Assess the Efficacy and Safety of Sildenafil When Added to Bosentan in the Treatment of Pulmonary Arterial Hypertension

NCT ID: NCT00323297

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

PHASE4

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-30

Study Completion Date

2013-08-31

Brief Summary

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To assess the efficacy and safety of sildenafil when added to patients with PAH who are taking bosentan as all or part of their background therapy.

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

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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placebo

Group Type PLACEBO_COMPARATOR

Bosentan

Intervention Type DRUG

Bosentan + Placebo for 12 weeks of the study (double blind), then 12 months open label phase (bosentan + sildenafil)

Placebo

Intervention Type OTHER

Bosentan + Placebo for 12 weeks of the study (double blind), then 12 months open label phase (bosentan + sildenafil)

Active

Group Type EXPERIMENTAL

Bosentan

Intervention Type DRUG

Bosentan + Sildenafil for 12 weeks of the study (double blind), then 12 months open label phase

Sildenafil Citrate

Intervention Type DRUG

Bosentan + Sildenafil for 12 weeks of the study (double blind), then 12 months open label phase

Interventions

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Bosentan

Bosentan + Placebo for 12 weeks of the study (double blind), then 12 months open label phase (bosentan + sildenafil)

Intervention Type DRUG

Placebo

Bosentan + Placebo for 12 weeks of the study (double blind), then 12 months open label phase (bosentan + sildenafil)

Intervention Type OTHER

Bosentan

Bosentan + Sildenafil for 12 weeks of the study (double blind), then 12 months open label phase

Intervention Type DRUG

Sildenafil Citrate

Bosentan + Sildenafil for 12 weeks of the study (double blind), then 12 months open label phase

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects aged 18 and over above with PAH and for which bosentan therapy is indicated according to national license
* Subjects with a mean pulmonary artery pressure of \>25mmHg and a pulmonary artery wedge pressure of \<15mmHg at rest via right heart catheterization within 3 years prior to randomization.
* Subjects whose baseline 6 Minute Walk Test distance is \>100m and \< 450m.

* Subjects whose 6 Minute Walk Test may be limited by conditions other than PAH related dyspnoea or fatigue eg. claudication from vascular insufficiency or arthritis.
Minimum Eligible Age

18 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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West Los Angeles VA Healthcare, Pulmonary Hypertension Program

Los Angeles, California, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

The Methodist Hospital

Houston, Texas, United States

Site Status

Diagnostics Research Group

San Antonio, Texas, United States

Site Status

St. Vincents Hospital

Darlinghurst, New South Wales, Australia

Site Status

The Prince Charles Hospital

Chermside, Queensland, Australia

Site Status

Vseobecna fakultni nemocnice v Praze

Prague, , Czechia

Site Status

Institut klinicke a experimentalni mediciny, Klinika kardiologie

Prague, , Czechia

Site Status

Clinique des Maladies Respiratoires

Lille, , France

Site Status

Hopital Claude Huriez

Lille, , France

Site Status

Hopital Adules Brabois

Vandœuvre-lès-Nancy, , France

Site Status

Unfallkrankenhaus Berlin, Klinik fuer Innere Medizin

Berlin, , Germany

Site Status

II. Medizinische Klinik, Kardiologie, Angiologie und Pneumologie

Coburg, , Germany

Site Status

Universitaetsklinikum Essen, Zentrum fuer Innere Medizin, Klinik fuer Kardiologie

Essen, , Germany

Site Status

Universitaetsklinikum Giessen und Marburg GmbH, Standort Giessen

Giessen, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

Universitaetsklinikum des Saarlandes, Innere Medizin V

Homburg, , Germany

Site Status

Medizinische Klinik und Poliklinik I, Universitaetsklinikum Leipzig

Leipzig, , Germany

Site Status

Med. Klinik u. Poliklinik I der LMU Muenchen, Klinikum Grosshadern

München, , Germany

Site Status

Praxis fuer Innere Medizin, Kardiologie und Angiologie

Nuremberg, , Germany

Site Status

Missionsaerztliche Klinik Wuerzburg, Gemeinnuetzige Gesellschaft mbH

Würzburg, , Germany

Site Status

Attikon Hospital

Haidari, Athens, Greece

Site Status

Rambam Medical Center

Haifa, , Israel

Site Status

Rabin Medical Centre

Petah Tikva, , Israel

Site Status

Cardiologia, Azienda Ospedaliera Monaldi, Seconda Università di Napoli

Napoli, , Italy

Site Status

Unita' di Ipertensione Polmonare, Dipartimento di Scienze Respiratorie e Cardiovascolari

Roma, , Italy

Site Status

Department of Surgery, National Taiwan University Hospital

Taipei, , Taiwan

Site Status

PVDU

Papworth Everard, Cambridgeshire, United Kingdom

Site Status

Countries

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United States Australia Czechia France Germany Greece Israel Italy Taiwan United Kingdom

References

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Vizza CD, Jansa P, Teal S, Dombi T, Zhou D. Sildenafil dosed concomitantly with bosentan for adult pulmonary arterial hypertension in a randomized controlled trial. BMC Cardiovasc Disord. 2017 Sep 6;17(1):239. doi: 10.1186/s12872-017-0674-3.

Reference Type DERIVED
PMID: 28874133 (View on PubMed)

Other Identifiers

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2006-001464-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PATHWAYS

Identifier Type: OTHER

Identifier Source: secondary_id

A1481243

Identifier Type: -

Identifier Source: org_study_id

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