Multi-site Study of the Clinical Impact of an AI-assisted Approach to Referring Patients With Interstitial Lung Disease for Diagnostic Evaluation of Pulmonary Hypertension

NCT ID: NCT06911632

Last Updated: 2025-12-30

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

RECRUITING

Clinical Phase

NA

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-23

Study Completion Date

2028-07-31

Brief Summary

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MOMENTOUS is a multi-center, randomized study to prospectively evaluate the performance of an ECG-based AI device to predict whether participants with interstitial lung disease (ILD) are at high risk of undiagnosed pulmonary hypertension.

Detailed Description

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The goal of this study is to evaluate the use of an ECG-based AI device that may help predict if participants with interstitial lung disease (ILD) are at high risk of undiagnosed pulmonary hypertension (PH). The study seeks to determine whether use of the device increases the rate of new PH diagnoses over a period of 6 months as compared to current standard of care.

The study will recruit participants with ILD from lung disease clinics who will each receive a 12-lead ECG (a test that measures the electrical activity of the heart) following consent. The device will analyze the 12-lead ECG results to identify participants that are at high risk of having undiagnosed PH.

Participants will be randomly assigned to either the Device or Control group. For participants in the Device group investigators will receive the results of the device. In the Control group investigators will not receive the results of the device. Additionally, participants in the Device group identified as "high risk" by the device will receive a transthoracic echocardiogram and a right heart catheterization (RHC). Participants in the Device group who are not high risk and all participants in the Control group will not receive these additional tests as part of the study, but will receive standard of care treatment as determined by their physicians, which may include an echocardiogram or RHC if clinically indicated.

Conditions

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Pulmonary Hypertension Interstitial Lung Disease (ILD)

Keywords

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Pulmonary Hypertension Interstitial lung disease (ILD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

An ECG-based AI device, will provide a prediction of a participant's risk of having undiagnosed pulmonary hypertension. Participants with a high risk prediction in the Device group will undergo a transthoracic echocardiogram and a right heart catheterization (RHC). All other participants will receive standard of care treatment.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

For participants in the Device group, the risk prediction will be returned to the treating provider whereas the providers will be blinded to the risk predictions for participants in the Control group.

Study Groups

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High Risk Device

The device result will be returned to the treating provider and participants will undergo a study sponsored diagnostic work-up consisting of a transthoracic echocardiogram and an RHC.

Group Type EXPERIMENTAL

ECG-based AI Device - Results Returned to Investigator

Intervention Type DEVICE

An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will be returned to the Investigators.

Echocardiogram and Right Heart Catheterization

Intervention Type PROCEDURE

Echocardiogram- an ultrasound study of the heart and Right Heart Catheterization- a procedure to measure pressures in the heart

Not High Risk Device

The device result will be returned to the treating provider. Participants will continue to be evaluated for PH according to the current standard of care with any diagnostic procedures ordered at the discretion of the treating provider.

Group Type EXPERIMENTAL

ECG-based AI Device - Results Returned to Investigator

Intervention Type DEVICE

An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will be returned to the Investigators.

High Risk Control Arm

The device result will not be returned to the treating provider. Participants will continue to be evaluated for PH according to the current standard of care with any diagnostic procedures ordered at the discretion of the treating provider.

Group Type OTHER

ECG-based AI Device - Results Not Returned to Investigator

Intervention Type DEVICE

An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will not be returned to the Investigators.

Not High Risk Control Arm

The device result will not be returned to the treating provider. Participants will continue to be evaluated for PH according to the current standard of care with any diagnostic procedures ordered at the discretion of the treating provider.

Group Type OTHER

ECG-based AI Device - Results Not Returned to Investigator

Intervention Type DEVICE

An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will not be returned to the Investigators.

Interventions

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ECG-based AI Device - Results Returned to Investigator

An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will be returned to the Investigators.

Intervention Type DEVICE

Echocardiogram and Right Heart Catheterization

Echocardiogram- an ultrasound study of the heart and Right Heart Catheterization- a procedure to measure pressures in the heart

Intervention Type PROCEDURE

ECG-based AI Device - Results Not Returned to Investigator

An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will not be returned to the Investigators.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 18 years or older at the time of consent
* A known diagnosis of interstitial lung disease
* Willing and able to provide informed consent and undergo all study-specific procedures, including echo and RHC, if required

Exclusion Criteria

* A known diagnosis of pulmonary hypertension (including patients prescribed a therapy specifically for pulmonary arterial hypertension (PAH))
* A RHC was completed within the previous 1 year or ordered and not yet completed at the time of consent
* LV ejection fraction ≤ 40% on most recent echo or cardiac MRI, if available
* Unclassifiable Tempus PH ECG risk result after up to 2 ECG acquisitions
* A contraindication to RHC exists (for example, mechanical right heart valve)
* Physician decision that if a patient is directed to RHC by the study protocol, the potential risks of RHC outweigh the potential benefits
* There is a severe concomitant illness limiting life expectancy to less than 6 months (at the discretion of the investigator)
* There is a medical or social factor that makes the patient a poor candidate for the study and/or unlikely to be able to comply with the study protocol or complete study procedures (at the discretion of the investigator)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United Therapeutics

INDUSTRY

Sponsor Role collaborator

Tempus AI

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Banner University Medical Center

Phoenix, Arizona, United States

Site Status RECRUITING

Dignity Health - St. Joseph's Hospital and Medical Center-Norton Thoracic Institute

Phoenix, Arizona, United States

Site Status RECRUITING

National Jewish Health

Denver, Colorado, United States

Site Status RECRUITING

AdventHealth Orlando

Orlando, Florida, United States

Site Status RECRUITING

Northwestern University

Chicago, Illinois, United States

Site Status RECRUITING

University of Illinois Health

Chicago, Illinois, United States

Site Status RECRUITING

Indiana University Health Methodist Hospital

Indianapolis, Indiana, United States

Site Status RECRUITING

University of Kentucky

Lexington, Kentucky, United States

Site Status RECRUITING

Louisiana State University Health Shreveport

Shreveport, Louisiana, United States

Site Status RECRUITING

University of Michigan - Michigan Medicine

Ann Arbor, Michigan, United States

Site Status RECRUITING

University of Minnesota

Minneapolis, Minnesota, United States

Site Status RECRUITING

CHI Health Creighton University Medical Center - Bergan Mercy

Omaha, Nebraska, United States

Site Status RECRUITING

Southeastern Research Center

Winston-Salem, North Carolina, United States

Site Status RECRUITING

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status RECRUITING

University of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Temple University of The Commonwealth System of Higher Education

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Baylor University Medical Center

Dallas, Texas, United States

Site Status RECRUITING

University of Utah

Salt Lake City, Utah, United States

Site Status RECRUITING

West Virginia University Hospital

Morgantown, West Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Momentous Study

Role: CONTACT

Phone: (833) 514-4187

Email: [email protected]

Facility Contacts

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Andrea Ford

Role: primary

Clinical Research Coordinator

Role: primary

Dominique Robertson

Role: primary

Adrea Arthofer

Role: primary

Kimberly Stark

Role: primary

Taryn Holt

Role: primary

Dustin Fraidenburg, MD

Role: primary

Isabell Mwaura

Role: primary

Srushan Bhaktula

Role: primary

Teresa Leeth

Role: primary

Catherine Crombez

Role: primary

Mandi DeGrote

Role: primary

Chloe Andersen

Role: primary

Lauren Miller

Role: primary

Jennie Pexa

Role: primary

Maria Mason

Role: primary

Kimberly Selwood

Role: primary

Brianna Kamran

Role: primary

Stefanos Lakonios

Role: primary

Chad Glaze

Role: primary

Other Identifiers

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TP-CA-008

Identifier Type: -

Identifier Source: org_study_id