19F MRI in Healthy Children and Children With Mild Cystic Fibrosis Lung Disease

Study Purpose

This study capitalizes on the emerging technology of 19F MRI, using conventional 'thermally' polarized perfluorinated gas (perfluoropropane, or PFP) mixed with oxygen and studied with magnetic resonance imaging (MRI) to visualize ventilation. This technique has not been studied in children. Children and adolescents (6-17 years old) with cystic fibrosis (CF) who have normal spirometry will undergo 19F MRI with the inhalation of an inert contrast gas to study ventilation. Comparisons will be made to a cohort of healthy children (6-17 years old) who will perform the same measures. The primary outcome measure is the feasibility of conducting these studies in the pediatric population. Parallel performance of multiple breath nitrogen washout (MBW) and spirometry will be used to compare the sensitivity of these outcomes to the presence of mild lung disease in these children. Finally, the investigators will compare data obtained during standard breath holds with a novel "free-breathing" technique that will eliminate the need for breath holds during MRI acquisition.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Yes
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages 6 Years - 17 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - 6-17 years old.
  • - Non-smoker and non-vaper.
  • - Cystic Fibrosis (CF) Group: must have a diagnosis of CF.
  • - No use of supplemental oxygen.
  • - They must be able to perform spirometry and have stable lung function (within 10% personal best in the last 6 months) and no exacerbations within the past 4 weeks.
  • - Baseline forced expiratory volume in 1 second (FEV1) >80% with ratio of the forced expiratory volume in the first one second to the forced vital capacity of the lung (FEV1:FVC) ratio >0.7.

Exclusion Criteria:

  • - Healthy volunteers: with any history of chronic lung disease (i.e. asthma) - Active or former smoker with less than 1 year of quitting.
  • - Unable to undergo an MRI of the lungs and chest because of contraindications, including: - Injury to the eye involving a metallic object.
  • - Injury to the body involving a metallic object.
  • - Presence of an implanted drug infusion device that is not MRI safe.
  • - Bone growth of fusion simulator.
  • - Presence of cochlear, otologic, or ear implant.
  • - Shunt (spinal or intraventricular) - Any implant held in place by magnet.
  • - Claustrophobia.
  • - Unable to tolerate the inhalation of the gas mixture.
  • - Facial hair preventing a tight fit of the mask used in the study.
  • - Pregnancy.
- Changes in medication that may affect CF lung disease or lung function in the past 28 days, including experimental therapies

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06066723
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

University of North Carolina, Chapel Hill
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Jennifer L Goralski, MD
Principal Investigator Affiliation UNC Chapel Hill
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other, NIH
Overall Status Not yet recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Cystic Fibrosis in Children
Arms & Interventions

Arms

: Children with CF

All subjects to receive inhaled perfluoropropane during MRI procedures, including standard breath hold and free-breathing technique. Subjects will breathe the gas for 5 breath hold cycles (variable volumes as lung capacity/size varies per participant).

: Healthy Children

All subjects to receive inhaled perfluoropropane during MRI procedures, including standard breath hold and free-breathing technique. Subjects will breathe the gas for 5 breath hold cycles (variable volumes as lung capacity/size varies per participant).

Interventions

Combination Product: - 19F MRI

Inhalation of a biologically inert contrast gas, perfluoropropane, combined with 19F-tuned MRI with image acquisition at breath-hold and during tidal breathing.

Contact a Trial Team

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Chapel Hill, North Carolina

Status

Address

Univeristy of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27514

Site Contact

Jennifer L Goralski, MD

jennifer_goralski@med.unc.edu

919-445-0331

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