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D011654: Pulmonary Edema

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (13)


Name (Synonyms) Correlation
drug2694 Pulmonary Vascular Permeability Index Wiki 0.58
drug1264 Extravascular Lung Water Index Wiki 0.58
drug241 Anti-SARS-CoV-2 equine immunoglobulin fragments (INOSARS) Wiki 0.58
Name (Synonyms) Correlation
drug1865 Low Dose (10 mg) Control Wiki 0.58
drug1845 Lopinavir 200 MG / Ritonavir 50 MG [Kaletra] Wiki 0.58
drug1334 Folic Acid Wiki 0.58
drug545 C2Rx Wiki 0.58
drug2442 Pemziviptadil (PB1046) Wiki 0.58
drug286 Ascorbic Acid Wiki 0.29
drug3193 Standard of Care (SOC) Wiki 0.26
drug1527 Hydroxychloroquine Sulfate Wiki 0.17
drug341 Azithromycin Wiki 0.09
drug2490 Placebo Wiki 0.03

Correlated MeSH Terms (9)


Name (Synonyms) Correlation
D000075902 Clinical Deterioration NIH 0.41
D011665 Pulmonary Valve Insufficiency NIH 0.22
D006333 Heart Failure NIH 0.19
Name (Synonyms) Correlation
D007249 Inflammation NIH 0.11
D012127 Respiratory Distress Syndrome, Newborn NIH 0.10
D055371 Acute Lung Injury NIH 0.10
D012128 Respiratory Distress Syndrome, Adult NIH 0.09
D013577 Syndrome NIH 0.06
D011014 Pneumonia NIH 0.03

Correlated HPO Terms (4)


Name (Synonyms) Correlation
HP:0100598 Pulmonary edema HPO 1.00
HP:0010444 Pulmonary insufficiency HPO 0.22
HP:0001635 Congestive heart failure HPO 0.20
Name (Synonyms) Correlation
HP:0002090 Pneumonia HPO 0.03

Clinical Trials

Navigate: Correlations   HPO

There are 3 clinical trials


1 A Randomized, Double-Blind, Parallel Group Study to Assess the Efficacy and Safety of Once Weekly Subcutaneous Injections of Pemziviptadil (PB1046), a Sustained-Release VIP (Vasoactive Intestinal Peptide) ANalogue, in Hospitalized COVID-19 Patients at HiGh Risk for Rapid Clinical Deterioration and ARDS (PB1046 VANGARD Study)

This is a multicenter, randomized, double-blind, parallel group study to investigate the efficacy of pemziviptadil (PB1046) by improving the clinical outcomes in hospitalized COVID-19 patients at high risk for rapid clinical deterioration, acute respiratory distress syndrome (ARDS) and death. The study will enroll approximately 210 hospitalized COVID-19 patients who require urgent decision-making and treatment at approximately 20 centers in the United States.

NCT04433546
Conditions
  1. Acute Respiratory Distress Syndrome
  2. Coronavirus
  3. Hypoxic Respiratory Failure
  4. Hypoxemic Respiratory Failure
  5. Respiratory Complication
  6. Respiratory Insufficiency
  7. Cardiac Dysfunction
  8. Pneumonia
  9. Pulmonary Edema
  10. Pulmonary Inflammation
  11. Respiratory Failure
  12. Cytokine Storm
  13. COVID 19
  14. SARS-CoV-2
  15. Cardiac Event
  16. Cardiac Complication
  17. Cardiac Failure
  18. Cardiac Infarct
Interventions
  1. Drug: Pemziviptadil (PB1046)
  2. Drug: Low Dose (10 mg) Control
MeSH:Pneumonia Respiratory Distress Syndrome, Newborn Respiratory Distress Syndrome, Adult Respiratory Insufficiency Acute Lung Injury Pulmonary Edema Pulmonary Valve Insufficiency Heart Failure Syndrome Inflammation Clinical Deterioration
HPO:Abnormal left ventricular function Congestive heart failure Pneumonia Pulmonary edema Pulmonary insufficiency Right ventricular failure

Primary Outcomes

Measure: Time to clinical recovery from initiation of pemziviptadil (PB1046)

Time: 28 days

Secondary Outcomes

Measure: Time to clinical recovery (being well enough for hospital discharge or returning to normal baseline activity level prior to discharge)

Time: 28 days

Measure: Time to hospital discharge

Time: Any time point between injection initiation and Day 28

Measure: All-cause mortality

Time: 28 days

Description: Composite of: Total hospital days, Total ICU days, Total days of ventilator use, Total days of ECMO, Total days of invasive hemodynamic monitoring, Total days of mechanical circulatory support, Total days of inotropic or vasopressor therapy

Measure: Reduction in hospital resource utilization defined as a composite of: total days: in hospital, in ICU, on ventilator, on ECMO, with invasive hemodynamic monitoring, with mechanical circulatory support, and with inotropic or vasopressor therapy

Time: 28 days

Measure: Time to clinical improvement as defined by reduction of at least 2 points on an 8-category ordinal scale of clinical improvement or discharge from hospital, whichever comes first.

Time: Any time point between injection initiation and Day 28

Measure: Change from baseline in cardiac marker troponin I (TrI)

Time: Any time point between injection initiation and Day 35+7

Measure: Change from baseline in cardiac marker NT-proBNP/BNP

Time: Any time point between injection initiation and Day 35+7

Measure: Change from baseline in TNF alpha

Time: Any time point between injection initiation and Day 35+7

Measure: Change from baseline in IL-1

Time: Any time point between injection initiation and Day 35+7

Measure: Change from baseline in IL-6

Time: Any time point between injection initiation and Day 35+7

Measure: Incidence and severity of any treatment emergent adverse events (TEAEs) or serious adverse events (SAEs) as determined by clinical adverse events (AEs) and their relationship to pemziviptadil (PB1046).

Time: Any time point between injection initiation and Day 35+7

Measure: Incidence and severity of any treatment emergent adverse events (TEAEs) or serious adverse events (SAEs) as determined by vital signs and their relationship to pemziviptadil (PB1046)

Time: Any time point between injection initiation and Day 35+7

Measure: Incidence and severity of any treatment emergent adverse events (TEAEs) or serious adverse events (SAEs) as determined by laboratory results and their relationship to pemziviptadil (PB1046)

Time: Any time point between injection initiation and Day 35+7

Measure: Incidence and severity of any treatment emergent adverse events (TEAEs) or serious adverse events (SAEs) as determined by electrocardiogram (ECG) abnormalities and their relationship to pemziviptadil (PB1046)

Time: Any time point between injection initiation and Day 35+7

Measure: Incidence and severity of any treatment emergent adverse events (TEAEs) or serious adverse events (SAEs) as determined by incidence of anti-drug antibodies and their relationship to pemziviptadil (PB1046)

Time: Any time point between injection initiation and Day 35+7

Other Outcomes

Measure: Impact on invasive hemodynamic parameters as measured by pulmonary artery pressure if patients require right-heart catherization

Time: Any time point between injection initiation and Day 35+7

Measure: Impact on invasive hemodynamic parameters as measured by cardiac output if patients require right-heart catherization

Time: Any time point between injection initiation and Day 35+7

Measure: Incidence of multi-system organ failure (MSOF)

Time: Any time point between injection initiation and Day 35+7

Measure: Number of multi-system organ failure (MSOF) free days

Time: Any time point between injection initiation and Day 35+7

Measure: Number of subjects requiring extracorporeal membrane oxygenation (ECMO)

Time: Any time point between injection initiation and Day 35+7

Measure: Change in circulating ferritin

Time: Any time point between injection initiation and Day 35+7

Measure: Change in circulating D-dimer

Time: Any time point between injection initiation and Day 35+7

Measure: Change in liver function

Time: Any time point between injection initiation and Day 35+7

Measure: Change in other blood chemistry

Time: Any time point between injection initiation and Day 35+7

Measure: Change in hematology

Time: Any time point between injection initiation and Day 35+7

Measure: Change in inflammatory markers

Time: Any time point between injection initiation and Day 35+7

Measure: Change in coagulation markers

Time: Any time point between injection initiation and Day 35+7

Measure: Percent of clinical failure

Time: Any time point between injection initiation and Day 35+7
2 Comparison of Extra Vascular Lung Water Index in Covid-19 ARDS and "Typical"ARDS Patients

Covid-19 also primarily affects endothelium that line up the alveoli. The resulting hypoxemia may differ from "typical" Acute Respiratory Distress Syndrome (ARDS) due to maldistribution of perfusion related to the ventilation. Thus, pathophysiology of Covid-19 ARDS is different, which requires different interventions than typical ARDS. The investigators will assess whether extravascular lung water index and permeability of the alveolar capillary differs from typical ARDS with transpulmonary thermodilution (TPTD) technique. Extravascular Lung Water Index (EVLWI) and Pulmonary Vascular Permeability Index (PVPI) will be compared.

NCT04508933
Conditions
  1. Respiratory Distress Syndrome, Adult
  2. Ventilation Perfusion Mismatch
  3. Pulmonary Edema
  4. Covid19
Interventions
  1. Device: Extravascular Lung Water Index
  2. Device: Pulmonary Vascular Permeability Index
MeSH:Respiratory Distress Syndrome, Newborn Respiratory Distress Syndrome, Adult Pulmonary Edema Acute Lung Injury
HPO:Pulmonary edema

Primary Outcomes

Description: The amount of fluid accumulated in the lung measured by transpulmonary thermodilution (ml/kg)

Measure: Extravascular Lung Water Index

Time: 1 day

Description: Integrity of the alveolocapillary barrier measured by transpulmonary thermodilution

Measure: Pulmonary vascular permeability index

Time: 1 day
3 A Randomized Clinical Trial of CLR2.0 Hemofiltration Treatment (C2Rx) in Severe or Critically Ill Adults With COVID-19 Infection

The clinical trial will evaluate the short term and extended impact on on respiration, pulmonary function and cardiovascular function in C2Rx treatment verse Standard of Care (SOC) in critically ill adults with COVID-19 infections .

NCT04537975
Conditions
  1. Continuous Renal Replacement Therapy
  2. Pulmonary Edema
  3. COVID-19
Interventions
  1. Device: C2Rx
  2. Other: Standard of Care (SOC)
MeSH:Pulmonary Edema
HPO:Pulmonary edema

Primary Outcomes

Description: Change in patient Arterial Oxygen Partial Pressure (PaO2)/Fractional Inspired Oxygen (FiO2) Ratio

Measure: Pulmonary Oxygenation Function

Time: Up to 72 hours

Secondary Outcomes

Description: Change in patient oxygenation

Measure: Pulmonary Compliance of Respiratory System (CRS)

Time: Up to 96 hours

Description: Change in the total number of patients that survived

Measure: Survival

Time: 30 days and 60 days

Description: Change in Hospital Utilization of ventilators (days)

Measure: Hospital Costs 1

Time: Out to 60 days

Description: Change in score based on the calculation of the following medications used: dopamine dose (µg/kg/min) + dobutamine dose (µg/kg/min) + 100 x adrenaline dose (µg/kg/min) + 100 x noradrenaline dose (µg/kg/min) + 10 x milrinone dose (µg/kg/min) + 10.000 x vasopressin dose (U/kg/min)

Measure: Cardiovascular Vasoactive-Inotropic Score (VIS)

Time: Up to 96 hours

Description: Change in Hospital Utilization of vasopressor medication (days without use)

Measure: Hospital Costs 2

Time: Out to 60 days

Description: Change in Hospital Utilization of Intensive Care Unit (ICU) Hospital free days

Measure: Hospital Costs 3

Time: Out to 60 days

Description: Change in Hospital Utilization of Renal Replacement Therapy (days on therapy)

Measure: Hospital Costs 4

Time: Out to 60 days

Description: Change in Hospital Utilization (days hospitalized)

Measure: Hospital Costs 5

Time: Out to 60 days

Other Outcomes

Description: Changes in inflammatory mediators detected by Immunoassay of Multianalyte Panel - MAP Laboratory Panel of 253 analytes.

Measure: Inflammatory mediators in blood

Time: Out to 14 hours

Description: Change in cytokine levels obtained from plasma and blood collected prior to and after filter. Analyte concentrations in ultrafiltrate and plasma, expressed in the same concentration units, will be aggregated as a ratio of ultrafiltrate concentration to plasma concentration to yield a unitless Sieving Coefficient (SC). SC is an index of membrane function.

Measure: Cytokine Sieving Effects

Time: Out to 8 hours

Description: Change in blood Ferritin (mg/mL)

Measure: Specific Blood Indicators 1

Time: Out to 14 hours

Description: Change in blood Interleukin-6 (pg/mL)

Measure: Specific Blood Indicators 2

Time: Out to 14 hours

Description: Change in blood C-reactive protein (CRP) (mg/L)

Measure: Specific Blood Indicators 3

Time: Out to 14 hours

Description: Change in blood Lactate Dehydrogenase (LDH) (U/L)

Measure: Specific Blood Indicators 4

Time: Out to 14 hours

Description: Change in blood D-dimer (mcg/L*FEU2)

Measure: Specific Blood Indicators 5

Time: Out to 14 hours

Description: Change in blood White Blood Cell (WBC) count (%)

Measure: Specific Blood Indicators 6

Time: Out to 14 hours

Description: Change in blood Neutrophil count (%)

Measure: Specific Blood Indicators 7

Time: Out to 14 hours

Description: Change in blood lymphocyte count (%).

Measure: Specific Blood Indicators 8

Time: Out to 14 hours

Description: Change in the duration of days of diagnosed HAI/ Sepsis infections

Measure: Hospital Acquired Infections (HAI) /Sepsis

Time: 30 and 60 days

Description: Duration without Respiratory Replacement Therapy (RRT), ventilator, and time to discharge

Measure: Composite Recovery

Time: Up to 30 days

Description: Survival without Respiratory Replacement Therapy (RRT), ventilator, or time to Long Term Care (LTC)

Measure: Composite Survival

Time: 30 and 60 days

Description: Survival with Respiratory Replacement Therapy (RRT), ventilator or in Long Term Care (LTC)

Measure: Composite Non-Recovery

Time: Up to 60 days

HPO Nodes


HPO

Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials

Reports

Data processed on January 01, 2021.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

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HPO

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Alphabetical index of all Terms

Google Colab

Python example via Google Colab Notebook