Trial Outcomes & Findings for Role of Sildenafil for Fontan Associated Liver Disease (SiFALD) Study (NCT NCT03154476)

NCT ID: NCT03154476

Last Updated: 2021-08-23

Results Overview

Measured using magnetic resonance imaging derived liver stiffness (MRE-LS) reported in kilopascal (kPa).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

20 participants

Primary outcome timeframe

Baseline, 12 months (52 weeks), 24 months (104 weeks)

Results posted on

2021-08-23

Participant Flow

Participant milestones

Participant milestones
Measure
Sildenafil
Subjects randomized to this arm will receive sildenafil 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week, and 20 mg 3 times per day from the third week to the end of the study period, 12 months. Sildenafil: Sildenafil will be initiated at 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week and 20 mg 3 times per day from the third week to the end of the study period, 12 months.
Placebo
Subjects will receive placebo times per day for 12 months. Placebo: Placebo capsules matching study drug
Overall Study
STARTED
10
10
Overall Study
COMPLETED
6
6
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Sildenafil
Subjects randomized to this arm will receive sildenafil 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week, and 20 mg 3 times per day from the third week to the end of the study period, 12 months. Sildenafil: Sildenafil will be initiated at 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week and 20 mg 3 times per day from the third week to the end of the study period, 12 months.
Placebo
Subjects will receive placebo times per day for 12 months. Placebo: Placebo capsules matching study drug
Overall Study
Lost to Follow-up
4
4

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sildenafil
n=10 Participants
Subjects randomized to this arm will receive sildenafil 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week, and 20 mg 3 times per day from the third week to the end of the study period, 12 months. Sildenafil: Sildenafil will be initiated at 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week and 20 mg 3 times per day from the third week to the end of the study period, 12 months.
Placebo
n=10 Participants
Subjects will receive placebo times per day for 12 months. Placebo: Placebo capsules matching study drug
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
28 years
STANDARD_DEVIATION 6 • n=10 Participants
29 years
STANDARD_DEVIATION 5 • n=10 Participants
29 years
STANDARD_DEVIATION 5 • n=20 Participants
Sex: Female, Male
Female
3 Participants
n=10 Participants
3 Participants
n=10 Participants
6 Participants
n=20 Participants
Sex: Female, Male
Male
7 Participants
n=10 Participants
7 Participants
n=10 Participants
14 Participants
n=20 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
10 participants
n=10 Participants
10 participants
n=10 Participants
20 participants
n=20 Participants

PRIMARY outcome

Timeframe: Baseline, 12 months (52 weeks), 24 months (104 weeks)

Measured using magnetic resonance imaging derived liver stiffness (MRE-LS) reported in kilopascal (kPa).

Outcome measures

Outcome measures
Measure
Sildenafil
n=6 Participants
Subjects randomized to this arm will receive sildenafil 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week, and 20 mg 3 times per day from the third week to the end of the study period, 12 months. Sildenafil: Sildenafil will be initiated at 5 mg 3 times per day for the first week, and titrated to 10 mg 3 times per day for the second week and 20 mg 3 times per day from the third week to the end of the study period, 12 months.
Placebo
n=6 Participants
Subjects will receive placebo times per day for 12 months. Placebo: Placebo capsules matching study drug
Liver Stiffness as Measured by Magnetic Resonance Elastography (MRE)
Baseline
5.69 kPa
Standard Deviation 0.73
5.72 kPa
Standard Deviation 0.83
Liver Stiffness as Measured by Magnetic Resonance Elastography (MRE)
52 weeks
5.02 kPa
Standard Deviation 0.94
5.68 kPa
Standard Deviation 0.74
Liver Stiffness as Measured by Magnetic Resonance Elastography (MRE)
104 weeks
4.67 kPa
Standard Deviation 0.86
5.74 kPa
Standard Deviation 0.84

Adverse Events

Sildenafil

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

Dr. Alexander Egbe

Mayo Clinic

Phone: 507-284-3725

Results disclosure agreements

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