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Comparison of inhaled nebulized nitrite and oral sildenafil VS oral sildenafil alone in the treatment of beta-thalassemia patients with pulmonary hypertensio

Phase 2
Recruiting
Conditions
Beta&#45
thalassemia with pulmonary hypertension
Bet thalassemia
pulmonary hypertension
Registration Number
TCTR20180913002
Lead Sponsor
Department of Pharmacology at Faculty of Science, Mahidol University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

Age ≥ 18 years old
Beta-thalassemia patients diagnosed with pulmonary hypertension type 5 (WHO criteria)
Right heart catheterization ; MPAP ≥ 25 mmHg and PCWP < 15 mmHg
TR Vmax ≥  2.8 m/s or RVSP ≥ 35 mmHg will undergo to right heart catherization

Exclusion Criteria

-Currently use organic nitrate
-Currently treated with other PAH -specific drugs (except sildenafil)
-Hb < 7 mg/dL
-Plasma methemoglobin level > 4%
-Symptomatic left sided heart failure
-History ischemic heart disease
-COPD
-Uncontrolled DM
-Uncontrolled thyroid disorder
-Cirrhosis
-Pregnancy
-No inform consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change of six minute walk test 3 months Standard 6 minutes walk test measurement
Secondary Outcome Measures
NameTimeMethod
Change of echocardiography 3 months Echocardiogram,change of NTproBNP 3 months Blood for NTproBNP
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