Pediatric pulmonary arterial hypertension
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who meet all of the following inclusion criteria 1. Patients aged 2 years or older but younger than 15 years 2. Patients who have undergone cardiac catheterization and have been diagnosed with pulmonary arterial hypertension 3. Patients who are newly initiated on selexipag therapy following its regulatory approval
Exclusion criteria
Exclusion criteria: Patients who meet at least one of the following criteria 1. Patients scheduled to undergo surgical repair during the observation period 2. Patients with Fontan circulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Efficacy outcomes: changes in the following parameters from achievement of the maximum tolerated dose of selexipag through 24 weeks of follow-up - Hemodynamic data from catheterization (heart rate, pulmonary vascular resistance index, pulmonary artery pressure (mean, systolic, diastolic), wedge pressure, cardiac index, stroke volume index, mean right atrial pressure, mixed venous oxygen saturation, pulmonary to systemic resistance ratio, pulmonary to systemic flow ratio, arterial pressure (mean, systolic, diastolic), presence and type of sedation/anesthesia, oxygen level) - Echocardiographic parameters (tricuspid regurgitation velocity, tricuspid regurgitation pressure gradient, right ventricular systolic pressure, presence of pericardial fluid) - Exercise capacity (NYHA/WHO functional class, 6-minute walk distance) - Other clinical laboratory parameters (brain natriuretic peptide, N-terminal pro-brain natriuretic peptide) 2. Safety outcomes - Adverse events (headache, diarrhea, jaw pain, nausea, vomiting, flushing, others) - Serious adverse events | — |
Countries
Japan
Contacts
Toho University Omori Medical Center Pediatrics Center (pediatrics)