- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT00370214
REVEAL Registry™: Registry to Evaluate Early And Long-term PAH Disease Management
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
Pulmonary arterial hypertension (PAH) is a chronic, progressive, and often fatal disease characterized by severe constriction of the blood vessels in the lungs. Over the past decade, significant strides have been made in the medical management and understanding of PAH. However, much remains to be learned about the clinical course of both idiopathic PAH and associated PAH, including clinical presentation, pace of progression, key parameters to monitor, impact of treatment, and prognosticators of outcome. As the unique body of knowledge generated by the REVEAL Registry grows, it is hoped that new understandings, insights, and treatments will emerge that will improve the lives of patients with PAH.
The REVEAL Registry will provide investigators with descriptive data regarding the clinical course and treatment outcomes in patients with WHO Group I PAH. Data derived from the study may offer important tools for assessing current management practices of treating investigators, as well as changes over time. Additionally, the relationship of patient- and disease-specific parameters to patient outcomes may be able to be assessed through analysis of data from this study.
The specific objectives of the REVEAL Registry™ are to:
- Characterize the demographics and clinical course of PAH patients
- Evaluate and compare patient outcomes
- Identify clinical predictors of short-term and long-term clinical outcomes
- Assess the relationship between PAH medications and patient outcomes
- Report temporal trends in treatments and outcomes for newly diagnosed patients
- Collect timely and relevant data for the evolving research needs of the PAH community
Studietype
Inschrijving (Werkelijk)
Contacten en locaties
Studie Locaties
-
-
Alabama
-
Birmingham, Alabama, Verenigde Staten, 35294
- University of Alabama at Birmingham
-
-
Arizona
-
Tucson, Arizona, Verenigde Staten, 85724
- University of Arizona Medical Center
-
-
California
-
La Jolla, California, Verenigde Staten, 92037
- University of California, San Diego
-
Los Angeles, California, Verenigde Staten, 90095
- UCLA Medical Center
-
Los Angeles, California, Verenigde Staten, 90073
- UCLA / VA Medical Center
-
San Francisco, California, Verenigde Staten, 94143
- Univeristy of California, San Francisco - Division of Cardiology and Pediatric ICU
-
Stanford, California, Verenigde Staten, 94305
- Stanford University Medical Center
-
Torrance, California, Verenigde Staten, 90502
- UCLA School of Medicine: Harbor-UCLA
-
-
Colorado
-
Denver, Colorado, Verenigde Staten, 80218
- The Children's Hospital
-
Denver, Colorado, Verenigde Staten, 80262
- University of Colorado Health Sciences Center
-
-
Florida
-
Gainesville, Florida, Verenigde Staten, 32610
- University of Florida
-
Jacksonville, Florida, Verenigde Staten, 32224
- Mayo Clinic
-
Sarasota, Florida, Verenigde Staten, 34233
- Suncoast Lung Center
-
-
Georgia
-
Augusta, Georgia, Verenigde Staten, 30912
- Medical College of Georgia
-
-
Illinois
-
Chicago, Illinois, Verenigde Staten, 60637
- University of Chicago Hospitals
-
Naperville, Illinois, Verenigde Staten, 60566
- Midwest Heart Foundation
-
-
Iowa
-
Iowa City, Iowa, Verenigde Staten, 52242
- University of Iowa Health Care
-
-
Kentucky
-
Louisville, Kentucky, Verenigde Staten, 40202
- Kentucky Pulmonary Associates
-
-
Maryland
-
Baltimore, Maryland, Verenigde Staten, 21201
- University of Maryland
-
Baltimore, Maryland, Verenigde Staten, 21205
- Johns Hopkins
-
-
Massachusetts
-
Boston, Massachusetts, Verenigde Staten, 02114
- Massachusetts General Hospital
-
Boston, Massachusetts, Verenigde Staten, 02118
- Boston University School of Medicine
-
Boston, Massachusetts, Verenigde Staten, 02111
- Tufts-New England Medical Center
-
-
Michigan
-
Detroit, Michigan, Verenigde Staten, 48201
- Wayne State University
-
Grand Rapids, Michigan, Verenigde Staten, 49506
- Spectrum Health Hospitals
-
-
Minnesota
-
Minneapolis, Minnesota, Verenigde Staten, 55455
- University of Minnesota Medical Center
-
Rochester, Minnesota, Verenigde Staten, 55095
- Mayo Clinic
-
-
Missouri
-
St. Louis, Missouri, Verenigde Staten, 63021
- Washington University School of Medicine
-
-
New York
-
Manhasset, New York, Verenigde Staten, 11030
- North Shore University Hospital
-
New York, New York, Verenigde Staten, 10032
- Columbia University
-
New York, New York, Verenigde Staten, 10003
- Beth Israel Medical Center
-
Rochester, New York, Verenigde Staten, 14642
- University of Rochester Medical Center
-
-
North Carolina
-
Durham, North Carolina, Verenigde Staten, 27710
- Duke University Medical Center
-
-
Ohio
-
Cleveland, Ohio, Verenigde Staten, 44106
- University Hospital of Cleveland
-
Cleveland, Ohio, Verenigde Staten, 44022
- Cleveland Clinic Foundation
-
Columbus, Ohio, Verenigde Staten, 43210
- Ohio State University
-
Columbus, Ohio, Verenigde Staten, 43210
- Children's Hospital
-
-
Oregon
-
Portland, Oregon, Verenigde Staten, 97210
- Legacy Pulmonary Hypertension Clinic
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Verenigde Staten, 19140
- Temple Lung Center
-
Philadelphia, Pennsylvania, Verenigde Staten, 19104
- Penn Presbyterian Medial Center
-
Pittsburgh, Pennsylvania, Verenigde Staten, 15212
- Allegheny General Hospital
-
Pittsburgh, Pennsylvania, Verenigde Staten, 15213
- University of Pittsburgh Medical Center
-
-
Rhode Island
-
Providence, Rhode Island, Verenigde Staten, 02903
- Rhode Island Hospital
-
-
South Carolina
-
Charleston, South Carolina, Verenigde Staten, 29425
- Medical University of South Carolina
-
-
Tennessee
-
Nashville, Tennessee, Verenigde Staten, 37232
- Vanderbilt University Medical Center
-
Nashville, Tennessee, Verenigde Staten, 37212
- Vanderbilt Children's Hospital
-
-
Texas
-
Houston, Texas, Verenigde Staten, 77030
- Baylor College of Medicine
-
Houston, Texas, Verenigde Staten, 77030
- Texas Children's Hospital
-
San Antonio, Texas, Verenigde Staten, 78229
- University Texas Health Science Center
-
-
Utah
-
Murray, Utah, Verenigde Staten, 84107
- Intermountain Medical Center
-
-
Virginia
-
Falls Church, Virginia, Verenigde Staten, 22042
- Inova Heart and Vascular Institute
-
Richmond, Virginia, Verenigde Staten, 23298
- Virginia Commonwealth University
-
-
Washington
-
Seattle, Washington, Verenigde Staten, 98105
- Seattle Children's
-
-
Wisconsin
-
Milwaukee, Wisconsin, Verenigde Staten, 53215
- Aurora St. Luke's Medical Center
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- Newly diagnosed or previously diagnosed patients with WHO Group I PAH.
- Documentation of the following hemodynamic parameters by right heart catheterization, performed at any time prior to study enrollment:
- Mean pulmonary arterial pressure (mPAP) >25 mm Hg at rest or mPAP > 30 mm Hg with exercise contemporaneous with a pulmonary wedge pressure ≤ 18 mm Hg
- Pulmonary wedge pressure ≤ 18 mm Hg
- Pulmonary vascular resistance (PVR) ≥ 240 dynes.sec.cm-5 (i.e., ≥ 3.0 Wood units)
Exclusion Criteria:
- Patients who meet the criteria for inclusion into WHO Groups II, III, IV or V
- Have not had documentation of hemodynamic criteria for PAH by right heart catheterization at some time preceding study entry and following development of symptoms associated with PAH.
- Do not meet the required hemodynamic criteria for entry into the study
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
---|---|
Overleving
Tijdsspanne: 5 jaar
|
5 jaar
|
Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
---|---|
clinical predictors, precise outcome definitions
Tijdsspanne: 5 years
|
5 years
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Studie stoel: Michael D. McGoon, M.D., Mayo Clinic - Rochester, Minnesota
- Studie directeur: David B. Badesch, M.D., University of Colorado, Denver
- Studie directeur: Robyn J. Barst, M.D., Columbia University
- Studie directeur: Raymond Benza, M.D., University of Alabama at Birmingham
- Studie directeur: Gregory Elliott, M.D., LDS Hospital
- Studie directeur: Harrison Farber, M.D., Boston Medical Center
- Studie directeur: Adaani Frost, M.D., Baylor College of Medicine
- Studie directeur: Abby Krichman, RRT, Duke University Pulmonary Vascular Disease Center
Publicaties en nuttige links
Algemene publicaties
- Torbicki A, Bacchi M, Delcroix M, Farber HW, Ghofrani HA, Hennessy B, Jansa P, Mehta S, Perchenet L, Pulido T, Rosenberg D, Rubin LJ, Sastry BKS, Simonneau G, Sitbon O, Souza R, Wei LJ, Channick R, Benza R. Integrating Data From Randomized Controlled Trials and Observational Studies to Assess Survival in Rare Diseases. Circ Cardiovasc Qual Outcomes. 2019 May;12(5):e005095. doi: 10.1161/CIRCOUTCOMES.118.005095.
- Benza RL, Kanwar MK, Raina A, Scott JV, Zhao CL, Selej M, Elliott CG, Farber HW. Development and Validation of an Abridged Version of the REVEAL 2.0 Risk Score Calculator, REVEAL Lite 2, for Use in Patients With Pulmonary Arterial Hypertension. Chest. 2021 Jan;159(1):337-346. doi: 10.1016/j.chest.2020.08.2069. Epub 2020 Sep 1.
- Benza RL, Gomberg-Maitland M, Elliott CG, Farber HW, Foreman AJ, Frost AE, McGoon MD, Pasta DJ, Selej M, Burger CD, Frantz RP. Predicting Survival in Patients With Pulmonary Arterial Hypertension: The REVEAL Risk Score Calculator 2.0 and Comparison With ESC/ERS-Based Risk Assessment Strategies. Chest. 2019 Aug;156(2):323-337. doi: 10.1016/j.chest.2019.02.004. Epub 2019 Feb 14.
- Preston IR, Roberts KE, Miller DP, Sen GP, Selej M, Benton WW, Hill NS, Farber HW. Effect of Warfarin Treatment on Survival of Patients With Pulmonary Arterial Hypertension (PAH) in the Registry to Evaluate Early and Long-Term PAH Disease Management (REVEAL). Circulation. 2015 Dec 22;132(25):2403-11. doi: 10.1161/CIRCULATIONAHA.115.018435. Epub 2015 Oct 28.
- Farber HW, Miller DP, Poms AD, Badesch DB, Frost AE, Muros-Le Rouzic E, Romero AJ, Benton WW, Elliott CG, McGoon MD, Benza RL. Five-Year outcomes of patients enrolled in the REVEAL Registry. Chest. 2015 Oct;148(4):1043-54. doi: 10.1378/chest.15-0300.
- Chung L, Farber HW, Benza R, Miller DP, Parsons L, Hassoun PM, McGoon M, Nicolls MR, Zamanian RT. Unique predictors of mortality in patients with pulmonary arterial hypertension associated with systemic sclerosis in the REVEAL registry. Chest. 2014 Dec;146(6):1494-1504. doi: 10.1378/chest.13-3014.
- Burger CD, Long PK, Shah MR, McGoon MD, Miller DP, Romero AJ, Benton WW, Safford RE. Characterization of first-time hospitalizations in patients with newly diagnosed pulmonary arterial hypertension in the REVEAL registry. Chest. 2014 Nov;146(5):1263-1273. doi: 10.1378/chest.14-0193.
- Frost AE, Badesch DB, Miller DP, Benza RL, Meltzer LA, McGoon MD. Evaluation of the predictive value of a clinical worsening definition using 2-year outcomes in patients with pulmonary arterial hypertension: a REVEAL Registry analysis. Chest. 2013 Nov;144(5):1521-1529. doi: 10.1378/chest.12-3023.
- Bersohn MM, Turner MP, Traiger GL, Frost AE, Shapiro S. Systemic BP and heart rate as prognostic indicators in pulmonary arterial hypertension. Chest. 2013 Sep;144(3):959-965. doi: 10.1378/chest.12-2572.
- Barst RJ, Chung L, Zamanian RT, Turner M, McGoon MD. Functional class improvement and 3-year survival outcomes in patients with pulmonary arterial hypertension in the REVEAL Registry. Chest. 2013 Jul;144(1):160-168. doi: 10.1378/chest.12-2417.
- Poms AD, Turner M, Farber HW, Meltzer LA, McGoon MD. Comorbid conditions and outcomes in patients with pulmonary arterial hypertension: a REVEAL registry analysis. Chest. 2013 Jul;144(1):169-176. doi: 10.1378/chest.11-3241.
- Kitterman N, Poms A, Miller DP, Lombardi S, Farber HW, Barst RJ. Bloodstream infections in patients with pulmonary arterial hypertension treated with intravenous prostanoids: insights from the REVEAL REGISTRY(R). Mayo Clin Proc. 2012 Sep;87(9):825-34. doi: 10.1016/j.mayocp.2012.05.014. Epub 2012 Aug 9.
- Frost AE, Farber HW, Barst RJ, Miller DP, Elliott CG, McGoon MD. Demographics and outcomes of patients diagnosed with pulmonary hypertension with pulmonary capillary wedge pressures 16 to 18 mm Hg: insights from the REVEAL Registry. Chest. 2013 Jan;143(1):185-195. doi: 10.1378/chest.11-1387.
- Benza RL, Miller DP, Barst RJ, Badesch DB, Frost AE, McGoon MD. An evaluation of long-term survival from time of diagnosis in pulmonary arterial hypertension from the REVEAL Registry. Chest. 2012 Aug;142(2):448-456. doi: 10.1378/chest.11-1460.
- Barst RJ, McGoon MD, Elliott CG, Foreman AJ, Miller DP, Ivy DD. Survival in childhood pulmonary arterial hypertension: insights from the registry to evaluate early and long-term pulmonary arterial hypertension disease management. Circulation. 2012 Jan 3;125(1):113-22. doi: 10.1161/CIRCULATIONAHA.111.026591. Epub 2011 Nov 15.
- Krowka MJ, Miller DP, Barst RJ, Taichman D, Dweik RA, Badesch DB, McGoon MD. Portopulmonary hypertension: a report from the US-based REVEAL Registry. Chest. 2012 Apr;141(4):906-915. doi: 10.1378/chest.11-0160. Epub 2011 Jul 21.
- Shapiro S, Traiger GL, Turner M, McGoon MD, Wason P, Barst RJ. Sex differences in the diagnosis, treatment, and outcome of patients with pulmonary arterial hypertension enrolled in the registry to evaluate early and long-term pulmonary arterial hypertension disease management. Chest. 2012 Feb;141(2):363-373. doi: 10.1378/chest.10-3114. Epub 2011 Jul 14.
- Benza RL, Gomberg-Maitland M, Miller DP, Frost A, Frantz RP, Foreman AJ, Badesch DB, McGoon MD. The REVEAL Registry risk score calculator in patients newly diagnosed with pulmonary arterial hypertension. Chest. 2012 Feb;141(2):354-362. doi: 10.1378/chest.11-0676. Epub 2011 Jun 16.
- Brown LM, Chen H, Halpern S, Taichman D, McGoon MD, Farber HW, Frost AE, Liou TG, Turner M, Feldkircher K, Miller DP, Elliott CG. Delay in recognition of pulmonary arterial hypertension: factors identified from the REVEAL Registry. Chest. 2011 Jul;140(1):19-26. doi: 10.1378/chest.10-1166. Epub 2011 Mar 10.
- Burger CD, Foreman AJ, Miller DP, Safford RE, McGoon MD, Badesch DB. Comparison of body habitus in patients with pulmonary arterial hypertension enrolled in the Registry to Evaluate Early and Long-term PAH Disease Management with normative values from the National Health and Nutrition Examination Survey. Mayo Clin Proc. 2011 Feb;86(2):105-12. doi: 10.4065/mcp.2010.0394.
- Benza RL, Miller DP, Gomberg-Maitland M, Frantz RP, Foreman AJ, Coffey CS, Frost A, Barst RJ, Badesch DB, Elliott CG, Liou TG, McGoon MD. Predicting survival in pulmonary arterial hypertension: insights from the Registry to Evaluate Early and Long-Term Pulmonary Arterial Hypertension Disease Management (REVEAL). Circulation. 2010 Jul 13;122(2):164-72. doi: 10.1161/CIRCULATIONAHA.109.898122. Epub 2010 Jun 28.
- Frost AE, Badesch DB, Barst RJ, Benza RL, Elliott CG, Farber HW, Krichman A, Liou TG, Raskob GE, Wason P, Feldkircher K, Turner M, McGoon MD. The changing picture of patients with pulmonary arterial hypertension in the United States: how REVEAL differs from historic and non-US Contemporary Registries. Chest. 2011 Jan;139(1):128-37. doi: 10.1378/chest.10-0075. Epub 2010 Jun 17. Erratum In: Chest. 2011 Oct;140(4):1106.
- Chung L, Liu J, Parsons L, Hassoun PM, McGoon M, Badesch DB, Miller DP, Nicolls MR, Zamanian RT. Characterization of connective tissue disease-associated pulmonary arterial hypertension from REVEAL: identifying systemic sclerosis as a unique phenotype. Chest. 2010 Dec;138(6):1383-94. doi: 10.1378/chest.10-0260. Epub 2010 May 27.
Nuttige links
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- CR001
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .