Status:

COMPLETED

Effects of Pulmonary Hypertension Therapy in Atypical Pulmonary Arterial Hypertension

Lead Sponsor:

Mayo Clinic

Conditions:

Pulmonary Arterial Hypertension

Eligibility:

All Genders

18+ years

Brief Summary

The purpose of this study is to characterize the clinical and hemodynamic response of Pulmonary Arterial Hypertension (PAH) therapy in patients with atypical PAH and risk factors for left heart diseas...

Detailed Description

This is an observational prospective study to better understand the clinical impact of Pulmonary Arterial Hypertension (PAH) specific therapy in patients with atypical PAH among those with risk factor...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Pulmonary hypertension with mean PA pressure \>20 mmHg and a planned initiation of pulmonary arterial hypertension therapy
  • No active treatment for precapillary pulmonary hypertension
  • Ambulatory (not wheelchair/scooter dependent)
  • Presence of any risk factor for left heart disease will qualify for inclusion (either atrial fibrillation, body mass index\>30 kg/m2, arterial hypertension, diabetes, coronary artery disease or age\>60 years)

Exclusion

  • Significant chronic obstructive pulmonary disease that is a primary contributor to symptoms in the opinion of the investigator
  • Ischemia thought to contribute to dyspnea in the opinion of the investigator
  • Obstructive hypertrophic cardiomyopathy
  • Known infiltrative cardiomyopathy (amyloid)
  • Constrictive pericarditis or tamponade
  • Active myocarditis
  • Complex congenital heart disease
  • More than mild aortic or mitral stenosis
  • Intrinsic (prolapse, rheumatic) valve disease with more than moderate mitral, tricuspid or aortic regurgitation
  • Acute or chronic severe liver disease as evidenced by any of the following: encephalopathy, variceal bleeding, INR \> 1.7 in the absence of anticoagulation treatment
  • Terminal illness (other than HF) with expected survival of less than 1 year
  • Enrollment or planned enrollment in another therapeutic clinical trial in next 3 months.
  • Inability to comply with planned study procedures
  • Pregnancy or breastfeeding mothers

Key Trial Info

Start Date :

March 11 2021

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

November 21 2023

Estimated Enrollment :

19 Patients enrolled

Trial Details

Trial ID

NCT04787445

Start Date

March 11 2021

End Date

November 21 2023

Last Update

March 21 2024

Active Locations (1)

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Mayo Clinic in Rochester

Rochester, Minnesota, United States, 55905