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Detecting Pulmonary Arterial Hypertension (PAH) in Patients With Systemic Sclerosis (SSc) by Ultrasound

Primary Purpose

Systemic Sclerosis, Pulmonary Hypertension

Status
Terminated
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
Doppler ultrasound
Sponsored by
Echosense Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Systemic Sclerosis focused on measuring Systemic sclerosis, pulmonary hypertension

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Able and willing to give signed informed consent prior to enrollment
  2. Male or female, ≥ 18 years of age
  3. Diagnosis of SSc according to 2013 ACR/EULAR SSc Classification Criteria (van den Hoogen 2013): Score ≥ 9.
  4. Patients with RHC data available from measurement within 3 weeks prior to TPD assessment
  5. No change in or initiation of PAH specific therapy between the last RHC and TPD

Exclusion Criteria:

  1. People unable or unwilling to give informed consent.
  2. PCWP or LVEDP > 15 mmHg
  3. Any PH etiology outside Group 1 (Dana Point, 2008)
  4. Pregnant women
  5. Patients having severe chest wall deformity

Sites / Locations

  • Reumatology department, Rabin medical center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Doppler ultrasound

Arm Description

Recording Doppler signals from the lungs

Outcomes

Primary Outcome Measures

Number of SSc patients correctly identified with pulmonary hypertension severity in each of the 4 defined groups by RHC.
Analyze Doppler data of 4 SSc groups(according to pulmonary hypertension sevirity ) resulting in typical features. The features will be implemented in a pre-determined diagnostic algorithm that will determine the overall statistical analysis success of the method in comparison to RHC data.

Secondary Outcome Measures

Full Information

First Posted
September 8, 2014
Last Updated
January 20, 2016
Sponsor
Echosense Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02243111
Brief Title
Detecting Pulmonary Arterial Hypertension (PAH) in Patients With Systemic Sclerosis (SSc) by Ultrasound
Official Title
Evaluation of Lung Doppler Signals (LDS) in Detecting Pulmonary Arterial Hypertension (PAH) in Patients With Systemic Sclerosis (SSc)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Terminated
Why Stopped
Low recruitment rate
Study Start Date
September 2014 (undefined)
Primary Completion Date
September 2015 (Actual)
Study Completion Date
December 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Echosense Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Doppler signals can be recorded from the lung parenchyma by means of a pulsed Doppler ultrasound system incorporating a special signal processing package; i.e. the transthoracic parametric Doppler (TPD) (EchoSense Ltd., Haifa, Israel). Systemic sclerosis patients often develop pulmonary vascular disease leading to pulmonary hypertension. The TPD system may provide important insight into pulmonary blood vessels characteristics by the LDS signals that are related to pulmonary hypertension. The TPD performance in detecting PAH in SSc patients will be assessed in the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Sclerosis, Pulmonary Hypertension
Keywords
Systemic sclerosis, pulmonary hypertension

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Outcomes Assessor
Allocation
N/A
Enrollment
1 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Doppler ultrasound
Arm Type
Experimental
Arm Description
Recording Doppler signals from the lungs
Intervention Type
Radiation
Intervention Name(s)
Doppler ultrasound
Intervention Description
Detecting Doppler signals from the lungs on the right chest wall
Primary Outcome Measure Information:
Title
Number of SSc patients correctly identified with pulmonary hypertension severity in each of the 4 defined groups by RHC.
Description
Analyze Doppler data of 4 SSc groups(according to pulmonary hypertension sevirity ) resulting in typical features. The features will be implemented in a pre-determined diagnostic algorithm that will determine the overall statistical analysis success of the method in comparison to RHC data.
Time Frame
12 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Able and willing to give signed informed consent prior to enrollment Male or female, ≥ 18 years of age Diagnosis of SSc according to 2013 ACR/EULAR SSc Classification Criteria (van den Hoogen 2013): Score ≥ 9. Patients with RHC data available from measurement within 3 weeks prior to TPD assessment No change in or initiation of PAH specific therapy between the last RHC and TPD Exclusion Criteria: People unable or unwilling to give informed consent. PCWP or LVEDP > 15 mmHg Any PH etiology outside Group 1 (Dana Point, 2008) Pregnant women Patients having severe chest wall deformity
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yair Molad
Organizational Affiliation
Reumatology department, Rabin medical center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Reumatology department, Rabin medical center
City
Petach Tikva
ZIP/Postal Code
49100
Country
Israel

12. IPD Sharing Statement

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Detecting Pulmonary Arterial Hypertension (PAH) in Patients With Systemic Sclerosis (SSc) by Ultrasound

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