跳至主要内容
临床试验/EUCTR2007-002440-14-NL
EUCTR2007-002440-14-NL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 525 人开始时间: 2008年1月8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
525

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.Signed informed consent prior to initiation of 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); or
  • c.Related to:
  • i.Collagen vascular disease;
  • ii.Simple, congenital systemic-to-pulmonary shunts at least 1 year post surgical repair;
  • iii.HIV infection; or
  • 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 mmHg at rest;
  • b.Pulmonary capillary wedge pressure (PCWP) or left ventricular end diastolic pressure (LVEDP) < 15 mmHg; and
  • c.Pulmonary vascular resistance (PVR) at rest >= 240 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 and = 475 m.
  • 6.Men or women >= 12 years of age (women of childbearing potential must have a negative pre-treatment serum pregnancy test and must use a reliable method of contraception).
  • 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.PAH associated with portal hypertension, thyroid disorders, glycogen storage disease, Gaucher’s disease, hereditary hemorrhagic telangiectasia, hemoglobinopathies, myeloproliferative disorders and 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.Serum aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) > 1.5 times the upper limit of normal.
  • 10.Hemoglobin < 75% of the lower limit of the normal range.
  • 11.Systolic blood pressure < 100 mmHg.
  • 12.Acute or chronic physical impairment (other than dyspnea), limiting the ability to comply with study requirements.
  • 13.Pregnant or breast-feeding.
  • 14.Known concomitant life-threatening disease with a life expectancy < 12 months.
  • 15.Body weight < 40 kg.
  • 16.Any condition that prevents compliance with the protocol or adherence to therapy.
  • 17.Recently started (< 8 weeks prior to randomization) or planned cardio-pulmonary rehabilitation program based on exercise.
  • 18.Treatment with endothelin receptor antagonists (ERAs) within 3 months prior to randomization.
  • 19.Systemic treatment within 1 week prior to randomization with cyclosporine A or tacrolimus, everolimus, sirolimus (calcineurin or mTOR inhibitors).
  • 20.Known hypersensitivity to drugs of the same class as the study drug, or any of their excipients.
  • 21.Planned treatment, or treatment, with another investigational drug within 1 month prior to randomization.

研究者

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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 hypertensio-I270 Primary pulmonary hypertensionPrimary pulmonary hypertensionI270
PER-057-08Actelion Pharmaceuticals Ltd,7