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临床试验/EUCTR2016-002389-29-BE
EUCTR2016-002389-29-BE进行中(未招募)1 期

An Exploratory Clinical Study to Assess the Effect of Pulsed, Inhaled Nitric Oxide (iNO) on Functional Respiratory Imaging (FRI) Parameters in Subjects with World Health Organization (WHO) Group 3 Pulmonary Hypertension (PH) Associated with Chronic Obstructive Pulmonary Disease (COPD) on Long Term Oxygen Therapy (LTOT).

Bellerophon Pulse Technologies, LLC0 个研究点开始时间: 2016年6月28日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Male or female patient
  • 2. A confirmed diagnosis of COPD by the Global initiative for chronic Obstructive Lung Disease (GOLD) criteria
  • 3. Pulmonary hypertension will be defined as sPAP = 38 mmHg as determined by echocardiogram (not obtained within ± 7 days of an exacerbation) within the past 12 months.
  • 4. Current or former smokers with at least 10 pack-years of tobacco cigarette smoking before study entry
  • 5. Age = 40 years, = 85 years
  • 6. A post-bronchodilatory FEV1/FVC < 0.7 and a FEV1 < 60% predicted (values obtained within 6 months prior to screening can be used unless obtained within ± 7 days of an exacerbation; otherwise, the test must be performed during screening)
  • 7. Receiving LTOT for = 3 months and = 10 hours per day as determined by history
  • 8. Females of childbearing potential must have a negative pre-scan urine pregnancy test
  • 9. Signed informed consent prior to the initiation of any study mandated procedures or assessments.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 5
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 5

排除标准

  • 1. Males who have the intention to father a child during the study.
  • 2. A diagnosis of asthma or other non-COPD respiratory disease, in the opinion of the Investigator
  • 3. Lack of patency of nares upon physical examination
  • 4. Experienced during the last month an exacerbation requiring:
  • a) start of or increase in systemic oral corticosteroid therapy and/or
  • b) hospitalization
  • 5. Left ventricular dysfunction as measured by:
  • a) Screening echocardiographic evidence of left ventricular systolic dysfunction (left ventricular ejection fraction [LVEF] < 40%), or
  • b) Screening echocardiographic evidence of left ventricular diastolic dysfunction > moderate (i.e., > Grade 3), or
  • c) Any history of pulmonary capillary wedge pressure (PCWP), left atrial pressure (LAP) or left ventricular end diastolic pressure (LVEDP) > 18 mmHg as measured during cardiac catheterization
  • within the past 6 months unless documented to have resolved by a subsequent cardiac catheterization
  • 6. Renal impairment (i.e., an estimated GFRCKD-EPI < 30 ml/min/1.73 m2) or history of renal failure using the equation:
  • crs< 0.9 mg/dL:
  • eGFRCKD-EPI = 141 × (crs /0.9)-0.411 × 0.993Age
  • crs= 0.9 mg/dL:
  • eGFRCKD-EPI = 141 × (crs /0.9)-1.209 × 0.993Age
  • crs< 0.7 mg/dL:
  • eGFRCKD-EPI = 144 × (crs /0.7)-0.329 × 0.993Age
  • crs= 0.7 mg/dL:
  • eGFRCKD-EPI = 144 × (crs /0.7)-1.209 × 0.993Age
  • where crs= Normal and elevated serum creatinine
  • Subjects with possible compromised kidney function (i.e., Glomerular Filtration Rate estimated using the Modification of Diet in Renal Disease equation [eGFR CKD-EPI] between 30 and 60 ml/min/1.73 m2) may be enrolled provided the Radiology Department and Principal Investigator review the medical records of subjects with an eGFR CKD-EPI between 30 and 60 ml/min/1.73 m2 in order to confirm the contrast agent can be safely administered to these subjects and approval by both the Radiology Department and Principal Investigator must be obtained before enrolling these subjects.
  • 7. Known allergy to contrast media.
  • 8. Clinically significant valvular heart disease that may contribute to PH, including mild or greater aortic valvular disease (aortic stenosis or regurgitation) and/or moderate or greater mitral valve disease (mitral stenosis or regurgitation), or status post mitral valve replacement
  • 9. Use within 30 days of screening or current use of approved PH medications such as sildenafil or bosentan (use of Cialis® or Viagra® for erectile dysfunction is permitted)
  • 10. Use of investigational drugs or devices within 30 days prior to enrollment into the study
  • 11. Any underlying medical or psychiatric condition that, in the opinion of the Investigator, makes the subject an unsuitable candidate for the study

研究者

发起方
Bellerophon Pulse Technologies, LLC

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