JPRN-jRCT2031180075SuspendedPhase 2
Multi-center, investigator-initiated trial of repeated intravenous administration of NK-104-NP in patients with pulmonary arterial hypertension
Egashira Kensuke0 sites12 target enrollmentStarted: January 10, 2019Last updated:
Conditions
Trial Snapshot
- Phase
- Phase 2
- Status
- Suspended
- Sponsor
- Enrollment
- 12
Study Overview
Brief Summary
No summary available.
Study Design
- Study Type
- Interventional
Eligibility Criteria
- Ages
- >= 20age old to <= 79age old (—)
- Sex
- All
Inclusion Criteria
- •1) Patients with pulmonary hypertension classified as Dana Point group 1 and WHO functional class I to IV.
- •Idiopathic pulmonary arterial hypertension (IPAH)
- •Heritable pulmonary arterial hypertension (HPAH)
- •Drug or toxin-induced pulmonary hypertension
- •Pulmonary arterial hypertension associated with following diseases
- •a) Connective tissue diseases
- •b) Congenial heart diseases (at least 1 year has past after shunt repair at the baseline examinations)
- •c) HIV infection
- •2) Patients whose PAH is confirmed by right heart catheterization
- •Mean pulmonary arterial pressure (mPAP) at rest is over than or equal to 25 mmHg
- •Pulmonary capillary wedge pressure (PCWP) or left ventricular end-diastolic pressure is under 15mmHg
- •3) Patients with over 240 dyn*sec/cm5 PVR at baseline right heart catherization
- •4) Patients treated with over 2 of 3 types of drugs (prostacyclin analogue, endothelin receptor antagonist, phosphodiesterase-5 inhibitor) and stable over 90 days
- •5) Over 20 and under 80 years old at the time of consent
- •Patients with a possibility of pregnancy must confirm their non-pregnant status before administration of NK-104-NP and agree to avoid pregnancy at least 180 days by secure contraception methods. Women with no possibility of pregnancy are defined as women who are post-menopausal state (no menses over 1 year, infertility or post-sterilization state).
- •6) Patients who have provided written informed consent with their signatures before procedures defined in the protocol.
Exclusion Criteria
- •1) Patients with malignancy or undergone surgeries due to malignancy within 5 years.
- •2) Patients taking statins and can NOT stop them from 3 days before administration of NK-104-NP.
- •3) Patients taking fibrates and can NOT stop them from 3 days before administration of NK-104-NP.
- •4) Patients taking cyclosporine.
- •5) Patients with severe cardiac dysfunction or heart failure (<30% ejection fraction or NYHA class III or over).
- •6) Patients with untreated severe arrhythmia except symptomatically stable patients with pacemaker or drug therapy.
- •7) Patients after prosthetic valve replacement (except biomaterials).
- •8) Patients with acute hepatitis, fulminant hepatitis or progressive liver dysfunction.
- •9) Patients with moderate or severe liver dysfunction (who can NOT satisfy following criteria) associated with chronic hepatitis etc. except patients with liver cirrhosis.
- •a) AST/ALT is within 3 times upper limit of shared reference range, b) serum bilirubin is 2 times upper limit of shared reference range.
- •10) Patients with liver cirrhosis and Child B(moderate) or C(severe) liver dysfunction.
- •11) Patients with obvious interstitial pneumonia.
- •12) Patients with biliary atresia.
- •13) Patients with CK(CPK) elevation over 3 times upper limit of shared reference range.
- •14) Patients with past-history of hypersensitivity or severe adverse effects by pitavastatin calcium.
- •15) Patients with severe drug allergy or adverse effects including anaphylactic shock.
- •16) Patients with alcohol abuse or drug addiction.
- •17) Patients in other trials at the time of informed consent or patients less than 16 weeks after termination of other test drugs.
- •18) Patients with pregnancy, patients with a possibility of pregnancy and breast-feeding women.
- •19) Patients judged to be inappropriate as a candidate of this trial by principal investigator or subinvestigator.
Investigators
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