Clinical trial Recruiting at 1 site Observational Ages 18 and up

Timing of pulmonary arterial hypertension diagnosis in Brazil

Official title: PANDORA: PulmonAry hyperteNsion DiagnOsis: a National cohoRt reseArch

Run by University of Sao Paulo General Hospital · NCT06998329 · Data updated 2026-11-12

We will see how long it takes adults with pulmonary arterial hypertension in Brazil to get a confirmed diagnosis and what causes delays.

More Pulmonary Arterial Hypertension trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment139 (estimated)
SponsorUniversity of Sao Paulo General Hospital
Academic / other
Locations1 site (São Paulo, São Paulo)
StatusRecruiting
StartedJuly 7, 2025
Main results expectedJuly 2027
Study endsDecember 2027
Registry record updatedSeptember 30, 2025
Trial IDNCT06998329 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults in Brazil diagnosed with Group 1 pulmonary arterial hypertension by right heart catheterization who have documented or reliably estimated dates for symptom onset and for confirmed diagnosis are ideal candidates.

Probably not a fit

Patients without Group 1 PAH, without right heart catheterization confirmation, without records of symptom onset or diagnosis dates, or pediatric patients are unlikely to be included or directly benefit.

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

What this trial studies

This multicenter observational project will collect medical-record and patient-journey data from Brazilian PAH reference centers to measure time from first symptom to confirmed diagnosis. Eligible adults must have Group 1 PAH confirmed by right heart catheterization and documented or reliably estimated dates for symptom onset and diagnosis. Patients with non–Group 1 pulmonary hypertension, insufficient records, or diagnoses made only by echocardiography will be excluded. Analysis will identify common misdiagnoses, referral patterns, and system or patient factors associated with longer diagnostic delays.

Why it matters

Potential benefit: If successful, the findings could point to specific steps—such as earlier referral pathways or clinician education—that shorten diagnostic delays and improve patient outcomes.

How similar studies have gone: Previous observational studies in Australia and parts of Latin America have documented long diagnostic delays for PAH, so this approach is established though Brazil-specific national data remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Availability of documented or estimated date of first symptom suggestive of PAH.
* Availability of documented date of confirmed PAH diagnosis.

Exclusion Criteria:

* Patients with pulmonary hypertension not classified as Group 1 (e.g., due to left heart disease, chronic lung disease, or chronic thromboembolic disease).
* Patients with insufficient data to determine either the date of symptom onset or the date of confirmed diagnosis.
* Patients diagnosed only clinically or by echocardiography, without confirmation by right heart catheterization.

Where it's running

  • InCor - Universidade de São Paulo
    São Paulo, São Paulo, Brazil
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.