MARVEL: Myocardial Fibrosis, Function and Aging
Study Details
Study Description
Brief Summary
In normal ageing, the impact of myocardial fibrosis on myocardial function is unclear as diastolic function is reported to change according to age. The objective is to explore the relationship between myocardial function changes, with local (T1 and diffusion) fibrosis measures with Magnetic Resonance Imaging (MRI) as well as global measures of fibrosis (skin auto-fluorescence and collagen blood-biomarkers).
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Healthy volunteers Sedentary healthy subjects will be recruited in this study. MRI, skin auto-fluorescence measures and blood sampling will be performed |
Biological: Blood sampling
Blood sampling will be performed at inclusion to investigate some biological eligibility criteria, and the day of MRI in order to analyse fibrosis biomarkers and collagen synthesis biomarkers
Device: MRI
MRI will be performed to measure interstitial fibrosis
Biological: Skin auto-fluorescence
Skin auto-fluorescence measures will be performed to measure advanced glycation end-products (AGE) produced by collagen degradation
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Outcome Measures
Primary Outcome Measures
- Regional myocardial strain [The day of MRI]
Segmental measures of systolic and diastolic strains with magnetic resonance imaging (MRI)
Secondary Outcome Measures
- MRI T1 value [The day of MRI, before gadolinium injection]
This value is an indicator of interstitial fibrosis and extracellular volume
- MRI T1 value [The day of MRI, 15 minutes after gadolinium injection]
Diminution of this value after gadolinium injection is an indicator of increasing quantity of interstitial fibrosis and extracellular volume
- Apparent Diffusion Coefficient (ADC) with MRI [The day of MRI]
ADC is measured with diffusion weighted imaging
- Blood carboxy-terminal propeptide of procollagen type I (PICP) rate [The day of MRI]
Collagen blood biomarker analysis
- Blood amino-terminal propeptide of procollagen type III (PIIINP) rate [The day of MRI]
Collagen blood biomarker analysis
- Advanced Glycation End-products (AGE) rate [The day of MRI]
Skin auto-fluorescence AGE measures
Eligibility Criteria
Criteria
Inclusion Criteria:
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physical activity ≤ 3 x(30') per week
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no history of smoking, diabetes, myocardial infarction, heart failure, hypertension (<140 or <90 mmHg) and no anti-hypertensive or cardiovascular-related medications
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no familial history of early myocardial ischemia
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body mass index (BMI) <30kg/m2
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normal routine lipid blood analysis
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glycemia <1.26g/l
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normal electrocardiogram (ECG)
Exclusion Criteria:
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arrhythmia
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hepatic insufficiency
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pregnancy
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claustrophobia
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MRI contrast allergy,
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general contraindications to MRI such as pacemaker, etc.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Département de Radiologie, CHU Saint-Etienne - Hôpital Nord | Saint Etienne | France | 42270 |
Sponsors and Collaborators
- Hospices Civils de Lyon
Investigators
- Principal Investigator: Pierre CROISILLE, MD, PhD, CHU Saint-Etienne
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 69HCL15_0744