Lung Clearance Index to Identify Scleroderma Patients at Risk for ILD

National Jewish Health

Status

Enrolling

Conditions

Scleroderma

Treatments

Diagnostic Test: LCI testing

Study type

Observational

Funder types

Other

Identifiers

NCT04535245

HS 3471

Details and patient eligibility

About

This National Jewish Health (NJH) Investigator Initiated pilot study funded by the Shah Foundation will prospectively perform a non invasive lung function test called Lung Clearance Index (LCI) to determine if 50 scleroderma patients without evidence of lung disease who have evidence of small airway inflammation or impairment to airflow are more likely to develop ILD than those with normal vales.50 subjects will be enrolled from the Rheumatology practice at NJH and followed with phone interviews or Electronic Medical Record (EMR) record review yearly times 5 to determine if they have subsequently developed evidence of ILD or pulmonary artery hypertension.

Full description

50 scleroderma patients without evidence of lung disease who have been seen by an NJH Rheumatologist will be invited to participate. They will have their medical records reviewed to determine eligibility and then perform hand held spirometry and LCI testing. This measures evidence of small airway airflow obstruction and requires normal breathing while first on room air followed by inhaling a gas mixture of 100% oxygen. The Oxygen concentration in exhaled breathing and the number of breaths needed to return to room air concentration of Oxygen will be analyzed by a computer. Medical information from the EMR will be recorded and placed in a secure database, REDCap, for statistical analysis to determine if LCI results or other clinical features are predictive of which Scleroderma patients are most likely to subsequently develop evidence of Interstitial Lung disease (ILD) based upon yearly phone call interviews and EMR record reviews within 5 years of baseline testing.

Enrollment

50 estimated patients

Sex

All

Ages

21 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Confirmed diagnosis of systemic sclerosis (SSC) by an NJH Rheumatologist
age 21-75
No evidence of Scleroderma related Lung disease (ILD)
Able to comprehend and sign an Institutional Review Board (IRB) approved consent form.

Exclusion criteria

Patients without a Rheumatologists confirming a diagnosis (DX) of SSC
Patients with evidence of lung involvement based upon; Thoracic imaging, abnormal Pulmonary Function Tests (PFTs); Forced Vital Capacity( FVC), Forced Expiratory Volume in 1 second (FEV1) or a Diffusion Capacity for Carbon Monoxide (DLCO) < the Lower Limit of Normal (LLN) or Saturation of Oxygen in arterial blood (SaO2) < 90% .
Cardiac echocardiogram or right heart catheter evidence of Pulmonary Arterial Hypertension (PAH).
< 21 or > 75 years of age
Must not be pregnant or had eye surgery within 2 weeks of LCI testing
Must be able to comprehend and sign an IRB approved consent form and complete LCI testing