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临床试验/EUCTR2009-010703-80-DE
EUCTR2009-010703-80-DE进行中(未招募)不适用

A Multicenter, Double-blind, Randomized, Placebo-controlled, Crossover Study to Assess the Effects of a Single Dose of Iloprost Power 15 on Exercise Capacity in Patients with Symptomatic Pulmonary Arterial Hypertension - PROWESS 15

Actelion Pharmaceuticals Ltd0 个研究点目标入组 63 人开始时间: 2009年4月17日最近更新:
适应症
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
63

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.Male or female >= 18 years of age,
  • 3.Patients with symptomatic idiopathic, familial pulmonary arterial hypertension or pulmonary arterial hypertension associated with HIV or drugs/toxins (APAH) in New York Heart Association (NYHA) functional class II to IV at baseline,
  • 4.6-minute walk distance (6MWD) >= 150 m and <= 450 m at baseline,
  • 5.Pulmonary arterial hypertension (PAH) confirmed by right heart catheterization within 3 years prior to randomization and showing:
  • Mean pulmonary artery pressure (mPaP) >= 25 mmHg at rest,
  • Pulmonary capillary wedge pressure (PCWP) or left ventricular end diastolic pressure (LVEDP) < 15 mmHg,
  • Pulmonary vascular resistance (PVR) at rest > = 240 dyn-sec/cm5.
  • 6.Patients naïve to PAH treatment, or on a stable dose regimen of bosentan, ambrisentan, or sildenafil, monotherapy for at least 4 weeks prior to randomization (no dosage adjustment should have occurred during this period),
  • 7.Women of childbearing potential must use an adequate method of contraception during the study.
  • Are the trial subjects under 18? no
  • 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.Pulmonary arterial hypertension related to any condition other than those specified in the inclusion criteria,
  • 2.Pulmonary arterial hypertension associated with significant venous or capillary involvement (PCWP > 15 mmHg), known pulmonary veno-occlusive disease, or pulmonary capillary hemangiomatosis,
  • 3.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,
  • 4.Moderate to severe restrictive lung disease: total lung capacity (TLC) < 60% of predicted value,
  • 5.Any condition other than PAH, which might affect the patient’s ability to perform a 6-minute walk test (6MWT),
  • 6.Pregnant or breast-feeding women,
  • 7.Systemic hypertension (systolic blood pressure > 160 mmHg or diastolic blood pressure > 100 mmHg on repeated measurement),
  • 8.Systolic blood pressure < 95 mmHg,
  • 9.Moderate to severe hepatic impairment, i.e., Child-Pugh Class B or C,
  • 10.Chronic renal insufficiency defined by serum creatinine > 2.5 mg/dL (221 µmol/L) or ongoing dialysis,
  • 11.Clinically relevant bleeding disorder or active bleeding,
  • 12.Serum aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) > 3 times the upper limit of normal at screening,
  • 13.HIV seropositive with any of the following:
  • Active opportunistic infections within 3 months prior to randomization
  • Changes in antiretroviral regimen within 3 months of randomization
  • Using inhaled pentamidine
  • 14.For those patients on monotherapy, any contraindication to bosentan, ambrisentan, or sildenafil, according to product label,
  • 15.Treatment with another investigational drug within 30 days prior to randomization,
  • 16.Use of inhaled Iloprost within the last 6 months,
  • 17.Inability to use the inhalation device.
  • 18.Known hypersensitivity to iloprost or any of its excipients.

研究者

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