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NCT06911632NARecruiting

Multi-site Study of the Clinical Impact of an AI-assisted Approach to Referring Patients With Interstitial Lung Disease for Diagnostic Evaluation of Pulmonary Hypertension

Tempus AI

Start Date

7/23/2025

Completion Date

7/1/2028

Summary

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.

Detailed Description

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.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * 18 years or older at the time of consent * A known diagnosis of interstitial lung disease * Diffusing capacity for carbon monoxide (DLCO) \<30% predicted, collected within 3 months prior to consent * Willing and able to provide informed consent and undergo all study-specific procedures, including echo and RHC, if required Exclusion Criteria: * A known diagnosis of pulmonary hypertension (including patients prescribed a therapy specifically for pulmonary arterial hypertension (PAH)) * A RHC was completed within the previous 1 year or ordered and not yet completed at the time of consent * LV ejection fraction ≤ 40% on most recent echo or cardiac MRI, if available * Unclassifiable Tempus PH ECG risk result after up to 2 ECG acquisitions * A contraindication to RHC exists (for example, pregnancy or mechanical right heart valve) * Physician decision that if a patient is directed to RHC by the study protocol, the potential risks of RHC outweigh the potential benefits * There is a severe concomitant illness limiting life expectancy to less than 6 months (at the discretion of the investigator) * There is a medical or social factor that makes the patient a poor candidate for the study and/or unlikely to be able to comply with the study protocol or complete study procedures (at the discretion of the investigator)

Interventions

DEVICE

ECG-based AI Device - Results Returned to Investigator

PROCEDURE

Echocardiogram and Right Heart Catheterization

DEVICE

ECG-based AI Device - Results Not Returned to Investigator

Interested in This Trial?

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Conditions

Pulmonary HypertensionInterstitial Lung Disease (ILD)

Locations

University of Alabama at Birmingham

Birmingham, Alabama 35205

United States

Banner University Medical Center

Phoenix, Arizona 84006

United States

Dignity Health - St. Joseph's Hospital and Medical Center-Norton Thoracic Institute

Phoenix, Arizona 85013

United States

National Jewish Health

Denver, Colorado 80206

United States

AdventHealth Orlando

Orlando, Florida 32803

United States

Northwestern University

Chicago, Illinois 60611

United States

University of Illinois Health

Chicago, Illinois 60612

United States

Indiana University Health Methodist Hospital

Indianapolis, Indiana 46202

United States

Community Health Network

Indianapolis, Indiana 46237

United States

University of Kentucky

Lexington, Kentucky 40536

United States

Louisiana State University Health Shreveport

Shreveport, Louisiana 71102

United States

Brigham and Women's Hospital

Boston, Massachusetts 02115

United States

University of Michigan - Michigan Medicine

Ann Arbor, Michigan 48109-5360

United States

University of Minnesota

Minneapolis, Minnesota 55455

United States

Hannibal Regional Healthcare System

Hannibal, Missouri 63401

United States

CHI Health Creighton University Medical Center - Bergan Mercy

Omaha, Nebraska 68124

United States

Renown Regional Medical Center

Reno, Nevada 89502

United States

University of New Mexico

Albuquerque, New Mexico 87131

United States

University of Buffalo

Buffalo, New York 14203

United States

Southeastern Research Center

Winston-Salem, North Carolina 27103

United States

University Hospitals Cleveland Medical Center

Cleveland, Ohio 44121

United States

University of Oklahoma

Oklahoma City, Oklahoma 73104

United States

Thomas Jefferson University

Philadelphia, Pennsylvania 19107

United States

Temple University of The Commonwealth System of Higher Education

Philadelphia, Pennsylvania 19140

United States

Medical University of South Carolina

Charleston, South Carolina 29425

United States

University of Tennessee

Knoxville, Tennessee 37920

United States

Baylor University Medical Center

Dallas, Texas 75246

United States

Baylor College of Medicine

Houston, Texas 77030

United States

University of Utah

Salt Lake City, Utah 84103

United States

West Virginia University Hospital

Morgantown, West Virginia 26505

United States