Trial Outcomes & Findings for Sildenafil for Swimming-Induced Pulmonary Edema (SIPE) Prevention (NCT NCT03686813)

NCT ID: NCT03686813

Last Updated: 2022-11-22

Results Overview

One or more of: hypoxemia, productive cough, pulmonary edema on chest radiograph, wheezing on chest auscultation.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

18 participants

Primary outcome timeframe

During or immediately after exercise in cold water, approximately one hour and 40 minutes

Results posted on

2022-11-22

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo Oral Tablet, Then Sildenafil Citrate
Each participant first received placebo oral tablet one hour (once) before immersed exercise. After a washout period of at least 7 days, they then received Sildenafil citrate 50 mg orally one hour (once) before immersed exercise.
Sildenafil Citrate, Then Placebo Oral Tablet
Each participant first received Sildenafil citrate 50 mg orally one hour (once) before immersed exercise. After a washout period of at least 7 days, they then received placebo oral tablet one hour (once) before immersed exercise.
Overall Study
STARTED
10
8
Overall Study
COMPLETED
10
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sildenafil for Swimming-Induced Pulmonary Edema (SIPE) Prevention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo Oral Tablet, Then Sildenafil Citrate
n=10 Participants
Each participant first received placebo oral tablet one hour (once) before immersed exercise. After a washout period of at least 7 days, they then received Sildenafil citrate 50 mg orally one hour (once) before immersed exercise.
Sildenafil Citrate, Then Placebo Oral Tablet
n=8 Participants
Each participant first received Sildenafil citrate 50 mg orally one hour (once) before immersed exercise. After a washout period of at least 7 days, they then received placebo oral tablet one hour (once) before immersed exercise.
Total
n=18 Participants
Total of all reporting groups
Age, Continuous
38.6 years
STANDARD_DEVIATION 6.0 • n=5 Participants
37.5 years
STANDARD_DEVIATION 6.0 • n=7 Participants
38.1 years
STANDARD_DEVIATION 6.0 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
8 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
8 Participants
n=7 Participants
18 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 Participants
n=5 Participants
8 Participants
n=7 Participants
18 Participants
n=5 Participants

PRIMARY outcome

Timeframe: During or immediately after exercise in cold water, approximately one hour and 40 minutes

Population: Each participant was studied with active drug and placebo.

One or more of: hypoxemia, productive cough, pulmonary edema on chest radiograph, wheezing on chest auscultation.

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=18 Participants
Each participant will be studied with active drug and placebo. Placebo Oral Tablet: Placebo
Sildenafil Citrate
n=18 Participants
Sildenafil 50 mg orally one hour (once) before immersed exercise Sildenafil Citrate: Oral sildenafil, 50 mg
Number of Participants With Pulmonary Edema
7 Participants
9 Participants

SECONDARY outcome

Timeframe: During or immediately after exercise in cold water, approximately one hour and 40 minutes

Population: Each participant was studied with active drug and placebo.

Voluntary premature cessation of exercise due to shortness of breath.

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=18 Participants
Each participant will be studied with active drug and placebo. Placebo Oral Tablet: Placebo
Sildenafil Citrate
n=18 Participants
Sildenafil 50 mg orally one hour (once) before immersed exercise Sildenafil Citrate: Oral sildenafil, 50 mg
Number of Participants With Dyspnea Leading to Voluntary Premature Cessation of Exercise
10 Participants
8 Participants

SECONDARY outcome

Timeframe: Immediately after exercise in cold water, approximately one hour and 40 minutes

Population: Each participant was studied with active drug and placebo.

Post-exercise 10% decrease in forced vital capacity (FVC) or forced expiratory volume in one second (FEV1).

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=18 Participants
Each participant will be studied with active drug and placebo. Placebo Oral Tablet: Placebo
Sildenafil Citrate
n=18 Participants
Sildenafil 50 mg orally one hour (once) before immersed exercise Sildenafil Citrate: Oral sildenafil, 50 mg
Number of Participants With Post-exercise 10% Decrease in Forced Vital Capacity (FVC) or Forced Expiratory Volume in One Second (FEV1) as Measured by Spirometry
3 Participants
3 Participants

SECONDARY outcome

Timeframe: Immediately after exercise in cold water, approximately one hour and 40 minutes

Population: Each participant was studied with active drug and placebo.

A "comet tail" artefact is a short path reverberation artefact that weakens with each reverberation, resulting in a vertical echogenic artefact that rapidly fades as it continues in to the ultrasound image.

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=18 Participants
Each participant will be studied with active drug and placebo. Placebo Oral Tablet: Placebo
Sildenafil Citrate
n=18 Participants
Sildenafil 50 mg orally one hour (once) before immersed exercise Sildenafil Citrate: Oral sildenafil, 50 mg
Number of Participants With "Comet Tails" Seen on Ultrasound of the Lungs
17 Participants
14 Participants

SECONDARY outcome

Timeframe: Immediately after exercise in cold water, approximately one hour and 40 minutes

Population: Each participant was studied with active drug and placebo.

Outcome measures

Outcome measures
Measure
Placebo Oral Tablet
n=18 Participants
Each participant will be studied with active drug and placebo. Placebo Oral Tablet: Placebo
Sildenafil Citrate
Sildenafil 50 mg orally one hour (once) before immersed exercise Sildenafil Citrate: Oral sildenafil, 50 mg
Number of Participants Who Found the Exercise Easiest When Given Sildenafil Citrate Versus When Given Placebo
Placebo Oral Tablet
5 Participants
Number of Participants Who Found the Exercise Easiest When Given Sildenafil Citrate Versus When Given Placebo
Sildenafil Citrate
9 Participants
Number of Participants Who Found the Exercise Easiest When Given Sildenafil Citrate Versus When Given Placebo
No Difference
4 Participants

Adverse Events

Placebo Oral Tablet, Then Sildenafil Citrate

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

Sildenafil Citrate, Then Placebo Oral Tablet

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

Richard Moon, M.D.

Duke University

Phone: 919-684-8762

Results disclosure agreements

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