Trial Outcomes & Findings for A Extension Study of Udenafil in Adolescents (NCT NCT03013751)

NCT ID: NCT03013751

Last Updated: 2025-12-09

Results Overview

Summary of Treatment Emergent Adverse Events

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

301 participants

Primary outcome timeframe

52 Weeks

Results posted on

2025-12-09

Participant Flow

Participant milestones

Participant milestones
Measure
In PHN-Udenafil-02 (FUEL) Received Udenafil
Participants in this study arm had received Udenafil in PHN-Udenafil-02 study.
In PHN-Udenafil-02 (FUEL) Received Placebo
Participants in this study arm had received Placebo in PHN-Udenafil-02 study.
De novo
Did not participate in PHN-Udenafil-02 study.
Overall Study
STARTED
128
122
51
Overall Study
COMPLETED
128
122
51
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points). VO2 has been presented in mL/min (i.e., not adjusted for body weight).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=128 Participants
Participants in this study arm had received Udenafil in PHN-Udenafil-02 study.
In PHN-Udenafil-02 (FUEL) Received Placebo
n=122 Participants
Participants in this study arm had received Placebo in PHN-Udenafil-02 study.
De Novo
n=51 Participants
Did not participate in PHN-Udenafil-02 study.
Total
n=301 Participants
Total of all reporting groups
Age, Customized
16.1 Years
STANDARD_DEVIATION 2.00 • n=128 Participants
16.2 Years
STANDARD_DEVIATION 1.94 • n=122 Participants
14.9 Years
STANDARD_DEVIATION 1.89 • n=51 Participants
15.9 Years
STANDARD_DEVIATION 2.00 • n=301 Participants
Sex: Female, Male
Female
55 Participants
n=128 Participants
44 Participants
n=122 Participants
19 Participants
n=51 Participants
118 Participants
n=301 Participants
Sex: Female, Male
Male
73 Participants
n=128 Participants
78 Participants
n=122 Participants
32 Participants
n=51 Participants
183 Participants
n=301 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
17 Participants
n=128 Participants
14 Participants
n=122 Participants
4 Participants
n=51 Participants
35 Participants
n=301 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
110 Participants
n=128 Participants
107 Participants
n=122 Participants
47 Participants
n=51 Participants
264 Participants
n=301 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=128 Participants
1 Participants
n=122 Participants
0 Participants
n=51 Participants
2 Participants
n=301 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=128 Participants
0 Participants
n=122 Participants
2 Participants
n=51 Participants
2 Participants
n=301 Participants
Race (NIH/OMB)
Asian
2 Participants
n=128 Participants
2 Participants
n=122 Participants
2 Participants
n=51 Participants
6 Participants
n=301 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=128 Participants
0 Participants
n=122 Participants
0 Participants
n=51 Participants
0 Participants
n=301 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=128 Participants
5 Participants
n=122 Participants
6 Participants
n=51 Participants
14 Participants
n=301 Participants
Race (NIH/OMB)
White
119 Participants
n=128 Participants
107 Participants
n=122 Participants
38 Participants
n=51 Participants
264 Participants
n=301 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=128 Participants
2 Participants
n=122 Participants
1 Participants
n=51 Participants
5 Participants
n=301 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=128 Participants
6 Participants
n=122 Participants
2 Participants
n=51 Participants
10 Participants
n=301 Participants
Weight
59.2 kilogram
STANDARD_DEVIATION 13.62 • n=128 Participants
60.7 kilogram
STANDARD_DEVIATION 13.58 • n=122 Participants
57.7 kilogram
STANDARD_DEVIATION 15.10 • n=51 Participants
59.5 kilogram
STANDARD_DEVIATION 13.86 • n=301 Participants
Height
164.2 centimeter
STANDARD_DEVIATION 10.18 • n=128 Participants
166.3 centimeter
STANDARD_DEVIATION 8.84 • n=122 Participants
163.2 centimeter
STANDARD_DEVIATION 9.08 • n=51 Participants
164.9 centimeter
STANDARD_DEVIATION 9.52 • n=301 Participants
Maximal VO2
1607.3 mL/min
STANDARD_DEVIATION 470.80 • n=90 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points). VO2 has been presented in mL/min (i.e., not adjusted for body weight).
1637.6 mL/min
STANDARD_DEVIATION 444.26 • n=93 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points). VO2 has been presented in mL/min (i.e., not adjusted for body weight).
1421.7 mL/min
STANDARD_DEVIATION 261.32 • n=12 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points). VO2 has been presented in mL/min (i.e., not adjusted for body weight).
1610.4 mL/min
STANDARD_DEVIATION 449.13 • n=195 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points). VO2 has been presented in mL/min (i.e., not adjusted for body weight).
Myocardial Performance Index (MPI)
0.43 Ratio
STANDARD_DEVIATION 0.118 • n=59 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
0.46 Ratio
STANDARD_DEVIATION 0.152 • n=60 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
0.59 Ratio
STANDARD_DEVIATION 0.326 • n=4 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
0.45 Ratio
STANDARD_DEVIATION 0.146 • n=123 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Log-transformed Reactive Hyperemia Index (lnRHI)
1.748 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.4940 • n=82 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
1.757 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.5403 • n=83 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
1.585 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.3987 • n=8 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
1.745 Natural log-transformed RHI (lnRHI)
STANDARD_DEVIATION 0.5117 • n=173 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Serum BNP
18.25 pg/mL
STANDARD_DEVIATION 14.796 • n=48 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
15.58 pg/mL
STANDARD_DEVIATION 18.638 • n=53 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
16.85 pg/mL
STANDARD_DEVIATION 16.891 • n=101 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Pediatric Quality of Life (PedsQL)-Physical Functioning-Child reported
73.68 score on a scale
STANDARD_DEVIATION 13.845 • n=111 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
74.40 score on a scale
STANDARD_DEVIATION 16.142 • n=119 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
73.99 score on a scale
STANDARD_DEVIATION 13.722 • n=37 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
74.04 score on a scale
STANDARD_DEVIATION 14.848 • n=267 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Pediatric Quality of Life (PedsQL)-Physical Functioning-Parent reported
76.43 score on a scale
STANDARD_DEVIATION 17.064 • n=106 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
76.90 score on a scale
STANDARD_DEVIATION 14.948 • n=106 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
73.24 score on a scale
STANDARD_DEVIATION 18.112 • n=35 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
76.18 score on a scale
STANDARD_DEVIATION 16.324 • n=247 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Pediatric Quality of Life (PedsQL)-Psychosocial Health Summary Score-Child reported
73.40 score on a scale
STANDARD_DEVIATION 14.562 • n=111 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
73.11 score on a scale
STANDARD_DEVIATION 16.306 • n=119 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
70.23 score on a scale
STANDARD_DEVIATION 14.429 • n=37 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
72.83 score on a scale
STANDARD_DEVIATION 15.327 • n=267 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Pediatric Quality of Life (PedsQL)-Psychosocial Health Summary Score-Parent reported
70.40 score on a scale
STANDARD_DEVIATION 17.258 • n=106 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
73.64 score on a scale
STANDARD_DEVIATION 16.558 • n=106 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
65.50 score on a scale
STANDARD_DEVIATION 17.458 • n=35 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
71.10 score on a scale
STANDARD_DEVIATION 17.139 • n=247 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Pediatric Quality of Life (PedsQL)-Functional Health Status Score-Child reported
73.50 score on a scale
STANDARD_DEVIATION 13.108 • n=111 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
73.56 score on a scale
STANDARD_DEVIATION 14.755 • n=119 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
71.53 score on a scale
STANDARD_DEVIATION 12.802 • n=37 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
73.26 score on a scale
STANDARD_DEVIATION 13.795 • n=267 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
Pediatric Quality of Life (PedsQL)-Functional Health Status Score-Parent reported
72.49 score on a scale
STANDARD_DEVIATION 15.621 • n=106 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
74.75 score on a scale
STANDARD_DEVIATION 14.248 • n=106 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
68.20 score on a scale
STANDARD_DEVIATION 15.488 • n=35 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).
72.85 score on a scale
STANDARD_DEVIATION 15.122 • n=247 Participants • Baseline results only presented for subjects who have data at 52 weeks (i.e., paired-data points).

PRIMARY outcome

Timeframe: 52 Weeks

Population: Safety Population

Summary of Treatment Emergent Adverse Events

Outcome measures

Outcome measures
Measure
De Novo
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=301 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Treatment-Emergent Adverse Events
Subjects with one or more TEAEs adverse event (TEAE)
257 Participants
Treatment-Emergent Adverse Events
Subjects with one or more drug-related TEAEs
206 Participants
Treatment-Emergent Adverse Events
Subjects with one or more TEAEs of Grade >=3
31 Participants
Treatment-Emergent Adverse Events
Subjects with one or more SAEs
54 Participants
Treatment-Emergent Adverse Events
Subjects with one or more drug-related SAEs
15 Participants
Treatment-Emergent Adverse Events
Subjects who temporarily stopped study drug for one or more TEAEs
35 Participants
Treatment-Emergent Adverse Events
Subjects who permanently discontinued study drug for one or more TEAEs
21 Participants

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points). VO2 has been presented in mL/min (i.e., not adjusted for body weight).

Change in Maximal VO2 from baseline to 52 weeks

Outcome measures

Outcome measures
Measure
De Novo
n=12 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=195 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=93 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=90 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in Maximal VO2
Baseline
1421.7 mL/min
Standard Deviation 261.32
1610.4 mL/min
Standard Deviation 449.13
1637.6 mL/min
Standard Deviation 444.26
1607.3 mL/min
Standard Deviation 470.80
Change in Maximal VO2
52 weeks
1425.0 mL/min
Standard Deviation 269.12
1659.6 mL/min
Standard Deviation 429.34
1703.0 mL/min
Standard Deviation 434.31
1646.1 mL/min
Standard Deviation 433.94

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

Change from baseline to 52 weeks in Log-transformed Reactive Hyperemia Index (lnRHI). The Reactive Hyperemia Index (RHI) is the ratio of the amount of blood flow after the release of a period of vessel occlusion relative to baseline amount of blood flow. Because the amount of blood does not decrease after release of vessel occlusion, the minimum value for the RHI is 1.0, which would indicate no change in blood flow. There is no upper limit for this ratio, and higher values are generally thought to represent a healthier endothelial response. In this study, as in other studies, we used the natural log of RHI (lnRHI) to normalize the data.

Outcome measures

Outcome measures
Measure
De Novo
n=8 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=173 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=83 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=82 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in Log-transformed Reactive Hyperemia Index (lnRHI)
Baseline
1.585 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.3987
1.745 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.5117
1.757 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.5403
1.748 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.4940
Change in Log-transformed Reactive Hyperemia Index (lnRHI)
52 weeks
1.960 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.5315
1.902 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.5931
2.037 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.6405
1.759 Natural log-transformed RHI (lnRHI)
Standard Deviation 0.5171

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points). The de novo population did not have any paired-data.

Change in Serum BNP from baseline to 52 weeks

Outcome measures

Outcome measures
Measure
De Novo
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=101 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=53 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=48 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in Serum BNP
Baseline
16.85 pg/mL
Standard Deviation 16.891
15.58 pg/mL
Standard Deviation 18.638
18.25 pg/mL
Standard Deviation 14.796
Change in Serum BNP
52 weeks
24.58 pg/mL
Standard Deviation 24.347
23.13 pg/mL
Standard Deviation 24.584
26.18 pg/mL
Standard Deviation 24.241

SECONDARY outcome

Timeframe: 52 Weeks

Population: Efficacy population

Change in Myocardial Performance Index from baseline to 52 weeks

Outcome measures

Outcome measures
Measure
De Novo
n=4 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=123 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=60 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=59 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in Myocardial Performance Index (MPI)
52 weeks
0.53 mL/min
Standard Deviation 0.148
0.42 mL/min
Standard Deviation 0.141
0.41 mL/min
Standard Deviation 0.140
0.43 mL/min
Standard Deviation 0.140
Change in Myocardial Performance Index (MPI)
Baseline
0.59 mL/min
Standard Deviation 0.326
0.45 mL/min
Standard Deviation 0.146
0.46 mL/min
Standard Deviation 0.152
0.43 mL/min
Standard Deviation 0.118

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

Change in PedsQL Physical Functioning (Child Reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Physical Function Scale is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported physical function.

Outcome measures

Outcome measures
Measure
De Novo
n=37 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=267 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=119 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=111 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in PedsQL Physical Functioning (Child Reported)
Baseline
73.99 score on a scale
Standard Deviation 13.722
74.04 score on a scale
Standard Deviation 14.848
74.40 score on a scale
Standard Deviation 16.142
73.68 score on a scale
Standard Deviation 13.845
Change in PedsQL Physical Functioning (Child Reported)
52 weeks
73.56 score on a scale
Standard Deviation 14.669
74.30 score on a scale
Standard Deviation 16.482
74.10 score on a scale
Standard Deviation 17.691
74.75 score on a scale
Standard Deviation 15.823

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

Change in PedsQL Physical Functioning (Parent Reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Physical Function Scale is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported physical function.

Outcome measures

Outcome measures
Measure
De Novo
n=35 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=247 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=106 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=106 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in PedsQL Physical Functioning (Parent Reported)
52 weeks
74.11 score on a scale
Standard Deviation 13.946
75.77 score on a scale
Standard Deviation 16.582
76.10 score on a scale
Standard Deviation 15.772
75.99 score on a scale
Standard Deviation 18.205
Change in PedsQL Physical Functioning (Parent Reported)
Baseline
73.24 score on a scale
Standard Deviation 18.112
76.18 score on a scale
Standard Deviation 16.324
76.90 score on a scale
Standard Deviation 14.948
76.43 score on a scale
Standard Deviation 17.064

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

Change in PedsQL Psychosocial Health Summary Score (Child reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Psychosocial Health Summary Scale is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported psychosocial health.

Outcome measures

Outcome measures
Measure
De Novo
n=37 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=267 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=119 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=111 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in PedsQL Psychosocial Health Summary Score (Child Reported)
Baseline
70.23 score on a scale
Standard Deviation 14.429
72.83 score on a scale
Standard Deviation 15.327
73.11 score on a scale
Standard Deviation 16.306
73.40 score on a scale
Standard Deviation 14.562
Change in PedsQL Psychosocial Health Summary Score (Child Reported)
52 weeks
71.31 score on a scale
Standard Deviation 17.015
72.49 score on a scale
Standard Deviation 17.212
72.37 score on a scale
Standard Deviation 17.174
73.01 score on a scale
Standard Deviation 17.451

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

Change in PedsQL Psychosocial Health Summary Score (Parent reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Psychosocial Health Summary Scale is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better reported psychosocial health.

Outcome measures

Outcome measures
Measure
De Novo
n=35 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=247 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=106 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=106 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in PedsQL Psychosocial Health Summary Score (Parent Reported)
Baseline
65.50 score on a scale
Standard Deviation 17.458
71.10 score on a scale
Standard Deviation 17.139
73.64 score on a scale
Standard Deviation 16.558
70.40 score on a scale
Standard Deviation 17.258
Change in PedsQL Psychosocial Health Summary Score (Parent Reported)
52 weeks
68.24 score on a scale
Standard Deviation 14.730
71.25 score on a scale
Standard Deviation 17.184
72.32 score on a scale
Standard Deviation 17.099
71.18 score on a scale
Standard Deviation 18.027

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

Change in PedsQL Functional Health Status Score (Child reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Functional Health Status Score is calculated from a child's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better functional health status.

Outcome measures

Outcome measures
Measure
De Novo
n=37 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=267 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=119 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=111 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in PedsQL Functional Health Status Score (Child Reported)
Baseline
71.53 score on a scale
Standard Deviation 12.802
73.26 score on a scale
Standard Deviation 13.795
73.56 score on a scale
Standard Deviation 14.755
73.50 score on a scale
Standard Deviation 13.108
Change in PedsQL Functional Health Status Score (Child Reported)
52 weeks
72.09 score on a scale
Standard Deviation 14.762
73.13 score on a scale
Standard Deviation 15.580
72.98 score on a scale
Standard Deviation 15.735
73.64 score on a scale
Standard Deviation 15.794

SECONDARY outcome

Timeframe: 52 Weeks

Population: Results presented only for subjects who have data at baseline and 52 weeks (i.e., paired-data points).

Change in PedsQL Functional Health Status Score (Parent reported) from baseline to 52 weeks. The Pediatric Quality of Life Inventory (PedsQL) - Functional Health Status Score is calculated from parent's answers to a short questionnaire. The range of possible scores is 0-100, and higher scores indicate better functional health status.

Outcome measures

Outcome measures
Measure
De Novo
n=35 Participants
Subjects not in the FUEL trial but joined the open-label trial de novo and received 52 weeks of udenafil.
Total
n=247 Participants
Total number of subjects who participated in the open-label extension study
In PHN-Udenafil-02 (FUEL) Received Placebo
n=106 Participants
Subjects received 26 weeks of placebo in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
In PHN-Udenafil-02 (FUEL) Received Udenafil
n=106 Participants
Subjects received 26 weeks of udenafil in the double-blind trial (FUEL) and then received 52 weeks of udenafil in the open-label trial.
Change in PedsQL Functional Health Status Score (Parent Reported)
Baseline
68.20 score on a scale
Standard Deviation 15.488
72.85 score on a scale
Standard Deviation 15.122
74.75 score on a scale
Standard Deviation 14.248
72.49 score on a scale
Standard Deviation 15.621
Change in PedsQL Functional Health Status Score (Parent Reported)
52 weeks
70.28 score on a scale
Standard Deviation 13.181
72.82 score on a scale
Standard Deviation 15.491
73.63 score on a scale
Standard Deviation 15.044
72.85 score on a scale
Standard Deviation 16.638

Adverse Events

Total

Serious events: 54 serious events
Other events: 257 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Total
n=301 participants at risk
Total number of subjects who participated in the open-label extension study (PHN-Udenafil-03)
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Pulmonary artery stenosis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Pulmonary oedema
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Surgical and medical procedures
Angioplasty
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Surgical and medical procedures
Scoliosis surgery
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Surgical and medical procedures
Tympanoplasty
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Vascular disorders
Hyptension
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Blood and lymphatic system disorders
Anaemia
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Cardiac Failure
1.3%
4/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Supraventricular tachycardia
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Ventricular tachycardia
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Atrial flutter
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Atrial tachycardia
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Cardiac failure congestive
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Cardiac ventricular thrombosis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Palpitations
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Eye disorders
Blindness transient
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Protein-losing gastroenteropathy
1.00%
3/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Abdominal pain
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Vomiting
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Constipation
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Haematochezia
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Rectal haemorrhage
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Tooth Impacted
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Chest discomfort
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Chest pain
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Exercise tolerance decreased
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Oedema
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Pyrexia
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Hepatobiliary disorders
Cardiac cirrhosis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Hepatobiliary disorders
Congestive hepatopathy
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Hepatobiliary disorders
Hepatic cirrhosis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Hepatobiliary disorders
Hyperbilirubinaemia
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Appendicitis
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Gastroenteritis
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Influenza
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Cellulitis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Coronavirus infection
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Gastroenteritis viral
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Infectious mononucleosis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Pneumonia
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Pneumonia bacterial
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Pneumonia respiratory syncytial viral
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Viral infection
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Injury, poisoning and procedural complications
Road traffic accident
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Injury, poisoning and procedural complications
Ankle fracture
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Injury, poisoning and procedural complications
Procedural haemorrhage
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Metabolism and nutrition disorders
Dehydration
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Musculoskeletal and connective tissue disorders
Costochondritis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Musculoskeletal and connective tissue disorders
Kyphosis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Burkitt's Lymphoma
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatocellular carcinoma
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Transient ischaemic attack
1.00%
3/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Syncope
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Cerebrovascular accident
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Headache
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Neuropathy peripheral
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Presyncope
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Product Issues
Device malfunction
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Psychiatric disorders
Depression
1.00%
3/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Psychiatric disorders
Suicide attempt
0.66%
2/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Psychiatric disorders
Adjustment disorder with depressed mood
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Psychiatric disorders
Anxiety
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Psychiatric disorders
Hallucination, auditory
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Psychiatric disorders
Intentional self injury
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Renal and urinary disorders
Nephrolithiasis
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Asthma
0.33%
1/301 • 52 Weeks
Subjects taking the study drug for 52 weeks

Other adverse events

Other adverse events
Measure
Total
n=301 participants at risk
Total number of subjects who participated in the open-label extension study (PHN-Udenafil-03)
Nervous system disorders
Headache
40.5%
122/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Vascular disorders
Flushing
17.3%
52/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Dizziness
14.0%
42/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Nasopharyngitis
13.6%
41/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Chest pain
11.6%
35/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Fatigue
10.3%
31/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Nausea
10.3%
31/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Upper respiratory tract infection
10.3%
31/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Nervous system disorders
Migraine
8.3%
25/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Influenza
7.6%
23/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Cough
7.3%
22/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
General disorders
Pyrexia
7.3%
22/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
7.0%
21/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Sinusitis
7.0%
21/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Vomiting
7.0%
21/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
6.6%
20/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Gastrointestinal disorders
Abdominal pain upper
6.0%
18/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Nasal congestion
6.0%
18/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Pharyngitis streptococcal
5.6%
17/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Infections and infestations
Ear infection
5.3%
16/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.3%
16/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Cardiac disorders
Palpitations
5.3%
16/301 • 52 Weeks
Subjects taking the study drug for 52 weeks
Psychiatric disorders
Depression
5.0%
15/301 • 52 Weeks
Subjects taking the study drug for 52 weeks

Additional Information

Director of Clinical Operatons

Mezzion Pharmaceuticals, Inc

Phone: 3128980292

Results disclosure agreements

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