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Safety Study Extension of Iloprost Power 15 in Pulmonary Arterial Hypertension

Phase 3
Completed
Conditions
Pulmonary Arterial Hypertension
Interventions
Registration Number
NCT00709098
Lead Sponsor
Actelion
Brief Summary

Patients with symptomatic idiopathic (IPAH) or familial (FPAH) pulmonary arterial hypertension in New York Heart Association (NYHA) class II to IV , naive to PAH treatment or currently being treated with a stable dose of either bosentan or sildenafil and who complete PROWESS 15 will be enrolled in the PROWESS 15 Extension study. This is a double-blind (12 week), randomized study to compare the safety and tolerability of inhaled iloprost power disc-15 and power disc-6 in patients with symptomatic pulmonary arterial hypertension (PAH). After completion of the double blind period, patients will be entered in the open label period using iloprost power disc-15.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
49
Inclusion Criteria
  1. Signed informed consent prior to initiation of any study mandated procedure,
  2. Patients with symptomatic idiopathic or familial pulmonary arterial hypertension in NYHA functional class II to IV who have completed study AC-063A301,
  3. Women of childbearing potential must have a negative urine pregnancy test and must use an adequate method of contraception during the study and for 28 days after discontinuation of the study drug.
Exclusion Criteria
  1. Pulmonary arterial hypertension related to any condition other than those specified in the inclusion criteria,
  2. Pulmonary arterial hypertension associated with significant venous or capillary involvement (Pulmonary capillary wedge pressure (PCWP) > 15 mmHg), known pulmonary veno-occlusive disease, or pulmonary capillary hemangiomatosis,
  3. Moderate to severe obstructive lung disease: forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) < 70% and FEV1 < 65% of predicted value after bronchodilator administration,
  4. Moderate to severe restrictive lung disease: total lung capacity (TLC) < 60% of predicted value,
  5. Pregnant or breast-feeding women,
  6. Systemic hypertension (systolic blood pressure > 160 mmHg or diastolic blood pressure > 100 mmHg on repeated measurement),
  7. Systolic blood pressure < 95 mmHg,
  8. Moderate to severe hepatic impairment, i.e., Child-Pugh Class B or C,
  9. Chronic renal insufficiency defined by serum creatinine > 2.5 mg/dL (221 μmol/L) or ongoing dialysis,
  10. Clinically relevant bleeding disorder or active bleeding,
  11. Known hypersensitivity to iloprost or any of its excipients.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
iloprost power 15iloprostiloprost power 15
iloprost power 6iloprostiloprost power 15
Primary Outcome Measures
NameTimeMethod
Treatment-emergent Adverse EventsDouble-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication, mean duration of exposure was 284.5 days.

Number of adverse events

Adverse Events Leading to Premature Discontinuation of Study DrugDouble-blind period: from the first inhalation of study drug to discontinuation. Open-label period: from the start of open-label medication to discontinuation, mean duration of exposure was 284.5 days.

Number of adverse events leading to discontinuation of study treatment

Treatment-emergent Serious Adverse EventsDouble-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication, mean duration of exposure was 284.5 days.

Number of serious adverse events

Patients With Adverse Events Leading to Premature Discontinuation of Study DrugDouble-blind period: from the first inhalation of study drug to discontinuation. Open-label period: from the start of open-label medication to discontinuation, mean duration of exposure was 284.5 days.

Number of patients with adverse events leading to discontinuation of study treatment

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (34)

LHK Universitatsklinikum Graz

🇦🇹

Graz, Austria

UCSD Medical Center

🇺🇸

La Jolla, California, United States

Universitatsklinikum Carl-Gustav-Carus

🇩🇪

Dresden, Germany

UC Davis Medical Center

🇺🇸

Sacramento, California, United States

Sentara Hospitals T/A Sentara Cardiovascular Research Institute

🇺🇸

Norfolk, Virginia, United States

University of Iowa Hospitals and Clinics

🇺🇸

Iowa City, Iowa, United States

Pulmonary & Critical Care of Atlanta

🇺🇸

Atlanta, Georgia, United States

Atlanta Institute for Medical Research

🇺🇸

Decatur, Georgia, United States

University of Maryland Medical Center

🇺🇸

Baltimore, Maryland, United States

Newark Beth Israel Medical Center

🇺🇸

Newark, New Jersey, United States

The Lindner Clinical Trial Center

🇺🇸

Cincinnati, Ohio, United States

Temple University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Allegheny General Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

UT Southwestern Medical Center Heart Lung and Vacular Center

🇺🇸

Dallas, Texas, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Legacy Health System

🇺🇸

Portland, Oregon, United States

Comprehensive Cardiovascular Care LLP

🇺🇸

Milwaukee, Wisconsin, United States

Liu Center for Pulmonary Hypertension - LA Biomedical Research Institute at Harbor-UCLA

🇺🇸

Torrance, California, United States

Kentuckiana Pulmonary Associates

🇺🇸

Louisville, Kentucky, United States

LSU Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Winthrop University Hospital

🇺🇸

Mineola, New York, United States

University of Texas Medical School

🇺🇸

Houston, Texas, United States

Intermountain Medical Center

🇺🇸

Murray, Utah, United States

Central Utah Clinic, P.C.

🇺🇸

American Fork, Utah, United States

Spokane Respiratory Consultants

🇺🇸

Spokane, Washington, United States

UW Hospital & Clinics

🇺🇸

Madison, Wisconsin, United States

Lung Health & Sleep Enhancement Center, LLC

🇺🇸

Newark, Delaware, United States

University of Virginia

🇺🇸

Charlottesville, Virginia, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

University of North Carolina

🇺🇸

Chapel Hill, North Carolina, United States

Mercy Hospital

🇺🇸

Iowa City, Iowa, United States

The Ohio State University Medical Center

🇺🇸

Columbus, Ohio, United States

Lexington Pulmonary & Critical Care

🇺🇸

Lexington, South Carolina, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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