NCT04444973

Brief Summary

Balloon pulmonary angioplasty (BPA) treats patients with inoperable chronic thromboembolic pulmonary hypertension (CTEPH). Intra-procedural markers of success to guide the intervention are lacking. The investigators propose to measure right ventricular (RV) pressure volume loops invasively and measure biomarkers at intervals during the course of a course of BPA. These data will be analysed to define load independent indices of RV functional improvement, cross correlated with biomarker data and be used to calibrate non-invasive assessment of ventriculo-arterial coupling by cardiac magnetic resonance imaging (CMR) to better detect responders of BPA and pulmonary endarterectomy (PEA).

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
20

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Jan 2022

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 21, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 24, 2020

Completed
1.5 years until next milestone

Study Start

First participant enrolled

January 1, 2022

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2024

Completed
Last Updated

November 22, 2023

Status Verified

November 1, 2023

Enrollment Period

3 years

First QC Date

June 21, 2020

Last Update Submit

November 21, 2023

Conditions

Keywords

Balloon pulmonary angioplasty

Outcome Measures

Primary Outcomes (1)

  • Change in RV Tau

    Does BPA result in a significant change in right ventricular time constant of diastolic relaxation - a measure of diastolic dysfunction

    3 months

Secondary Outcomes (2)

  • Ang2 an pro-NT BNP

    3 months

  • CMR

    3 months

Study Arms (1)

Invasive RV assessment

RV conductance catheter assessment of RV performance

Procedure: Balloon pulmonary angioplasty

Interventions

Balloon dilatation of sub segmental pulmonary artery web disease

Invasive RV assessment

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with inoperable CTEPH undergoing BPA

You may qualify if:

  • \>18 years old
  • Able to provide informed consent
  • Inoperable CTEPH eligible for BPA treatment

You may not qualify if:

  • Severe co-morbidity (expected life \<6months)
  • Women of child bearing age
  • Significant known left to right shunt
  • Permanent pacemaker
  • Atrial fibrillation
  • Severe lung parenchyma disease ( eg emphysema, Interstitial Lung Disease (ILD)).
  • Retained metallic foreign body

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Royal Papworth Hospital

Cambridge, United Kingdom

RECRUITING

Biospecimen

Retention: SAMPLES WITHOUT DNA

Venous blood

Study Officials

  • Stephen P Hoole, MD

    Royal Papworth Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Sarah Fielding, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 21, 2020

First Posted

June 24, 2020

Study Start

January 1, 2022

Primary Completion

December 31, 2024

Study Completion

December 31, 2024

Last Updated

November 22, 2023

Record last verified: 2023-11

Data Sharing

IPD Sharing
Will not share

IPD data will not be shared

Locations