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A Long-Term, Open-Label Study to Evaluate the Safety of Sitaxsentan Sodium Treatment in Patients With Pulmonary Arterial Hypertension

Phase 3
Terminated
Conditions
Pulmonary Arterial Hypertension
Interventions
Registration Number
NCT00811018
Lead Sponsor
Pfizer
Brief Summary

This is a multi-center, open-label study of sitaxsentan sodium 100 mg taken orally once daily by subjects with PAH until sitaxsentan, in a particular country or region, is commercially available for the treatment of PAH or the study is closed.

Detailed Description

Open-label extension

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1192
Inclusion Criteria
  • Diagnosis of Pulmonary Arterial Hypertension (PAH) confirmed by cardiac catheterization.
  • Current diagnosis of WHO group 1 PAH with functional class 2, 3, or 4 symptoms.
Exclusion Criteria
  • Has portal hypertension or chronic liver disease.
  • Has history of left sided heart disease or significant cardiac disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SitaxsentanSitaxsentanSitaxsentan
Primary Outcome Measures
NameTimeMethod
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)Day 1 up to 82 months

All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product were reported.

The Percentage of Participants Who Experience an Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Value Greater Than (>) 3.0 Times (x) the Upper Limit of Normal Range (ULN)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

The Percentage of Participants Who Experience an ALT and AST Value > 3.0 x ULNWeek 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

ALT and AST data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Percentage of Participants With Total Bilirubin > 1.5 x ULNWeek 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Total builirubin data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Percentage of Participants With Laboratory Test Abnormalities (Hematology)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Hematology data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Percentage of Participants With Laboratory Test Abnormalities (Chemistry)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Chemistry data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Percentage of Participants With Laboratory Test Abnormalities (Urinalysis)Week 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 56, 60, 62, 68, 72, 74, 80, 84, 88, 92, 96, 100, 104, 108 and every 4 weeks to Termination up to 82 months

Urinalysis data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Percentage of Participants With Anticoagulant UseBaseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

Participants with anticoagulant use before first dose or participants with anticoagulant use from first dose of sitaxsentan.

Percentage of Participants With Elevated International Normalize Ratio (INR)Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

Elevated INR in participants who took warfarin, warfarin derivatives, other anticoagulant and no anticoagulants. Elevated INR defined as \> 3.5. Percentage calculated using number of participants with INR data as the denominator.

Percentage of Participants With Electrocardiography (ECG) Results of Potential Clinical ImportanceWeeks 28,60,72,84,96,104, Transition Visit up to 82 months

Standard 12-lead ECG results determined to be of potential clinical importance according to investigator clinical judgement.

Percentage of Participants With Vital Sign Results of Potential Clinical ImportanceDay 1, Weeks 28,60,72,84,96,104, Transition visit, every 6 months Post Transition, up to 82 months

Vital signs include sitting blood pressure, respiration rate, heart rate and temperature. Potential clinical importance determined according to investigator clinical judgement.

Percentage of Participants With Abnormal Prothrombin Time (PT)Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

PT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Percentage of Participants With Abnormal Partial Thromboplastin Time (PTT)Baseline, Weeks 1 and 2, every 2 weeks up to Week 52, Amendment 4 visit, every 4 weeks up to 82 months

PTT data were analyzed by several local laboratories. There were subtle differences in the reference ranges used for analysis.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Pfizer Investigational Site

🇬🇧

Newcastle, United Kingdom

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