Biological Sex and CTEPH-related RV Dysfunction and Recovery (BIOSPHeRe)
Study Details
Study Description
Brief Summary
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To identify biological sex differences in baseline RV function in CTEPH
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To identify biological sex differences in recovery of RV function after PTE surgery in CTEPH
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To determine if sex hormone levels relate to RV function at CTEPH diagnosis and during recovery after PTE.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Aims 1 and 2 together comprise a retrospective cohort study. We will identify historical subjects with newly diagnosed CTEPH using a clinical database. We will perform TTE strain analysis (RVGLS) to compare RV function between the biologic sexes at diagnosis and after surgical correction of CTEPH (to assess recovery).
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Retrospective Cohort Aim 1 Aims 1 and 2 are retrospective and will be conducted with the same dataset, just at two different time points (at diagnosis of CTEPH and after PTE surgery). For simplicity, aims 1 and 2 will be combined into one section throughout the protocol. |
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Retrospective Cohort Aim 2 Aims 1 and 2 are retrospective and will be conducted with the same dataset, just at two different time points (at diagnosis of CTEPH and after PTE surgery). For simplicity, aims 1 and 2 will be combined into one section throughout the protocol. |
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Prospective Cohort Aim 3 Aim 3 is prospective and will enroll a distinct set of patients from Aim 1 and 2. |
Outcome Measures
Primary Outcome Measures
- Biosphere [1 year]
To assess biological sex differences in baseline RV function in CTEPH
- Biopshere [1 year]
To determine the biological sex differences in recovery of RV function after PTE surgery in CTEPH
- Biosphere [1 year]
To assess if and how sex hormone levels relate to RV function at CTEPH diagnosis and during recovery after PTE.
Eligibility Criteria
Criteria
Inclusion criteria
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Adult (≥18 years old) patients diagnosed with CTEPH per current guideline standard42
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Subject must have a baseline TTE (within 3 months of diagnosis) with adequate images for RVGLS analysis
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Subject must have a right heart catheterization (RHC) at the time of diagnosis
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To be included in the Aim 2 analysis, patients must undergo PTE surgery and have a TTE performed 3-9 months after surgery with adequate images for RVGLS strain analysis
Exclusion criteria
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Unclear or mixed PH diagnosis as designated by an expert clinician at Intermountain PH center
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Any subjects <18 years of age
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Patients diagnosed during pregnancy
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Patients without a TTE and RHC at time of diagnosis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Intermountain Medical Center | Murray | Utah | United States | 84107 |
Sponsors and Collaborators
- Intermountain Health Care, Inc.
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1051738