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出境医 / 临床实验 / Pulmonary Hemodynamics During Exercise - Research Network (PEX-NET)

Pulmonary Hemodynamics During Exercise - Research Network (PEX-NET)

Study Description
Brief Summary:
The purpose of this Clinical Research Collaboration is to investigate the prognostic implications of pulmonary hemodynamics during exercise based on a large scale multi-centre approach by using retrospective and prospective analysis of hemodynamic data.

Condition or disease Intervention/treatment
Pulmonary Circulation Diseases Diagnostic Test: assessment of pulmonary hemodynamics during exercise by right heart catheterization

Study Design
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Study Type : Observational [Patient Registry]
Estimated Enrollment : 1500 participants
Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration: 6 Years
Official Title: Pulmonary Hemodynamics During Exercise - Research Network
Actual Study Start Date : December 1, 2018
Estimated Primary Completion Date : December 31, 2023
Estimated Study Completion Date : December 31, 2023
Arms and Interventions
Group/Cohort Intervention/treatment
Retrospective patient cohort Diagnostic Test: assessment of pulmonary hemodynamics during exercise by right heart catheterization
all patients undergo right heart catheterization during exercise due to clinical reasons. Results of this and other Routine clinical tests will be included in the registry

Prospective patient cohort Diagnostic Test: assessment of pulmonary hemodynamics during exercise by right heart catheterization
all patients undergo right heart catheterization during exercise due to clinical reasons. Results of this and other Routine clinical tests will be included in the registry

Outcome Measures
Primary Outcome Measures :
  1. Number of Participants who die during observation [ Time Frame: 6 years ]
    The investigators aim to assess the prognostic relevance of pulmonary hemodynamics during exercise as assessed by right heart catheterization by using a multi-centre approach and to identify independent predictors of adverse events. Separate data sets will be analysed for the retrospective and prospective Evaluation.

  2. Number of Participants undergoing lung Transplantation during observation [ Time Frame: 6 years ]
    Occurrences of lung transplantations


Secondary Outcome Measures :
  1. Number of Participants being hospitalizated during observation [ Time Frame: 6 years ]
    Number of hospitalizations

  2. Number of Participants who develop pulmonary Hypertension as assessed by right heart catheterization [ Time Frame: 6 years ]
    Diagnosis of pulmonary hypertension

  3. Number of Participants with newly initiated pulmonary arterial Hypertension medication during observation [ Time Frame: 6 years ]
    Evaluation of medication initiations


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Patients (females and males; age: above 18yrs) with intermediate or high echocardiographic probability of PH and/or unexplained dyspnea, and/or associated conditions for PAH as clinical indication for right heart catheterization at rest and exercise
Criteria

Inclusion Criteria:

  • Patients (females and males; age: above 18yrs) with intermediate or high echocardiographic probability of PH and/or unexplained dyspnea, and/or associated conditions for PAH as clinical indication for RHC at rest and exercise
  • Written informed consent of participating subjects after being fully briefed (for prospective analysis)

Exclusion Criteria:

  • Patients with incomplete hemodynamic data at rest or exercise
  • Patients without sufficient follow-up data (information on survival / lung transplantation)
  • advanced tumour disease or other diseases with a short life expectancy, except pulmonary vascular diseases
  • advanced heart failure with pulmonary arterial wedge pressure (PAWP) > 18 mmHg at rest
  • uncontrolled systemic arterial hypertension (RR values > 160/100 mmHg at rest)
  • FEV1<50% predicted
  • TLC<60% predicted
Contacts and Locations

Contacts
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Contact: Gabor Kovacs, MD +43-316-385 ext 12183 gabor.kovacs@klinikum-graz.at

Locations
Show Show 32 study locations
Sponsors and Collaborators
Medical University of Graz
European Respiratory Society
Investigators
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Study Chair: Horst Olschewski, MD Medical University of Graz
Study Chair: Philippe Herve, MD Centre Chirugical Marie Lannelongue
Tracking Information
First Submitted Date March 14, 2019
First Posted Date May 17, 2019
Last Update Posted Date September 16, 2020
Actual Study Start Date December 1, 2018
Estimated Primary Completion Date December 31, 2023   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: June 5, 2019)
  • Number of Participants who die during observation [ Time Frame: 6 years ]
    The investigators aim to assess the prognostic relevance of pulmonary hemodynamics during exercise as assessed by right heart catheterization by using a multi-centre approach and to identify independent predictors of adverse events. Separate data sets will be analysed for the retrospective and prospective Evaluation.
  • Number of Participants undergoing lung Transplantation during observation [ Time Frame: 6 years ]
    Occurrences of lung transplantations
Original Primary Outcome Measures
 (submitted: May 16, 2019)
  • Number of Participants who die during observation [ Time Frame: 6 years ]
    We aim to investigate the prognostic relevance of pulmonary hemodynamics during exercise as assessed by right heart catheterization by using a multi-centre approach and to identify independent predictors of adverse events. Separate data sets will be analysed for the retrospective and prospective Evaluation.
  • Number of Participants undergoing lung Transplantation during observation [ Time Frame: 6 years ]
    Occurrences of lung transplantations
Change History
Current Secondary Outcome Measures
 (submitted: September 14, 2020)
  • Number of Participants being hospitalizated during observation [ Time Frame: 6 years ]
    Number of hospitalizations
  • Number of Participants who develop pulmonary Hypertension as assessed by right heart catheterization [ Time Frame: 6 years ]
    Diagnosis of pulmonary hypertension
  • Number of Participants with newly initiated pulmonary arterial Hypertension medication during observation [ Time Frame: 6 years ]
    Evaluation of medication initiations
Original Secondary Outcome Measures
 (submitted: May 16, 2019)
  • Number of Participants being hospitalization during observation [ Time Frame: 6 years ]
    Number of hospitalizations
  • Number of Participants who develop pulmonary Hypertension as assessed by right heart catheterization [ Time Frame: 6 years ]
    Diagnosis of pulmonary hypertension
  • Number of Participants with newly initiated pulmonary arterial Hypertension medication during observation [ Time Frame: 6 years ]
    Evaluation of medication initiations
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Pulmonary Hemodynamics During Exercise - Research Network
Official Title Pulmonary Hemodynamics During Exercise - Research Network
Brief Summary The purpose of this Clinical Research Collaboration is to investigate the prognostic implications of pulmonary hemodynamics during exercise based on a large scale multi-centre approach by using retrospective and prospective analysis of hemodynamic data.
Detailed Description Not Provided
Study Type Observational [Patient Registry]
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration 6 Years
Biospecimen Not Provided
Sampling Method Probability Sample
Study Population Patients (females and males; age: above 18yrs) with intermediate or high echocardiographic probability of PH and/or unexplained dyspnea, and/or associated conditions for PAH as clinical indication for right heart catheterization at rest and exercise
Condition Pulmonary Circulation Diseases
Intervention Diagnostic Test: assessment of pulmonary hemodynamics during exercise by right heart catheterization
all patients undergo right heart catheterization during exercise due to clinical reasons. Results of this and other Routine clinical tests will be included in the registry
Study Groups/Cohorts
  • Retrospective patient cohort
    Intervention: Diagnostic Test: assessment of pulmonary hemodynamics during exercise by right heart catheterization
  • Prospective patient cohort
    Intervention: Diagnostic Test: assessment of pulmonary hemodynamics during exercise by right heart catheterization
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: May 16, 2019)
1500
Original Estimated Enrollment Same as current
Estimated Study Completion Date December 31, 2023
Estimated Primary Completion Date December 31, 2023   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Patients (females and males; age: above 18yrs) with intermediate or high echocardiographic probability of PH and/or unexplained dyspnea, and/or associated conditions for PAH as clinical indication for RHC at rest and exercise
  • Written informed consent of participating subjects after being fully briefed (for prospective analysis)

Exclusion Criteria:

  • Patients with incomplete hemodynamic data at rest or exercise
  • Patients without sufficient follow-up data (information on survival / lung transplantation)
  • advanced tumour disease or other diseases with a short life expectancy, except pulmonary vascular diseases
  • advanced heart failure with pulmonary arterial wedge pressure (PAWP) > 18 mmHg at rest
  • uncontrolled systemic arterial hypertension (RR values > 160/100 mmHg at rest)
  • FEV1<50% predicted
  • TLC<60% predicted
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Gabor Kovacs, MD +43-316-385 ext 12183 gabor.kovacs@klinikum-graz.at
Listed Location Countries Australia,   Austria,   Belgium,   Brazil,   Denmark,   France,   Germany,   Italy,   Netherlands,   Poland,   Spain,   Switzerland,   United Kingdom,   United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT03954574
Other Study ID Numbers 30-437 ex 17/18
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party Medical University of Graz
Study Sponsor Medical University of Graz
Collaborators European Respiratory Society
Investigators
Study Chair: Horst Olschewski, MD Medical University of Graz
Study Chair: Philippe Herve, MD Centre Chirugical Marie Lannelongue
PRS Account Medical University of Graz
Verification Date September 2020