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临床试验/JPRN-jRCT2051200150
JPRN-jRCT2051200150暂停3 期

A prospective, randomized, double-blind, multicenter, placebo-controlled, parallel group, adaptive Phase 3 study with open-label extension to evaluate efficacy and safety of macitentan 75 mg in inoperable or persistent/recurrent chronic thromboembolic pulmonary hypertension

akano Masayoshi0 个研究点目标入组 144 人开始时间: 2021年3月11日最近更新:

试验速览

阶段
3 期
状态
暂停
发起方
入组人数
144

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
>= 18age old 至 <= 80age old(—)
性别
All

入选标准

  • Chronic thromboembolic pulmonary hypertension (CTEPH) (World Health Organization [WHO] Group 4) fulfilling one of the following criteria:
  • a) inoperable due to the localization of the obstruction being surgically inaccessible (that is, distal disease),
  • b) persistent/recurrent CTEPH after balloon pulmonary angioplasty (BPA), and deemed inoperable due to the localization of the obstruction being surgically inaccessible (that is, distal disease),
  • c) persistent/recurrent CTEPH after rescue pulmonary endarterectomy (PEA)
  • - 6-minute walk distance (6MWD) greater than or equal to (>=) 100 meter (m) and less than or equal to (<=) 450 meters (m), documented by an eligibility and a baseline 6-minute walk test (6MWT). The baseline 6MWD must not differ by more than 15 percent (%) from the eligibility test
  • - World Health Organization functional class (WHO FC) >= II
  • - Participants are to receive riociguat as per local standard of care, unless it is contraindicated or unavailable

排除标准

  • - Acute pulmonary embolism within 3 months prior to or during Screening
  • - Planned balloon pulmonary angioplasty (BPA) during the fixed duration part of the double-blind period
  • - Significant obstructive and restrictive lung disease
  • - Acute or chronic conditions (other than dyspnea) that limit the ability to comply with study requirements, in particular with 6MWT (for example, intermittent claudication).
  • - Symptomatic coronary artery disease requiring an intervention within 3 months prior to or during Screening or anticipated during the fixed duration part of the study
  • - Decompensated cardiac failure if not under close supervision
  • - Known and documented life-threatening cardiac arrhythmias
  • - Acute myocardial infarction within 6 months prior to, or during Screening
  • - Cerebrovascular events (including transient ischemic attack) within 3 months prior to, or during Screening
  • - Known or suspicion of pulmonary veno-occlusive disease (PVOD)
  • - Administration of ERAs, intravenous prostacyclins / prostacyclin analogs, or investigational treatment within 90 days prior to Randomization
  • - Change in dose or initiation of Phosphodiesterase type-5 (PDE-5) inhibitors, oral, inhaled or subcutaneous (SC) prostacyclins / prostacyclin analogues, prostacyclin receptor agonists or riociguat,
  • a) within 90 days prior to Randomization, or b) anticipated during the fixed duration part of the double-blind [DB] period
  • - Hypotension, that is, systolic blood pressure (SBP) less than (<) 90 millimeters of mercury (mmHg) or diastolic blood pressure (DBP) <50 mmHg at Screening.
  • - Severe renal dysfunction with an estimated Glomerular Filtration Rate <30 milliliters per minute per 1.73 meter square (mL/min/1.73 m^2) using the Chronic Kidney Disease Epidemiology Collaboration formula at Screening
  • - Known moderate to severe hepatic impairment, defined as Child-Pugh Class B or C, based on records that confirm documented medical history
  • - Serum aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT)greater than or equal to (>=) 1.5*upper limit of normal (ULN) at Screening
  • - Hemoglobin <100 g/L (<10 gram per deciliter [g/dL]) at Screening

研究者

发起方
akano Masayoshi

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