Trial Outcomes & Findings for Phase 2 Study of Ambrisentan for Liver Function Test Rescue in Pulmonary Arterial Hypertension (NCT NCT00423592)

NCT ID: NCT00423592

Last Updated: 2013-06-17

Results Overview

The number of participants in the safety analysis set with confirmed serum ALT or AST concentrations \> 3 x ULN during 12 weeks of ambrisentan therapy that were related to ambrisentan and resulted in discontinuation of study drug. Safety analysis set included all participants who received at least 1 dose of study drug.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

36 participants

Primary outcome timeframe

Week 12

Results posted on

2013-06-17

Participant Flow

Participant milestones

Participant milestones
Measure
Ambrisentan
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Overall Study
STARTED
36
Overall Study
Completed Preliminary Analysis Cut-off
34
Overall Study
COMPLETED
29
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Ambrisentan
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Overall Study
Adverse Event (through Week 12)
2
Overall Study
Adverse Event (post Week 12)
5

Baseline Characteristics

Phase 2 Study of Ambrisentan for Liver Function Test Rescue in Pulmonary Arterial Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ambrisentan
n=36 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
22 Participants
n=5 Participants
Age, Categorical
>=65 years
14 Participants
n=5 Participants
Age Continuous
57.2 years
STANDARD_DEVIATION 13.39 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
28 participants
n=5 Participants
Race/Ethnicity, Customized
Black
2 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
3 participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 participants
n=5 Participants
Region of Enrollment
United States
26 participants
n=5 Participants
Region of Enrollment
Australia
5 participants
n=5 Participants
Region of Enrollment
Netherlands
3 participants
n=5 Participants
Region of Enrollment
Belgium
2 participants
n=5 Participants
Pulmonary Arterial Hypertension Etiology
Idiopathic pulmonary arterial hypertension
23 participants
n=5 Participants
Pulmonary Arterial Hypertension Etiology
Familial pulmonary arterial hypertension
1 participants
n=5 Participants
Pulmonary Arterial Hypertension Etiology
Associated pulmonary arterial hypertension
12 participants
n=5 Participants
Pulmonary Arterial Hypertension Treatment
Ambrisentan only
11 participants
n=5 Participants
Pulmonary Arterial Hypertension Treatment
Ambrisentan/sildenafil
12 participants
n=5 Participants
Pulmonary Arterial Hypertension Treatment
Ambrisentan/prostanoid
8 participants
n=5 Participants
Pulmonary Arterial Hypertension Treatment
Ambrisentan/sildenafil/prostanoid
5 participants
n=5 Participants
World Health Organization (WHO) Functional Class
Class I
0 participants
n=5 Participants
World Health Organization (WHO) Functional Class
Class II
13 participants
n=5 Participants
World Health Organization (WHO) Functional Class
Class III
23 participants
n=5 Participants
World Health Organization (WHO) Functional Class
Class IV
0 participants
n=5 Participants
Baseline 6-Minute Walk Distance
397.2 meters
STANDARD_DEVIATION 104.59 • n=5 Participants
Body Mass Index
27.2 kg/m^2
STANDARD_DEVIATION 5.44 • n=5 Participants
Borg dyspnea index
4.2 units on a scale
STANDARD_DEVIATION 2.31 • n=5 Participants
Cardiac index
2.7 L/min/m^2
STANDARD_DEVIATION 1.02 • n=5 Participants
Height
165.1 cm
STANDARD_DEVIATION 7.22 • n=5 Participants
Mean pulmonary artery pressure
48.4 mmHg
STANDARD_DEVIATION 13.50 • n=5 Participants
Pulmonary arterial hypertension present
3.8 year
STANDARD_DEVIATION 4.99 • n=5 Participants
Pulmonary capillary wedge pressure
10.1 mmHg
STANDARD_DEVIATION 5.38 • n=5 Participants
Pulmonary vascular resistance
10.3 mmHg/L/min
STANDARD_DEVIATION 5.75 • n=5 Participants
Right atrial pressure
7.9 mmHg
STANDARD_DEVIATION 5.29 • n=5 Participants
Weight
74.1 kg
STANDARD_DEVIATION 15.36 • n=5 Participants

PRIMARY outcome

Timeframe: Week 12

Population: The Safety analysis set was defined as all subjects who received at least 1 dose of study drug. All subjects who received at least 1 dose of ambrisentan were followed (to the extent possible) to the end of the study and included in the analyses of safety.

The number of participants in the safety analysis set with confirmed serum ALT or AST concentrations \> 3 x ULN during 12 weeks of ambrisentan therapy that were related to ambrisentan and resulted in discontinuation of study drug. Safety analysis set included all participants who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Ambrisentan
n=36 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
The Incidence of Confirmed Serum Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) Concentrations > 3 x the Upper Limit of Normal (ULN) Considered to be Related to Ambrisentan and Resulted in Discontinuation of Study Drug.
0 Participants

SECONDARY outcome

Timeframe: Week 12

Population: The Safety analysis set was defined as all subjects who received at least 1 dose of study drug. All subjects who received at least 1 dose of ambrisentan were followed (to the extent possible) to the end of the study and included in the analyses of safety.

The number of participants in the safety analysis set with confirmed serum ALT or AST concentrations \> 5 x ULN during 12 weeks of ambrisentan therapy that were related to ambrisentan and resulted in discontinuation of drug. Safety analysis set included all participants who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Ambrisentan
n=36 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
The Incidence of Confirmed Serum ALT or AST Concentrations > 5 x ULN That Were Related to Ambrisentan and Resulted in Discontinuation of Study Drug.
0 participants

SECONDARY outcome

Timeframe: Week 12

Population: The Safety analysis set was defined as all subjects who received at least 1 dose of study drug. All subjects who received at least 1 dose of ambrisentan were followed (to the extent possible) to the end of the study and included in the analyses of safety.

The number of participants in the safety analysis set with confirmed serum ALT or AST concentrations \> 3 x ULN during 12 weeks of ambrisentan therapy that were related to ambrisentan and resulted in dose reduction. Safety analysis set included all participants who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Ambrisentan
n=36 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
The Incidence of Confirmed Serum ALT or AST Concentrations > 3 x ULN That Were Related to Ambrisentan and Resulted in Dose Reduction
0 participants

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The 6MWD test is a measure of exercise tolerance, and measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface.

Outcome measures

Outcome measures
Measure
Ambrisentan
n=35 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in the 6-Minute Walk Distance Test (6MWD)
23.4 meters
Standard Deviation 49.60

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

Change from baseline evaluated after 12 weeks of ambrisentan therapy in Borg dyspnea index (measured as units on a scale) immediately following exercise. Borg Dyspnea Index, a measure of perceived shortness of breath: 0 units on a scale (none) to 10 units on a scale (maximum breathlessness).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=35 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in Borg Dyspnea Index Immediately Following Exercise
-0.5 Units on a scale
Standard Deviation 1.51

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

Classes: I) pulmonary hypertension (PH); ordinary physical activity not limited or causes undue dyspnea or fatigue, chest pain, or near syncope. II) PH; ordinary physical activity slightly limited and causes undue dyspnea or fatigue, chest pain, or near syncope; comfortable at rest. III) PH; physical activity markedly limited and less than ordinary physical activity causes undue dyspnea or fatigue, chest pain, or near syncope; comfortable at rest. IV) PH; physical activity causes symptoms and increased discomfort; signs of right heart failure; dyspnea/fatigue possibly at rest.

Outcome measures

Outcome measures
Measure
Ambrisentan
n=35 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in WHO Functional Class
Improved
15 Participants
A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in WHO Functional Class
No Change
18 Participants
A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in WHO Functional Class
Deteriorated
2 Participants

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). The first 6 concepts constitute the physical component summary. Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in Short Form 36 (SF-36) Health Survey Scale - Composite Physical Health
4.6 Units on a scale
Standard Deviation 6.44

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). The last 5 concepts constitute the mental component summary. Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Composite Mental Health
3.4 Units on a scale
Standard Deviation 8.98

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Physical Functioning
4.4 Units on a scale
Standard Deviation 6.86

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Role Physical
7.2 Units on a scale
Standard Deviation 10.56

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Bodily Pain
3.1 Units on a scale
Standard Deviation 6.40

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - General Health
3.0 Units on a scale
Standard Deviation 7.45

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Vitality
4.5 Units on a scale
Standard Deviation 7.23

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Social Functioning
3.5 Units on a scale
Standard Deviation 9.41

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Role Emotional
3.9 Units on a scale
Standard Deviation 13.96

SECONDARY outcome

Timeframe: Baseline to Week 12

Population: The Intention-to-Treat (ITT) analysis set was defined as all subjects who received at least 1 dose of study drug and had at least 1 postdose efficacy value.

The SF-36 Health Survey is a self-reporting, multi-item scale measuring 8 health concepts: 1) physical functioning, 2) role limitations due to physical health problems, 3) bodily pain, 4) general health, 5) vitality (energy/fatigue), 6) social functioning, 7) role limitations due to emotional problems and 8) mental health (psychological distress and psychological well-being). Each item is scored from 0 to 100 (least healthy to most healthy).

Outcome measures

Outcome measures
Measure
Ambrisentan
n=28 Participants
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Secondary Outcome: A Change From Baseline Evaluated After 12 Weeks of Ambrisentan Therapy in SF-36 Health Survey Scale - Mental Health
3.9 Units on a scale
Standard Deviation 5.78

Adverse Events

Ambrisentan

Serious events: 17 serious events
Other events: 36 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ambrisentan
n=36 participants at risk
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Blood and lymphatic system disorders
anaemia
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Blood and lymphatic system disorders
microcytic anaemia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
acute coronary syndrome
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
acute myocardial infarction
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
atrial fibrillation
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
atrial tachycardia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
cardiac arrest
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
coronary artery disease
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
palpitations
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
right ventricular failure
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
supraventricular tachycardia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Congenital, familial and genetic disorders
gastrointestinal arteriovenous malformation
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
diarrhoea
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
chest pain
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
infusion site pain
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
catheter site cellulitis
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
central line infection
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
gastroenteritis
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
gastroenteritis viral
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
lobar pneumonia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
pneumococcal sepsis
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
pneumonia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
staphylococcal bacteraemia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
upper respiratory tract infection
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Investigations
blood potassium increased
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Metabolism and nutrition disorders
dehydration
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Metabolism and nutrition disorders
hypokalaemia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Metabolism and nutrition disorders
hyponatraemia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
breast cancer
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
dizziness
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
dizziness postural
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
ischaemic stroke
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
sciatica
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
syncope
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Psychiatric disorders
depression
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Renal and urinary disorders
azotaemia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
chronic obstructive airways disease exacerbated
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
hypoxia
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
pulmonary embolism
2.8%
1/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
pulmonary hypertension
13.9%
5/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.

Other adverse events

Other adverse events
Measure
Ambrisentan
n=36 participants at risk
All eligible subjects received 2.5 mg ambrisentan once daily for a period of 4 weeks before increasing the dose to 5 mg once daily. After Week 24, investigators were allowed to adjust the dose of ambrisentan as clinically indicated (available doses were 2.5, 5, and 10 mg).
Blood and lymphatic system disorders
anaemia
22.2%
8/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Blood and lymphatic system disorders
lymphadenopathy
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
atrial fibrillation
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
bradycardia
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
coronary artery disease
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
palpitations
22.2%
8/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Cardiac disorders
tricuspid valve incompetence
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Ear and labyrinth disorders
vertigo
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Eye disorders
conjunctival haemorrhage
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Eye disorders
vision blurred
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
abdominal pain
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
abdominal pain upper
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
constipation
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
diarrhoea
19.4%
7/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
dyspepsia
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
gastrooesophageal reflux disease
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
nausea
25.0%
9/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
oesophagitis
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
toothache
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Gastrointestinal disorders
vomiting
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
asthenia
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
chest discomfort
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
chest pain
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
chills
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
fatigue
25.0%
9/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
influenza like illness
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
infusion site pain
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
non-cardiac chest pain
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
oedema peripheral
52.8%
19/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
General disorders
pyrexia
13.9%
5/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Immune system disorders
drug hypersensitivity
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
bronchitis
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
bronchitis acute
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
eye infection
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
herpes zoster
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
influenza
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
infusion site infection
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
localised infection
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
lower respiratory tract infection
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
nasopharyngitis
13.9%
5/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
pharyngitis
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
respiratory tract infection
13.9%
5/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
sinusitis
19.4%
7/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
upper respiratory tract infection
22.2%
8/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
urinary tract infection
16.7%
6/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Infections and infestations
viral upper respiratory tract infection
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Injury, poisoning and procedural complications
contusion
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Injury, poisoning and procedural complications
fall
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Injury, poisoning and procedural complications
post procedural pain
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Investigations
excercise capacity decreased
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Investigations
international normalised ratio increased
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Investigations
weight increased
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Metabolism and nutrition disorders
dehydration
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Metabolism and nutrition disorders
fluid retention
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Metabolism and nutrition disorders
hypokalaemia
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Metabolism and nutrition disorders
hypomagnesaemia
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Musculoskeletal and connective tissue disorders
arthralgia
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Musculoskeletal and connective tissue disorders
back pain
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Musculoskeletal and connective tissue disorders
neck pain
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Musculoskeletal and connective tissue disorders
pain in extremity
16.7%
6/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Musculoskeletal and connective tissue disorders
pain in jaw
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Musculoskeletal and connective tissue disorders
shoulder pain
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
dizziness
13.9%
5/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
dizziness postural
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
headache
36.1%
13/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Nervous system disorders
tremor
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Psychiatric disorders
anxiety
16.7%
6/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Psychiatric disorders
depression
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Psychiatric disorders
insomnia
19.4%
7/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
cough
16.7%
6/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
crackles lung
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
dysphonia
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
dyspnoea
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
dyspnoea exacerbated
33.3%
12/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
dyspnoea exertional
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
epistaxis
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
hypoxia
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
nasal congestion
13.9%
5/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
pharyngolaryngeal pain
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
pleuritic pain
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
pulmonary hypertension
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
rales
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
rhinitis allergic
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
rhinorrhoea
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Respiratory, thoracic and mediastinal disorders
wheezing
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Skin and subcutaneous tissue disorders
dry skin
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Skin and subcutaneous tissue disorders
erythema
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Skin and subcutaneous tissue disorders
pruritis
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Skin and subcutaneous tissue disorders
rash
11.1%
4/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Skin and subcutaneous tissue disorders
rash macular
5.6%
2/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Vascular disorders
flushing
19.4%
7/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.
Vascular disorders
hypotension
8.3%
3/36 • Baseline to Week 189
Median exposure to study drug was 108.1 weeks (2.08 years). Two subjects discontinued ambrisentan because of adverse events after 1 and 3 weeks, respectively. Reporting interval for all other subjects was from 36 to 189 weeks.

Additional Information

Annemarie Vance

Gilead Sciences, Inc.

Phone: 650-524-3829

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER