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NCT Number: NCT06555211

Cardio and Renovascular Effects of Isometric Exercise in the Healthy Human Measured by PET/CT and MRI

This randomized crossover study aims to validate measurements of renal perfusion in healthy males with PET/CT, using 15-oxygen labeled water as tracer, against the validated multiparametric MRI technique.

The study will determine:

* Total renal blood flow and regional renal perfusion at baseline (rest) and during isometric muscle exercise of the upper arm, using PET/CT (with 15-oxygen labeled water as a tracer) and MRI. * The coefficient of variation of renal blood flow and regional renal perfusion measurements at baseline and during isometric muscle exercise of the upper arm, using PET/CT (with 15-oxygen labeled water as a tracer) and MRI. * Regional renal oxygenation and oxygen extraction at baseline and during isometric muscle exercise of the upper arm using MRI. * The coefficient of variation on regional renal oxygenation and oxygen extraction measurements at baseline and during isometric muscle exercise of the upper arm using MRI.

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Key information

Conditions

Age range

18 year–60 year

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Bispebjerg Hospital, Department of Clinical Physiology & Nuclear Medicine

Copenhagen, Capital Region, 2400, Denmark

Location status: Recruiting

Location contact

Ali Asmar, MD, PhD

CONTACT

[email protected]

Peter Sørensen, MD

CONTACT

[email protected]

+4530516279

About this study

Measuring tissue perfusion with PET/CT using 15-oxygen labeled water is routinely used as a non-invasive tool to examine cerebral and myocardial perfusion. With a 100% tissue extraction, 15-oxygen labeled water is gold standard.

The aim of the present study is to validate renal perfusion measurements with PET/CT using 15-oxygen labeled water as tracer against the validated multiparametric MRI technique.

Once validated the imaging technique will be beneficial in examining vascular damage in the kidneys caused by different renal diseases.

This is a randomized, crossover study where each participant will participate in 1 study day.

Ten healthy male participants in the age group 20-60 years are screened and randomized, and expected to complete the present study. Informed consent is obtained before the screening meeting.

All participants consume a controlled diet with fixed salt intake corresponding to a daily intake of 50-70 mmol + 2 mmol/kg sodium for 4 days before the experiment. On the fourth day, 24-hour urine collection will be performed. Throughout the 4 day period, water intake will be ad libitum and physical activity will not be allowed.

Each participant will undergo both PET/CT and MRI separated by around 1.5 hour.

Total renal blood flow and regional renal perfusion are measured repeatedly altogether 5 times with both PET/CT and MRI. Renal oxygenation and oxygen extraction are measured repeatedly 5 times as well, using MRI. The 5 measurements consist of 2 at baseline (rest), 2 during isometric exercise (handgrip) and 1 during recovery (rest).

Isometric muscle exercise is conducted by squeezing a handgrip coupled to a dynamometer. This increases sympathetic nervous activity, leading to preglomerular vasoconstriction.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Normal health stated through medical questionnaire, examination and blood samples.

Exclusion criteria

  • Immunosuppressive treatment
  • Alcohol abuse
  • Treatment with glucocorticoids, Glucagon-like peptide-1 (GLP-1) agonists, dipeptidyl peptidase 4 (DPP-4)-inhibitors
  • Medical treatment affecting insulin secretion or cardiovascular endpoints
  • Liver disease
  • Decreased kidney function
  • Severe claustrophobia
  • Elements incompatible with MR.

Treatment and study plan

MRI

Procedure

MRI will be performed

PET/CT

Procedure

PET/CT will be performed

Primary outcomes

  1. Coefficient of variation on total blood flow and regional renal perfusion measurements at rest and during isometric muscle exercise, measured by PET/CT with 15-Oxygen labeled water and MRI

    Time frame: Each participant's study day during the span of the study (approximately 5 months)

    No metric unit

  2. Total blood flow at rest and during isometric muscle exercise measured by PET/CT with 15-Oxygen labeled water and MRI

    Time frame: Each participant's study day during the span of the study (approximately 5 months)

    Volume of blood pr unit time, ml/min

  3. Regional renal perfusion at rest and during isometric muscle exercise measured by PET/CT with 15-Oxygen labeled water and MRI

    Time frame: Each participant's study day during the span of the study (approximately 5 months)

    Volume of blood pr unit time pr unit tissue mass, ml/min/g

  4. Regional renal oxygenation at rest and during isometric muscle exercise using MRI

    Time frame: Each participant's study day during the span of the study (approximately 5 months)

    Percentage, fraction

  5. Regional renal extraction of oxygen at rest and during isometric muscle exercise using MRI

    Time frame: Each participant's study day during the span of the study (approximately 5 months)

    Percentage, fraction

  6. Coefficient of variation on regional renal oxygenation and extraction of oxygen measurements at rest and isometric muscle exercise using MRI

    Time frame: Each participant's study day during the span of the study (approximately 5 months)

    No metric unit

Study contacts

Contact information is provided by the study sponsor or research team.

Ali Asmar, MD, PhD

CONTACT

[email protected]

Peter Sørensen, MD

CONTACT

[email protected]

+4530516279

Sponsors and collaborators

Lead sponsor

Bispebjerg Hospital

Other

Registry information

Official study title

Cardio and Renovascular Effects of Static Muscle Work in the Healthy Human - Measured With Finapres® and Positron Emission Tomography (PET) Using 15-oxygen Labeled Water as Tracer Compared to Magnetic Resonance (MR)

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Aug 15, 2024
Registry last updated
Aug 15, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.