Eisenmenger Syndrome (pulmonary hypertension due to congenital heart disease) MedDRA version: 8.1 Level: LLT Classification code 10058554 Term: Eisenmenger's syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients >18 years with a functional class III (1998 WHO classification). 2. Patients with pulmonary arterial hypertension related to Eisenmenger physiology 3. Patients with documented oxygen saturation 70% (at rest, with room air). 4. Patients stable for at least 3 months prior to screening. 5. Patients providing written informed consent. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Patients with left ventricular dysfunction (ejection fraction 125 µM/l. 6. Patients with hemoglobin or hematocrit that is more than 30% below the normal range (patients with secondary polycythemia are permitted). 7. Patients who have started or stopped treatment for PAH within one month of screening, excluding anticoagulation. 8. Patients who are receiving vasodilators including, but not limited to epoprostenol or prostacyclin analogues, or are expected to receive any of these drugs during the study. 9. Patients active on organ transplant lists. 10. Patients taking phosphodiesterase inhibitors, nitrates or endothelin receptor antagonists 11. Patients with planned surgical intervention during the study period. 15. Pregnant patients 16. Patients treated with potent CYP3A4 inhibitors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To examine safety and tolerability of oral sildenafil in patients with Eisenmenger physiology. Primary endpoint: Effects of sildenafil on systemic oxygen saturation in patients with pulmonary arterial hypertension related to Eisenmenger physiology ;Secondary Objective: To evaluate the effects of sildenafil on - WHO functional class - 6 minute walk test - Dyspnea (Borg Index) - Pulmonary perfusion (using respiratory mass spectrometry) - Quality of life - Overall safety and tolerability;Primary end point(s): Effects of sildenafil on systemic oxygen saturation (%) in patients with pulmonary arterial hypertension related to Eisenmenger physiology. | — |
Countries
United Kingdom