Microvascular and Cardiac Dysfunction in Paroxysmal Nocturnal Hemoglobinuria and Sickle Cell Disease
Recruitment status was Recruiting
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Purpose
The purpose of this study is to examine how abnormal blood flow in the small vessels (microvessels) of the heart, muscle and kidney in paroxysmal nocturnal hemoglobinuria (PNH) or sickle cell disease leads to poor functioning of the heart and kidney. To test this question, the investigators will perform imaging tests (contrast ultrasound perfusion imaging) to look at the flow and function of these microvessels and compare this information to heart and kidney function. To further look at this question, patients who have PNH will be studied before and after starting a new drug (Soliris) that decreases damage to blood cells. In patients with sickle cell disease, patients will be studied at baseline (not during a pain crisis) and also during a pain crisis if one develops.
| Condition | Intervention |
|---|---|
|
Rheologic Disease Sickle Cell Disease Paroxysmal Nocturnal Hemoglobinuria |
Other: Imaging |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Microvascular and Cardiac Dysfunction in Paroxysmal Nocturnal Hemoglobinuria and Sickle Cell Disease |
- Microvascular perfusion [ Designated as safety issue: No ]
- Myocardial microvascular blood flow (MBF) and capillary blood velocity (CBV) on study day.
- Renal MBF on study day
- Skeletal muscle MBF and CBV on study day
- Myocardial MBF and CBV during hyperemia
- Skeletal muscle CBV during hyperemia
| Estimated Enrollment: | 70 |
| Study Start Date: | February 2011 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Control
Age matched healthy subjects
|
Other: Imaging
Contrast ultrasound perfusion imaging and complete echocardiography
|
|
Sickle Cell Patients
Patients with established SCD
|
Other: Imaging
Contrast ultrasound perfusion imaging and complete echocardiography
|
|
Paroxysmal Nocturnal Hemoglobinuria patients
Patients with PNH
|
Other: Imaging
Contrast ultrasound perfusion imaging and complete echocardiography
|
Eligibility| Ages Eligible for Study: | 19 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Patients with SCD or PNH who are seen in the OHSU Hematology clinic and are asked to participate
Inclusion Criteria:
- Established diagnosis of PNH or SCD Age > 18 years old
Exclusion Criteria:
- Pregnant or lactating women Presence of significant right to left shunting Allergy to ultrasound contrast agent Reactive airways disease Significant peripheral or coronary artery disease
Contacts and Locations| Contact: Jonathan R Lindner, MD | 5034948750 | lindnerj@ohsu.edu |
| Contact: Todd Belcik, RCDS | 5034944772 | belcikt@ohsu.edu |
| United States, Oregon | |
| Oregon Health & Science University | Recruiting |
| Portland, Oregon, United States, 97239 | |
| Contact: Jonathan R Lindner, MD 503-494-8750 lindnerj@ohsu.edu | |
More Information
No publications provided
| Responsible Party: | Jonathan R. Lindner, MD, Oregon Health & Science University |
| ClinicalTrials.gov Identifier: | NCT01294891 History of Changes |
| Other Study ID Numbers: | IRB00006948 |
| Study First Received: | February 11, 2011 |
| Last Updated: | February 11, 2011 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Oregon Health and Science University:
|
Rheology Sickle cell Paroxysmal nocturnal hemoglobinuria contrast ultrasound |
Additional relevant MeSH terms:
|
Hemoglobinuria Hemoglobinuria, Paroxysmal Anemia, Sickle Cell Anemia, Hemolytic, Congenital Anemia, Hemolytic Anemia Hematologic Diseases Hemoglobinopathies |
Genetic Diseases, Inborn Proteinuria Urination Disorders Urologic Diseases Urological Manifestations Signs and Symptoms Myelodysplastic Syndromes Bone Marrow Diseases |
ClinicalTrials.gov processed this record on May 16, 2013