Effect of iNO on Invasively Derived Pulmonary Pressures in Patients With PAH

NCT ID: NCT02734953

Last Updated: 2018-09-24

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2016-12-31

Brief Summary

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Pulmonary hypertension is characterized by an increase in the pressures in the blood supply to the lungs greater than a mean pressure of 25mmHg and a concomitant increase in overall pulmonary vascular resistance (PVR). In patients who have remodeling of their pulmonary vasculature, PVR will increase with exercise instead of decreasing as it would in normal patients. Based on published evidence, the investigators intend to investigate the effects of inhaled nitric oxide (iNO) on patients undergoing standard exercise techniques who have separately and previously had an implanted pulmonary artery monitoring device (CardioMems by St Jude Medical, Inc.) placed.

Detailed Description

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Conditions

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Pulmonary Arterial Hypertension

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

Determination of non-invasive pulmonary pressures by CardioMems device interrogation pre- and post-administration of inhaled nitric oxide at 0.075 mg/kg IBW/hr

Group Type EXPERIMENTAL

Nitric Oxide

Intervention Type DRUG

Ambulatory inhaled nitric oxide delivery system and 6 minute walk distance test

Interventions

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Nitric Oxide

Ambulatory inhaled nitric oxide delivery system and 6 minute walk distance test

Intervention Type DRUG

Other Intervention Names

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iNOPulse DS

Eligibility Criteria

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Inclusion Criteria

* Males or females age 18 to 80 years with a diagnosis of pulmonary arterial hypertension (WHO Group I pulmonary hypertension).
* Must be able to read and understand English and consent for themselves
* Previously implanted CardioMems continuous PA pressure
* Ambulatory and able to complete 6MWD test.

Exclusion Criteria

* Pregnant or lactating females; negative pregnancy test as confirmed by evaluation of data from pre-enrolled Risk Evaluation and Mitigation Strategies (REMS) program.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)

OTHER

Sponsor Role lead

Responsible Party

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Raymond Benza

Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Raymond L Benza, MD

Role: PRINCIPAL_INVESTIGATOR

West Penn Allegheny Health System

Locations

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Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

References

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Frantz RP, Benza RL, Kjellstrom B, Bourge RC, Barst RJ, Bennett TD, McGoon MD. Continuous hemodynamic monitoring in patients with pulmonary arterial hypertension. J Heart Lung Transplant. 2008 Jul;27(7):780-8. doi: 10.1016/j.healun.2008.04.009. Epub 2008 Jun 2.

Reference Type BACKGROUND
PMID: 18582809 (View on PubMed)

Hasuda T, Satoh T, Shimouchi A, Sakamaki F, Kyotani S, Matsumoto T, Goto Y, Nakanishi N. Improvement in exercise capacity with nitric oxide inhalation in patients with precapillary pulmonary hypertension. Circulation. 2000 May 2;101(17):2066-70. doi: 10.1161/01.cir.101.17.2066.

Reference Type BACKGROUND
PMID: 10790348 (View on PubMed)

Kjellstrom B, Frantz RP, Benza RL, Bennett T, Bourge RC, McGoon MD. Hemodynamic ranges during daily activities and exercise testing in patients with pulmonary arterial hypertension. J Card Fail. 2014 Jul;20(7):485-91. doi: 10.1016/j.cardfail.2014.04.019. Epub 2014 May 9.

Reference Type BACKGROUND
PMID: 24816520 (View on PubMed)

Other Identifiers

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RC6167

Identifier Type: -

Identifier Source: org_study_id

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