Could CO2 replace dye for heart scans? new study investigates
NCT ID NCT06253884
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study will test whether breathing controlled amounts of carbon dioxide (CO2) can help doctors see blood flow in the heart using MRI, without needing standard contrast dyes. Thirty adults with known or suspected coronary artery disease will take part. The goal is to check if the method is safe, tolerable, and technically feasible.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Carbon dioxide (CO2) gas delivered via RespirAct device
- What this could lead to
- If successful, this could lead to a safer, contrast-free way to diagnose blocked arteries in the heart using just CO2 and MRI.
- What could go wrong
- This is a very early pilot study with only 30 people, so it may not work as hoped or be widely usable. The approach is still experimental and needs much more testing.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Dec 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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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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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: 1. Adults \> 18 years of age 2. Clinically stable individuals with suspected or known coronary artery disease (CAD) 3. The SPECT/PET study indicates at least a mild to moderate myocardial ischemia (\>5-9%) or fractional-flow-reserve (FFR) of \<0.75. Exclusion Criteria: 1. Prior myocardial infarction by clinical history (subjects with prior coronary revascularization without myocardial infarction will not be excluded) 2. Hypotension (systolic blood pressure \< 100 mmHg) 3. Significant non-coronary cardiac disease (e.g., valvular abnormality, or cardiomyopathy, etc.) 4. Inability to schedule the research study within 30 days of the SPECT/PET study and prior to any coronary revascularization procedure 5. Inability to voluntarily increase their breathing rate if prompted to do so 6. Persons with mechanically, magnetically, or electrically activated implants (such as cardiac pacemakers, neurostimulators, and infusion pumps), with ferromagnetic implants or foreign bodies (such as intracranial, aneurysm clips, shrapnel, and intraocular metal chips) 7. Persons who are pregnant, nursing, or implanted with intrauterine devices (IUD's) 8. Persons with a history of significant heart, lung, kidney, or liver disease 9. Persons with asthma 10. Persons who have abnormal cardiac rhythm and rate 11. Persons unable to tolerate MRI secondary to an inability to lie supine for 60-90 minutes or severe claustrophobia 12. Persons whose renal function test does not meet MRI contrast protocol requirements \[estimated Glomerular filtration rate (eGFR) \< 40 mL/min/1.73m2\] 13. Persons with a known history of allergy to gadolinium-based contrast 14. Enrollment in another research study. 15. Inability or unwillingness to provide informed consent
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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
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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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IU Health Methodist Hospital
Indianapolis, Indiana, 46202, United States
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