- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05776225
Pulmonary Hypertension Screening in Patients With Interstitial Lung Disease for Earlier Detection (PHINDER)
Pulmonary Hypertension Screening in Patients With Interstitial Lung Disease for Earlier Detection (PHINDER)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In this study, subjects will undergo a broad range of clinical assessments that are potentially associated with PH. Study data will be used to identify and weigh specific clinical parameters based on their prognostic significance for right heart catheterization (RHC)-confirmed PH. There is no study drug under investigation in this study. The study consists of 2 study visits: a Screening Visit and Study Visit 1.
Clinical assessments include pulmonary function tests (PFTs); high resolution computed tomography (HRCT); physical examination; 6-Minute Walk Test; blood draw for clinical laboratory parameters, plasma brain natriuretic peptide (BNP) concentration and plasma N-terminal pro-BNP (NT-proBNP) concentration; echocardiography; University of California San Diego Shortness of Breath Questionnaire (UCSD SOBQ); King's Brief Interstitial Lung Disease Questionnaire (K-BILD); 36-Item Short Form Survey (SF-36); Pulmonary Hypertension Functional Classification Self Report (PH-FC-SR); Investigator's Suspicion of PH Questionnaire; adverse event (AE) monitoring; and RHC.
As the primary objective of this study is to collect a broad range of clinical parameters in patients with ILD, it is expected that numerous exploratory and post-hoc analyses will be performed to identify and weigh specific parameters based on their prognostic significance for PH in this patient population with the goal of developing a screening algorithm for PH in patients with ILD.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Arizona
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Phoenix, Arizona, United States, 85032
- Pulmonary Associates
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Connecticut
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Hartford, Connecticut, United States, 06106
- Hartford Hospital
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Florida
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Lakeland, Florida, United States, 33805
- Lakeland Regional Health
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Naples, Florida, United States, 34102
- NCH Healthcare System
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Tampa, Florida, United States, 33606
- University of South Florida Health
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Weston, Florida, United States, 33331
- Cleveland Clinic Florida
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Georgia
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Atlanta, Georgia, United States, 30322
- Emory University Hospital
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Austell, Georgia, United States, 30106
- Piedmont Healthcare
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Chicago, Illinois, United States, 60153
- Loyola University Chicago
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Glenview, Illinois, United States, 60025
- Northshore University Health System
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Kentucky
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Lexington, Kentucky, United States, 40536
- University of Kentucky Medical Center
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Louisiana
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New Orleans, Louisiana, United States, 70112
- LSU Health Sciences Center New Orleans
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan Int Med Pulmonary and Critical Care
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Okemos, Michigan, United States, 48864
- McLaren Greater Lansing
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Missouri
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Hannibal, Missouri, United States, 63401
- Blessing Health Hannibal
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Nevada
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Reno, Nevada, United States, 89502
- Renown Regional Medical Center
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New Hampshire
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Lebanon, New Hampshire, United States, 03756
- Dartmouth Hitchcock Medical Center
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New Jersey
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Neptune City, New Jersey, United States, 07753
- Jersey Shore University Medical Center
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New York
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New York, New York, United States, 10016
- NYU Langone Medical Center
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The Bronx, New York, United States, 10467
- Montefiore Medical Center
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Greensboro, North Carolina, United States, 27403
- Pulmonix, LLC
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Greenville, North Carolina, United States, 27834
- East Carolina University
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Oregon
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Portland, Oregon, United States, 97210
- Legacy Health
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Pennsylvania
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Bethlehem, Pennsylvania, United States, 18015
- St. Luke's University Health network
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South Carolina
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Anderson, South Carolina, United States, 29621
- AnMed Health Pulmonary and Sleep Medicine
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Columbia, South Carolina, United States, 29203
- Prisma Health
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Tennessee
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Knoxville, Tennessee, United States, 37909
- StatCare Pulmonary Consultants
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Texas
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Denison, Texas, United States, 75020
- Premier Pulmonary Critical Care and Sleep Medicine
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Houston, Texas, United States, 77030
- Houston Methodist Hospital
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San Antonio, Texas, United States, 78229
- The University of Texas Health Science Center at San Antonio
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Utah
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Murray, Utah, United States, 84107
- Intermountain Healthcare
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Salt Lake City, Utah, United States, 84108
- University of Utah Health
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Vermont
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Burlington, Vermont, United States, 05446
- The University of Vermont Medical Center
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Virginia
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Charlottesville, Virginia, United States, 22903
- University of Virginia
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Falls Church, Virginia, United States, 22042
- Inova Fairfax Hospital
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Norfolk, Virginia, United States, 23507
- Sentara Cardiovascular Research Institute
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Richmond, Virginia, United States, 23229
- Pulmonary Associates of Richmond
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Washington
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Spokane, Washington, United States, 99204
- Providence Medical Research Center
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West Virginia
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Huntington, West Virginia, United States, 25701
- Marshall Health
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria
- Patient gives voluntary written informed consent to participate in the study and are capable of reading and understanding questionnaires or forms in English or Spanish.
Patients with a diagnosis of ILD based on computed tomography imaging, including:
- Idiopathic interstitial pneumonia, including idiopathic pulmonary fibrosis
- Connective tissue disease-associated ILD with forced vital capacity (FVC) <70%
- Hypersensitivity pneumonitis
- Scleroderma-related ILD
- Autoimmune ILD
- Nonspecific interstitial pneumonia
- Occupational lung disease
- Combined pulmonary fibrosis and emphysema with mild emphysema on lung imaging as determined by the Investigator
- Patients must have at least 2 signs or symptoms suggestive of PH, as specified by the study protocol.
Exclusion Criteria
- Prior RHC with mPAP >20 mmHg.
- Currently on a Food and Drug Administration (FDA)-approved pulmonary arterial hypertension (PAH) medication for the treatment of PAH.
- Diagnosed with chronic obstructive pulmonary disease (CPFE with mild emphysema notwithstanding).
- Uncontrolled or untreated moderate to severe sleep apnea as determined by the patient's physician.
- Pulmonary embolism within the past 3 months.
- History of ischemic heart disease or left-sided myocardial dysfunction within 12 months of Screening, defined as left ventricular ejection fraction <40% or pulmonary capillary wedge pressure >15 mmHg.
- Any other clinical features that, in the opinion of the Investigator, might adversely affect interpretation of study data or study safety, or make the patient unsuitable for RHC or HRCT (e.g., pregnancy).
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
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Experimental study arm
All enrolled patients in this single arm study will receive a RHC.
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RHC to evaluate pulmonary hemodynamics
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of patients with PH as indicated by RHC
Time Frame: Through study completion, approximately 3 weeks.
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Mean pulmonary artery pressure (mPAP) >20 mmHg with pulmonary artery wedge pressure (PAWP) ≤15 mmHg and pulmonary vascular resistance (PVR) >2 WU.
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Through study completion, approximately 3 weeks.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of patients with severe PH as indicated by RHC
Time Frame: Through study completion, approximately 3 weeks.
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mPAP >20 mmHg with PAWP ≤15 mmHg and PVR >5 WU.
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Through study completion, approximately 3 weeks.
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Kulkarni T, Zisman DA, Shlobin OA, Kiely DG, DerSarkissian M, Shen E, Maher KM, Broderick M, Scholand MB. Study Design and Rationale for the PHINDER Study: Pulmonary Hypertension Screening in Patients with Interstitial Lung Disease for Earlier Detection. Pulm Ther. 2025 Sep;11(3):491-501. doi: 10.1007/s41030-025-00307-0. Epub 2025 Jul 25.
- Zisman D, Sahay S, Bandyopadhyay D, Al-Astal A, Broderick M, Caudell Stamper D, Champion H, DerSarkissian M, Hunsucker M, Lee D, Maher K, Nelsen A, Parikh R, Rahaghi F, Raval A, Thrasher CM, Kulkarni T, Shlobin OA, Kiely DG, Nathan S, Scholand MB. Screening for Pulmonary Hypertension in Interstitial Lung Disease: Preliminary Results from the PHINDER Study. Adv Ther. 2026 May;43(5):2071-2089. doi: 10.1007/s12325-026-03508-4. Epub 2026 Mar 10.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- GMS-PH-001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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