Trial Outcomes & Findings for Tadalafil for the Treatment of Raynaud's (NCT NCT00822354)

NCT ID: NCT00822354

Last Updated: 2014-12-04

Results Overview

Subjects kept a daily record of the number of Raynaud's phenomenon attacks they experienced per day. Results are reported from data collected at Baseline/Week 0, Week 4, Week 5, and Week 9 visits. In subjects receiving tadalafil followed by placebo: Baseline/Week 0 data is Pre-treatment, Week 4 data corresponds to Week 4 of treatment, Week 5 data is Pre-placebo, and Week 9 data corresponds to Week 4 of placebo. In subjects receiving placebo followed by tadalafil: Baseline/Week 0 data is Pre-placebo, Week 4 data corresponds to Week 4 of placebo, Week 5 data is Pre-treatment, and Week 9 data corresponds to Week 4 of treatment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

9 weeks

Results posted on

2014-12-04

Participant Flow

Participant milestones

Participant milestones
Measure
Tadalafil Followed by Placebo
Subjects received tadalafil 20 mg every other day for four weeks followed by placebo every other day for four weeks. A one week washout occurred between the treatment and placebo periods.
Placebo Followed by Tadalafil
Subjects received placebo every other day for four weeks, followed by tadalafil 20 mg every other day for four weeks. A one week washout occurred between the placebo and treatment periods.
First Intervention (28 Days)
STARTED
5
5
First Intervention (28 Days)
COMPLETED
4
5
First Intervention (28 Days)
NOT COMPLETED
1
0
Washout (7 Days)
STARTED
4
5
Washout (7 Days)
COMPLETED
4
5
Washout (7 Days)
NOT COMPLETED
0
0
Second Intervention (28 Days)
STARTED
4
5
Second Intervention (28 Days)
COMPLETED
3
5
Second Intervention (28 Days)
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Tadalafil for the Treatment of Raynaud's

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Tadalafil Followed by Placebo
n=5 Participants
Subjects received tadalafil 20 mg every other day for four weeks followed by placebo every other day for four weeks. A one week washout occurred between the treatment and placebo periods.
Placebo Followed by Tadalafil
n=5 Participants
Subjects received placebo every other day for four weeks, followed by tadalafil 20 mg every other day for four weeks. A one week washout occurred between the placebo and treatment periods.
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=93 Participants
5 Participants
n=4 Participants
10 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Sex: Female, Male
Female
4 Participants
n=93 Participants
4 Participants
n=4 Participants
8 Participants
n=27 Participants
Sex: Female, Male
Male
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Region of Enrollment
United States
5 participants
n=93 Participants
5 participants
n=4 Participants
10 participants
n=27 Participants

PRIMARY outcome

Timeframe: 9 weeks

Population: Two of the ten enrolled subjects were excluded from analysis: one subject due to early withdrawal, and a second subject to avoid bias due to bilateral subclavian stent placement midway through the study. For subject 2, Week 5 data was used for both Pre-treatment and Pre-placebo because Baseline/Week 0 visit data was not obtained.

Subjects kept a daily record of the number of Raynaud's phenomenon attacks they experienced per day. Results are reported from data collected at Baseline/Week 0, Week 4, Week 5, and Week 9 visits. In subjects receiving tadalafil followed by placebo: Baseline/Week 0 data is Pre-treatment, Week 4 data corresponds to Week 4 of treatment, Week 5 data is Pre-placebo, and Week 9 data corresponds to Week 4 of placebo. In subjects receiving placebo followed by tadalafil: Baseline/Week 0 data is Pre-placebo, Week 4 data corresponds to Week 4 of placebo, Week 5 data is Pre-treatment, and Week 9 data corresponds to Week 4 of treatment.

Outcome measures

Outcome measures
Measure
Pre-treatment
n=8 Participants
Week 4 of Treatment
n=8 Participants
Pre-placebo
n=8 Participants
Week 4 of Placebo
n=8 Participants
Number of Raynaud's Phenomenon Attacks Per Day
2.4 Raynaud's attacks per day
Interval 0.2 to 8.1
1.1 Raynaud's attacks per day
Interval 0.1 to 6.8
2.0 Raynaud's attacks per day
Interval 0.3 to 6.7
2.3 Raynaud's attacks per day
Interval 0.5 to 6.6

PRIMARY outcome

Timeframe: 9 weeks

Population: Two of the ten enrolled subjects were excluded from analysis: one subject due to early withdrawal, and a second subject to avoid bias due to bilateral subclavian stent placement midway through the study. For subject 2, Week 5 data was used for both Pre-treatment and Pre-placebo because Baseline/Week 0 visit data was not obtained.

Subjects kept a daily record of the number of Raynaud's phenomenon attacks they experienced per day and the duration of each attack. Results are reported from data collected at Baseline/Week 0, Week 4, Week 5, and Week 9 visits. In subjects receiving tadalafil followed by placebo: Baseline/Week 0 data is Pre-treatment, Week 4 data corresponds to Week 4 of treatment, Week 5 data is Pre-placebo, and Week 9 data corresponds to Week 4 of placebo. In subjects receiving placebo followed by tadalafil: Baseline/Week 0 data is Pre-placebo, Week 4 data corresponds to Week 4 of placebo, Week 5 data is Pre-treatment, and Week 9 data corresponds to Week 4 of treatment.

Outcome measures

Outcome measures
Measure
Pre-treatment
n=8 Participants
Week 4 of Treatment
n=8 Participants
Pre-placebo
n=8 Participants
Week 4 of Placebo
n=8 Participants
Duration of Raynaud's Phenomenon Attacks
5.7 minutes
Interval 0.1 to 60.4
11.4 minutes
Interval 1.0 to 35.4
1.2 minutes
Interval 0.1 to 13.2
14.2 minutes
Interval 5.6 to 39.5

PRIMARY outcome

Timeframe: 9 weeks

Population: Two of the ten enrolled subjects were excluded from analysis: one subject due to early withdrawal, and a second subject to avoid bias due to bilateral subclavian stent placement midway through the study.

The VAS is a 100 millimeter (mm) line where 0 mm (left boundary) represents Raynaud's disease of low severity, and 100 mm (right boundary) represents extremely severe Raynaud's disease. The subject makes a vertical mark on the VAS to indicate the severity of Raynaud's disease over the past two weeks. The Raynaud's severity score is the distance from the left boundary to the vertical mark in mm. Results are reported from data collected at Baseline/Week 0, Week 4, Week 5, and Week 9 visits. In subjects receiving tadalafil followed by placebo: Baseline/Week 0 data is Pre-treatment, Week 4 data corresponds to Week 4 of treatment, Week 5 data is Pre-placebo, and Week 9 data corresponds to Week 4 of placebo. In subjects receiving placebo followed by tadalafil: Baseline/Week 0 data is Pre-placebo, Week 4 data corresponds to Week 4 of placebo, Week 5 data is Pre-treatment, and Week 9 data corresponds to Week 4 of treatment.

Outcome measures

Outcome measures
Measure
Pre-treatment
n=8 Participants
Week 4 of Treatment
n=8 Participants
Pre-placebo
n=8 Participants
Week 4 of Placebo
n=8 Participants
Raynaud Severity Visual Analog Score (VAS)
39 millimeters
Interval 19.0 to 100.0
16.5 millimeters
Interval 1.0 to 55.0
51.5 millimeters
Interval 11.0 to 71.0
37 millimeters
Interval 9.0 to 69.0

PRIMARY outcome

Timeframe: 9 weeks

Population: Two of the ten enrolled subjects were excluded from analysis: one subject due to early withdrawal, and a second subject to avoid bias due to bilateral subclavian stent placement midway through the study.

The VAS is a 100 millimeter (mm) line where 0 mm (left boundary) represents no difficulty with Raynaud's disease, and 100 mm (right boundary) represents extreme difficulty with Raynaud's disease. The subject makes a vertical mark on the VAS to indicate difficulty experienced that day with Raynaud's disease. The RCS is the distance from the left boundary to the vertical mark in mm. Results are reported from data collected at Baseline/Week 0, Week 4, Week 5, and Week 9 visits. In subjects receiving tadalafil followed by placebo: Baseline/Week 0 data is Pre-treatment, Week 4 data corresponds to Week 4 of treatment, Week 5 data is Pre-placebo, and Week 9 data corresponds to Week 4 of placebo. In subjects receiving placebo followed by tadalafil: Baseline/Week 0 data is Pre-placebo, Week 4 data corresponds to Week 4 of placebo, Week 5 data is Pre-treatment, and Week 9 data corresponds to Week 4 of treatment.

Outcome measures

Outcome measures
Measure
Pre-treatment
n=8 Participants
Week 4 of Treatment
n=8 Participants
Pre-placebo
n=8 Participants
Week 4 of Placebo
n=8 Participants
Raynaud's Condition Score (RCS) Visual Analog Scale (VAS)
38.5 millimeters
Interval 7.0 to 84.0
9 millimeters
Interval 0.0 to 57.0
35 millimeters
Interval 0.0 to 60.0
26 millimeters
Interval 0.0 to 70.0

SECONDARY outcome

Timeframe: 9 weeks

Population: Two of the ten enrolled subjects were excluded from analysis: one subject due to early withdrawal, and a second subject to avoid bias due to bilateral subclavian stent placement midway through the study. For subject 10, Week 2 data was used for Week 4 of placebo because digital blood pressure data was not obtained at the Week 4 visit.

Results are reported from data collected at Baseline/Week 0, Week 4, Week 5, and Week 9 visits. In subjects receiving tadalafil followed by placebo: Baseline/Week 0 data is Pre-treatment, Week 4 data corresponds to Week 4 of treatment, Week 5 data is Pre-placebo, and Week 9 data corresponds to Week 4 of placebo. In subjects receiving placebo followed by tadalafil: Baseline/Week 0 data is Pre-placebo, Week 4 data corresponds to Week 4 of placebo, Week 5 data is Pre-treatment, and Week 9 data corresponds to Week 4 of treatment.

Outcome measures

Outcome measures
Measure
Pre-treatment
n=8 Participants
Week 4 of Treatment
n=8 Participants
Pre-placebo
n=8 Participants
Week 4 of Placebo
n=8 Participants
Digital Blood Pressure
97 mm Hg
Interval 44.0 to 127.0
80 mm Hg
Interval 60.0 to 127.0
84 mm Hg
Interval 71.0 to 121.0
80 mm Hg
Interval 67.0 to 121.0

SECONDARY outcome

Timeframe: 9 weeks

Population: Two of the ten enrolled subjects were excluded from analysis: one subject due to early withdrawal, and a second subject to avoid bias due to bilateral subclavian stent placement midway through the study. For subject 8, Baseline/Week 0 data was used for both Pre-treatment and Pre-placebo, and Week 2 data was used for Week 4 of placebo.

Results are reported from data collected at Baseline/Week 0, Week 4, Week 5, and Week 9 visits. In subjects receiving tadalafil followed by placebo: Baseline/Week 0 data is Pre-treatment, Week 4 data corresponds to Week 4 of treatment, Week 5 data is Pre-placebo, and Week 9 data corresponds to Week 4 of placebo. In subjects receiving placebo followed by tadalafil: Baseline/Week 0 data is Pre-placebo, Week 4 data corresponds to Week 4 of placebo, Week 5 data is Pre-treatment, and Week 9 data corresponds to Week 4 of treatment.

Outcome measures

Outcome measures
Measure
Pre-treatment
n=8 Participants
Week 4 of Treatment
n=8 Participants
Pre-placebo
n=8 Participants
Week 4 of Placebo
n=8 Participants
Capillary Diameter
9.3 micrometers
Interval 6.5 to 19.3
10 micrometers
Interval 3.6 to 19.3
10.7 micrometers
Interval 5.7 to 25.7
10 micrometers
Interval 7.9 to 17.1

Adverse Events

Tadalafil

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Clinical Trials Coordinator

Northwestern University

Phone: 312-695-6829

Results disclosure agreements

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