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Table 2 Secondary endpoints, exploratory endpoint and safety evaluation that will be measured and/or compared at baseline and at 12 months after initiation of treatment

From: Balloon pulmonary angioplasty combined with riociguat for the treatment of inoperable chronic thromboembolic pulmonary hypertension (PRACTICE study): study protocol for a randomized controlled trial

Secondary endpoints

Change in hemodynamic variables

mean pulmonary arterial pressure, cardiac output, etc.

Change in 6-min walk distance

 

Change in WHO functional class

 

Change in plasma NT-proBNP level

 

Change in echocardiography

tricuspid annulus systolic displacement (TAPSE), right atrium area, right ventricle size, eccentricity index, pericardial effusion

Change in Borg dyspnea index

 

Change in quality-of-life parameters (SF 36)

 

Exploratory endpoint

cardiopulmonary exercise testing

 

cardiac magnetic resonance

 

Safety evaluation

Frequency of adverse events

hemoptysis/pulmonary hemorrhage (vascular perforation, vascular dissection, vascular rupture, etc), pneumothorax, hypotension, pulmonary congestion/

pulmonary edema, late-onset lung disturbance, heart failure, pneumonia, headache, dizziness, peripheral edema, nausea/vomiting, retching, diarrhea, nasopharyngitis, upper respiratory inflammation, respiratory distress, coughing and fainting

Clinical worsening during the observation period and time to clinical worsening

All-cause mortality, heart/lung transplant, hospitalization due to clinical worsening, new initiation of pulmonary hypertension target medications, worsening of 30% or greater from baseline in the 6MWD and persistent worsening in the WHO FC from baseline due to the worsening of a primary disease.

Laboratory tests

hemoglobin, alanine aminotransferase, creatinine, aspartate aminotransferase