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Active, not recruitingNCT05629052TEAMUpdated May 8, 2025

TrEatment Approach in the Multimodal Era Registry

An observational study in Chronic Thromboembolic Pulmonary Hypertension and CTEPH, sponsored by International CTEPH Association. Active, not recruiting at 25 sites in 20 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-08.

Sponsored by International CTEPH Association · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational patient registry is to learn how expert centers treat patients with chronic thromboembolic pulmonary hypertension (CTEPH). CTEPH is a condition in which blood clots block the blood vessels in the lungs. There are currently three treatment options for patients with CTEPH:

  • surgery to remove blood clots from large vessels in the lungs (pulmonary endarterectomy (PEA))
  • the use of a small balloon to unblock smaller blood vessels (balloon pulmonary angioplasty (BPA))
  • drugs

Patients can also receive a combination of these treatments.

The main question this registry aims to answer are:

  • How many patients receive a given kind of treatment?
  • How do expert centers combine the different treatments?
  • Are patients doing better after they receive a given kind of treatment?
  • How many patients are alive 1, 3 and 5 years after they receive a given kind of treatment?

Participants will receive the same treatments that they would receive if they did not participate in the study. During the study, patients will visit their doctors as they would do normally. The doctors will collect information on the patients' health and enter it into the study database. The follow-up time will be at least 3 years for all patients.

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Conditions studied

  • Chronic Thromboembolic Pulmonary Hypertension
  • CTEPH

Keywords

  • Chronic thromboembolic pulmonary hypertension
  • CTEPH
  • Pulmonary endarterectomy
  • PEA
  • Balloon pulmonary angioplasty
  • BPA
  • Multimodal treatment
03

In context

Hypertension, Pulmonary

1,105 studies on the registry are indexed under Hypertension, Pulmonary; 234 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 116 across 386 observational studies indexed under Hypertension, Pulmonary.

Browse Hypertension, Pulmonary studies →

Lead sponsor

International CTEPH Association is the lead sponsor of 4 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients suffering from CTEPH or CTEPD without PH who are newly referred to an expert center and who meet all of the inclusion criteria and none of the exclusion criteria

Inclusion criteria

  1. Newly referred patient with CTEPH or chronic thromboembolic pulmonary disease (CTEPD) without PH according to the following criteria:

    1. Mean pulmonary arterial pressure (mPAP) > 20 mmHg at rest with pulmonary vascular resistance (PVR) > 2 Wood units (WU); or if mPAP ≤ 20 mmHg or PVR ≤ 2 WU at rest, have exercise limitations from CTEPD without PH
    2. Abnormal ventilation perfusion scan, pulmonary angiogram, computer tomographic pulmonary angiogram, or magnetic resonance pulmonary angiogram confirming CTEPD as recommended by standard guidelines
  2. Treatment with anticoagulation for ≥ 3 months before diagnosis of CTEPH or CTEPD without PH
  3. Naïve to interventional treatment (both PEA and BPA)
  4. Pre-treatment with PH-specific medication for ≤ 12 months, or no medical pre-treatment, at enrollment
  5. Willing and able to provide informed consent in order to participate in the study (informed consent signed)
  6. Age ≥ 18 years
  7. CTEPH-specific treatment must be modified or initiated at the participating site

Exclusion criteria

Exclusion Criteria:

  1. Main cause of PH other than CTEPH
  2. Participating in an interventional clinical trial at enrollment
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Target follow-up
3 Years
Patient registry
Yes

Interventions

  • ProcedurePulmonary endarterectomy

    Surgical removal of a chronic clot from the pulmonary artery

    Also known as: PEA, Pulmonary thromboendarterectomy (PTE), PTE

  • ProcedureBalloon pulmonary angioplasty

    Catheter-based intervention to dilate occluded pulmonary vessels through the insertion and inflation of a small balloon

    Also known as: BPA

  • DrugPulmonary hypertension (PH)-specific medication

    Treatment with any PH-specific medication, i.e. endothelin receptor antagonists, phosphodiesterase type 5 inhibitors, soluble guanylate cyclase stimulators, drugs acting on the prostanoid pathway and prostaglandin I2 receptor agonists

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What researchers measure

Primary outcomes

  1. Utilization and combination of treatment modalities

    Proportion of patients undergoing a certain type of treatment modality, or a certain combination of modalities

    Time frame: Min. 3 years

  2. 3-year survival

    Proportion of patients alive 3 years after the last intervention recorded in the registry, or after start of medical treatment for patients not undergoing any interventional treatment

    Time frame: 3 years after last intervention

Secondary outcomes

  1. Complications of treatment interventions (per patient)

    Proportion of patients experiencing complications from BPA or PEA

    Time frame: Min. 3 years

  2. Complications of treatment interventions (per BPA session)

    Proportion of BPA sessions associated with complications

    Time frame: Min. 3 years

  3. 1-year survival

    Proportion of patients alive 1 year after the last intervention recorded in the registry, or after start of medical treatment for patients not undergoing any interventional treatment

    Time frame: 1 year after last intervention

  4. 5-year survival

    Proportion of patients alive 5 years after the last intervention recorded in the registry, or after start of medical treatment for patients not undergoing any interventional treatment

    Time frame: 5 year after last intervention

  5. Changes in PH-specific medication

    Proportion of patients experiencing a change in PH-specific medication during the study

    Time frame: Min. 3 years

  6. Reason why PEA was not performed

    The main reason why PEA was not performed as chosen by the investigator from a list of pre-defined reasons

    Time frame: Min. 3 years

  7. Reason why BPA was not performed

    The main reason why BPA was not performed as chosen by the investigator from a list of pre-defined reasons

    Time frame: Min. 3 years

Other outcomes

  1. Number of unplanned hospitalizations

    Proportion of patients experiencing an unplanned hospitalization (i.e. not considering planned hospitalizations for study procedures such as PEA or BPA)

    Time frame: Min. 3 years

  2. Timing of unplanned hospitalizations

    Analysis of the timing of unplanned hospitalization for patients experiencing an unplanned hospitalization (i.e. not considering planned hospitalizations for study procedures such as PEA or BPA)

    Time frame: Min. 3 years

  3. Frequency of QoL assessment

    Proportion of patients undergoing QoL assessment by means of a validated questionnaire during the study

    Time frame: Min. 3 years

  4. Type of QoL questionnaire

    Proportion of patients undergoing QoL assessment using a certain validated questionnaire during the study

    Time frame: Min. 3 years

07

Study locations

25 sites
  • University of California San Diego
    San Diego, California 92037, United States
  • Northwestern University
    Evanston, Illinois 60208, United States
  • Duke University
    Durham, North Carolina 27705, United States
  • UT Southwestern
    Dallas, Texas 75390, United States
  • Hospital Universitario Fundación Favaloro
    Buenos Aires, C1093AAS, Argentina
  • University Hospital Vienna
    Vienna, 1090, Austria
  • University Hospitals Leuven
    Leuven, 3000, Belgium
  • Santa Casa
    Porto Alegre, RS 90035-074, Brazil
  • Toronto General Hospital
    Toronto, Ontario M5G 2C4, Canada
  • China-Japan Friendship Hospital
    Beijing, 100020, China
  • Shaio Clinic Foundation
    Bogotá, 111121, Colombia
  • General University Hospital
    Prague, 12808, Czech Republic
  • Aarhus University Hospital
    Aarhus, 8200, Denmark
  • Kerckhoff Clinic, Department of Thoracic Surgery
    Bad Nauheim, 61231, Germany
  • Narayana Institute of Cardiac Science
    Bangalore, 560099, India
  • University of Bologna
    Bologna, 40126, Italy
  • Okayama Medical Center
    Okayama, 701-1192, Japan
  • National Cerebral and Cardiovascular Center
    Osaka, 564-8565, Japan
  • National Heart Institute
    Mexico City, 14080, Mexico
  • Department of Cardiac and Vascular Diseases, John Paul II Hospital
    Kraków, 31-202, Poland
  • Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, European Health Center Otwock
    Otwock, 05-400, Poland
  • National Heart Centre of Singapore
    Singapore, 168582, Singapore
  • Pulmonary Hypertension Unit, Hospital 12 de Octubre
    Madrid, 28041, Spain
  • Marmara University School of Medicine
    Istanbul, 34899, Turkey
  • Royal Papworth Hospital
    Cambridge, CB2 0AY, United Kingdom
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05629052
Lead sponsor
International CTEPH Association
Collaborators
Janssen Pharmaceuticals
Responsible party
Sponsor
First posted
Nov 29, 2022
Start date
Apr 12, 2023
Primary completion
Apr 2028 (estimated)
Completion
Apr 2028 (estimated)
Last update
May 8, 2025

Study contacts

Nick H Kim, MD
principal investigator · University of California, San Diego

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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