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Stress echo could unmask hidden heart valve disease in amyloidosis patients
NCT ID NCT06372301
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 15 patients with a rare heart condition called wild-type transthyretin amyloid cardiomyopathy (ATTRwt) who also had signs of aortic stenosis. Researchers used dobutamine stress echocardiography—a test that uses a drug to make the heart pump harder while imaging it—to see if it could accurately measure the severity of the valve narrowing. The goal was to compare this non-invasive method with the standard invasive measurement to improve diagnosis and avoid unnecessary procedures.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dobutamine (a heart-stimulating drug used during stress echocardiography)
- What this could lead to
- If successful, this could provide a reliable, non-invasive way to diagnose severe aortic stenosis in patients with ATTR amyloidosis, reducing the need for invasive procedures.
- What could go wrong
- This is a small, completed study with only 15 participants, so results may not apply to everyone. The test may still be less accurate than the gold-standard invasive measurement.
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
-
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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15 people
The number who actually took part.
- Started
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Apr 2024
- Finished
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Mar 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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65 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: 1. ATTRwt, diagnosis confirmed by 99mtc-3,3-Diphosphono-1,2-Propanodicarboxylic Acid (DPD) scintigraphy, genetic testing, and/or endomyocardial biopsy. 2. Symptomatic patients (New York Heart Association \> class I) treated with loop diuretics. 3. LF/LG AS: Defined as, aortic valve area ≤ 1 cm2 and mean gradient \< 40 mmHg, and SVI ≤35 ml/m2. 4. Age ≥ 65 years. 5. Oral and written informed consent. Exclusion Criteria: 1. Other significant valvular disease. 2. Known severe coronary artery diseases: left main stem stenosis or 3-vessel disease, or recent acute myocardial infarction (\< 4 weeks). 3. Contraindications to the use of dobutamine: Known allergy to dobutamine or sulfite, phaeochromocytoma or ventricular tachycardia (VT).
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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
-
Department of Cardiology, Aarhus University Hospital
Aarhus, 8200, Denmark
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