Status:

COMPLETED

Immune Correlates of Cardiac Structure and Function

Lead Sponsor:

Duke University

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Perinatal HIV Infection

Cardiac Fibrosis

Eligibility:

All Genders

20-45 years

Brief Summary

The purpose of this study is to determine the occurrence of scarring of the heart (cardiac fibrosis) and inflammation in those with perinatally acquired Human Immunodeficiency Virus (HIV) infection co...

Eligibility Criteria

Inclusion

  • Individuals 20-45 years of age
  • Willingness and ability to provide signed and dated written informed consent, prior to any study-related procedures
  • Diagnosed with HIV \<10 years of age or physician confirmation of perinatal HIV infection
  • On antiretroviral treatment (ART) for at least the last greater than or equal to 6 months
  • Willingness to undergo Cardiovascular magnetic resonance imaging (CMR)
  • Willingness to undergo echocardiogram (ECHO) (may be included if ECHO has been done at Duke in the previous 24 months).
  • Willingness to have research blood draw

Exclusion

  • Contraindication to CMR (metal fragments in eyes or face, implanted electronic devices such as pacemakers, defibrillators, cochlear implants, or nerve stimulators, aneurysm clips)
  • Estimated glomerular filtration rate (eGFR) \< 30 mL/min/1.73m2
  • History of anaphylactic reaction to gadolinium contrast
  • Inability to complete an MRI scan in the past due to anxiety
  • Recent acute medical illness resulting in recent hospitalization (in past 90 days)
  • History of: Coronary artery disease (CAD), Myocardial infarction (MI), moderate-severe valvular disease, congenital heart disease, heart failure, non-ischemic CM, Atrial fibrillation/flutter, implantable cardioverter defibrillator (ICD)/pacemaker, myocarditis prior
  • Current Symptoms of Shortness of breath, severe chest pain, palpations, difficulty breathing on exertion, swelling of legs
  • Known to be pregnant or current breastfeeding
  • Known to be on hemodialysis
  • Inability to breath hold for 5-10 seconds
  • Known to have an ejection fraction \<45% in the past 24 months
  • Active cancer or cancer chemotherapy or radiation treatment in the prior year.
  • Comorbid inflammatory disease, specifically treated for rheumatoid arthritis (RA) or lupus (SLE)
  • Chronic use of steroids or anti-inflammatory therapy

Key Trial Info

Start Date :

May 9 2022

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

September 21 2022

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT05328713

Start Date

May 9 2022

End Date

September 21 2022

Last Update

March 21 2024

Active Locations (1)

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1

Duke University Health System

Durham, North Carolina, United States, 27710

Immune Correlates of Cardiac Structure and Function | DecenTrialz