Could a common hand condition reveal hidden heart disease? new imaging trial investigates
NCT ID NCT06907849
First seen Jul 21, 2026 · Last updated Jul 22, 2026 · Updated 1 time
Summary
This study tests whether a radioactive tracer called 124I-evuzamitide can detect amyloid deposits in the heart and elsewhere in people aged 60 and older who have lumbar spinal stenosis or carpal tunnel syndrome. Participants will receive a single dose of the tracer and undergo a PET/CT scan. The goal is to see if this imaging method can identify cardiac amyloidosis, a serious condition that often goes undiagnosed, in people already known to have amyloid in tissue removed during surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a radioactive tracer called 124I-evuzamitide that binds to amyloid deposits for PET/CT imaging
- What this could lead to
- If successful, this imaging method could help identify hidden cardiac amyloidosis earlier in people with common conditions like carpal tunnel syndrome or spinal stenosis.
- What could go wrong
- This is a small, early-phase study focused on detection, not treatment. The tracer may not reliably distinguish amyloid types or predict disease progression.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2025
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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60 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Must be ≥ 60 years of age. * Must have given written informed consent (signed and dated) and any authorizations required by local law and be able to comply with all study requirements. * Must have a Congo red positive ligamentum flavum or tenosynovial specimen analysis after laminectomy or carpal tunnel release surgery that is visually categorized as either "extensive" amyloid load or "mild/moderate" amyloid load by an experienced reviewer. * Those with mild/moderate amyloid load in the connective tissue who also have a history of at least one other orthopedic clinical manifestation, including, but not limited to, carpal tunnel syndrome, lumbar spinal stenosis, trigger finger, biceps tendon rupture, and shoulder/hip/knee arthroplasty. * Females must be non-pregnant and non-lactating. Exclusion Criteria: * Subjects on dialysis. * Subjects with a confirmed diagnosis of systemic amyloidosis, other than musculoskeletal tissue. * Inability or unwillingness to comply with the study requirements. * Subjects taking heparin, or heparin derivatives (e.g. low molecular weight heparins) for anticoagulation. * Inability to lie still for \~40 minutes on the PET/CT scanner. * History of iodine (potassium iodide) allergy. * Other reason that would make the subject inappropriate for entry into this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University of Tennessee Graduate School of Medicine
Knoxville, Tennessee, 37920, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can carpal tunnel surgery restore more than hand function?
- Can a single scan reveal hidden amyloid deposits across the body?
- Heart ultrasound may spot a rare heart disease earlier
- Does nerve healing keep pace with hand recovery after carpal tunnel surgery?
- Teaching the brain about pain before surgery may ease recovery
- Retraining the brain to ease carpal tunnel pain: a new approach put to the test