Evaluation of ST2 and IL-33 in Patients Presenting to the Emergency Department With Trouble Breathing
Recruitment status was Recruiting
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Purpose
Trouble breathing (dyspnea) is a nonspecific symptom associated with many diseases such as chronic obstructive pulmonary disease (lung disorder in which the flow of air to the lungs is blocked), asthma, pneumonia, pulmonary hypertension (high blood pressure in the lungs), congestive heart failure (fluid build-up in the lungs because the heart is not pumping normally) and pulmonary embolism (blood clot in the lungs). The purpose of this study is to test two blood markers called ST2 and IL-33. Blood markers are proteins or other compounds in your blood that physicians use to diagnose different diseases and to determine what the course of an illness will be. In preliminary research studies, ST2 and IL-33 have been elevated in patients with a wide variety of diseases where the lungs are the primary organs involved. This research study will further investigate the ability of ST2 and IL-33 to predict the severity of disease and the possible use of ST2 and IL-33 in the diagnosis of various lung diseases.
| Condition |
|---|
|
Chronic Obstructive Pulmonary Disease Asthma Pulmonary Embolism Pneumonia Pulmonary Hypertension |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Evaluation of ST2 and IL-33 for Risk Stratification and Diagnosis in Patients Presenting to the Emergency Department With Dyspnea |
- Any cause of mortality [ Time Frame: 180 days ] [ Designated as safety issue: No ]
- Rehospitalization of a pulmonary etiology and/or significant lung morbidity (transplant, intubation, ARDS, pneumonia, pulmonary hypertension, etc) [ Time Frame: 180 days ] [ Designated as safety issue: No ]
- Mortality with a pulmonary specific etiology [ Time Frame: 180 days ] [ Designated as safety issue: No ]
- Any cause morbidity [ Time Frame: 180 days ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples Without DNA
Plasma
| Estimated Enrollment: | 200 |
| Study Start Date: | April 2008 |
| Estimated Study Completion Date: | June 2009 |
| Estimated Primary Completion Date: | June 2009 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients presenting to the Cleveland Clinic Emergency Department with signs and/or symptoms of dyspnea (trouble breathing)
Inclusion Criteria:
- Presenting to the Emergency Department with signs and symptoms of dyspnea (short of breath, tachypnea, hyperventilation, etc) within the last 24 hours
- Normal cardiac output as measured by noninvasive bioimpedance
- Greater than or equal to 18 years of age
- Patient or legal representative willing and able to provide informed consent and comply with study procedures
Exclusion Criteria:
- A history of congestive heart failure and a BNP > 500pg/mL (or NTproBNP > 900pg/mL) if obtained by the treating physician
- Treating physician suspects patient has new onset congestive heart failure
- ECG changes diagnostic of acute myocardial ischemia/infarction
- Ischemic chest pain within the prior 24 hours by history
- Obvious chest trauma
Contacts and Locations| Contact: Justin L Benoit, BS | benoitj@ccf.org | |
| Contact: William F Peacock, MD | 216-445-4557 | peacocw@ccf.org |
| United States, Ohio | |
| The Cleveland Clinic | Recruiting |
| Cleveland, Ohio, United States, 44195 | |
| Contact: Justin L Benoit, BS benoitj@ccf.org | |
| Contact: William F Peacock, MD 216-445-4557 peacocw@ccf.org | |
| Principal Investigator: Justin L Benoit, BS | |
| Principal Investigator: | Justin L Benoit, BS | The Cleveland Clinic |
More Information
No publications provided by The Cleveland Clinic
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Justin Benoit, Medical Student, The Cleveland Clinic |
| ClinicalTrials.gov Identifier: | NCT00707811 History of Changes |
| Other Study ID Numbers: | CCED08043 |
| Study First Received: | June 27, 2008 |
| Last Updated: | June 27, 2008 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by The Cleveland Clinic:
|
Dyspnea Shortness of Breath Trouble Breathing ST2 IL-33 |
Additional relevant MeSH terms:
|
Asthma Embolism Emergencies Hypertension Hypertension, Pulmonary Lung Diseases Respiration Disorders Pulmonary Disease, Chronic Obstructive Pneumonia Pulmonary Embolism Lung Diseases, Obstructive Bronchial Diseases |
Respiratory Tract Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases Disease Attributes Pathologic Processes Respiratory Tract Infections |
ClinicalTrials.gov processed this record on May 22, 2013