MOMENTOUS is a multi-center, randomized study to prospectively evaluate the performance of an ECG-based AI device to predict whether participants with interstitial lung disease (ILD) are at high risk of undiagnosed pulmonary hypertension.
The goal of this study is to evaluate the use of an ECG-based AI device that may help predict if participants with interstitial lung disease (ILD) are at high risk of undiagnosed pulmonary hypertension (PH). The study seeks to determine whether use of the device increases the rate of new PH diagnoses over a period of 6 months as compared to current standard of care. The study will recruit participants with ILD from lung disease clinics who will each receive a 12-lead ECG (a test that measures the electrical activity of the heart) following consent. The device will analyze the 12-lead ECG results to identify participants that are at high risk of having undiagnosed PH. Participants will be randomly assigned to either the Device or Control group. For participants in the Device group investigators will receive the results of the device. In the Control group investigators will not receive the results of the device. Additionally, participants in the Device group identified as "high risk" by the device will receive a transthoracic echocardiogram and a right heart catheterization (RHC). Participants in the Device group who are not high risk and all participants in the Control group will not receive these additional tests as part of the study, but will receive standard of care treatment as determined by their physicians, which may include an echocardiogram or RHC if clinically indicated.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
900
An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will be returned to the Investigators.
Echocardiogram- an ultrasound study of the heart and Right Heart Catheterization- a procedure to measure pressures in the heart
An ECG-based AI device that predicts undiagnosed PH using data from a 12-lead ECG. Device results will not be returned to the Investigators.
Proportion of participants receiving a new diagnosis of PH within the High risk Device group compared to the High risk Control group.
Mean pulmonary artery pressure (mPAP) \> 20 mm Hg and pulmonary vascular resistance (PVR) \> 2 Wood units
Time frame: Through study completion, approximately 6 months
Proportion of participants receiving a new diagnosis of PH within the Device group compared to the Control group.
mPAP \> 20 mm Hg and PVR \> 2 Wood units
Time frame: Through study completion, approximately 6 months
Proportion of participants receiving a new diagnosis of PH within the High risk Device group compared to the Not high risk Device group.
mPAP \> 20 mm Hg and PVR \> 2 Wood units
Time frame: Through study completion, approximately 6 months
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University of Alabama at Birmingham
Birmingham, Alabama, United States
RECRUITINGBanner University Medical Center
Phoenix, Arizona, United States
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Riverside, California, United States
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Denver, Colorado, United States
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Orlando, Florida, United States
RECRUITINGNorthwestern University
Chicago, Illinois, United States
RECRUITINGUniversity of Illinois Health
Chicago, Illinois, United States
RECRUITINGIndiana University Health Methodist Hospital
Indianapolis, Indiana, United States
RECRUITINGCommunity Health Network
Indianapolis, Indiana, United States
RECRUITING...and 27 more locations