Estudio prospectivo, multicéntrico, de un solo brazo, abierto y de fase 4 sobre los efectos de selexipag en el remodelado del ventrículo derecho en la hipertensión arterial pulmonar evaluado mediante resonancia magnética cardíaca

TerminadoFase 4ClinicalTrials.gov

ID: NCT04435782Tipo: INTERVENTIONALInicio: 7 de jul de 2021Fin estimado: 28 de jul de 2023

Resumen

El propósito del estudio es evaluar los efectos de selexipag sobre la función del ventrículo derecho (VD) en participantes con hipertensión arterial pulmonar (HAP).

Elegibilidad

Edad mínima: 18 YearsEdad máxima: 64 YearsSexo: ALL

Criterios de inclusión

World health organization functional class (WHO FC) II or III. Enrollment will be stratified by WHO FC II or III. Proportion of participants with WHO FC II and WHO FC III are expected to be approximately 40 percent (%) and 60%, respectively
Pulmonary arterial hypertension (PAH) etiology belonging to one of the following groups according to 6th world symposium of pulmonary hypertension (WSPH) classification: a) Idiopathic PAH, b) Heritable PAH, c) Drugs or toxins induced d) PAH associated with connective tissue disease, e) PAH associated with congenital heart disease, with simple systemic-to-pulmonary shunt at least 1 year after surgical repair
Patients already receiving PAH-specific oral mono or dual therapy (that is, phosphodiesterase type 5 inhibitors \[PDE-5i\] or soluble guanylate cyclase stimulators \[sGCs\] and/or endothelin receptor antagonist \[ERA\]) or patients who are not candidates for these therapies
N-terminal-pro-hormone brain natriuretic peptide (NT-proBNP) greater than or equal to (\>=) 300 nanograms per liter (ng/L) (greater than or equal to \[\>=\] 300 picograms per milliliter \[pg/mL\]; \>=35.5 picomoles per liter \[pmol/L\]) at screening
Women of childbearing potential must meet the following criteria: a) Have a negative serum pregnancy test during screening and a negative urine pregnancy test on Day 1, b) Agree to use acceptable methods of contraception from Day 1 to at least 30 days after study intervention discontinuation, c) If only using hormonal contraception, have used it for at least 1 month (30 days) before Day 1, and d) Agree to perform monthly pregnancy tests to at least 30 days after study intervention discontinuation
minute walking distance (6MWD) \>=150 meter (m) during screening period

Criterios de exclusión

Prior use of Prostacyclin (IP)-receptor agonist, prostacyclin, or prostacyclin analog. Use of such treatments for vasoreactivity testing is not exclusionary; intermittent use of such treatments for digital ulcers or Raynaud's phenomenon is not exclusionary if stopped \> 6 months (180 days) prior to Day 1
Treatment with strong inhibitors of CYP2C8 (example, gemfibrozil) within 4 weeks (28 days) prior to Day 1
Treatment with another investigational drug planned or taken within 12 weeks (84 days) prior to Day 1
Severe coronary heart disease or unstable angina
Cerebrovascular events (example, transient ischemic attack, stroke) within 3 months (90 days) prior to Day 1

Intervenciones

drug

JNJ-67896049

Participants will receive tablets at a starting dose of 200 mcg on Day 1. Dose will be up-titrated from Day 1 to the end of Week 12 (Day 84) to determine individual maintenance dose (IMD). Then, participants will receive JNJ-67896049 tablets at their IMD from Week 13 to Week 52.

Ubicaciones

Hospital Italiano de Buenos Aires

Caba, Argentina

Sanatorio Ramon Cereijo

Caba, Argentina

Instituto Cardiovascular de Buenos Aires

Ciudad Autonoma Buenos Aires, Argentina

Patrocinadores

PrincipalActelion

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