Open-label Extension of Oral Treprostinil in Subjects With PH Associated With HFpEF
- Conditions
- Pulmonary Hypertension Associated With HFpEF
- Interventions
- Registration Number
- NCT03043651
- Lead Sponsor
- United Therapeutics
- Brief Summary
This was an open-label study to evaluate the safety of continued therapy with oral treprostinil in subjects who completed Study TDE-HF-301. This study provided long-term, open-label data regarding the effect of continued long-term oral treprostinil therapy for the treatment of pulmonary hypertension (PH) associated with heart failure with preserved ejection fraction (HFpEF). Subject visits occurred at Baseline, Weeks 6, 12, 18, 24, and every 12 weeks thereafter until either oral treprostinil was commercially available to treat PH associated with HFpEF or the study was discontinued by the Sponsor.
The Sponsor terminated Studies TDE-HF-301 and TDE-HF-302 on 14 October 2019 due to slow enrollment. Safety data from the final subject in Study TDE-HF-302 were recorded on 02 March 2020. Due to the lower than expected number of subjects enrolled, the planned secondary efficacy-related endpoints were not analyzed.
- Detailed Description
Study TDE-HF-302 was a multicenter, open-label study in subjects participating and completing all required visits for Study TDE-HF-301. This study assessed the long-term safety of oral treprostinil in subjects with PH associated with HFpEF.
Subjects received oral treprostinil as 0.125-, 0.25-, 1-, and 2.5-mg sustained-release tablets. For subjects who were randomly allocated to receive oral treprostinil in Study TDE-HF-301, the initial dose of oral treprostinil was the same as the final dose in Study TDE-HF-301. Subjects randomly allocated to receive placebo in Study TDE-HF-301 were administered the initial dose of oral treprostinil at 0.125 mg 3 times daily (TID). Dose increases could occur in 0.125-mg increments every 72 hours at the discretion of the Investigator up to 6 mg TID, the maximum allowable dose determined by the Data Monitoring Committee during Study TDE-HF-301. Doses of study drug were to be increased in the absence of dose-limiting drug-related adverse events (AEs) to ensure that each subject received the optimal dose throughout the study. Subjects returned for visits at Weeks 6, 12, 18, and 24, and every 12 weeks thereafter. Subjects who terminated the study early were asked to return to the study center for a final evaluation.
Safety assessments consisted of AEs, clinical laboratory parameters, and clinical assessment of heart failure signs and symptoms.
Due to the lower than expected number of subjects enrolled, the planned secondary efficacy-related endpoints were not analyzed.
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 48
- The subject participated in Study TDE-HF-301, remained on study drug, was compliant with study procedures and assessments during Study TDE-HF-301, and completed through Week 24 of that study.
- The subject was pregnant or lactating.
- The subject was prematurely discontinued from Study TDE-HF-301 for any reason.
- The subject developed a concurrent illness or condition during Study TDE-HF-301, which, in the opinion of the Investigator, represented a risk to the subject's overall health if they enrolled in this study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Oral treprostinil Oral treprostinil Sustained-release tablets for TID administration
- Primary Outcome Measures
Name Time Method Long-term Safety of Oral Treprostinil in Subjects With PH Associated With HFpEF for Subjects Who Completed Study TDE-HF-301 Baseline through study completion, up to approximately 25 months The primary objective of this study was to evaluate the long-term safety of oral treprostinil in subjects with PH associated with HFpEF for subjects who completed Study TDE-HF-301. The number of subjects with adverse events during the study is reported as the primary outcome measure, which was the only outcome measurement reported for this Sponsor-terminated study.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (82)
Cleveland Clinic
🇺🇸Cleveland, Ohio, United States
VA Healthcare System of Greater Los Angeles
🇺🇸Los Angeles, California, United States
University of Arizona
🇺🇸Tucson, Arizona, United States
University of California Los Angeles Pulmonary Division
🇺🇸Los Angeles, California, United States
Cedars-Sinai Medical Center
🇺🇸Los Angeles, California, United States
Santa Barbara Cottage Hospital
🇺🇸Santa Barbara, California, United States
South Denver Cardiology
🇺🇸Littleton, Colorado, United States
Medical Faculty Associates, George Washington University
🇺🇸Washington, District of Columbia, United States
Bay Area Cardiology Associates
🇺🇸Brandon, Florida, United States
Mayo Clinic - Jacksonville
🇺🇸Jacksonville, Florida, United States
St. Vincent's Lung, Sleep, and Critical Care Specialists
🇺🇸Jacksonville, Florida, United States
Emory University Hospital
🇺🇸Atlanta, Georgia, United States
Cleveland Clinic of Florida
🇺🇸Weston, Florida, United States
Piedmont Physicians Georgia Lung
🇺🇸Austell, Georgia, United States
WellStar Medical Group
🇺🇸Marietta, Georgia, United States
University of Illinois at Chicago Hospital
🇺🇸Chicago, Illinois, United States
Advocate Christ Medical Center
🇺🇸Oak Lawn, Illinois, United States
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
OSF HealthCare
🇺🇸Peoria, Illinois, United States
University of Iowa Hospitals and Clinics
🇺🇸Iowa City, Iowa, United States
Iowa Heart Center
🇺🇸West Des Moines, Iowa, United States
University of Kentucky Medical Center
🇺🇸Lexington, Kentucky, United States
Chest Medicine Associates
🇺🇸South Portland, Maine, United States
St. Elizabeth's Medical Center
🇺🇸Brighton, Massachusetts, United States
Spectrum Health Medical Group
🇺🇸Grand Rapids, Michigan, United States
Barnabas Health Lung Center
🇺🇸Newark, New Jersey, United States
St. Luke's Hospital
🇺🇸Chesterfield, Missouri, United States
Dartmouth Hitchcock Medical Center
🇺🇸Lebanon, New Hampshire, United States
Albany Medical College
🇺🇸Albany, New York, United States
Mount Sinai Medical Center
🇺🇸New York, New York, United States
Asheville Cardiology Associates
🇺🇸Asheville, North Carolina, United States
Pulmonary Health Physicians, PC
🇺🇸Syracuse, New York, United States
Pinehurst Medical Clinic
🇺🇸Pinehurst, North Carolina, United States
The Ohio State University Wexner Medical Center
🇺🇸Columbus, Ohio, United States
University of Toldedo Medical Center
🇺🇸Toledo, Ohio, United States
Allegheny General Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
AnMed Health Pulmonary and Sleep Medicine
🇺🇸Anderson, South Carolina, United States
VitaLink Research - Anderson
🇺🇸Anderson, South Carolina, United States
Summit Medical Group
🇺🇸Knoxville, Tennessee, United States
Stern Cardiovascular Foundation
🇺🇸Germantown, Tennessee, United States
Baylor University Medical Center
🇺🇸Dallas, Texas, United States
Inova Heart and Vascular Institute
🇺🇸Falls Church, Virginia, United States
Carilion Clinic
🇺🇸Roanoke, Virginia, United States
Texas Tech University Health Sciences Center
🇺🇸Lubbock, Texas, United States
Intermountain Medical Center
🇺🇸Murray, Utah, United States
Sentara Cardiovascular Research Institute
🇺🇸Norfolk, Virginia, United States
Providence Medical Research Center
🇺🇸Spokane, Washington, United States
West Virginia University Hospital
🇺🇸Morgantown, West Virginia, United States
Indiana University Health Methodist Research Institute, INC
🇺🇸Indianapolis, Indiana, United States
University of Minnesota
🇺🇸Minneapolis, Minnesota, United States
Community Heart and Vascular Hospital
🇺🇸Indianapolis, Indiana, United States
Saint Vincent Hospital and Health Services
🇺🇸Indianapolis, Indiana, United States
Tufts Medical Center
🇺🇸Boston, Massachusetts, United States
Brigham and Women's Hospital
🇺🇸Boston, Massachusetts, United States
Duke University Medical Center
🇺🇸Durham, North Carolina, United States
Houston Methodist Research Institute
🇺🇸Houston, Texas, United States
The Lindner Research Center The Christ Hospital Health Network
🇺🇸Cincinnati, Ohio, United States
The University of Texas Health Science Center at Houston
🇺🇸Houston, Texas, United States
Vanderbilt University Medical Center
🇺🇸Nashville, Tennessee, United States
MedStar Georgetown University Hospital
🇺🇸Washington, District of Columbia, United States
University of Alabama at Birmingham
🇺🇸Birmingham, Alabama, United States
Banner University Medical Center Phoenix
🇺🇸Phoenix, Arizona, United States
Aurora Denver Cardiology Associates
🇺🇸Aurora, Colorado, United States
University of Colorado Denver
🇺🇸Aurora, Colorado, United States
National Jewish Health
🇺🇸Denver, Colorado, United States
University of South Florida ; Tampa General Hospital
🇺🇸Tampa, Florida, United States
Henry Ford Health System
🇺🇸Detroit, Michigan, United States
The Oregon Clinic
🇺🇸Portland, Oregon, United States
Aurora St. Luke's Medical Center
🇺🇸Milwaukee, Wisconsin, United States
Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States
Lancaster General Hospital
🇺🇸Lancaster, Pennsylvania, United States
University of California - Davis Medical Center
🇺🇸Sacramento, California, United States
Augusta University
🇺🇸Augusta, Georgia, United States
Kentuckiana Pulmonary Associates
🇺🇸Louisville, Kentucky, United States
Central Florida Pulmonary Group, P.A.
🇺🇸Orlando, Florida, United States
Florida Hospital
🇺🇸Orlando, Florida, United States
University of Louisville Physicians Outpatient Center
🇺🇸Louisville, Kentucky, United States
Saint Luke's Hospital of Kansas City
🇺🇸Kansas City, Missouri, United States
Medical University of South Carolina
🇺🇸Charleston, South Carolina, United States
Virginia Commonwealth University
🇺🇸Richmond, Virginia, United States
Montefiore Medical Center
🇺🇸Bronx, New York, United States
University of Kansas Medical Center
🇺🇸Kansas City, Kansas, United States