New PET scan agent could spot rare heart disease faster
NCT ID NCT06788535
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new imaging drug called I-124 evuzamitide to see if it can accurately diagnose cardiac amyloidosis, a condition where abnormal proteins build up in the heart. 204 adults with suspected cardiac amyloidosis received a single dose followed by a PET/CT scan. The goal was to check if the scan correctly identifies the disease (sensitivity) and rules it out when absent (specificity).
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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204 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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Apr 2026
- 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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18 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Understands the study procedures and can give signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. * Male or female ≥18 years of age. * Is suspected of having cardiac amyloidosis and is undergoing or will undergo a diagnostic evaluation for cardiac amyloidosis (e.g., echocardiogram \[ECHO\], cardiac magnetic resonance imaging \[CMR\], bone-avid tracer cardiac single-photon emission computerized tomography (SPECT), extracardiac biopsy, or endomyocardial biopsy \[EMB\]). Participants may be enrolled before or during their diagnostic evaluation for cardiac amyloidosis. * Able to undergo PET/CT imaging as part of the study, including ability to lie supine for approximately 1 hour. * For women of childbearing potential: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive methods that result in a failure rate of \<1% per year during the treatment period and for at least 30 days after administration of I-124 evuzamitide. * For men: agreement to remain abstinent or use contraceptive measures and agreement to refrain from donating sperm during the treatment period and for at least 120 days after the last dose of study intervention. Exclusion Criteria: * Established diagnosis of cardiac amyloidosis. * Established diagnosis of systemic amyloidosis with known organ involvement (e.g., renal AL or ATTR peripheral neuropathy). Participants who are amyloid positive only from peripheral tissue, such as abdominal fat, carpal tunnel tissue, or laminectomy tissue, are allowed as long as they do not have other known organ involvement. * Receiving therapy with an approved treatment (e.g., tafamadis) or in a clinical trial for treatment for ATTR cardiac amyloidosis at time of enrollment. For AL and ATTR amyloidosis: Patients may enter the screening period of a clinical trial for treatment after the ICF is signed and they are enrolled in this trial, but they may not receive an experimental therapy until after the Day 30 safety follow-up visit in this trial. * Is pregnant or breast-feeding. * Is mentally or legally incapacitated, has significant emotional problems at the time of the study, or has a history of psychosis. * Has a known allergy to KI. * Receiving hemodialysis or peritoneal dialysis. * Estimated glomerular filtration rate (eGFR) less than 15 mL/min/1.73 m\^2. * Myocardial infarction within 3 months of screening. * Has severe claustrophobia or any condition, medical or otherwise, that would prevent completion of the study assessments. * Has any illness that, in the opinion of the Investigator, might confound the results of the study or pose additional risk to the participant. * Has received heparin or heparin analogs (e.g., enoxaparin, dalteparin, fondaparinux) within 7 days prior to I-124 evuzamitide administration. * Known uncorrected thyroid disorders (other than mild elevation of thyroid stimulating hormone with normal thyroxine \[T4\]).
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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.
Contacts and locations
Locations
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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City of Hope - Duarte
Duarte, California, 91010, United States
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Cleveland Clinic
Weston, Florida, 33331, United States
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Cleveland Clinic
Cleveland, Ohio, 44195, United States
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Columbia University
New York, New York, 10032, United States
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Cone Health
Greensboro, North Carolina, 27401, United States
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Cook County Health
Chicago, Illinois, 60612, United States
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Duke University
Durham, North Carolina, 27710, United States
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Houston Methodist
Houston, Texas, 77030, United States
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Mayo Clinic
Scottsdale, Arizona, 85259, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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Rutgers
New Brunswick, New Jersey, 08901, United States
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St. Lukes (CVIT) Saint Luke's Health System
Kansas City, Missouri, 64111, United States
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University of California
San Francisco, California, 94143, United States
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Washington University of St. Louis
St Louis, Missouri, 63110, United States
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Yale Cardiovascular Medicine
New Haven, Connecticut, 06520, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can AI read fused PET and MRI scans to forecast survival in a rare heart disease?
- Can a single scan reveal hidden amyloid deposits across the body?
- Heart ultrasound may spot a rare heart disease earlier
- A sharper eye on amyloid: could quantitative scans revolutionize cardiac monitoring?
- Can a new PET tracer light up amyloid in the heart?
- Liver clues: a new way to stage heart amyloidosis?