A Long Term Extension Study Evaluating Safety Of Sildenafil Citrate When Used To Treat Pulmonary Arterial Hypertension (PAH) In Children

NCT ID: NCT00159874

Last Updated: 2021-02-01

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

234 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-01-31

Study Completion Date

2012-12-31

Brief Summary

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Active treatment, dose-blinded extension study evaluating the safety and long term efficacy of sildenafil citrate in children with PAH.

Detailed Description

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Conditions

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Pulmonary Arterial Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sildenafil high dose

As per Protocol Amendment 8 (Aug 2011), all doses in the high dose treatment group were discontinued. Subjects who were receiving these doses and continued in the study were requested to down titrate.

Group Type EXPERIMENTAL

Sildenafil citrate

Intervention Type DRUG

Oral, subjects with body weight ≥8 - 20 kg: 20 mg 3 times a day (tid) subjects with body weight \>20 - 45 kg: 40 mg 3 times a day (tid) subjects with body weight \>45 kg: 80 mg 3 times a day (tid)

Sildenafil Low dose

Group Type EXPERIMENTAL

Sildenafil citrate

Intervention Type DRUG

Oral,10 mg 3 times a day (tid), only subjects with body weight \>20 kg

Sildenafil medium dose

As per Protocol Amendment 8 (August 2011), the dose 40 mg TID in the medium dose treatment group was discontinued. Subjects who were receiving this dose and continued in the study were requested to down titrate.

Group Type EXPERIMENTAL

Sildenafil citrate

Intervention Type DRUG

Oral, subjects with body weight ≥8 - 20 kg: 10 mg 3 times a day (tid); subjects with body weight \>20 - 45 kg: 20 mg 3 times a day (tid); subjects with body weight \>45 kg: 40 mg 3 times a day (tid)

Interventions

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Sildenafil citrate

Oral, subjects with body weight ≥8 - 20 kg: 20 mg 3 times a day (tid) subjects with body weight \>20 - 45 kg: 40 mg 3 times a day (tid) subjects with body weight \>45 kg: 80 mg 3 times a day (tid)

Intervention Type DRUG

Sildenafil citrate

Oral,10 mg 3 times a day (tid), only subjects with body weight \>20 kg

Intervention Type DRUG

Sildenafil citrate

Oral, subjects with body weight ≥8 - 20 kg: 10 mg 3 times a day (tid); subjects with body weight \>20 - 45 kg: 20 mg 3 times a day (tid); subjects with body weight \>45 kg: 40 mg 3 times a day (tid)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients must complete the 16 Week double-blind efficacy study A1481131.

Exclusion Criteria

* Any patient who did not complete Study A1481131.
Minimum Eligible Age

1 Year

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer's Upjohn has merged with Mylan to form Viatris Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Pfizer Investigational Site

Palo Alto, California, United States

Site Status

Pfizer Investigational Site

Palo Alto, California, United States

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Stanford, California, United States

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Aurora, Colorado, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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St Louis, Missouri, United States

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New York, New York, United States

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Columbus, Ohio, United States

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Charleston, South Carolina, United States

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Seattle, Washington, United States

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São Paulo, São Paulo, Brazil

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São Paulo, São Paulo, Brazil

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Puente Alto, Santiago Metropolitan, Chile

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Medellín, Antioquia, Colombia

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Bogota, Cundinamarca, Colombia

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Guatemala City, , Guatemala

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Budapest, , Hungary

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Budapest, , Hungary

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Szeged, , Hungary

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Hyderabad, Andhra Pradesh, India

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Hyderabad, Andhra Pradesh, India

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Kochi, Kerala, India

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Bologna, , Italy

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Tokyo, , Japan

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George Town, Pulau Pinang, Malaysia

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George Town, Pulau Pinang, Malaysia

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George Town, Pulau Pinang, Malaysia

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Mexico City, Mexico City, Mexico

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Krakow, , Poland

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Ruda Śląska, , Poland

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Warsaw, , Poland

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Zabrze, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Lund, , Sweden

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Kaohsiung City, , Taiwan

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Taipei, , Taiwan

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Pfizer Investigational Site

Taipei, , Taiwan

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Countries

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United States Brazil Chile Colombia Guatemala Hungary India Italy Japan Malaysia Mexico Poland Russia Sweden Taiwan

References

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Russell S, Beghetti M, Oudiz R, Balagtas C, Zhang M, Ivy D. Effects of oral sildenafil on exercise capacity in children with pulmonary arterial hypertension: a randomised trial. Open Heart. 2019 Dec 3;6(2):e001149. doi: 10.1136/openhrt-2019-001149. eCollection 2019.

Reference Type DERIVED
PMID: 31908813 (View on PubMed)

Chanu P, Gao X, Bruno R, Claret L, Harnisch L. A modeling and simulation-based assessment of the impact of confounding factors on the readout of a sildenafil survival trial in pulmonary arterial hypertension. J Pharmacokinet Pharmacodyn. 2019 Oct;46(5):499-509. doi: 10.1007/s10928-019-09654-3. Epub 2019 Sep 20.

Reference Type DERIVED
PMID: 31538282 (View on PubMed)

Barst RJ, Beghetti M, Pulido T, Layton G, Konourina I, Zhang M, Ivy DD; STARTS-2 Investigators. STARTS-2: long-term survival with oral sildenafil monotherapy in treatment-naive pediatric pulmonary arterial hypertension. Circulation. 2014 May 13;129(19):1914-23. doi: 10.1161/CIRCULATIONAHA.113.005698. Epub 2014 Mar 17.

Reference Type DERIVED
PMID: 24637559 (View on PubMed)

Related Links

Other Identifiers

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A1481156

Identifier Type: -

Identifier Source: org_study_id

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