Idiopathic Pulmonary Arterial Hypertension, Primary Pulmonary Hypertension, Pulmonary Arterial Hypertension, Familial Primary Pulmonary Hypertension
Conditions
Brief summary
The purpose of this study is to determine if cardizem is effective in the treatment of nitric oxide non-responder pulmonary arterial hypertension.
Interventions
The study agent will be diltiazem and will start at 60 mg po BID then titrated up very two weeks until at a maximum maintenance dose of 180mg po BID for six weeks.
The placebo group of patients will be treated with sugar pill PO bid and return every two weeks for next titration dose (actually will be an unchanged concentration).
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult participants * Confirmed WHO class I pulmonary arterial hypertension * Nitric Oxide Non-Responders on right heart catheterization * Experience dyspnea, NYHA III-IV with poor oxygenation and quality of life despite standard treatments * Must be able to swallow medications
Exclusion criteria
* Pulmonary hypertension secondary to 1) elevations in pulmonary venous pressures (i.e. left heart disease), 2) chronic hypoxemic states from lung diseases such as COPD, sleep-disordered breathing, alveolar hypoventilation disorders, chronic exposure to high altitude and developmental abnormalities 3) chronic thromboembolic disease, 4) sarcoidosis, 5) Lymphangiomyomatosis, 5) Pulmonary Langerhans Cell Histiocytosis * Already on a calcium channel blocker * Systolic blood pressure less than 90 * Heart rate less than 55 * Pregnant * Cannot sign informed consent * Right heart failure * Pulmonary Veno-occlusive disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Six Minute Walk Distance | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Dyspnea Score | 12 weeks |
| Quality of Life Score | 12 weeks |
| Pulse Oximetry | 12 weeks |
Countries
United States