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NCT04402645

Novel Echocardiographic Methods for Early Identification of Neonates at Risk for Chronic Pulmonary Hypertension

Completed Last updated 14 June 2024
What this trial tests

trial in Pulmonary Hypertension in 350 participants. Completed in 1 April 2024.

Timeline
31 August 2017
Primary endpoint
31 August 2022
1 April 2024

Quick facts

Lead sponsorMount Sinai Hospital, Canada
StatusCompleted
Study typeOBSERVATIONAL
Enrollment350
Start date31 August 2017
Primary completion31 August 2022
Estimated completion1 April 2024
Sites6 locations across Ireland, United Kingdom, Canada, United States

Conditions studied

Sponsor

Mount Sinai Hospital, Canada

Who can join

14 Days and older, any sex, with Pulmonary Hypertension or Infant, Premature. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Chronic pulmonary hypertension (cPHT) is a serious cardiopulmonary disorder that causes low oxygen levels in the blood, difficulty in breathing and ultimately heart failure. Newborn babies born extremely premature frequently suffer from cPHT while receiving treatment in neonatal intensive care units and are more likely to die than those without cPHT. Echocardiography is the investigation of choice for the assessment of heart function in premature infants however however there is a significant lack of standardization, sensitivity, and reliability for echocardiography parameters and a lack of consensus regarding optimal detection timing. In adults and older children it is known that early diagnosis and treatment, particularly before right side of the heart fails, is an important determinant of treatment success and survival. Diagnosis late in postnatal course for preterm infants remains a major barrier to timely and effective treatment. The primary objective of this study is to develop new, sensitive, quantitative echocardiographic diagnostic criteria which will allow for the identification of extreme preterm neonates suffering from significantly high pressure in their pulmonary blood vessels, early in postnatal course, when the disease is likely to be most amenable to preventative/curative treatment. This is an international initiative that will leverage expertise about echocardiography techniques and cardiopulmonary physiology of preterm infants.The results of this study will have an immediate impact on the day-to-day care of these highly vulnerable infants. The results will lead to increased awareness among clinicians, inform future surveillance protocols and diagnostic timing, and provide ideal preparation for future therapeutic trials.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Multicentre prospective observational study exploring the predictive value of functional echocardiographic indices for early identification of preterm neonates at risk of developing chronic pulmonary hypertension secondary to chronic neonatal lung disease.
    Thomas L, Baczynski M, Deshpande P, Kharrat A, et al · · 2021 · cited 4× · PMID 33789855 · DOI 10.1136/bmjopen-2020-044924

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Other recruiting trials for Pulmonary Hypertension

Currently open trials in the same condition.

Other Mount Sinai Hospital, Canada trials

Trials by the same sponsor.

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Data sources for this page

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