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临床试验/EUCTR2007-000446-12-GB
EUCTR2007-000446-12-GB进行中(未招募)不适用

Treatment of Pulmonary Hypertension and Sickle Cell Disease with Sildenafil Therapy - Walk PHaSST

Imperial College London0 个研究点目标入组 132 人开始时间: 2008年3月26日最近更新:
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
132

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

  • 1. Males or females, greater than or equal to 12 years of age and less than or
  • equal to 70 years of age
  • 2. For female subjects, on a reliable method of birth control or not physically
  • able to bear children
  • 3. Electrophoretic documentation of sickle cell disease (including, but not
  • limited to SS, SC, SD, or Sß°/+ thalassemia)
  • 4. At least mild pulmonary hypertension with TRV = 2.7 m/s by
  • echocardiogram
  • 5. Six minute walk distance of 150-500 m
  • 6. In the opinion of the investigator, ability to complete the protocol scheduled
  • assessments during the 16 week, double-blind phase
  • 7. Provision of informed consent and, where applicable, assent
  • 8. Subjects with systemic hypertension must be on a stable antihypertensive
  • regimen for greater than or equal to 90 days and a stable dose for greater than
  • or equal to 30 days.
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Current pregnancy or lactation
  • 2. Any one of the following medical conditions:
  • Stroke within the last six weeks
  • New diagnosis of pulmonary embolism within the last three months
  • History of retinal detachment or retinal hemorrhage in the last 6 months
  • Non-arteritic anterior ischemic optic neuropathy (NAION) in one or both eyes
  • History of sustained priapism requiring medical or surgical treatment, unless
  • currently impotent or on transfusion program within the last two years
  • Any unstable (chronic or acute) condition that in the opinion of the
  • investigator will prevent completion of the study
  • 3. Subjects taking nitrate-based vasodilators (including, but not limited to
  • nicorandil [available in the UK only] ), prostacyclin (inhaled, subcutaneous or
  • intravenous) or endothelin antagonists. Subjects taking calcium channel
  • blockers will be allowed to participate provided they are on a stable dose for =
  • 4. Left ventricular ejection fraction < 40% or clinically significant ischemic,
  • valvular or constrictive heart disease: LVEF <40% or SF < 22%
  • 5. Subjects who are in other research studies with investigational drugs, with the
  • exception of hydroxyurea, unless the other trial has been approved by the
  • walk-PHaSST Executive Committee for co-participation
  • 6. Acute or chronic impairment (other than dyspnea), limiting the ability to
  • comply with study requirements (in particular with 6MWT), e.g., angina
  • pectoris, intermittent claudication, symptomatic hip osteonecrosis
  • 7. Tonsillectomies for sleep apnea within 3 months prior to randomization
  • 8. Active therapy for pulmonary hypertension, including prostacyclin analog,
  • endothelin-1 antagonists, or PDE-5 inhibitor
  • 9. Protease inhibitor therapy for the treatment of HIV
  • 10. Subjects taking potent CYP3A4 inhibitor therapy (e.g., itraconazole, ritonavir,
  • ketoconazole)
  • 11. Subjects who are anticoagulated and have proliferative retinopathy (unless
  • they have had ophthalmologist recommended intervention (e.g., phototherapy)
  • or have been otherwise cleared by an ophthalmologist to participate in the
  • 12. Subjects with systolic blood pressure greater than or equal to 140 mmHg OR
  • diastolic blood pressure greater than or equal to 90 mmHg. See Section 9.3.3
  • for qualifying blood pressure assessment instructions.

研究者

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