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BICYCLE trial.

Conditions
Pulmonary arterial hypertensionExercise inducedCongenital heart diseaseAdvanced treatmentCardiopulmonary exercise testPulmonale arteriële hypertensieInspanningsgebondenCongenitale hartziektenCardiopulmonale inspanningstest
Registration Number
NL-OMON20429
Lead Sponsor
Academic Medical Center - University of Amsterdam
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

In order to be eligible to participate in this study, a subject must meet all of the following criteria:

1. Adult (>18 years) and mentally competent;

Exclusion Criteria

A potential subject who meets any of the following criteria will be excluded from participation in this study:

1. Incapable of giving informed consent;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary objective of this study is to determine change in mean pulmonary arterial pressure at peak exercise in adult congenital heart disease patients with exercise-induced pulmonary arterial hypertension before and after treatment with bosentan, compared to patients treated with placebo.
Secondary Outcome Measures
NameTimeMethod
To determine:<br /><br>1. Cardiopulmonary exercise capacity: i.e. peak oxygen consumption, VE/VCO2 ratio, O2 pulse;<br /><br>2. Pulmonary hemodynamics: i.e. systolic pulmonary arterial pressure, pulmonary vascular resistance, pressure-flow relationships during and at peak exercise;<br /><br>3. Right ventricular function: i.e. TAPSE, TEI index, TDI-S, right ventricular dimensions;<br /><br>4. Laboratory parameters:<br />i.e. NT-pro BNP, troponin T;<br /><br>5. NYHA functional class;<br /><br>6. Quality of life: assessed by TAAQOL-CHD, SF-36 and Minnesota CHD-HF questionnaire.
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