Trial Outcomes & Findings for Safety Study Extension of Iloprost Power 15 in Pulmonary Arterial Hypertension (NCT NCT00709098)

NCT ID: NCT00709098

Last Updated: 2015-09-28

Results Overview

Number of adverse events

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

49 participants

Primary outcome timeframe

Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication, mean duration of exposure was 284.5 days.

Results posted on

2015-09-28

Participant Flow

The double-blind period of the study was conducted at 20 centers in the US and Germany, and the following open-label period of the study was conducted at 17 centers in the US only. First patient, first visit was 4 September 2008 and the last patient, last visit was 17 June 2010.

Out of the 63 patients who completed the core study of AC-063A301, 49 gave informed consent and enrolled into this extension study.

Participant milestones

Participant milestones
Measure
Iloprost Power 6 (Double-blind Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Double-blind Period
STARTED
25
24
0
Double-blind Period
COMPLETED
19
16
0
Double-blind Period
NOT COMPLETED
6
8
0
Open-label Period
STARTED
0
0
32
Open-label Period
COMPLETED
0
0
18
Open-label Period
NOT COMPLETED
0
0
14

Reasons for withdrawal

Reasons for withdrawal
Measure
Iloprost Power 6 (Double-blind Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Double-blind Period
Withdrawal of consent
3
3
0
Double-blind Period
Administrative reason
1
3
0
Double-blind Period
Death
1
1
0
Double-blind Period
Lost to Follow-up
1
1
0
Open-label Period
Withdrawal of consent
0
0
7
Open-label Period
Administrative reason
0
0
5
Open-label Period
Death
0
0
1
Open-label Period
Lost to Follow-up
0
0
1

Baseline Characteristics

Safety Study Extension of Iloprost Power 15 in Pulmonary Arterial Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Iloprost Power 6 (Double-blind Period)
n=25 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Total
n=49 Participants
Total of all reporting groups
Age, Continuous
58.3 years
FULL_RANGE 16.49 • n=5 Participants
55.4 years
FULL_RANGE 13.96 • n=7 Participants
56.9 years
FULL_RANGE 15.21 • n=4 Participants
Gender
Female
19 participants
n=5 Participants
19 participants
n=7 Participants
38 participants
n=4 Participants
Gender
Male
6 participants
n=5 Participants
5 participants
n=7 Participants
11 participants
n=4 Participants
Region of Enrollment
United States
23 participants
n=5 Participants
22 participants
n=7 Participants
45 participants
n=4 Participants
Region of Enrollment
Germany
2 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=4 Participants

PRIMARY outcome

Timeframe: Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication, mean duration of exposure was 284.5 days.

Population: Safety population

Number of adverse events

Outcome measures

Outcome measures
Measure
Iloprost Power 6 (Double-blind Period)
n=25 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
n=32 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Treatment-emergent Adverse Events
148 adverse events
139 adverse events
126 adverse events

PRIMARY outcome

Timeframe: Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication, mean duration of exposure was 284.5 days.

Population: Safety population

Number of serious adverse events

Outcome measures

Outcome measures
Measure
Iloprost Power 6 (Double-blind Period)
n=25 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
n=32 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Treatment-emergent Serious Adverse Events
11 serious adverse events
11 serious adverse events
10 serious adverse events

PRIMARY outcome

Timeframe: Double-blind period: from the first inhalation of study drug to discontinuation. Open-label period: from the start of open-label medication to discontinuation, mean duration of exposure was 284.5 days.

Population: Safety population

Number of adverse events leading to discontinuation of study treatment

Outcome measures

Outcome measures
Measure
Iloprost Power 6 (Double-blind Period)
n=25 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
n=32 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Adverse Events Leading to Premature Discontinuation of Study Drug
3 adverse events
10 adverse events
7 adverse events

PRIMARY outcome

Timeframe: Double-blind period: from the first inhalation of study drug to discontinuation. Open-label period: from the start of open-label medication to discontinuation, mean duration of exposure was 284.5 days.

Number of patients with adverse events leading to discontinuation of study treatment

Outcome measures

Outcome measures
Measure
Iloprost Power 6 (Double-blind Period)
n=25 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
n=32 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Patients With Adverse Events Leading to Premature Discontinuation of Study Drug
2 participants
6 participants
7 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 12 weeks

Population: All treated population

Average inhalation time of iloprost during the double-blind period (i.e., the sum of the duration of each inhalation divided by the number of inhalations during the double-blind period)

Outcome measures

Outcome measures
Measure
Iloprost Power 6 (Double-blind Period)
n=25 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 Participants
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Average Inhalation Time
10.9 minutes
Standard Deviation 4.50
5.8 minutes
Standard Deviation 1.14

Adverse Events

Iloprost Power 6 (Double-blind Period)

Serious events: 6 serious events
Other events: 23 other events
Deaths: 0 deaths

Iloprost Power 15 (Double-blind Period)

Serious events: 5 serious events
Other events: 23 other events
Deaths: 0 deaths

Iloprost Power 15 (Open-label Period)

Serious events: 8 serious events
Other events: 25 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Iloprost Power 6 (Double-blind Period)
n=25 participants at risk
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 participants at risk
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
n=32 participants at risk
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Cardiac disorders
ATRIAL FIBRILLATION
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Cardiac disorders
ATRIAL FLUTTER
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
BRONCHITIS
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
3.1%
1/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Nervous system disorders
CEREBROVASCULAR ACCIDENT
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Hepatobiliary disorders
CHOLECYSTITIS ACUTE
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Gastrointestinal disorders
COLITIS
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
DIVERTICULITIS
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Gastrointestinal disorders
DIVERTICULUM
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
HYPOXIA
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
3.1%
1/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Investigations
LIVER FUNCTION TEST ABNORMAL
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
LOBAR PNEUMONIA
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Vascular disorders
PERIPHERAL VASCULAR DISORDER
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
PROSTATE CANCER
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
PULMONARY HYPERTENSION
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
3.1%
1/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Renal and urinary disorders
RENAL FAILURE ACUTE
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURE
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Cardiac disorders
RIGHT VENTRICULAR FAILURE
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
SEPSIS
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
General disorders
SUDDEN CARDIAC DEATH
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Nervous system disorders
SYNCOPE
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
3.1%
1/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
URINARY TRACT INFECTION
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
PULMONARY ARTERIAL HYPERTENSION
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
9.4%
3/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
3.1%
1/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
General disorders
NO THERAPEUTIC RESPONSE
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
3.1%
1/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
PNEUMONIA
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
3.1%
1/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events

Other adverse events

Other adverse events
Measure
Iloprost Power 6 (Double-blind Period)
n=25 participants at risk
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb® adaptive aerosol delivery (AAD®) System utilizing a power setting 6 disc
Iloprost Power 15 (Double-blind Period)
n=24 participants at risk
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Iloprost Power 15 (Open-label Period)
n=32 participants at risk
The study medication was 5 μg iloprost delivered as an aerosol using the I-neb®AAD® System utilizing a power setting 15 disc
Nervous system disorders
HEADACHE
44.0%
11/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
54.2%
13/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
COUGH
28.0%
7/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
41.7%
10/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Nervous system disorders
DIZZINESS
32.0%
8/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
29.2%
7/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
12.5%
4/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Vascular disorders
FLUSHING
24.0%
6/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
33.3%
8/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Gastrointestinal disorders
NAUSEA
24.0%
6/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
20.8%
5/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
15.6%
5/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
General disorders
CHEST DISCOMFORT
24.0%
6/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
16.7%
4/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
20.0%
5/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
12.5%
3/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
15.6%
5/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Gastrointestinal disorders
DIARRHOEA
12.0%
3/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
16.7%
4/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
15.6%
5/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
12.0%
3/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
16.7%
4/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
9.4%
3/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
General disorders
CHEST PAIN
8.0%
2/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
16.7%
4/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
General disorders
FATIGUE
4.0%
1/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
16.7%
4/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Musculoskeletal and connective tissue disorders
PAIN IN JAW
12.0%
3/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
8.3%
2/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Gastrointestinal disorders
ABDOMINAL PAIN
8.0%
2/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
8.3%
2/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Psychiatric disorders
DEPRESSION
8.0%
2/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
8.3%
2/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
OROPHARYNGEAL PAIN
8.0%
2/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
8.3%
2/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Gastrointestinal disorders
VOMITING
16.0%
4/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
9.4%
3/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
General disorders
ASTHENIA
8.0%
2/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
NASOPHARYNGITIS
8.0%
2/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
4.2%
1/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Nervous system disorders
SYNCOPE
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
12.5%
3/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Musculoskeletal and connective tissue disorders
BACK PAIN
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
9.4%
3/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
General disorders
OEDEMA PERIPHERAL
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
9.4%
3/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Cardiac disorders
PALPITATIONS
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
9.4%
3/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
ACUTE SINUSITIS
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Psychiatric disorders
ANXIETY
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
BRONCHITIS
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
DYSPNOEA EXERTIONAL
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
EAR INFECTION
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Respiratory, thoracic and mediastinal disorders
HYPOXIA
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
INFLUENZA
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Psychiatric disorders
INSOMNIA
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
SINUSITIS
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
Infections and infestations
URINARY TRACT INFECTION
0.00%
0/25 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
0.00%
0/24 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events
6.2%
2/32 • Double-blind period: from first inhalation of study drug to end of 12-week treatment period. Open-label period: from the start to end of open-label medication
Treatment-emergent adverse events

Additional Information

Laila Rouault, MD/International Clinical Leader

Actelion Pharmaceuticals Ltd

Phone: + 41 61 565 8128

Results disclosure agreements

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