Measuring Outcomes In Patients With Pulmonary Arterial Hypertension Not on Active Treatment (MOTION)

NCT ID: NCT02191137

Last Updated: 2017-10-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-23

Study Completion Date

2016-07-16

Brief Summary

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The MOTION study was a prospective, Phase IV study for patients with Pulmonary Arterial Hypertension (PAH). The study was designed to further explore patient-reported outcomes in PAH subjects who were not on active treatment and living in the United States. In addition, the study explored the use of new telemetric technology (Accelerator band) to evaluate if this technology correlates with improvements in 6 Minute Walking Distance 6MWD in patients with PAH.

Detailed Description

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Conditions

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Hypertension, Pulmonary

Keywords

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Pulmonary Hypertension,Riociguat,Living with Pulmonary Hypertension Questionnaire

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Riociguat 0.5mg to 2.5 mg

Single arm, open label

Group Type EXPERIMENTAL

Riociguat (Adempas, BAY63-2521)

Intervention Type DRUG

Participants received therapy with riociguat during a 10-week titration phase. The starting dose for riociguat for all patients was 0.5 milligram (mg) three times a day (TID). The dose of riociguat was increased every 2 weeks in 0.5 mg increments to 1.0, 1.5, 2.0, and 2.5 mg until patients reached their individual optimal dose based on their systolic blood pressure and well-being. After reaching their optimal dose, patients then entered a maintenance phase and remained on this dose for an additional 14 weeks. End of treatment was reached at Visit 10 after 24 weeks of treatment with riociguat.

Interventions

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Riociguat (Adempas, BAY63-2521)

Participants received therapy with riociguat during a 10-week titration phase. The starting dose for riociguat for all patients was 0.5 milligram (mg) three times a day (TID). The dose of riociguat was increased every 2 weeks in 0.5 mg increments to 1.0, 1.5, 2.0, and 2.5 mg until patients reached their individual optimal dose based on their systolic blood pressure and well-being. After reaching their optimal dose, patients then entered a maintenance phase and remained on this dose for an additional 14 weeks. End of treatment was reached at Visit 10 after 24 weeks of treatment with riociguat.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female patients, 18 to 80 years of age at Visit 0
* Women of childbearing potential must have a negative pre-treatment pregnancy test, negative monthly pregnancy test, and must use reliable methods of contraception according to the Risk Evaluation Mitigation Strategies (REMS) guidance
* Symptomatic pulmonary arterial hypertension, World Health Organization Group 1 with a pulmonary vascular resistance (PVR) \>300 dyn\*sec\*cm-5, mean pulmonary artery pressure (PAP mean) ≥25 mmHg, and pulmonary capillary wedge pressure (PCWP) ≤15 mmHg as assessed by right heart catheterization within 6 months prior to Screening (Visit 0)
* PAH of the following types:

Idiopathic (IPAH) Familial (FPAH)

Associated with PAH (APAH) due to:

Connective tissue disease Congenital heart disease, but only if patient underwent surgical repair more than one year before enrollment Anorexigen or amphetamine use Portal hypertension with liver cirrhosis

* Not treated with PAH-specific pulmonary medications within 14 days of Screening (Visit 0)
* 6MWD between 150 meters and 450 meters

Exclusion Criteria

* Patients who are pregnant
* Patients currently on nitrate and/or nitric oxide (NO) donor therapy; patients currently taking phosphodiesterase 5 (PDE5) inhibitors (such as sildenafil, tadalafil, vardenafil) and non-specific PDE inhibitors (theophylline, dipyridamole)
* Non-WHO group 1 Pulmonary Hypertension
* Severe restrictive lung disease
* History of uncontrolled high blood pressure or hypotension
* A medical disorder, condition, or history that in the opinion of the Investigator would impair their ability to participate or complete this study
* Active state of hemoptysis or pulmonary hemorrhage, including those events managed by bronchial artery embolization
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Tucson, Arizona, United States

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La Jolla, California, United States

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Moreno Valley, California, United States

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Pomona, California, United States

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Sacramento, California, United States

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San Juan Capistrano, California, United States

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Santa Barbara, California, United States

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Aurora, Colorado, United States

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Hartford, Connecticut, United States

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Celebration, Florida, United States

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Jacksonville, Florida, United States

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Miami, Florida, United States

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Miami Beach, Florida, United States

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Orlando, Florida, United States

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Weston, Florida, United States

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Atlanta, Georgia, United States

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Augusta, Georgia, United States

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Austell, Georgia, United States

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Marietta, Georgia, United States

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Chicago, Illinois, United States

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Fort Wayne, Indiana, United States

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Indianapolis, Indiana, United States

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Iowa City, Iowa, United States

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Louisville, Kentucky, United States

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New Orleans, Louisiana, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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North Dartmouth, Massachusetts, United States

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Detroit, Michigan, United States

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Troy, Michigan, United States

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Pascagoula, Mississippi, United States

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Lincoln, Nebraska, United States

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Omaha, Nebraska, United States

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Newark, New Jersey, United States

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Albuquerque, New Mexico, United States

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Albany, New York, United States

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Brooklyn, New York, United States

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Liverpool, New York, United States

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Mineola, New York, United States

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New Hyde Park, New York, United States

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Stony Brook, New York, United States

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Syracuse, New York, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Toledo, Ohio, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Providence, Rhode Island, United States

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Sioux Falls, South Dakota, United States

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El Paso, Texas, United States

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Houston, Texas, United States

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Temple, Texas, United States

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Milwaukee, Wisconsin, United States

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Milwaukee, Wisconsin, United States

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Guaynabo, , Puerto Rico

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Countries

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United States Puerto Rico

References

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Mathai SC, Minai O, Sullivan SD, Lerner D, Levine D. Rationale and study design of MOTION: A phase 4, prospective, single-arm, open-label study to measure outcomes in patients with pulmonary arterial hypertension not on active treatment. Respir Med. 2017 Jan;122 Suppl 1:S23-S27. doi: 10.1016/j.rmed.2016.11.002. Epub 2016 Nov 2.

Reference Type DERIVED
PMID: 27890471 (View on PubMed)

Other Identifiers

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17407

Identifier Type: -

Identifier Source: org_study_id