A Study to Assess the Efficacy and Safety of 20, 40, and 80mg of Sildenafil Three Times a Day in the Treatment of Pulmonary Arterial Hypertension

NCT ID: NCT00644605

Last Updated: 2021-02-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

275 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-10-31

Study Completion Date

2003-11-30

Brief Summary

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To evaluate the effect of three doses of oral sildenafil (20, 40 and 80 mg three times a day \[TID\]) on exercise capacity, as measured by the 6-Minute Walk test, as well as the safety and tolerability, after 12 weeks of treatment in subjects with pulmonary arterial hypertension who are aged 18 years and over. To investigate the plasma concentration-effect relationship and to determine the population pharmacokinetic (PK) parameters.

Detailed Description

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Conditions

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Hypertension, Pulmonary

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Arm 1

Group Type ACTIVE_COMPARATOR

sildenafil

Intervention Type DRUG

sildenafil 20 mg by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks

Arm 2

Group Type ACTIVE_COMPARATOR

sildenafil

Intervention Type DRUG

sildenafil 40 mg by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks

Arm 3

Group Type ACTIVE_COMPARATOR

sildenafil

Intervention Type DRUG

sildenafil 80 mg by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks; initially, patients received 40mg TID for one week and were then up-titrated to 80mg TID

Arm 4

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

placebo by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks

Interventions

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sildenafil

sildenafil 40 mg by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks

Intervention Type DRUG

sildenafil

sildenafil 80 mg by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks; initially, patients received 40mg TID for one week and were then up-titrated to 80mg TID

Intervention Type DRUG

placebo

placebo by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks

Intervention Type DRUG

sildenafil

sildenafil 20 mg by mouth three times daily (TID), with doses at least 6 hours apart, for 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Included patients had primary pulmonary arterial hypertension, pulmonary hypertension secondary to connective tissue disease, or pulmonary hypertension with surgical repair at least 5 years previously; a mean pulmonary artery pressure greater than or equal to 25 mmHg and a pulmonary artery wedge pressure of less than or equal to 15 mmHg at rest, via right heart catheterisation within 21 days prior to randomisation; and a baseline 6-Minute Walk test distance of 100 m to 450 m.
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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Pfizer Investigational Site

Birmingham, Alabama, United States

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Birmingham, Alabama, United States

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Birmingham, Alabama, United States

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La Jolla, California, United States

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La Jolla, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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San Diego, California, United States

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Torrance, California, United States

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Torrance, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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Chicago, Illinois, United States

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Shreveport, Louisiana, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Rochester, Minnesota, United States

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New York, New York, United States

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Durham, North Carolina, United States

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Nashville, Tennessee, United States

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Houston, Texas, United States

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Milwaukee, Wisconsin, United States

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Darlinghurst, New South Wales, Australia

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Melbourne, Victoria, Australia

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Brussels, , Belgium

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Leuven, , Belgium

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São Paulo, São Paulo, Brazil

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Prague, , Czechia

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Prague, , Czechia

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Copenhagen, , Denmark

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Clamart, , France

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Berlin, , Germany

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Giessen, , Germany

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Giessen, , Germany

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Hanover, , Germany

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Leipzig, , Germany

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Shatin N T, , Hong Kong

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Budapest, Pest County, Hungary

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Zalaegerszeg, Zala County, Hungary

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Petah Tikva, , Israel

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Tel Litwinsky, , Israel

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Bologna, , Italy

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Pisa, , Italy

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Pisa, , Italy

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Kuala Lumpur, , Malaysia

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Tlalpan, , Mexico

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Amsterdam, , Netherlands

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Oslo, , Norway

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Katowice, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Zabrze, , Poland

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Singapore, , Singapore

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Cape Town, , South Africa

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Johannesburg, , South Africa

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Parow, , South Africa

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Suwon, , South Korea

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Barcelona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Gothenburg, , Sweden

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Mölndal, , Sweden

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Papworth Everard, Cambridgeshire, United Kingdom

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Sheffield, South Yorkshire, United Kingdom

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Glasgow, , United Kingdom

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HIGH Heaton, Newcastle-upon-tyne, , United Kingdom

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Countries

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United States Australia Belgium Brazil Czechia Denmark France Germany Hong Kong Hungary Israel Italy Malaysia Mexico Netherlands Norway Poland Singapore South Africa South Korea Spain Sweden United Kingdom

References

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Wirostko BM, Tressler C, Hwang LJ, Burgess G, Laties AM. Ocular safety of sildenafil citrate when administered chronically for pulmonary arterial hypertension: results from phase III, randomised, double masked, placebo controlled trial and open label extension. BMJ. 2012 Feb 21;344:e554. doi: 10.1136/bmj.e554.

Reference Type DERIVED
PMID: 22354598 (View on PubMed)

Related Links

Other Identifiers

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A1481140

Identifier Type: -

Identifier Source: org_study_id

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