A Study of Selexipag Assessing Right Ventricular Remodeling in Pulmonary Arterial Hypertension by Cardiac Magnetic Resonance Imaging

NCT ID: NCT04435782

Last Updated: 2025-03-30

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-07

Study Completion Date

2023-07-28

Brief Summary

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The purpose of the study is to assess the effects of selexipag on right ventricular (RV) function in participants with Pulmonary arterial hypertension (PAH).

Detailed Description

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Conditions

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Pulmonary Arterial Hypertension

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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JNJ-67896049

Participants will receive JNJ-67896049 tablets at a starting dose of 200 mcg on Day 1. Dose will be up-titrated from Day 1 to the end of Week 12 (Day 84) to determine individual maintenance dose (IMD). Then, participants will receive JNJ-67896049 tablets at their IMD from Week 13 to Week 52.

Group Type EXPERIMENTAL

JNJ-67896049

Intervention Type DRUG

Participants will receive tablets at a starting dose of 200 mcg on Day 1. Dose will be up-titrated from Day 1 to the end of Week 12 (Day 84) to determine individual maintenance dose (IMD). Then, participants will receive JNJ-67896049 tablets at their IMD from Week 13 to Week 52.

Interventions

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JNJ-67896049

Participants will receive tablets at a starting dose of 200 mcg on Day 1. Dose will be up-titrated from Day 1 to the end of Week 12 (Day 84) to determine individual maintenance dose (IMD). Then, participants will receive JNJ-67896049 tablets at their IMD from Week 13 to Week 52.

Intervention Type DRUG

Other Intervention Names

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Selexipag

Eligibility Criteria

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Inclusion Criteria

* World health organization functional class (WHO FC) II or III. Enrollment will be stratified by WHO FC II or III. Proportion of participants with WHO FC II and WHO FC III are expected to be approximately 40 percent (%) and 60%, respectively
* Pulmonary arterial hypertension (PAH) etiology belonging to one of the following groups according to 6th world symposium of pulmonary hypertension (WSPH) classification: a) Idiopathic PAH, b) Heritable PAH, c) Drugs or toxins induced d) PAH associated with connective tissue disease, e) PAH associated with congenital heart disease, with simple systemic-to-pulmonary shunt at least 1 year after surgical repair
* Patients already receiving PAH-specific oral mono or dual therapy (that is, phosphodiesterase type 5 inhibitors \[PDE-5i\] or soluble guanylate cyclase stimulators \[sGCs\] and/or endothelin receptor antagonist \[ERA\]) or patients who are not candidates for these therapies
* N-terminal-pro-hormone brain natriuretic peptide (NT-proBNP) greater than or equal to (\>=) 300 nanograms per liter (ng/L) (greater than or equal to \[\>=\] 300 picograms per milliliter \[pg/mL\]; \>=35.5 picomoles per liter \[pmol/L\]) at screening
* Women of childbearing potential must meet the following criteria: a) Have a negative serum pregnancy test during screening and a negative urine pregnancy test on Day 1, b) Agree to use acceptable methods of contraception from Day 1 to at least 30 days after study intervention discontinuation, c) If only using hormonal contraception, have used it for at least 1 month (30 days) before Day 1, and d) Agree to perform monthly pregnancy tests to at least 30 days after study intervention discontinuation
* 6-minute walking distance (6MWD) \>=150 meter (m) during screening period

Exclusion Criteria

* Prior use of Prostacyclin (IP)-receptor agonist, prostacyclin, or prostacyclin analog. Use of such treatments for vasoreactivity testing is not exclusionary; intermittent use of such treatments for digital ulcers or Raynaud's phenomenon is not exclusionary if stopped \> 6 months (180 days) prior to Day 1
* Treatment with strong inhibitors of CYP2C8 (example, gemfibrozil) within 4 weeks (28 days) prior to Day 1
* Treatment with another investigational drug planned or taken within 12 weeks (84 days) prior to Day 1
* Severe coronary heart disease or unstable angina
* Cerebrovascular events (example, transient ischemic attack, stroke) within 3 months (90 days) prior to Day 1
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Actelion

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Actelion Clinical Trial

Role: STUDY_DIRECTOR

Actelion

Locations

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University Of California San Diego

La Jolla, California, United States

Site Status

AnMed Health

Anderson, South Carolina, United States

Site Status

UT Southwestern

Dallas, Texas, United States

Site Status

Hospital Italiano de Buenos Aires

Caba, , Argentina

Site Status

Sanatorio Ramon Cereijo

Caba, , Argentina

Site Status

Instituto Cardiovascular de Buenos Aires

Ciudad Autonoma Buenos Aires, , Argentina

Site Status

Associacao Hospitalar Moinhos de Vento

Porto Alegre, , Brazil

Site Status

Irmandade Santa Casa de Misericordia de Porto Alegre

Porto Alegre, , Brazil

Site Status

SPDM - Associacao Paulista para o Desenvolvimento da Medicina - Hospital Sao Paulo

São Paulo, , Brazil

Site Status

Hospital Das Clinicas Da Faculdade De Medicina Da USP

São Paulo, , Brazil

Site Status

CHU Grenoble

La Tronche, , France

Site Status

DRK Kliniken Westend

Berlin, , Germany

Site Status

Universitatsklinikum Bonn

Bonn, , Germany

Site Status

Universitatsmedizin der Johannes Gutenberg Universitat Mainz

Mainz, , Germany

Site Status

Grantham Hospital

Hong Kong, , Hong Kong

Site Status

Queen Mary Hospital University of Hong Kong

Hong Kong, , Hong Kong

Site Status

Hadassah Medical Center

Jerusalem, , Israel

Site Status

Rabin Medical Center Beilinson Campus

Petah Tikva, , Israel

Site Status

Institut Jantung Negara

Kuala Lumpur, , Malaysia

Site Status

VUMC Amsterdam

Amsterdam, , Netherlands

Site Status

Radboud Umcn

Nijmegen, , Netherlands

Site Status

National Medical Research Center of Cardiology of MoH of Russian Federation

Moscow, , Russia

Site Status

Federal State Budgetary Institution

Saint Petersburg, , Russia

Site Status

King Faisal Specialist Hospital & Research Center

Riyadh, , Saudi Arabia

Site Status

National Heart Centre (NHC) Singapore

Singapore, , Singapore

Site Status

Tan Tock Seng Hospital

Singapore, , Singapore

Site Status

Chungnam National University Hospital

Daejeon, , South Korea

Site Status

Gachon University Gil Medical Center

Incheon, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Cleveland Clinic Abu Dhabi

Abu Dhabi, , United Arab Emirates

Site Status

Golden Jubilee National Hospital

Glasgow, , United Kingdom

Site Status

Royal Free Hospital

Hampstead, , United Kingdom

Site Status

Sheffield Teaching Hospitals NHS Foundation Trust Royal Hallamshire Hospital

Sheffield, , United Kingdom

Site Status

Countries

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United States Argentina Brazil France Germany Hong Kong Israel Malaysia Netherlands Russia Saudi Arabia Singapore South Korea United Arab Emirates United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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67896049PAH4005

Identifier Type: OTHER

Identifier Source: secondary_id

2019-004783-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR108753

Identifier Type: -

Identifier Source: org_study_id

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