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Effect of Inhaled Albuterol in Pulmonary Hypertension

Phase 2
Completed
Conditions
Pulmonary Hypertension
Interventions
Drug: Albuterol
Drug: Placebo
Registration Number
NCT03270332
Lead Sponsor
University of Miami
Brief Summary

The purpose of the present pilot study is to test the hypothesis that in patients with group 1 pulmonary arterial hypertension (PAH) who are on regular oral pulmonary vasodilator therapy, inhaled albuterol causes transient pulmonary vasodilation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • A Mean Pulmonary Artery Pressure >25mmHg, Pulmonary Vascular Resistance >3 wood/units and pulmonary arterial wedge pressure <15mmHg, as documented by right heart catheterization within the last 3 years
  • Regular use of oral pulmonary vasodilators
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Exclusion Criteria
  • Presence of chronic respiratory disease (as documented by prior lung imaging and pulmonary function tests), cardiovascular disease (as documented by prior echocardiography and/or left heart catheterization), thromboembolic PAH (as documented by pulmonary angiography)
  • women of childbearing potential who do not use accepted birth- control measures
  • pregnant and breast-feeding women
  • respiratory infection within 4 weeks of testing
  • A systemic systolic arterial BP> 150 and/or diastolic arterial BP>100 on the experiment day
  • A resting O2 saturation of < 90%
  • Current smoking
  • BMI >35 kg/m2 and/or a diagnosis of obstructive sleep apnea
  • Use of inhaled or intravenous pulmonary vasodilators
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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Albuterol followed by placeboPlaceboParticipants in this group will receive albuterol first followed by Placebo on the next visit
Placebo followed by albuterolPlaceboParticipants in this group will receive placebo first followed by albuterol on the next visit
Albuterol followed by placeboAlbuterolParticipants in this group will receive albuterol first followed by Placebo on the next visit
Placebo followed by albuterolAlbuterolParticipants in this group will receive placebo first followed by albuterol on the next visit
Primary Outcome Measures
NameTimeMethod
Change in Mean Pulmonary Artery Pressure (MPAP)Baseline, up to 30 minutes after inhalation

Change in MPAP will be measured using echocardiogram

Secondary Outcome Measures
NameTimeMethod
Change in Pulmonary Vascular Resistance (PVR)Baseline, up to 30 minutes after inhalation

Change in PVR will be measured using echocardiogram

Trial Locations

Locations (1)

University of Miami

🇺🇸

Miami, Florida, United States

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