TrEatment Approach in the Multimodal Era Registry

NCT ID: NCT05629052

Last Updated: 2025-05-08

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

ACTIVE_NOT_RECRUITING

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-04-12

Study Completion Date

2028-04-30

Brief Summary

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The goal of this observational patient registry is to learn how expert centers treat patients with chronic thromboembolic pulmonary hypertension (CTEPH). CTEPH is a condition in which blood clots block the blood vessels in the lungs. There are currently three treatment options for patients with CTEPH:

* surgery to remove blood clots from large vessels in the lungs (pulmonary endarterectomy (PEA))
* the use of a small balloon to unblock smaller blood vessels (balloon pulmonary angioplasty (BPA))
* drugs

Patients can also receive a combination of these treatments.

The main question this registry aims to answer are:

* How many patients receive a given kind of treatment?
* How do expert centers combine the different treatments?
* Are patients doing better after they receive a given kind of treatment?
* How many patients are alive 1, 3 and 5 years after they receive a given kind of treatment?

Participants will receive the same treatments that they would receive if they did not participate in the study. During the study, patients will visit their doctors as they would do normally. The doctors will collect information on the patients' health and enter it into the study database. The follow-up time will be at least 3 years for all patients.

Detailed Description

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Conditions

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Chronic Thromboembolic Pulmonary Hypertension CTEPH

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Pulmonary endarterectomy

Surgical removal of a chronic clot from the pulmonary artery

Intervention Type PROCEDURE

Balloon pulmonary angioplasty

Catheter-based intervention to dilate occluded pulmonary vessels through the insertion and inflation of a small balloon

Intervention Type PROCEDURE

Pulmonary hypertension (PH)-specific medication

Treatment with any PH-specific medication, i.e. endothelin receptor antagonists, phosphodiesterase type 5 inhibitors, soluble guanylate cyclase stimulators, drugs acting on the prostanoid pathway and prostaglandin I2 receptor agonists

Intervention Type DRUG

Other Intervention Names

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PEA Pulmonary thromboendarterectomy (PTE) PTE BPA

Eligibility Criteria

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Inclusion Criteria

1. Newly referred patient with CTEPH or chronic thromboembolic pulmonary disease (CTEPD) without PH according to the following criteria:

1. Mean pulmonary arterial pressure (mPAP) \> 20 mmHg at rest with pulmonary vascular resistance (PVR) \> 2 Wood units (WU); or if mPAP ≤ 20 mmHg or PVR ≤ 2 WU at rest, have exercise limitations from CTEPD without PH
2. Abnormal ventilation perfusion scan, pulmonary angiogram, computer tomographic pulmonary angiogram, or magnetic resonance pulmonary angiogram confirming CTEPD as recommended by standard guidelines
2. Treatment with anticoagulation for ≥ 3 months before diagnosis of CTEPH or CTEPD without PH
3. Naïve to interventional treatment (both PEA and BPA)
4. Pre-treatment with PH-specific medication for ≤ 12 months, or no medical pre-treatment, at enrollment
5. Willing and able to provide informed consent in order to participate in the study (informed consent signed)
6. Age ≥ 18 years
7. CTEPH-specific treatment must be modified or initiated at the participating site

Exclusion Criteria

1. Main cause of PH other than CTEPH
2. Participating in an interventional clinical trial at enrollment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

International CTEPH Association

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nick H Kim, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Diego

Locations

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University of California San Diego

San Diego, California, United States

Site Status

Northwestern University

Evanston, Illinois, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

UT Southwestern

Dallas, Texas, United States

Site Status

Hospital Universitario Fundación Favaloro

Buenos Aires, , Argentina

Site Status

University Hospital Vienna

Vienna, , Austria

Site Status

University Hospitals Leuven

Leuven, , Belgium

Site Status

Santa Casa

Porto Alegre, , Brazil

Site Status

Toronto General Hospital

Toronto, Ontario, Canada

Site Status

China-Japan Friendship Hospital

Beijing, , China

Site Status

Shaio Clinic Foundation

Bogotá, , Colombia

Site Status

General University Hospital

Prague, , Czechia

Site Status

Aarhus University Hospital

Aarhus, , Denmark

Site Status

Kerckhoff Clinic, Department of Thoracic Surgery

Bad Nauheim, , Germany

Site Status

Narayana Institute of Cardiac Science

Bangalore, , India

Site Status

University of Bologna

Bologna, , Italy

Site Status

Okayama Medical Center

Okayama, , Japan

Site Status

National Cerebral and Cardiovascular Center

Osaka, , Japan

Site Status

National Heart Institute

Mexico City, , Mexico

Site Status

Department of Cardiac and Vascular Diseases, John Paul II Hospital

Krakow, , Poland

Site Status

Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, European Health Center Otwock

Otwock, , Poland

Site Status

National Heart Centre of Singapore

Singapore, , Singapore

Site Status

Pulmonary Hypertension Unit, Hospital 12 de Octubre

Madrid, , Spain

Site Status

Marmara University School of Medicine

Istanbul, , Turkey (Türkiye)

Site Status

Royal Papworth Hospital

Cambridge, , United Kingdom

Site Status

Countries

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United States Argentina Austria Belgium Brazil Canada China Colombia Czechia Denmark Germany India Italy Japan Mexico Poland Singapore Spain Turkey (Türkiye) United Kingdom

Related Links

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https://www.cteph-association.org/team-registry.html

Description of the registry on the website of the International CTEPH Association

Other Identifiers

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TEAM registry

Identifier Type: -

Identifier Source: org_study_id

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