Clinical trial Recruiting at 41 sites Interventional Ages 18 and up

AI-analyzed ECG to help find pulmonary hypertension in people with interstitial lung disease

Official title: MOMENTOUS Study (iMpact Of an Ecg ai ModEl oN The Diagnosis Of pUlmonary hypertenSion)

Run by Tempus AI · NCT06911632 · Data updated 2026-11-12

This project tests whether an AI-read 12-lead ECG can help doctors find hidden pulmonary hypertension in adults with interstitial lung disease.

More Pulmonary Hypertension trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment900 (estimated)
SponsorTempus AI
Industry-sponsored
Locations41 sites (Birmingham, Alabama and 40 other locations)
StatusRecruiting
StartedJuly 23, 2025
Main results expectedMay 2028
Study endsJuly 2028
Registry record updatedNovember 3, 2026
Trial IDNCT06911632 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with a known diagnosis of interstitial lung disease, DLCO <30% predicted within 3 months, no prior pulmonary hypertension diagnosis, and ability to consent and undergo echo/RHC are the ideal candidates.

Probably not a fit

Patients with an existing pulmonary hypertension diagnosis, a recent right heart catheterization within the past year, left ventricular ejection fraction ≤40%, contraindications to RHC, or unclassifiable ECG results are unlikely to benefit from the protocolized device-driven testing.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

MOMENTOUS is a randomized, multi-center trial that enrolls adults with interstitial lung disease who receive a 12-lead ECG analyzed by an AI device. Participants are randomized to have the device results returned to their clinicians or withheld, and those flagged as high risk in the returned-results arm are referred for echocardiography and right heart catheterization. The primary comparison is the rate of new pulmonary hypertension diagnoses over six months between the device-guided arm and standard-of-care control. Standard clinical care remains available to all participants and additional testing may occur if clinicians deem it clinically necessary.

Why it matters

Potential benefit: If successful, this approach could increase earlier detection of pulmonary hypertension in people with ILD, enabling timelier treatment and management.

How similar studies have gone: Early pilot work and other AI-ECG research have shown promising signals for detecting cardiac conditions including possible pulmonary hypertension, but large randomized evidence for this specific use is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
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 6 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)

Where it's running

  • University of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting
  • Banner University Medical Center
    Phoenix, Arizona, United States
    Recruiting
  • Dignity Health - St. Joseph's Hospital and Medical Center-Norton Thoracic Institute
    Phoenix, Arizona, United States
    Recruiting
  • University of Arkansas
    Little Rock, Arkansas, United States
    Recruiting
  • HCA Riverside Community Hospital
    Riverside, California, United States
    Recruiting
  • National Jewish Health
    Denver, Colorado, United States
    Recruiting
Show 35 more locations
  • AdventHealth Orlando
    Orlando, Florida, United States
    Recruiting
  • Northwestern University
    Chicago, Illinois, United States
    Recruiting
  • University of Illinois Health
    Chicago, Illinois, United States
    Recruiting
  • Indiana University Health Methodist Hospital
    Indianapolis, Indiana, United States
    Recruiting
  • Community Health Network
    Indianapolis, Indiana, United States
    Recruiting
  • University of Kentucky
    Lexington, Kentucky, United States
    Recruiting
  • Willis Knighton Health
    Bossier City, Louisiana, United States
    Recruiting
  • Louisiana State University Health Shreveport
    Shreveport, Louisiana, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • University of Michigan - Michigan Medicine
    Ann Arbor, Michigan, United States
    Recruiting
  • Corewell Health
    Royal Oak, Michigan, United States
    Recruiting
  • University of Minnesota
    Minneapolis, Minnesota, United States
    Recruiting
  • University of Mississippi Medical Center
    Jackson, Mississippi, United States
    Recruiting
  • Hannibal Regional Healthcare System
    Hannibal, Missouri, United States
    Recruiting
  • Mercy Hospital Springfield
    Springfield, Missouri, United States
    Recruiting
  • CHI Health Creighton University Medical Center - Bergan Mercy
    Omaha, Nebraska, United States
    Recruiting
  • Renown Regional Medical Center
    Reno, Nevada, United States
    Recruiting
  • University of New Mexico
    Albuquerque, New Mexico, United States
    Recruiting
  • University of Buffalo
    Buffalo, New York, United States
    Recruiting
  • Weill Cornell University Medical College
    New York, New York, United States
    Recruiting
  • Southeastern Research Center
    Winston-Salem, North Carolina, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio, United States
    Recruiting
  • University of Oklahoma
    Oklahoma City, Oklahoma, United States
    Recruiting
  • Thomas Jefferson University
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Temple University of The Commonwealth System of Higher Education
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting
  • University of Tennessee
    Knoxville, Tennessee, United States
    Recruiting
  • Baylor University Medical Center
    Dallas, Texas, United States
    Recruiting
  • Baylor College of Medicine
    Houston, Texas, United States
    Recruiting
  • Houston Methodist Hospital
    Houston, Texas, United States
    Recruiting
  • The University of Texas Health Science Center Houston
    Houston, Texas, United States
    Recruiting
  • HCA Research Institute - Methodist Hospital
    San Antonio, Texas, United States
    Recruiting
  • University of Utah
    Salt Lake City, Utah, United States
    Recruiting
  • Virginia Commonwealth University
    Richmond, Virginia, United States
    Recruiting
  • West Virginia University Hospital
    Morgantown, West Virginia, United States
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.