[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"chronic-pulmonary-thromboembolism\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:chronic-pulmonary-thromboembolism":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,44],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":32,"lastUpdatePostDateStruct":33,"startDateStruct":36,"completionDateStruct":38,"leadSponsor":40,"locationsCount":43},"100638552","phase-2-effect-of-vasopressin-versus-norepinephrine-on-post-operative-mean-pulmonary-arterial-pressure-following-pulmonary-endarterectomy-surgery-100638552",false,"NCT07614438","Effect of Vasopressin Versus Norepinephrine on Post-operative Mean Pulmonary Arterial Pressure Following Pulmonary Endarterectomy Surgery,","Effect of Vasopressin Versus Norepinephrine on Post-operative Mean Pulmonary Arterial Pressure Following Pulmonary Endarterectomy Surgery, a Randomized Open Label Trial","VANOPE","Inclusion Criteria:\n\n* Age ≥18 years;\n* Patient scheduled for pulmonary endarterectomy surgery;\n* In women of childbearing potential: negative serum pregnancy test and use of adequate contraception;\n* Affiliation to the French social care service;\n* Patient able to understand and sign a written informed consent form.\n\nExclusion Criteria:\n\n* Emergency surgery;\n* Mesenteric ischemia and\u002For acute coronary syndrome within the month preceding the intervention;\n* Patients with documented mesenteric artery stenosis;\n* Impossibility to insert the pulmonary artery catheter (anatomical or technical issue);\n* Preoperative administration of norepinephrine and\u002For inotropic drugs (dobutamine, isoproterenol, epinephrine) or patients assisted by veno-venous or veno-arterial ECMO before surgery;\n* Known allergy to the active substance vasopressin or to any of its excipients;\n* Concomitant coronary bypass procedure or other combined surgery (i.e. valve replacement);\n* mPAP\\\u003C25 mmHg on preoperative right heart catheterization;\n* Patient with preoperative natremia below 130 mol\u002FL;\n* Patient participating to another interventional clinical trial;\n* For females only: documented pregnancy or lactation;\n* Patient under tutorship, curatorship or legal protection;\n* Patient deprived of liberty.","ALL","18 Years",{"count":20,"type":21},90,"ESTIMATED","INTERVENTIONAL",[24],"PHASE2","Chronic thromboembolic pulmonary hypertension (CTEPH), one of the leading causes of pulmonary hypertension (PH), is caused by the chronic obstruction of the pulmonary arteries following episode of pulmonary embolism. It is the only cause of PH which is accessible to a potential curative surgical treatment: the pulmonary endarterectomy (PEA). Because of their underlying disease (pulmonary hypertension and potential right heart dysfunction), anesthesia should be performed cautiously. Perioperative hemodynamic management often requires the administration of a vasopressor to maintain the arterial pressure above a specific threshold of 65 mmHg.\n\nLow dose of vasopressin increases systemic arterial pressure with minimal effects on the pulmonary circulation. This profile suggests that vasopressin may be an ideal agent for vasopressor support in the high-risk population of patients with pulmonary hypertension.\n\nTo date, there is no data on the use of vasopressin in patient undergoing PEA surgery. The interesting properties of vasopressin - specifically, its ability to increase systemic arterial resistance while having a low impact on pulmonary resistance and offering potential renal protective effects - are highly advantageous in the specific subset of patient scheduled for PEA.\n\nThe investigators aim to conduct a randomized single center open label study to compare the effect of vasopressin compared to norepinephrine on mean pulmonary artery pressure after PEA surgery.\n\nThe primary objective of this study is to determine whether the use of vasopressin compared to norepinephrine decrease the mean pulmonary artery pressure after PEA surgery.\n\nParticipation to the study involves follow up at day 30 following surgery.",[27,28,29,30],"Anesthesia","Pulmonary Hypertension","Chronic Pulmonary Thromboembolism","Vasopressor","NOT_YET_RECRUITING","2026-05-29",{"date":34,"type":35},"2026-06-02","ACTUAL",{"date":37,"type":21},"2026-08-01",{"date":39,"type":21},"2028-09-01",{"name":41,"class":42},"Fondation Hôpital Saint-Joseph","OTHER",1,{"id":45,"slug":46,"hasResults":11,"nctId":47,"briefTitle":48,"officialTitle":49,"acronym":50,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":52,"targetDuration":4,"studyType":54,"phases":4,"briefSummary":55,"conditions":56,"keywords":57,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":62,"lastUpdatePostDateStruct":63,"startDateStruct":65,"completionDateStruct":67,"leadSponsor":69,"locationsCount":72},"100582593","early-detection-of-cteph-in-patients-after-ape-100582593","NCT06865326","Early Detection of CTEPH in Patients After APE","Early Detection of Chronic Thromboembolic Pulmonary Hypertension in Patients After Acute Pulmonary Embolism","CTEPH","Inclusion Criteria:\n\n* Age over 18 years\n* Signed consent to participate in the project and GDPR\n* Patients with an episode of acute pulmonary embolism in the last 3-12 months, with ongoing anticoagulation therapy:\n\n  1. Patients with new-onset and ongoing or progressive dyspnea (min. NYHA II) after a pulmonary embolism episode or worsening of dyspnea after a pulmonary embolism episode compared to the status before the episode (at least 1 HYHA grade) or\n  2. Asymptomatic patients after a pulmonary embolism episode and at least one of the following risk factors:\n* ECHO evidence of severe PH at diagnosis of PE (PASP \\>60 mmHg)\n* Antiphospholipid syndrome with triple positivity (presence of lupus anticoagulans + anti-beta-2-glycoprotein I (B2GPI) antibodies + anticardiolipin)\n* Infected permanent venous inlets and cardiac pacing\u002Fdefibrillation intravascular systems\n* Presence of ventriculoatrial shunt for treatment of hydrocephalus\n* Nonspecific intestinal inflammation (ulcerative colitis, Crohn's disease)\n* History of splenectomy\n* Myeloproliferative disorders\n* Chronic osteomyelitis\n\nExclusion Criteria:\n\n* Not agreeing to participate in the project\n* Contraindications to treatment",{"count":53,"type":21},500,"OBSERVATIONAL","The project is a national, prospective, multicenter, observational pilot project of screening CTEPH in pacients after APE in the Czech Republic. The main goal of the project is to methodically prepare, implement and evaluate a pilot project that will verify the suitability of the proposed procedure of early detection of Chronic tromboembolic pulmonary hypertesion in such a way as to ensure the maximum positive impact on the health of the population and high cost-effectiveness of the whole process.",[29],[50,58,59,60],"APE","Early detection","Czech Republic","RECRUITING","2025-11-18",{"date":64,"type":35},"2025-11-21",{"date":66,"type":35},"2025-03-07",{"date":68,"type":21},"2026-12-01",{"name":70,"class":71},"Institute of Health Information and Statistics of the Czech Republic","OTHER_GOV",10]