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A clinical trial to study the effects of Ifetroban in patients with with diffuse cutaneous systemic sclerosis or systemic sclerosis-associated pulmonary arterial hypertension.

Phase 2
Conditions
Health Condition 1: M349- Systemic sclerosis, unspecified
Registration Number
CTRI/2019/04/018679
Lead Sponsor
Cumberland Pharma Inc
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Diffuse Cutaneous SSc Inclusion Criterion

1.Adults fulfilling the 2013 ACR/EULAR classification criteria for SSc with diffuse cutaneous SSc within 7 years following initial diagnosis as defined by onset of the first non-Raynaud symptom .

SSc-PAH Inclusion Criteria

1.Adults fulfilling the 2013 ACR/EULAR classification criteria for SSc with confirmed SSc-PAH (confirmed via previous cardiac catheterization)

2.Stable oral therapy for PAH for at least 30 days (monotherapy or any combination)

3.NYHA Class I-III Heart Failure.

Exclusion Criteria

1.Have a diagnosis of systemic sclerosis sine scleroderma;

2.Be less than 18 years of age or greater than or equal to 80 years of age;

3.Be pregnant, nursing, or planning to become pregnant;

4.Current or planned treatment with prostanoid therapy;

5.Current or planned treatment with rituximab or pirfenidone;

6.Current or planned corticosteroid therapy greater than 15mg per day of prednisone or prednisone equivalent;

7.Significant lung disease, defined as FVC < 50% predicted or DLCO <40% predicted;

8.Significant kidney disease, defined as Glomerular Filtration Rate [GFR] < 60 ml/min;

9.Have moderate or severe hepatic impairment;

10.Contraindication to MRI (e.g., implanted magnetic material, claustrophobia);

11.Known hypersensitivity to gadolinium;

12.Any cause of pulmonary hypertension other than WHO Group I associated with SSc;

13.Use of aspirin > 81 mg per day in the last two weeks;

14.Use of warfarin, heparin or other anticoagulants in the last 30 days;

15.Recent (within 6 weeks) myocardial infarction or persistent atrial arrhythmias;

16.Have a history of allergy or hypersensitivity to ifetroban;

17.Have taken investigational drugs within 30 days before Investigational Medicinal Product (IMP) administration;

18.Inability to understand the requirements of the study and abide by the study restrictions and to return for the required treatments and assessments;

19.Be otherwise unsuitable for the study, in the opinion of the investigator.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.Incidence and severity of treatment emergent adverse events (TEAEs) <br/ ><br>2.Incidence of clinically significant shifts in laboratory values <br/ ><br>3.Change from baseline in extracellular volume (ECV), native T1 time, right ventricular ejection fraction (RVEF), left ventricular ejection fraction (LVEF) and pulmonary flow dynamics on MRI <br/ ><br>Timepoint: 1.15 months <br/ ><br>2.12 months <br/ ><br>3.26 & 52 weeks from baseline <br/ ><br> <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
ATimepoint: NA
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