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  • HP:0100598: Pulmonary edema
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    HP:0100598: 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 (10)


    Name (Synonyms) Correlation
    drug2372 PB1046 Wiki 0.71
    drug923 Coronary artery calcium score and cardiac computed tomographic angiography Wiki 0.71
    drug1878 Low Dose (10 mg) Control Wiki 0.71
    Name (Synonyms) Correlation
    drug297 Arm exercise electrocardiographic stress test Wiki 0.71
    drug3527 Treadmill electrocardiographic stress test Wiki 0.71
    drug2703 Pulmonary Vascular Permeability Index Wiki 0.71
    drug363 Azinc Wiki 0.71
    drug2841 Regadenoson myocardial perfusion imaging stress test Wiki 0.71
    drug1267 Extravascular Lung Water Index Wiki 0.71
    drug1552 Hydroxychloroquine and Azithromycin Wiki 0.50

    Correlated MeSH Terms (10)


    Name (Synonyms) Correlation
    D011654 Pulmonary Edema NIH 0.82
    D000075902 Clinical Deterioration NIH 0.50
    D011665 Pulmonary Valve Insufficiency NIH 0.27
    Name (Synonyms) Correlation
    D006333 Heart Failure NIH 0.22
    D007249 Inflammation NIH 0.13
    D012127 Respiratory Distress Syndrome, Newborn NIH 0.13
    D055371 Acute Lung Injury NIH 0.13
    D012128 Respiratory Distress Syndrome, Adult NIH 0.11
    D013577 Syndrome NIH 0.07
    D011014 Pneumonia NIH 0.04

    Correlated HPO Terms (3)


    Name (Synonyms) Correlation
    HP:0010444 Pulmonary insufficiency HPO 0.27
    HP:0001635 Congestive heart failure HPO 0.24
    HP:0002090 Pneumonia HPO 0.04

    Clinical Trials

    Navigate: Correlations   HPO

    There are 2 clinical trials


    1 A Randomized, Double-Blind, Parallel Group Study to Assess the Efficacy and Safety of Once Weekly Subcutaneous Injections of 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 PB1046 by improving the clinical outcomes and increasing days alive and free of respiratory failure 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: 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 Pulmona Pulmonary Valve Insufficiency Heart Failure Syndrome Inflammation Clinical Deterioration
    HPO:Congestive heart failure Left ventricular dysfunction Pneumonia Pulmonary edema Pulmonary insufficiency Right ventricular failure

    Primary Outcomes

    Measure: Days alive and free of respiratory failure from initiation of 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

    Description: PaO2:FiO2 ratio is the ratio of partial pressure of arterial oxygen to percentage of inspired oxygen

    Measure: Development of ARDS (PaO2:FiO2 ratio < 300 mm Hg) during hospitalization

    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 high sensitivity troponin I (hsTnI)

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

    Measure: Change from baseline in cardiac marker NT-proBNP

    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 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 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 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 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 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
    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

    HPO Nodes


    HPO

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

    Reports

    Data processed on September 26, 2020.

    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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    MeSH

    691 reports on MeSH terms

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    263 reports on HPO terms

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