To Assess The Efficacy and Safety Of Oral Sildenafil in the Treatment of Pulmonary Arterial Hypertension.

NCT ID: NCT00430716

Last Updated: 2020-12-22

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-08

Study Completion Date

2010-05-25

Brief Summary

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To demonstrate a dose response for 1 mg, 5 mg and 20 mg TID oral sildenafil for the treatment of subjects 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

TRIPLE

Participants Caregivers Investigators

Study Groups

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Sildenafil High dose

Group Type EXPERIMENTAL

Sildenafil citrate

Intervention Type DRUG

oral, 20 mg, tid

Sildenafil Low dose

Group Type EXPERIMENTAL

Sildenafil citrate

Intervention Type DRUG

oral 1 mg, tid

Sildenafil medium dose

Group Type EXPERIMENTAL

Sildenafil citrate

Intervention Type DRUG

oral 5 mg, tid

Sildenafil - Open label Phase

Open label extension from week 12 to week 24.

Group Type EXPERIMENTAL

Sildenafil citrate

Intervention Type DRUG

oral 20 mg, tid

Interventions

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Sildenafil citrate

oral, 20 mg, tid

Intervention Type DRUG

Sildenafil citrate

oral 1 mg, tid

Intervention Type DRUG

Sildenafil citrate

oral 5 mg, tid

Intervention Type DRUG

Sildenafil citrate

oral 20 mg, tid

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Subjects with PAH (i.e. IPAH or secondary to connective tissue disease or with surgical repair of ASD, VSD, PDA, aorto-pulmonary window) whose baseline six minute walk test distance is \>/= 100 m and \</= 450 m.
* Subjects with a mean pulmonary artery pressure of \>/= 25 mmHg and a pulmonary artery wedge pressure of \</= 15 mmHg at rest via right heart catheterization performed within 12 weeks prior to randomization.

Exclusion Criteria

* Subjects whose 6 Minute Walk Distance may be limited by conditions other than PAH related dyspnoea or fatigue, e.g. claudication from vascular insufficiency or significant arthritis.
* Subjects who are currently receiving any forms of chronic treatment for PAH such as prostacyclin, PDE-5 inhibitors, endothelin-receptor antagonists, nitrates or nitric oxide donors (e.g. arginine supplement, nicorandil) in any form, protease inhibitors such as ritonavir and saquinavir, ketoconazole, itraconazole, and alpha blockers. Subjects previously receiving any of these drugs must have stopped use for a period of at least 1 month prior to screening, except in the case of bosentan or prostacyclin (3 months).
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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Arizona Pulmonary Specialists, LTD

Phoenix, Arizona, United States

Site Status

Medical College of Georgia

Augusta, Georgia, United States

Site Status

Atlanta Institute for Medical Research, Inc.

Decatur, Georgia, United States

Site Status

Chicago Heart Institute

Elk Grove Village, Illinois, United States

Site Status

The Care Group, LLC

Indianapolis, Indiana, United States

Site Status

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Mid Carolina Cardiology

Charlotte, North Carolina, United States

Site Status

Presbyterian Hospital

Charlotte, North Carolina, United States

Site Status

Baylor College of Medicine Pulmonary Section

Houston, Texas, United States

Site Status

St. Luke's Episcopal Hospital

Houston, Texas, United States

Site Status

University of Utah Sciences Center

Salt Lake City, Utah, United States

Site Status

CJW Chippenham Medical Center

Richmond, Virginia, United States

Site Status

Pulmonary Associates of Richmond, Inc.

Richmond, Virginia, United States

Site Status

Virginia Cardiovascular Specialists

Richmond, Virginia, United States

Site Status

Cardiovascular Associates of Virginia

Richmond, Virginia, United States

Site Status

Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg

Leuven, , Belgium

Site Status

Hospital São Lucas da PUCRS

Porto Alegre, Rio Grande do Sul, Brazil

Site Status

Instituto Dante Pazzanese de Cardiologia

São Paulo, São Paulo, Brazil

Site Status

Peta mnogoprofilna bolnitsa za aktivno lechenie, Klinika po kardiologia

Sofia, , Bulgaria

Site Status

Mnogoprofilna bolnitsa za aktivno lechenie i speshna meditsina "N.I.Pirogov"

Sofia, , Bulgaria

Site Status

Beijing Shijitan Hospital

Beijing, , China

Site Status

Shanghai Pulmonology Hospital

Shanghai, , China

Site Status

Attikon Hospital

Haidari, Athens, Greece

Site Status

Care Hospital, The Institute of Medical Sciences

Hyderabad, Andhra Pradesh, India

Site Status

Mehta Hospital & Cardiopulmonary Care Center

Ahmedabad, Gujarat, India

Site Status

Bankers Heart Institute

Vadodara, Gujarat, India

Site Status

St. John's Medical College Hospital

Bangalore, Karnataka, India

Site Status

Metro Multispeciality Hospital

Noida, Uttar Pradesh, India

Site Status

IRCCS Policlinico San Matteo

Pavia, , Italy

Site Status

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

Roma, , Italy

Site Status

P. Stradins Clinical University Hospital / Latvian Centre of Cardilogy

Riga, , Latvia

Site Status

National Heart Institute

Kuala Lumpur, , Malaysia

Site Status

VU Medisch Centrum / afdeling Longziekten

Amsterdam, , Netherlands

Site Status

Erasmus MC

Rotterdam, , Netherlands

Site Status

Philippine General Hospital

Manila, , Philippines

Site Status

Philippine Heart Center

Quezon City, , Philippines

Site Status

Krakowski Szpital Specjalistyczny Im. Jana Pawla II w Krakowie

Krakow, , Poland

Site Status

Samodzielny Publiczny Zaklad Opieki Zdrowotnej, Slaskie Centrum Chorob Serca

Zabrze, , Poland

Site Status

Spitalul Clinic de Boli Infectioase si Pneumoftiziologie Dr. Victor Babes

Timișoara, Timiș County, Romania

Site Status

Spitalul Clinic de Pneumoftiziologie

Iași, , Romania

Site Status

Scientific Center of Cardiovascular surgery n.a. A.N.Bakoulev RAMS

Moscow, , Russia

Site Status

Scientific Center of Cardiovascular surgery n.a. A.N.Bakoulev RAMS

Moscow, , Russia

Site Status

Division of Rheumatology Allergy and Immunology, Department of Medicine, Faculty of Medicine

Amphoe Mueang, Changwat Khon Kaen, Thailand

Site Status

Department of Medicine,

Bangkok, , Thailand

Site Status

Norfolk and Norwich University Hospital

Norwich, Norfolk, United Kingdom

Site Status

Room 224A Sir William Leech Centre

Newcastle upon Tyne, TYNE and WEAR, United Kingdom

Site Status

Countries

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Denmark Panama United States Belgium Brazil Bulgaria China Greece India Italy Latvia Malaysia Netherlands Philippines Poland Romania Russia Thailand United Kingdom

References

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Vizza CD, Sastry BK, Safdar Z, Harnisch L, Gao X, Zhang M, Lamba M, Jing ZC. Efficacy of 1, 5, and 20 mg oral sildenafil in the treatment of adults with pulmonary arterial hypertension: a randomized, double-blind study with open-label extension. BMC Pulm Med. 2017 Feb 23;17(1):44. doi: 10.1186/s12890-017-0374-x.

Reference Type DERIVED
PMID: 28228114 (View on PubMed)

Related Links

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Other Identifiers

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2006-006748-76

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

A1481244

Identifier Type: -

Identifier Source: org_study_id