A Study for the Identification of Biomarker Signatures for Diagnosis of Pulmonary Hypertension (PH) in Participants at Low or Intermediate Probability of PH Undergoing Cardiac Magnetic Resonance Imaging

NCT ID: NCT04480723

Last Updated: 2025-03-30

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

Clinical Phase

EARLY_PHASE1

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-11

Study Completion Date

2022-05-18

Brief Summary

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The primary purpose of this study is to estimate the percentage of participants in the population considered clinically as not having pulmonary hypertension (PH) that are positive for PH biomarker (micro ribonucleic acid \[RNA\]); estimate the percentage of participants in the population considered clinically as not having PH that are positive for PH by cardiac magnetic resonance imaging (MRI) and compare results of the MRI to the biomarker results; to determine the performance of the biomarker signatures identified in the CIPHER (NAPUH0001) study in terms of sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV), in a population considered clinically as not having PH.

Detailed Description

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Conditions

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Hypertension, Pulmonary

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Participants with Low or Intermediate Probability of PH

Participants who underwent a work-up for the suspicion of PH that includes transthoracic echocardiography (TTE) and who were considered to have a low or intermediate probability of PH according to TTE (local interpretation) will be enrolled. Blood samples will be taken and a cardiac magnetic resonance imaging (MRI) will be performed to evaluate the presence of Pulmonary Hypertension (PH). The TTEs that were performed by local standards will be collected and undergo central interpretation using European society of Cardiology / European respiratory society (ESC/ERS) guidelines to confirm the local interpretation.

Group Type OTHER

Blood Sample

Intervention Type OTHER

Blood samples will be taken and analyzed to evaluate the presence of PH.

Cardiac MRI

Intervention Type DIAGNOSTIC_TEST

Cardiac MRI will be performed to evaluate the presence of PH.

Interventions

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Blood Sample

Blood samples will be taken and analyzed to evaluate the presence of PH.

Intervention Type OTHER

Cardiac MRI

Cardiac MRI will be performed to evaluate the presence of PH.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Referred for diagnostic work-up for pulmonary hypertension (PH)
* With low or intermediate (but not high) probability of PH by transthoracic echocardiography (TTE) according to European Society of Cardiology (ESC)/ European Respiratory Society (ERS) Guidelines if at the time of enrollment Right Heart Catheterization (RHC) is not deemed to be clinically indicated
* Medically stable on the basis of physical examination, medical history and vital signs performed at screening. Any abnormalities must be consistent with the underlying illness in the study population and this determination must be recorded in the participant's source documents and initialed by the investigator
* Must sign an Informed consent (ICF) indicating that he or she understands the purpose of, and procedures required for, the study and is willing to participate in the study
* Must sign a separate approval in the ICF if he or she agrees to provide an optional (DNA) sample for research. Refusal to give consent for the optional (DNA) research sample does not exclude a participant from participation in the study

Exclusion Criteria

* Undergone RHC within 2 years
* Participants requiring renal dialysis
* Participants post-lung or heart transplant
* Severe left ventricular dysfunction: left ventricular ejection fraction less then (\<) 35 percent
* Ongoing Contagious respiratory disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Actelion

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Actelion Clinical Trial

Role: STUDY_DIRECTOR

Actelion

Locations

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Universitatsklinikum Bonn

Bonn, , Germany

Site Status

Universitaetsklinikum Giessen

Giessen, , Germany

Site Status

Universitatsklinikum Schleswig Holstein

Lübeck, , Germany

Site Status

Royal United Hospital

Bath, , United Kingdom

Site Status

National Waiting Times Centre Board Golden Jubilee National Hospital

Glasgow, , United Kingdom

Site Status

Royal Free Hospital

London, , United Kingdom

Site Status

Hammersmith Hospital

London, , United Kingdom

Site Status

Sheffield Teaching Hospitals NHS Foundation Trust Royal Hallamshire Hospital

Sheffield, , United Kingdom

Site Status

Countries

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Germany United Kingdom

Other Identifiers

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NAPUH0003

Identifier Type: OTHER

Identifier Source: secondary_id

CR108827

Identifier Type: -

Identifier Source: org_study_id

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