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临床试验/EUCTR2007-002440-14-DE
EUCTR2007-002440-14-DE进行中(未招募)不适用

A multicenter, double-blind, randomized, placebo-controlled, parallel group, event-driven, Phase III study to assess the effects of ACT-064992 on morbidity and mortality in patients with symptomatic pulmonary arterial hypertension - SERAPHI

Actelion Pharmaceuticals Ltd.0 个研究点目标入组 700 人开始时间: 2007年12月20日最近更新:
适应症

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
700

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Eligible patients must meet all of the following inclusion criteria:
  • 1. Signed informed consent prior to any study-mandated procedure.
  • 2. Patients with symptomatic Pulmonary Arterial Hypertension (PAH) in modified WHO
  • functional class II to IV.
  • 3. Patients with the following types of PAH belonging to groups 1.1 to 1.3 of the Venice
  • classification:
  • a. Idiopathic (IPAH),
  • b. Familial (FPAH),
  • c. Related to:
  • i. Collagen vascular disease
  • ii. Simple (atrial septal defect, ventricular septal defect, patent ductus
  • arterious) congenital systemic to pulmonary shunts at least 1 year
  • post surgical repair
  • iii. HIV infection
  • iv. Drugs and toxins
  • 4. PAH diagnosis confirmed by hemodynamic evaluation performed prior to randomization and
  • showing all of the following:
  • a. Mean pulmonary artery pressure (mPAP) > 25 mm Hg
  • b. Pulmonary capillary wedge pressure (PCWP) or left ventricular end diastolic
  • pressure (LVEDP) = 15 mmHg
  • c. Pulmonary vascular resistance (PVR) at rest = 320 dyn*sec/cm5
  • ? For patients who participate in the pharmacokinetic/pharmacodynamic substudy,
  • hemodynamic evaluation must have been performed within 3 months prior to
  • randomization.
  • ? For all other patients, hemodynamic evaluation must have been performed within
  • 1 year prior to randomization.
  • 5. 6-minute walk distance (6MWD) = 50 m at screening and randomization
  • The 6MWT performed at screening and randomization must satisfy the following
  • requirements:
  • 6MWT distance must be > 50 m or patient cannot be included in the study.
  • 6MWT #2 (at Randomization) distance should be within 10% of 6MWT #1
  • distance (at Screening) or a third test is required (6MWT #3).
  • 6MWT #3 (at Randomization) distance should be within 10% of 6MWT #2
  • distance or the patient cannot be included in the study.
  • 6. Men or women = 12 years of age:
  • Only sites that have adequate pediatric pulmonary experience are allowed to enroll
  • patients between 12 and 17 year of age.
  • Women of childbearing potential* with a negative serum pre-treatment pregnancy test and who
  • consistently and correctly use (from screening and up to 28 days after study treatment
  • discontinuation) a reliable method of contraception with a Pearl index of < 1% (oral hormonal
  • contraceptive, implant, vaginal hormone ring, or intrauterine system [IUS]). During the entire
  • study duration and for at least 1 month after last study drug intake, their partner, if not
  • vasectomised, must use a condom in addition.
  • *A woman is considered to have childbearing potential unless she meets at least one of the
  • following criteria:
  • previous bilateral salpingo-oophorectomy or hysterectomy
  • premature ovarian failure confirmed by a specialist gynaecologist
  • pre-pubescence, XY genotype, Turner syndrome, uterine agenesis
  • age > 50 years and not treated with any kind of HRT for at least 2 years prior to
  • screening, with amenorrhea for at least 24 consecutive months prior to screening, and a
  • 另有 7 项未显示

排除标准

  • 1.PAH associated with portal hypertension, thyroid disorders, glycogen storage disease, Gaucher’s disease, hereditary hemorrhagic telangiectasia, hemoglobinopathies, myeloproliferative disorders or splenectomy.
  • 2.PAH associated with non corrected simple congenital systemic-to-pulmonary shunts, and combined and complex systemic-to-pulmonary shunts, corrected or non corrected.
  • 3.PAH associated with significant venous or capillary involvement (PCWP > 15 mmHg), known pulmonary veno-occlusive disease, and pulmonary capillary hemangiomatosis.
  • 4.Persistent pulmonary hypertension of the newborn.
  • 5.Pulmonary Hypertension belonging to groups 2 to 5 of the Venice classification.
  • 6.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.
  • 7.Moderate to severe restrictive lung disease: total lung capacity (TLC) < 60% of predicted value.
  • 8.Moderate to severe hepatic impairment, i.e., Child-Pugh Class B or C.
  • 9. Estimated Creatinine clearance <30mL/min
  • 10.Serum aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) > 1.5 times the upper limit of normal.
  • 11.Hemoglobin < 75% of the lower limit of the normal range.
  • 12.Systolic blood pressure < 100 mmHg.
  • 13.Acute or chronic physical impairment (other than dyspnea), limiting the ability to comply with study requirements.
  • 14.Pregnant or breast-feeding.
  • 15.Known concomitant life-threatening disease with a life expectancy < 12 months.
  • 16.Body weight < 40 kg.
  • 17.Any condition that prevents compliance with the protocol or adherence to therapy.
  • 18.Recently started (< 8 weeks prior to randomization) or planned cardio-pulmonary rehabilitation program based on exercise.
  • 19.Treatment with endothelin receptor antagonists (ERAs) within 3 months prior to randomization.
  • 20.Systemic treatment within 4 weeks prior to randomization with cyclosporine A or tacrolimus, everolimus, sirolimus (calcineurin or mTOR inhibitors).
  • 21. Treatment with CYP3A inducers within 4 weeks prior to randomization.
  • 22.Known hypersensitivity to drugs of the same class as the study drug, or any of their excipients.
  • 23.Planned treatment, or treatment, with another investigational drug within 1 month prior to randomization.

研究者

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