial Injury and Outcomes Following COVID-19 Vaccination (MYOVAX Study)

University Health Network, Toronto2 sites in 1 country57 target enrollmentAugust 5, 2021

Overview

Phase
Not Applicable
Intervention
Cardiac PET/MRI
Conditions
Myocardial Injury
Sponsor
University Health Network, Toronto
Enrollment
57
Locations
2
Primary Endpoint
Prevalence of myocardial inflammation on PET/MRI
Status
Active, not recruiting
Last Updated
8 days ago

Overview

Brief Summary

The study will focus on cardiac blood and imaging biomarkers to facilitate early recognition of patients at risk for myocardial injury after COVID-19 vaccination. Ultimately, the intention is to identify patients at risk, reduce adverse events, and determine the need for longer-term follow-up in patients with myocardial injury after vaccination.

Detailed Description

Coronavirus disease 2019 (COVID-19) vaccination frequently leads to minor side effects that may be more intense after the second dose, including fatigue and pain. However, there are emerging reports of more serious side effects in a minority of patients including myocarditis. Given the recent introduction of COVID-19 vaccination, there is limited understanding of: (i) prevalence and pattern of myocardial injury post vaccination, (ii) the risk factors for myocardial injury and adverse cardiac events post vaccination, and (iii) imaging and blood biomarkers for early recognition of patients at risk of adverse outcomes. This study will address the above-mentioned knowledge gaps by focusing on patients who have received at least one dose of a COVID-19 vaccine. The study will focus on cardiac blood and imaging biomarkers to facilitate early recognition of patients at risk for myocardial injury after COVID-19 vaccination. Ultimately, the intention is to identify patients at risk, reduce adverse events, and determine the need for longer-term follow-up in patients with myocardial injury after vaccination.

Registry
clinicaltrials.gov
Start Date
August 5, 2021
End Date
August 5, 2026
Last Updated
8 days ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Age ≥ 17 years (both Cohort A and B)
  • Received at least one dose of a COVID-19 vaccine in the past 6 months (both Cohort A and B)
  • Developed new clinical signs or symptoms suggestive of myocarditis/myocardial injury within one month of COVID vaccine administration without other known cause (Cohort A, only)

Exclusion Criteria

  • Contraindications to cardiac PET/MRI
  • Current history of COVID-19

Arms & Interventions

Cohort A - Symptomatic

Those with clinical findings suggestive of myocarditis/myocardial injury after COVID-19 vaccination

Intervention: Cardiac PET/MRI

Cohort A - Symptomatic

Those with clinical findings suggestive of myocarditis/myocardial injury after COVID-19 vaccination

Intervention: Blood Biomarkers

Cohort B - Asymptomatic

Those without signs or symptoms suggestive of myocarditis after COVID-19 vaccination

Intervention: Cardiac PET/MRI

Cohort B - Asymptomatic

Those without signs or symptoms suggestive of myocarditis after COVID-19 vaccination

Intervention: Blood Biomarkers

Outcomes

Primary Outcomes

Prevalence of myocardial inflammation on PET/MRI

Time Frame: 6months and 12months

The prevalence of myocardial inflammation on PET/MRI will be compared between symptomatic and asymptomatic patients

Secondary Outcomes

  • Myocardial edema(6months and 12months)
  • Major adverse cardiac events (MACE)(6months and 12months)
  • Left ventricular dysfunction(6months and 12months)

Study Sites (2)

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