Ventricular Reversed Remodeling After LTX in PAH Patients

NCT ID: NCT02391441

Last Updated: 2019-08-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

17 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-03-31

Study Completion Date

2019-08-31

Brief Summary

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The investigators will evaluate ventricular reversed remodelling after double lung transplantation (LTX) in patients with pulmonary arterial hypertension (PAH), measured with cardiac magnetic resonance imaging (MRI). Reversed remodelling will be compared with control patients without PAH (e.g. Cystic Fibrosis) who will also undergo LTX.

Detailed Description

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In this study, pre-LTX and six-months post-LTX measurements will be compared with each other and between the primary and control group.

Pre- and post-LTX measurements include:

Past medical history: Including basic diagnosis; interventions, surgery and transplant related complications (re-operations, hospitalizations, infections) and medication history; These data will be collected by studying the medical files including surgical reports.

Present medical history: Including NYHA class.

Physical examination: Including length and weight.

Cardiac Magnetic Resonance Imaging:

* Ventricular volume, function and mass measurements
* Flow measurements of the pulmonary artery and aorta
* Disease specific measurements (e.g. septal bowing, RV trabecularisation, etc.)
* T1-mapping

Transthoracic Echocardiography

Resting ECG: Disease specific electrophysiological findings (e.g. QRS-duration, right bundle branch block).

Laboratory evaluation:

* NT-pro-BNP
* eGFR
* Remaining serum will be stored.

Conditions

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Pulmonary Arterial Hypertension

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Pulmonary arterial hypertension

Patients who are on the waiting list for double-LTX for pulmonary arterial hypertension.

No interventions assigned to this group

Control group

Control patients without increased pulmonary artery pressure (i.e. RV peak pressure \<35 mmHg measured with echocardiography) who are on the waiting list for double-LTX.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients who are on the waiting list for double-LTX, in our institution, for pulmonary arterial hypertension.
* Eligible for CMR imaging
* No claustrophobia
* No pacemaker, ICD, etc.
* Informed consent

Exclusion Criteria

* Inability to comply with primary endpoint measures.
* Body mass index ≥40 kg/m2.
* Pregnant patients will not be included, they may be included \>3 months after pregnancy.
* Patients with age \<18 years.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amsterdam UMC, location VUmc

OTHER

Sponsor Role collaborator

University Medical Center Groningen

OTHER

Sponsor Role lead

Responsible Party

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J.P. van Melle

MD PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dirk J van Veldhuisen, MD PhD

Role: STUDY_DIRECTOR

University Medical Center Groningen

Locations

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University Medical Center Groningen

Groningen, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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METc2014/134

Identifier Type: -

Identifier Source: org_study_id

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