Patients with COPD or IPF (WHO functional class II, III or IV), without hypoxia (PaO2 at rest<
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients having COPD or IPF aged 40 years and older (males and females) 2) Patients diagnosed at this hospital as having pulmonary hypertension in patients with COPD or IPF without hypoxia (PaO2<60mmHg at rest or after 6 minutes walk) (WHO functional class II, III or IV). 3) Patients in a stable disease condition who did not require any change of treatment during the 3 months or more previous to their enrollment. 4) Inpatients and outpatients 5) Patients who provide their written informed consent to participate in this study
Exclusion criteria
Exclusion criteria: 1) Patients already on bosentan or other drugs for pulmonary hypertension 2) Patients with any disease that can cause right heart overload 3) Patients with hypoxemia (PaO2<60mmHg at rest or after 6 minutes walk). 4) Women who are pregnant or who may be pregnant, and lactating women 5) Patients with moderate or severe liver disorder 6) Patients under treatment with ciclosporin, tacrolimus, or glibenclamide 7) Other patients judged by the investigator to be inappropriate as a subject of this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| (1) Influence on survival rate. | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) Influence on ADL and Exercise tolerance (2) Influence on cardiac function Change in NT-proBNP or BNP etc, and cardiac function, and these association with ADL, survival rate, or severity of PH. (3) Influence on PFT Change in %DLco and so on, and these association with ADL, survival rate, or severity of PH (4)change from baseline in TEI index and so on (including changes in ICT, ET, IRT,RA size, RV size, and TAPSE etc,) on echocardiography and results of Right heart catheter, and these association with ADL, survival rate, or severity of PH. (5) Safety of the drug | — |
Countries
Japan
Contacts
Chiba-Hokusoh Hospital, Nippon Medical School Department of Respiratory Medicine