Eisenmenger Quality Enhancement Research Initiative (ES-QuERI)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01623492
Recruitment Status : Active, not recruiting
First Posted : June 20, 2012
Last Update Posted : April 25, 2017
Canadian Heart Research Centre
Information provided by (Responsible Party):

Brief Summary:
Eisenmenger Quality Enhancement Research Initiative (QuERI) is a multi-center, observational, US-based longitudinal program, with enrollment of consecutive Eisenmenger patients who meet enrollment. Patient data will be collected prospectively for three years. Individual physician feedback will be provided on data collected with the purpose of improving the management of patients - quality enhancement research initiative (QuERI) process.

Condition or disease Intervention/treatment
Pulmonary Arterial Hypertension Other: Subjects with diagnosis of Eisenmenger Syndrome

Detailed Description:
Approximately 200 male and female adult patients with a history of Eisenmenger will be recruited from approximately 50 cardiology practices over a period of 18 months and will be followed up every six months for the period of three years. Consecutive patients in each practice meeting inclusion and exclusion criteria should be considered for the study. Participating sites will be asked to maintain a screening log to identify which inclusion or exclusion criteria was not met thus excluding them from the study.

Study Type : Observational [Patient Registry]
Estimated Enrollment : 200 participants
Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration: 3 Years
Official Title: Eisenmenger Quality Enhancement Research Initiative
Study Start Date : July 1, 2012
Estimated Primary Completion Date : April 1, 2018
Estimated Study Completion Date : June 1, 2018

Group/Cohort Intervention/treatment
diagnosis of Eisenmenger Syndrome
subjects with diagnosis of Eisenmenger Syndrome
Other: Subjects with diagnosis of Eisenmenger Syndrome
  1. Antibiotic recommendation for SBE prophylaxis and influenza vaccine
  2. Contraception counseling, and recommendations regarding avoidance of pregnancy
  3. Documentation and prescription of the specific medications:

    1. Oxygen
    2. Diuretic
    3. ASA, Anticoagulant
    4. CCB, BB, ACEI, ARB
    5. Iron Supplementation
    6. Allopurinol
    7. PAH specific therapy
Other Name: management of Eisenmenger Syndrome

Primary Outcome Measures :
  1. Characterization of the clinical course of patients with Eisenmenger Syndrome [ Time Frame: up to 3 years ]
    The management of Eisenmenger Syndrome patients over the three year registry period will be compared with established national guidelines. In addition, The Minnesota Living with Heart Failure questionnaire (MLHFQ) will be collected.

Secondary Outcome Measures :
  1. Characterization of the demographics of patients with Eisenmenger Syndrome [ Time Frame: baseline (visit 1) thru end of study (3 years) ]
  2. Identification of clinical predictors of short-term and long-term outcomes of patients with Eisenmenger Syndrome. [ Time Frame: baseline (visit 1) thru end of study (3 years) ]
  3. Characterization of patients treated with PAH-specific medications to patients untreated with PAH-specific medications. [ Time Frame: baseline (visit 1) thru end of study (3 years) ]

Biospecimen Retention:   Samples Without DNA
Blood samples will be collected at Baseline and at each of the annual visits. In addition, urine sampling will be performed at Baseline. An analysis of biomarkers will be performed at a hospital core laboratory.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
200 adult patients with Eisenmenger Syndrome recruited from approximately 50 US cardiology practices.

Inclusion Criteria:

  • Male and female patients
  • Diagnosis of Eisenmenger syndrome based on right heart catheterization data
  • Right to Left intra-cardiac shunting
  • PAH
  • Need for comprehensive management according to guidelines and peer-reviewed evidence
  • Ability and desire to execute the consent for follow up

Exclusion Criteria:

  • Poor mental function, drug, or substance (e.g.,alcohol) abuse, or unstable psychiatric illness, which, in the opinion of the investigator, may interfere with optimal participation in the study
  • Prior inclusion in this program

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01623492

  Hide Study Locations
United States, Arkansas
The University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States, 72202
United States, California
University of Southern California Adult Congenital Heart Disease Care Program
Los Angeles, California, United States, 90033
Ahmanson / UCLA Adult Congenital Heart Disease Center
Los Angeles, California, United States, 90095
Berkeley Cardiovascular Medical Group
Oakland, California, United States, 94609
Lucile Packard Children's Hospital
Palo Alto, California, United States, 94303
Centre for Adult Congenital Heart Disease at California Pacific
San Francisco, California, United States, 94115
University of California, San Francisco
San Francisco, California, United States, 94143-0214
Harbor - UCLA Medical Center - Adult Congenital Heart Disease Program - Division of Cardiology
Torrance, California, United States, 90502
United States, Colorado
University of Colorado Hospital
Aurora, Colorado, United States, 80045
United States, Connecticut
Yale School of Medicine - Adult Congenital Heart Disease Program
New Haven, Connecticut, United States, 06510
United States, District of Columbia
Children's National Medical Center and Washington Hospital Center
Washington, D.C., District of Columbia, United States, 20010
United States, Illinois
Rush University Medical Center
Chicago, Illinois, United States, 60612
University of Chicago
Chicago, Illinois, United States, 60637
United States, Kansas
The University of Kansas Hospital
Kansas City, Kansas, United States, 66160
United States, Kentucky
University of Louisville, Pediatric Cardiology
Louisville, Kentucky, United States, 40202
United States, Maine
Pediatric Cardiology Associates
Portland, Maine, United States, 04102
United States, Maryland
University of Maryland School of Medicine
Baltimore, Maryland, United States, 21201
United States, Massachusetts
Children's Hospital Boston and Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115
United States, Michigan
University of Michigan
Ann Arbor, Michigan, United States, 48109
United States, Minnesota
University of Minnesota Physicians Heart Fairview
Minneapolis, Minnesota, United States, 55455
United States, Missouri
Mid-America Heart Institute / Saint Luke's Hospital / Saint Luke's Cardiovascular Consultants
Kansas City, Missouri, United States, 64111
Barnes-Jewish Hospital/St. Louis Children's Hospital / Washington University School of Medicine
Saint Louis, Missouri, United States, 63110
United States, Nevada
Children's Heart Center Nevada
Las Vegas, Nevada, United States, 89109
United States, New York
Bassett Healthcare Network - Bassett Medical Center
Cooperstown, New York, United States, 13326
Cohen's Children's Medical Center of New York - Adult Congenital Heart Disease Program
New Hyde Park, New York, United States, 11040
Mount Sinai Medical Center
New York, New York, United States, 10029
Columbia University Pulmonary Hypertension Center
New York, New York, United States, 10032
Lenox Hill Hospital
New York, New York, United States, 10075
Montefiore Medical Center - Moses Division;The University Hospital for Albert Einstein College of Medicine
The Bronx, New York, United States, 10467
United States, North Carolina
Asheville Cardiology Associates
Asheville, North Carolina, United States, 28803
Medical University of South Carolina
Charleston, North Carolina, United States, 29425
Duke University Medical Center
Durham, North Carolina, United States, 27710
East Carolina University
Greenville, North Carolina, United States, 27834
United States, Ohio
UC Health/University of Cincinnati
Cincinnati, Ohio, United States, 45219
CINCINNATI Children's Hospital Medical Center
Cincinnati, Ohio, United States, 45229
The Cleveland Clinic Adult Congenital Heart Disease Center
Cleveland, Ohio, United States, 44195
Ohio State University Medical Center
Columbus, Ohio, United States, 43210
The Research Institute at Nationwide Children's Hospital
Columbus, Ohio, United States, 43215
United States, Oregon
Oregon Health and Sciences University
Portland, Oregon, United States, 97239
United States, Pennsylvania
The Pennsylvania State University College of Medicine and The Pennsylvania State Milton S. Hershey Medical Center
Hershey, Pennsylvania, United States, 17033
Temple University Hospital
Philadelphia, Pennsylvania, United States, 19140
United States, Tennessee
Methodist Lebonheur Healthcare, UT Lebonheur Pediatric Specialists
Memphis, Tennessee, United States, 38103
Vanderbilt University Medical Center
Nashville, Tennessee, United States, 37232
United States, Texas
Texas Children's Hospital/Baylor College of Medicine
Houston, Texas, United States, 77005
United States, Vermont
Fletcher Allen Health Care
Burlington, Vermont, United States, 05401
United States, Virginia
University of Virginia Health Systems
Charlottesville, Virginia, United States, 22908
The Cardiovascular Group Centra
Lynchburg, Virginia, United States, 24501
Children's Specialty Group PLLC, Children's Hospital of the King's Daughters
Norfolk, Virginia, United States, 23507
United States, Washington
University of Washington
Seattle, Washington, United States, 98105
Providence Sacred Heart Medical Center and Children's Hospital
Spokane, Washington, United States, 99204
United States, Wisconsin
Children's Hospital of Wisconsin, Medical College of Wisconsin Adult Congenital Heart Disease Program
Milwaukee, Wisconsin, United States, 53226
Sponsors and Collaborators
Canadian Heart Research Centre
Study Chair: Michael Landzberg, MD Harvard Medical School / Boston Adult Congenital Heart
Study Director: Alain Romero, PharmD Actelion Pharmaceuticals U.S., Inc.
Study Director: Gary Palmer, MD, MBA Actelion Pharmaceuticals U.S., Inc.

Responsible Party: Actelion Identifier: NCT01623492     History of Changes
Other Study ID Numbers: AC-052-435
First Posted: June 20, 2012    Key Record Dates
Last Update Posted: April 25, 2017
Last Verified: April 2017

Keywords provided by Actelion:

Additional relevant MeSH terms:
Familial Primary Pulmonary Hypertension
Eisenmenger Complex
Vascular Diseases
Cardiovascular Diseases
Hypertension, Pulmonary
Lung Diseases
Respiratory Tract Diseases
Heart Defects, Congenital
Cardiovascular Abnormalities
Heart Diseases
Congenital Abnormalities